An adjustment fitting, in particular for a vehicle seat, comprising a first fitting part and a second fitting part that can be rotationally adjusted relative to the first part about an axis of rotation. An external gear, which has internal teeth and into which an internal gear that is associated with the second fitting part and has external teeth is inserted eccentrically to the axis of rotation like an eccentric gear, is associated with the first fitting part. The internal gear forms an eccentric receiving space towards the axis of rotation. The adjustment fitting further comprises an eccentric member that is rotatably inserted into the eccentric receiving space, and a drive shaft for driving the eccentric member. The external gear is designed as a ring gear that has a bottom and an external wall which axially extends beyond the internal teeth. Furthermore, a holding element is provided which can be axially slid against the internal gear in the external wall, is mounted on the external wall, and secures the internal gear against the bottom of the ring gear. The holding element allows the axial tolerance between the internal gear and the external gear to be adjusted.