diff --git a/changelogs/fragments/user-home-dir-with-no-parents.yaml b/changelogs/fragments/user-home-dir-with-no-parents.yaml
new file mode 100644
index 00000000000..744b49b6d46
--- /dev/null
+++ b/changelogs/fragments/user-home-dir-with-no-parents.yaml
@@ -0,0 +1,2 @@
+bugfixes:
+  - user - create parent directories when the specified home path has parent directiries that do not exist (https://github.com/ansible/ansible/issues/41393)
diff --git a/lib/ansible/modules/system/user.py b/lib/ansible/modules/system/user.py
index 0e8e6f9285e..b34e8996165 100644
--- a/lib/ansible/modules/system/user.py
+++ b/lib/ansible/modules/system/user.py
@@ -628,6 +628,12 @@ class User(object):
             cmd.append(self.comment)
 
         if self.home is not None:
+            # If the specified path to the user home contains parent directories that
+            # do not exist, first create the home directory since useradd cannot
+            # create parent directories
+            parent = os.path.dirname(self.home)
+            if not os.path.isdir(parent):
+                self.create_homedir(self.home)
             cmd.append('-d')
             cmd.append(self.home)
 
@@ -2883,7 +2889,24 @@ def main():
         if not user.user_exists():
             if module.check_mode:
                 module.exit_json(changed=True)
+
+            # Check to see if the provided home path contains parent directories
+            # that do not exist.
+            path_needs_parents = False
+            if user.home:
+                parent = os.path.basename(user.home)
+                if not os.path.isdir(parent):
+                    path_needs_parents = True
+
             (rc, out, err) = user.create_user()
+
+            # If the home path had parent directories that needed to be created,
+            # make sure file permissions are correct in the created home directory.
+            if path_needs_parents:
+                info = user.user_info()
+                if info is not False:
+                    user.chown_homedir(info[2], info[3], user.home)
+
             if module.check_mode:
                 result['system'] = user.name
             else:
diff --git a/test/integration/targets/user/tasks/main.yml b/test/integration/targets/user/tasks/main.yml
index 4f64b8fe7e2..9d32ac446fb 100644
--- a/test/integration/targets/user/tasks/main.yml
+++ b/test/integration/targets/user/tasks/main.yml
@@ -154,6 +154,49 @@
   when: ansible_facts.system != 'Darwin'
 
 
+# https://github.com/ansible/ansible/issues/41393
+# Create a new user account with a path that has parent directories that do not exist
+- name: Create user with home path that has parents that do not exist
+  user:
+    name: ansibulluser2
+    state: present
+    home: "{{ user_home_prefix[ansible_facts.system] }}/in2deep/ansibulluser2"
+  register: create_home_with_no_parent_1
+
+- name: Create user with home path that has parents that do not exist again
+  user:
+    name: ansibulluser2
+    state: present
+    home: "{{ user_home_prefix[ansible_facts.system] }}/in2deep/ansibulluser2"
+  register: create_home_with_no_parent_2
+
+- name: Check the created home directory
+  stat:
+    path: "{{ user_home_prefix[ansible_facts.system] }}/in2deep/ansibulluser2"
+  register: home_with_no_parent_3
+
+- name: Ensure user with non-existing parent paths was created successfully
+  assert:
+    that:
+      - create_home_with_no_parent_1 is changed
+      - create_home_with_no_parent_1.home == user_home_prefix[ansible_facts.system] ~ '/in2deep/ansibulluser2'
+      - create_home_with_no_parent_2 is not changed
+      - home_with_no_parent_3.stat.uid == create_home_with_no_parent_1.uid
+      - home_with_no_parent_3.stat.gr_name == default_user_group[ansible_facts.distribution] | default('ansibulluser2')
+
+- name: Cleanup test account
+  user:
+    name: ansibulluser2
+    home: "{{ user_home_prefix[ansible_facts.system] }}/in2deep/ansibulluser2"
+    state: absent
+    remove: yes
+
+- name: Remove testing dir
+  file:
+    path: "{{ user_home_prefix[ansible_facts.system] }}/in2deep/"
+    state: absent
+
+
 ## user check
 
 - name: run existing user check tests
diff --git a/test/integration/targets/user/vars/main.yml b/test/integration/targets/user/vars/main.yml
index 603fcc59a0d..4b328f7184b 100644
--- a/test/integration/targets/user/vars/main.yml
+++ b/test/integration/targets/user/vars/main.yml
@@ -7,3 +7,7 @@ user_home_prefix:
 status_command:
   OpenBSD: "grep ansibulluser /etc/master.passwd | cut -d ':' -f 2"
   FreeBSD: 'pw user show ansibulluser'
+
+default_user_group:
+  openSUSE Leap: users
+  MacOSX: admin