A machine tool includes: a turret configured to hold a tool through a clamp mechanism; a workpiece main spindle device configured to rotatably hold a workpiece; a switching unit configured to change a clamp state of the clamp mechanism by using rotation torque of the workpiece main spindle device; and an in-machine robot configured to move the switching unit. The clamp mechanism includes a torque input hole to which rotation torque is applied to change the clamp state. The switching unit includes an input shaft coupled with the workpiece main spindle device, an output shaft coupled with the torque input hole of the clamp mechanism and configured to output torque to the torque input hole, and a transmission mechanism configured to transfer, to the output shaft, the rotation torque of the workpiece main spindle device input through the input shaft.