Previous studies on Indian education have urged educators to address serious concerns about inequality and inequity in gifted education, and about the assessments for students educated in extremely diverse social and cultural landscapes in India. Although it is believed that appropriate test accommodations ensure valid and meaningful test results, accommodation practices for gifted students are rarely examined worldwide. To narrow this research gap, the present study examined a large-scale provincial literacy assessment in Ontario, Canada, as a test case, to investigate the accommodations used by gifted students and teachers. In particular, we analyzed 3-year assessment data sets to track the patterns of accommodation practices over time. Furthermore, we discussed potential implications for future research and the development of assessments for assessing gifted Indian students while being mindful of diverse cultural and educational landscapes in the context of India.