diff --git a/docs/serving/openai_compatible_server.md b/docs/serving/openai_compatible_server.md
index 61d827ecc..a7b1c18a6 100644
--- a/docs/serving/openai_compatible_server.md
+++ b/docs/serving/openai_compatible_server.md
@@ -59,6 +59,8 @@ We currently support the following OpenAI APIs:
     - Only applicable to [Automatic Speech Recognition (ASR) models](../models/supported_models.md#transcription).
 - [Translation API](#translations-api) (`/v1/audio/translations`)
     - Only applicable to [Automatic Speech Recognition (ASR) models](../models/supported_models.md#transcription).
+- [Realtime API](#realtime-api) (`/v1/realtime`)
+    - Only applicable to [Automatic Speech Recognition (ASR) models](../models/supported_models.md#transcription).
 
 In addition, we have the following custom APIs:
 
@@ -567,6 +569,96 @@ The following extra parameters are supported:
 --8<-- "vllm/entrypoints/openai/protocol.py:translation-extra-params"
 ```
 
+### Realtime API
+
+The Realtime API provides WebSocket-based streaming audio transcription, allowing real-time speech-to-text as audio is being recorded.
+
+!!! note
+    To use the Realtime API, please install with extra audio dependencies using `uv pip install vllm[audio]`.
+
+#### Audio Format
+
+Audio must be sent as base64-encoded PCM16 audio at 16kHz sample rate, mono channel.
+
+#### Protocol Overview
+
+1. Client connects to `ws://host/v1/realtime`
+2. Server sends `session.created` event
+3. Client optionally sends `session.update` with model/params
+4. Client sends `input_audio_buffer.commit` when ready
+5. Client sends `input_audio_buffer.append` events with base64 PCM16 chunks
+6. Server sends `transcription.delta` events with incremental text
+7. Server sends `transcription.done` with final text + usage
+8. Repeat from step 5 for next utterance
+9. Optionally, client sends input_audio_buffer.commit with final=True
+    to signal audio input is finished. Useful when streaming audio files
+
+#### Client → Server Events
+
+| Event | Description |
+|-------|-------------|
+| `input_audio_buffer.append` | Send base64-encoded audio chunk: `{"type": "input_audio_buffer.append", "audio": "<base64>"}` |
+| `input_audio_buffer.commit` | Trigger transcription processing or end: `{"type": "input_audio_buffer.commit", "final": bool}` |
+| `session.update` | Configure session: `{"type": "session.update", "model": "model-name"}` |
+
+#### Server → Client Events
+
+| Event | Description |
+|-------|-------------|
+| `session.created` | Connection established with session ID and timestamp |
+| `transcription.delta` | Incremental transcription text: `{"type": "transcription.delta", "delta": "text"}` |
+| `transcription.done` | Final transcription with usage stats |
+| `error` | Error notification with message and optional code |
+
+#### Python WebSocket Example
+
+??? code
+
+    ```python
+    import asyncio
+    import base64
+    import json
+    import websockets
+
+    async def realtime_transcribe():
+        uri = "ws://localhost:8000/v1/realtime"
+
+        async with websockets.connect(uri) as ws:
+            # Wait for session.created
+            response = await ws.recv()
+            print(f"Session: {response}")
+
+            # Commit buffer
+            await ws.send(json.dumps({
+                "type": "input_audio_buffer.commit"
+            }))
+
+            # Send audio chunks (example with file)
+            with open("audio.raw", "rb") as f:
+                while chunk := f.read(4096):
+                    await ws.send(json.dumps({
+                        "type": "input_audio_buffer.append",
+                        "audio": base64.b64encode(chunk).decode()
+                    }))
+
+            # Signal all audio is sent
+            await ws.send(json.dumps({
+                "type": "input_audio_buffer.commit",
+                "final": True,
+            }))
+
+            # Receive transcription
+            while True:
+                response = json.loads(await ws.recv())
+                if response["type"] == "transcription.delta":
+                    print(response["delta"], end="", flush=True)
+                elif response["type"] == "transcription.done":
+                    print(f"\nFinal: {response['text']}")
+                    break
+
+    asyncio.run(realtime_transcribe())
+    ```
+
 ### Tokenizer API
 
 Our Tokenizer API is a simple wrapper over [HuggingFace-style tokenizers](https://huggingface.co/docs/transformers/en/main_classes/tokenizer).
diff --git a/examples/online_serving/openai_realtime_client.py b/examples/online_serving/openai_realtime_client.py
new file mode 100644
index 000000000..5aa31e3e5
--- /dev/null
+++ b/examples/online_serving/openai_realtime_client.py
@@ -0,0 +1,151 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+"""
+This script demonstrates how to use the vLLM Realtime WebSocket API to perform
+audio transcription by uploading an audio file.
+
+Before running this script, you must start the vLLM server with a realtime-capable
+model, for example:
+
+    vllm serve mistralai/Voxtral-Mini-3B-Realtime-2602 --enforce-eager
+
+Requirements:
+- vllm with audio support
+- websockets
+- librosa
+- numpy
+
+The script:
+1. Connects to the Realtime WebSocket endpoint
+2. Converts an audio file to PCM16 @ 16kHz
+3. Sends audio chunks to the server
+4. Receives and prints transcription as it streams
+"""
+
+import argparse
+import asyncio
+import base64
+import json
+
+import librosa
+import numpy as np
+import websockets
+
+from vllm.assets.audio import AudioAsset
+
+
+def audio_to_pcm16_base64(audio_path: str) -> str:
+    """
+    Load an audio file and convert it to base64-encoded PCM16 @ 16kHz.
+    """
+    # Load audio and resample to 16kHz mono
+    audio, _ = librosa.load(audio_path, sr=16000, mono=True)
+    # Convert to PCM16
+    pcm16 = (audio * 32767).astype(np.int16)
+    # Encode as base64
+    return base64.b64encode(pcm16.tobytes()).decode("utf-8")
+
+
+async def realtime_transcribe(audio_path: str, host: str, port: int, model: str):
+    """
+    Connect to the Realtime API and transcribe an audio file.
+    """
+    uri = f"ws://{host}:{port}/v1/realtime"
+
+    async with websockets.connect(uri) as ws:
+        # Wait for session.created
+        response = json.loads(await ws.recv())
+        if response["type"] == "session.created":
+            print(f"Session created: {response['id']}")
+        else:
+            print(f"Unexpected response: {response}")
+            return
+
+        # Validate model
+        await ws.send(json.dumps({"type": "session.update", "model": model}))
+
+        # Signal ready to start
+        await ws.send(json.dumps({"type": "input_audio_buffer.commit"}))
+
+        # Convert audio file to base64 PCM16
+        print(f"Loading audio from: {audio_path}")
+        audio_base64 = audio_to_pcm16_base64(audio_path)
+
+        # Send audio in chunks (4KB of raw audio = ~8KB base64)
+        chunk_size = 4096
+        audio_bytes = base64.b64decode(audio_base64)
+        total_chunks = (len(audio_bytes) + chunk_size - 1) // chunk_size
+
+        print(f"Sending {total_chunks} audio chunks...")
+        for i in range(0, len(audio_bytes), chunk_size):
+            chunk = audio_bytes[i : i + chunk_size]
+            await ws.send(
+                json.dumps(
+                    {
+                        "type": "input_audio_buffer.append",
+                        "audio": base64.b64encode(chunk).decode("utf-8"),
+                    }
+                )
+            )
+
+        # Signal all audio is sent
+        await ws.send(json.dumps({"type": "input_audio_buffer.commit", "final": True}))
+        print("Audio sent. Waiting for transcription...\n")
+
+        # Receive transcription
+        print("Transcription: ", end="", flush=True)
+        while True:
+            response = json.loads(await ws.recv())
+            if response["type"] == "transcription.delta":
+                print(response["delta"], end="", flush=True)
+            elif response["type"] == "transcription.done":
+                print(f"\n\nFinal transcription: {response['text']}")
+                if response.get("usage"):
+                    print(f"Usage: {response['usage']}")
+                break
+            elif response["type"] == "error":
+                print(f"\nError: {response['error']}")
+                break
+
+
+def main(args):
+    if args.audio_path:
+        audio_path = args.audio_path
+    else:
+        # Use default audio asset
+        audio_path = str(AudioAsset("mary_had_lamb").get_local_path())
+        print(f"No audio path provided, using default: {audio_path}")
+
+    asyncio.run(realtime_transcribe(audio_path, args.host, args.port, args.model))
+
+
+if __name__ == "__main__":
+    parser = argparse.ArgumentParser(
+        description="Realtime WebSocket Transcription Client"
+    )
+    parser.add_argument(
+        "--model",
+        type=str,
+        default="mistralai/Voxtral-Mini-3B-Realtime-2602",
+        help="Model that is served and should be pinged.",
+    )
+    parser.add_argument(
+        "--audio_path",
+        type=str,
+        default=None,
+        help="Path to the audio file to transcribe.",
+    )
+    parser.add_argument(
+        "--host",
+        type=str,
+        default="localhost",
+        help="vLLM server host (default: localhost)",
+    )
+    parser.add_argument(
+        "--port",
+        type=int,
+        default=8000,
+        help="vLLM server port (default: 8000)",
+    )
+    args = parser.parse_args()
+    main(args)
diff --git a/examples/online_serving/openai_realtime_microphone_client.py b/examples/online_serving/openai_realtime_microphone_client.py
new file mode 100644
index 000000000..fc80b1c50
--- /dev/null
+++ b/examples/online_serving/openai_realtime_microphone_client.py
@@ -0,0 +1,183 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+"""
+Minimal Gradio demo for real-time speech transcription using the vLLM Realtime API.
+
+Start the vLLM server first:
+
+    vllm serve mistralai/Voxtral-Mini-3B-Realtime-2602 --enforce-eager
+
+Then run this script:
+
+    python openai_realtime_microphone_client.py --host localhost --port 8000
+
+Use --share to create a public Gradio link.
+
+Requirements: websockets, numpy, gradio
+"""
+
+import argparse
+import asyncio
+import base64
+import json
+import queue
+import threading
+
+import gradio as gr
+import numpy as np
+import websockets
+
+SAMPLE_RATE = 16_000
+
+# Global state
+audio_queue: queue.Queue = queue.Queue()
+transcription_text = ""
+is_running = False
+ws_url = ""
+model = ""
+
+
+async def websocket_handler():
+    """Connect to WebSocket and handle audio streaming + transcription."""
+    global transcription_text, is_running
+
+    async with websockets.connect(ws_url) as ws:
+        # Wait for session.created
+        await ws.recv()
+
+        # Validate model
+        await ws.send(json.dumps({"type": "session.update", "model": model}))
+
+        # Signal ready
+        await ws.send(json.dumps({"type": "input_audio_buffer.commit"}))
+
+        async def send_audio():
+            while is_running:
+                try:
+                    chunk = await asyncio.get_event_loop().run_in_executor(
+                        None, lambda: audio_queue.get(timeout=0.1)
+                    )
+                    await ws.send(
+                        json.dumps(
+                            {"type": "input_audio_buffer.append", "audio": chunk}
+                        )
+                    )
+                except queue.Empty:
+                    continue
+
+        async def receive_transcription():
+            global transcription_text
+            async for message in ws:
+                data = json.loads(message)
+                if data.get("type") == "transcription.delta":
+                    transcription_text += data["delta"]
+
+        await asyncio.gather(send_audio(), receive_transcription())
+
+
+def start_websocket():
+    """Start WebSocket connection in background thread."""
+    global is_running
+    is_running = True
+    loop = asyncio.new_event_loop()
+    asyncio.set_event_loop(loop)
+    try:
+        loop.run_until_complete(websocket_handler())
+    except Exception as e:
+        print(f"WebSocket error: {e}")
+
+
+def start_recording():
+    """Start the transcription service."""
+    global transcription_text
+    transcription_text = ""
+    thread = threading.Thread(target=start_websocket, daemon=True)
+    thread.start()
+    return gr.update(interactive=False), gr.update(interactive=True), ""
+
+
+def stop_recording():
+    """Stop the transcription service."""
+    global is_running
+    is_running = False
+    return gr.update(interactive=True), gr.update(interactive=False), transcription_text
+
+
+def process_audio(audio):
+    """Process incoming audio and queue for streaming."""
+    global transcription_text
+
+    if audio is None or not is_running:
+        return transcription_text
+
+    sample_rate, audio_data = audio
+
+    # Convert to mono if stereo
+    if len(audio_data.shape) > 1:
+        audio_data = audio_data.mean(axis=1)
+
+    # Normalize to float
+    if audio_data.dtype == np.int16:
+        audio_float = audio_data.astype(np.float32) / 32767.0
+    else:
+        audio_float = audio_data.astype(np.float32)
+
+    # Resample to 16kHz if needed
+    if sample_rate != SAMPLE_RATE:
+        num_samples = int(len(audio_float) * SAMPLE_RATE / sample_rate)
+        audio_float = np.interp(
+            np.linspace(0, len(audio_float) - 1, num_samples),
+            np.arange(len(audio_float)),
+            audio_float,
+        )
+
+    # Convert to PCM16 and base64 encode
+    pcm16 = (audio_float * 32767).astype(np.int16)
+    b64_chunk = base64.b64encode(pcm16.tobytes()).decode("utf-8")
+    audio_queue.put(b64_chunk)
+
+    return transcription_text
+
+
+# Gradio interface
+with gr.Blocks(title="Real-time Speech Transcription") as demo:
+    gr.Markdown("# Real-time Speech Transcription")
+    gr.Markdown("Click **Start** and speak into your microphone.")
+
+    with gr.Row():
+        start_btn = gr.Button("Start", variant="primary")
+        stop_btn = gr.Button("Stop", variant="stop", interactive=False)
+
+    audio_input = gr.Audio(sources=["microphone"], streaming=True, type="numpy")
+    transcription_output = gr.Textbox(label="Transcription", lines=5)
+
+    start_btn.click(
+        start_recording, outputs=[start_btn, stop_btn, transcription_output]
+    )
+    stop_btn.click(stop_recording, outputs=[start_btn, stop_btn, transcription_output])
+    audio_input.stream(
+        process_audio, inputs=[audio_input], outputs=[transcription_output]
+    )
+
+if __name__ == "__main__":
+    parser = argparse.ArgumentParser(
+        description="Realtime WebSocket Transcription with Gradio"
+    )
+    parser.add_argument(
+        "--model",
+        type=str,
+        default="mistralai/Voxtral-Mini-3B-Realtime-2602",
+        help="Model that is served and should be pinged.",
+    )
+    parser.add_argument(
+        "--host", type=str, default="localhost", help="vLLM server host"
+    )
+    parser.add_argument("--port", type=int, default=8000, help="vLLM server port")
+    parser.add_argument(
+        "--share", action="store_true", help="Create public Gradio link"
+    )
+    args = parser.parse_args()
+
+    ws_url = f"ws://{args.host}:{args.port}/v1/realtime"
+    model = args.model
+    demo.launch(share=args.share)
diff --git a/tests/entrypoints/openai/test_realtime_validation.py b/tests/entrypoints/openai/test_realtime_validation.py
new file mode 100644
index 000000000..d0a37cd5e
--- /dev/null
+++ b/tests/entrypoints/openai/test_realtime_validation.py
@@ -0,0 +1,133 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+
+import asyncio
+import base64
+import json
+
+import librosa
+import numpy as np
+import pytest
+import websockets
+
+from vllm.assets.audio import AudioAsset
+
+from ...utils import RemoteOpenAIServer
+from .conftest import add_attention_backend
+
+MISTRAL_FORMAT_ARGS = [
+    "--tokenizer_mode",
+    "mistral",
+    "--config_format",
+    "mistral",
+    "--load_format",
+    "mistral",
+]
+
+MODEL_NAME = "mistralai/Voxtral-Mini-3B-Realtime-2602"
+
+
+def _audio_to_base64_pcm16(path: str, target_sr: int = 16000) -> str:
+    """Load audio file, convert to PCM16 @ target sample rate, base64 encode."""
+    audio, _ = librosa.load(path, sr=target_sr, mono=True)
+    # Convert float32 [-1, 1] to int16 [-32768, 32767]
+    audio_int16 = (audio * 32767).astype(np.int16)
+    audio_bytes = audio_int16.tobytes()
+    return base64.b64encode(audio_bytes).decode("utf-8")
+
+
+def _get_websocket_url(server: RemoteOpenAIServer) -> str:
+    """Convert HTTP URL to WebSocket URL for realtime endpoint."""
+    http_url = server.url_root
+    ws_url = http_url.replace("http://", "ws://")
+    return f"{ws_url}/v1/realtime"
+
+
+async def receive_event(ws, timeout: float = 60.0) -> dict:
+    """Receive and parse JSON event from WebSocket."""
+    message = await asyncio.wait_for(ws.recv(), timeout=timeout)
+    return json.loads(message)
+
+
+async def send_event(ws, event: dict) -> None:
+    """Send JSON event to WebSocket."""
+    await ws.send(json.dumps(event))
+
+
+@pytest.fixture
+def mary_had_lamb_audio_chunks() -> list[str]:
+    """Audio split into ~1 second chunks for streaming."""
+    path = AudioAsset("mary_had_lamb").get_local_path()
+    audio, _ = librosa.load(str(path), sr=16000, mono=True)
+
+    # Split into ~0.1 second chunks (1600 samples at 16kHz)
+    chunk_size = 1600
+    chunks = []
+    for i in range(0, len(audio), chunk_size):
+        chunk = audio[i : i + chunk_size]
+        chunk_int16 = (chunk * 32767).astype(np.int16)
+        chunk_bytes = chunk_int16.tobytes()
+        chunks.append(base64.b64encode(chunk_bytes).decode("utf-8"))
+
+    return chunks
+
+
+@pytest.mark.asyncio
+@pytest.mark.parametrize("model_name", [MODEL_NAME])
+@pytest.mark.skip(reason="Voxtral streaming is not yet public")
+async def test_multi_chunk_streaming(
+    model_name, mary_had_lamb_audio_chunks, rocm_aiter_fa_attention
+):
+    """Test streaming multiple audio chunks before committing."""
+    server_args = ["--enforce-eager"]
+
+    if model_name.startswith("mistralai"):
+        server_args += MISTRAL_FORMAT_ARGS
+
+    add_attention_backend(server_args, rocm_aiter_fa_attention)
+
+    with RemoteOpenAIServer(model_name, server_args) as remote_server:
+        ws_url = _get_websocket_url(remote_server)
+        async with websockets.connect(ws_url) as ws:
+            # Receive session.created
+            event = await receive_event(ws, timeout=30.0)
+            assert event["type"] == "session.created"
+
+            await send_event(ws, {"type": "session.update", "model": model_name})
+
+            # Send commit to start transcription
+            await send_event(ws, {"type": "input_audio_buffer.commit"})
+
+            # Send multiple audio chunks
+            for chunk in mary_had_lamb_audio_chunks:
+                await send_event(
+                    ws, {"type": "input_audio_buffer.append", "audio": chunk}
+                )
+
+            # Send commit to end
+            await send_event(ws, {"type": "input_audio_buffer.commit", "final": True})
+
+            # Collect transcription deltas
+            full_text = ""
+            done_received = False
+
+            while not done_received:
+                event = await receive_event(ws, timeout=60.0)
+
+                if event["type"] == "transcription.delta":
+                    full_text += event["delta"]
+                elif event["type"] == "transcription.done":
+                    done_received = True
+                    assert "text" in event
+                elif event["type"] == "error":
+                    pytest.fail(f"Received error: {event}")
+
+            # Verify transcription contains expected content
+            assert event["type"] == "transcription.done"
+            assert event["text"] == full_text
+            assert full_text == (
+                " He has first words I spoke in the original phonograph."
+                " A little piece of practical poetry. Mary had a little lamb,"
+                " it squeaked with quite a flow, and everywhere that Mary went,"
+                " the lamb was sure to go"
+            )
diff --git a/tests/v1/e2e/test_streaming_input.py b/tests/v1/e2e/test_streaming_input.py
index 40bb30d9a..a1eaa065a 100644
--- a/tests/v1/e2e/test_streaming_input.py
+++ b/tests/v1/e2e/test_streaming_input.py
@@ -19,11 +19,12 @@ import pytest
 import pytest_asyncio
 
 from vllm import SamplingParams
+from vllm.inputs.data import StreamingInput
 from vllm.outputs import RequestOutput
 from vllm.platforms import current_platform
 from vllm.sampling_params import RequestOutputKind
 from vllm.utils.torch_utils import set_default_torch_num_threads
-from vllm.v1.engine.async_llm import AsyncLLM, StreamingInput
+from vllm.v1.engine.async_llm import AsyncLLM
 
 if not current_platform.is_cuda():
     pytest.skip(reason="V1 currently only supported on CUDA.", allow_module_level=True)
diff --git a/tests/v1/streaming_input/test_async_llm_streaming.py b/tests/v1/streaming_input/test_async_llm_streaming.py
index 913576f70..992634387 100644
--- a/tests/v1/streaming_input/test_async_llm_streaming.py
+++ b/tests/v1/streaming_input/test_async_llm_streaming.py
@@ -7,9 +7,10 @@ from unittest.mock import AsyncMock, MagicMock
 
 import pytest
 
+from vllm.inputs.data import StreamingInput
 from vllm.outputs import RequestOutput
 from vllm.sampling_params import RequestOutputKind, SamplingParams
-from vllm.v1.engine.async_llm import AsyncLLM, StreamingInput
+from vllm.v1.engine.async_llm import AsyncLLM
 from vllm.v1.engine.output_processor import RequestOutputCollector
 
 
diff --git a/vllm/engine/protocol.py b/vllm/engine/protocol.py
index 205efd1d5..c4248cf83 100644
--- a/vllm/engine/protocol.py
+++ b/vllm/engine/protocol.py
@@ -6,7 +6,7 @@ from collections.abc import AsyncGenerator, Iterable, Mapping
 from typing import Any
 
 from vllm.config import ModelConfig, VllmConfig
-from vllm.inputs.data import PromptType
+from vllm.inputs.data import PromptType, StreamingInput
 from vllm.lora.request import LoRARequest
 from vllm.outputs import PoolingRequestOutput, RequestOutput
 from vllm.plugins.io_processors import IOProcessor
@@ -49,7 +49,7 @@ class EngineClient(ABC):
     @abstractmethod
     def generate(
         self,
-        prompt: EngineCoreRequest | PromptType,
+        prompt: EngineCoreRequest | PromptType | AsyncGenerator[StreamingInput, None],
         sampling_params: SamplingParams,
         request_id: str,
         *,
diff --git a/vllm/entrypoints/launcher.py b/vllm/entrypoints/launcher.py
index cabf95e8d..e75d66bbf 100644
--- a/vllm/entrypoints/launcher.py
+++ b/vllm/entrypoints/launcher.py
@@ -36,6 +36,7 @@ async def serve_http(
     h11_max_header_count.
     """
     logger.info("Available routes are:")
+    # post endpoints
     for route in app.routes:
         methods = getattr(route, "methods", None)
         path = getattr(route, "path", None)
@@ -45,6 +46,17 @@ async def serve_http(
 
         logger.info("Route: %s, Methods: %s", path, ", ".join(methods))
 
+    # other endpoints
+    for route in app.routes:
+        endpoint = getattr(route, "endpoint", None)
+        methods = getattr(route, "methods", None)
+        path = getattr(route, "path", None)
+
+        if endpoint is None or path is None or methods is not None:
+            continue
+
+        logger.info("Route: %s, Endpoint: %s", path, endpoint.__name__)
+
     # Extract header limit options if present
     h11_max_incomplete_event_size = uvicorn_kwargs.pop(
         "h11_max_incomplete_event_size", None
diff --git a/vllm/entrypoints/openai/api_server.py b/vllm/entrypoints/openai/api_server.py
index 9639ba28e..a1ee3607a 100644
--- a/vllm/entrypoints/openai/api_server.py
+++ b/vllm/entrypoints/openai/api_server.py
@@ -196,6 +196,13 @@ def build_app(args: Namespace, supported_tasks: tuple["SupportedTask", ...]) ->
 
         register_translations_api_router(app)
 
+    if "realtime" in supported_tasks:
+        from vllm.entrypoints.openai.realtime.api_router import (
+            attach_router as register_realtime_api_router,
+        )
+
+        register_realtime_api_router(app)
+
     if any(task in POOLING_TASKS for task in supported_tasks):
         from vllm.entrypoints.pooling import register_pooling_api_routers
 
@@ -319,6 +326,11 @@ async def init_app_state(
             engine_client, state, args, request_logger, supported_tasks
         )
 
+    if "realtime" in supported_tasks:
+        from vllm.entrypoints.openai.realtime.api_router import init_realtime_state
+
+        init_realtime_state(engine_client, state, args, request_logger, supported_tasks)
+
     if any(task in POOLING_TASKS for task in supported_tasks):
         from vllm.entrypoints.pooling import init_pooling_state
 
diff --git a/vllm/entrypoints/openai/realtime/__init__.py b/vllm/entrypoints/openai/realtime/__init__.py
new file mode 100644
index 000000000..208f01a7c
--- /dev/null
+++ b/vllm/entrypoints/openai/realtime/__init__.py
@@ -0,0 +1,2 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
diff --git a/vllm/entrypoints/openai/realtime/api_router.py b/vllm/entrypoints/openai/realtime/api_router.py
new file mode 100644
index 000000000..fb7decbd7
--- /dev/null
+++ b/vllm/entrypoints/openai/realtime/api_router.py
@@ -0,0 +1,75 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+
+from typing import TYPE_CHECKING
+
+from fastapi import APIRouter, FastAPI, WebSocket
+
+from vllm.entrypoints.openai.realtime.connection import RealtimeConnection
+from vllm.entrypoints.openai.realtime.serving import OpenAIServingRealtime
+from vllm.logger import init_logger
+
+logger = init_logger(__name__)
+
+if TYPE_CHECKING:
+    from argparse import Namespace
+
+    from starlette.datastructures import State
+
+    from vllm.engine.protocol import EngineClient
+    from vllm.entrypoints.logger import RequestLogger
+    from vllm.tasks import SupportedTask
+else:
+    RequestLogger = object
+
+router = APIRouter()
+
+
+@router.websocket("/v1/realtime")
+async def realtime_endpoint(websocket: WebSocket):
+    """WebSocket endpoint for realtime audio transcription.
+
+    Protocol:
+    1. Client connects to ws://host/v1/realtime
+    2. Server sends session.created event
+    3. Client optionally sends session.update with model/params
+    4. Client sends input_audio_buffer.commit when ready
+    5. Client sends input_audio_buffer.append events with base64 PCM16 chunks
+    6. Server processes and sends transcription.delta events
+    7. Server sends transcription.done with final text + usage
+    8. Repeat from step 5 for next utterance
+    9. Optionally, client sends input_audio_buffer.commit with final=True
+       to signal audio input is finished. Useful when streaming audio files
+
+    Audio format: PCM16, 16kHz, mono, base64-encoded
+    """
+    app = websocket.app
+    serving = app.state.openai_serving_realtime
+
+    connection = RealtimeConnection(websocket, serving)
+    await connection.handle_connection()
+
+
+def attach_router(app: FastAPI):
+    """Attach the realtime router to the FastAPI app."""
+    app.include_router(router)
+    logger.info("Realtime API router attached")
+
+
+def init_realtime_state(
+    engine_client: "EngineClient",
+    state: "State",
+    args: "Namespace",
+    request_logger: RequestLogger | None,
+    supported_tasks: tuple["SupportedTask", ...],
+):
+    state.openai_serving_realtime = (
+        OpenAIServingRealtime(
+            engine_client,
+            state.openai_serving_models,
+            request_logger=request_logger,
+            log_error_stack=args.log_error_stack,
+        )
+        if "realtime" in supported_tasks
+        else None
+    )
diff --git a/vllm/entrypoints/openai/realtime/connection.py b/vllm/entrypoints/openai/realtime/connection.py
new file mode 100644
index 000000000..6b779c720
--- /dev/null
+++ b/vllm/entrypoints/openai/realtime/connection.py
@@ -0,0 +1,285 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+
+import asyncio
+import base64
+import json
+from collections.abc import AsyncGenerator
+from http import HTTPStatus
+from uuid import uuid4
+
+import numpy as np
+from fastapi import WebSocket
+from starlette.websockets import WebSocketDisconnect
+
+from vllm import envs
+from vllm.entrypoints.openai.engine.protocol import ErrorResponse, UsageInfo
+from vllm.entrypoints.openai.realtime.protocol import (
+    ErrorEvent,
+    InputAudioBufferAppend,
+    InputAudioBufferCommit,
+    SessionCreated,
+    TranscriptionDelta,
+    TranscriptionDone,
+)
+from vllm.entrypoints.openai.realtime.serving import OpenAIServingRealtime
+from vllm.exceptions import VLLMValidationError
+from vllm.logger import init_logger
+
+logger = init_logger(__name__)
+
+
+class RealtimeConnection:
+    """Manages WebSocket lifecycle and state for realtime transcription.
+
+    This class handles:
+    - WebSocket connection lifecycle (accept, receive, send, close)
+    - Event routing (session.update, append, commit)
+    - Audio buffering via asyncio.Queue
+    - Generation task management
+    - Error handling and cleanup
+    """
+
+    def __init__(self, websocket: WebSocket, serving: OpenAIServingRealtime):
+        self.websocket = websocket
+        self.connection_id = f"ws-{uuid4()}"
+        self.serving = serving
+        self.audio_queue: asyncio.Queue[np.ndarray | None] = asyncio.Queue()
+        self.generation_task: asyncio.Task | None = None
+
+        self._is_connected = False
+        self._is_input_finished = False
+        self._is_model_validated = False
+
+        self._max_audio_filesize_mb = envs.VLLM_MAX_AUDIO_CLIP_FILESIZE_MB
+
+    async def handle_connection(self):
+        """Main connection loop."""
+        await self.websocket.accept()
+        logger.debug("WebSocket connection accepted: %s", self.connection_id)
+        self._is_connected = True
+
+        # Send session created event
+        await self.send(SessionCreated())
+
+        try:
+            while True:
+                message = await self.websocket.receive_text()
+                try:
+                    event = json.loads(message)
+                    await self.handle_event(event)
+                except json.JSONDecodeError:
+                    await self.send_error("Invalid JSON", "invalid_json")
+                except Exception as e:
+                    logger.exception("Error handling event: %s", e)
+                    await self.send_error(str(e), "processing_error")
+        except WebSocketDisconnect:
+            logger.debug("WebSocket disconnected: %s", self.connection_id)
+            self._is_connected = False
+        except Exception as e:
+            logger.exception("Unexpected error in connection: %s", e)
+        finally:
+            await self.cleanup()
+
+    def _check_model(self, model: str | None) -> None | ErrorResponse:
+        if self.serving._is_model_supported(model):
+            return None
+
+        return self.serving.create_error_response(
+            message=f"The model `{model}` does not exist.",
+            err_type="NotFoundError",
+            status_code=HTTPStatus.NOT_FOUND,
+            param="model",
+        )
+
+    async def handle_event(self, event: dict):
+        """Route events to handlers.
+
+        Supported event types:
+        - session.update: Configure model
+        - input_audio_buffer.append: Add audio chunk to queue
+        - input_audio_buffer.commit: Start transcription generation
+        """
+        event_type = event.get("type")
+        if event_type == "session.update":
+            logger.debug("Session updated: %s", event)
+            self._check_model(event["model"])
+            self._is_model_validated = True
+        elif event_type == "input_audio_buffer.append":
+            append_event = InputAudioBufferAppend(**event)
+            try:
+                audio_bytes = base64.b64decode(append_event.audio)
+                # Convert PCM16 bytes to float32 numpy array
+                audio_array = (
+                    np.frombuffer(audio_bytes, dtype=np.int16).astype(np.float32)
+                    / 32768.0
+                )
+
+                if len(audio_array) / 1024**2 > self._max_audio_filesize_mb:
+                    raise VLLMValidationError(
+                        "Maximum file size exceeded",
+                        parameter="audio_filesize_mb",
+                        value=len(audio_array) / 1024**2,
+                    )
+                if len(audio_array) == 0:
+                    raise VLLMValidationError("Can't process empty audio.")
+
+                # Put audio chunk in queue
+                self.audio_queue.put_nowait(audio_array)
+
+            except Exception as e:
+                logger.error("Failed to decode audio: %s", e)
+                await self.send_error("Invalid audio data", "invalid_audio")
+
+        elif event_type == "input_audio_buffer.commit":
+            if not self._is_model_validated:
+                err_msg = (
+                    "Model not validated. Make sure to validate the"
+                    " model by sending a session.update event."
+                )
+                await self.send_error(
+                    err_msg,
+                    "model_not_validated",
+                )
+
+            commit_event = InputAudioBufferCommit(**event)
+            # final signals that the audio is finished
+            if commit_event.final:
+                self._is_input_finished = True
+            else:
+                await self.start_generation()
+        else:
+            await self.send_error(f"Unknown event type: {event_type}", "unknown_event")
+
+    async def audio_stream_generator(self) -> AsyncGenerator[np.ndarray, None]:
+        """Generator that yields audio chunks from the queue."""
+        while True:
+            audio_chunk = await self.audio_queue.get()
+            if audio_chunk is None:  # Sentinel value to stop
+                break
+            yield audio_chunk
+
+    async def start_generation(self):
+        """Start the transcription generation task."""
+        if self.generation_task is not None and not self.generation_task.done():
+            logger.warning("Generation already in progress, ignoring commit")
+            return
+
+        # Create audio stream generator
+        audio_stream = self.audio_stream_generator()
+        input_stream = asyncio.Queue[list[int]]()
+
+        # Transform to StreamingInput generator
+        streaming_input_gen = self.serving.transcribe_realtime(
+            audio_stream, input_stream
+        )
+
+        # Start generation task
+        self.generation_task = asyncio.create_task(
+            self._run_generation(streaming_input_gen, input_stream)
+        )
+
+    async def _run_generation(
+        self,
+        streaming_input_gen: AsyncGenerator,
+        input_stream: asyncio.Queue[list[int]],
+    ):
+        """Run the generation and stream results back to the client.
+
+        This method:
+        1. Creates sampling parameters from session config
+        2. Passes the streaming input generator to engine.generate()
+        3. Streams transcription.delta events as text is generated
+        4. Sends final transcription.done event with usage stats
+        5. Feeds generated token IDs back to input_stream for next iteration
+        6. Cleans up the audio queue
+        """
+        request_id = f"rt-{self.connection_id}-{uuid4()}"
+        full_text = ""
+
+        prompt_token_ids_len: int = 0
+        completion_tokens_len: int = 0
+
+        try:
+            # Create sampling params
+            from vllm.sampling_params import RequestOutputKind, SamplingParams
+
+            sampling_params = SamplingParams.from_optional(
+                temperature=0.0,
+                max_tokens=1,
+                output_kind=RequestOutputKind.DELTA,
+                skip_clone=True,
+            )
+
+            # Pass the streaming input generator to the engine
+            # The engine will consume audio chunks as they arrive and
+            # stream back transcription results incrementally
+            result_gen = self.serving.engine_client.generate(
+                prompt=streaming_input_gen,
+                sampling_params=sampling_params,
+                request_id=request_id,
+            )
+
+            # Stream results back to client as they're generated
+            async for output in result_gen:
+                if output.outputs and len(output.outputs) > 0:
+                    if not prompt_token_ids_len and output.prompt_token_ids:
+                        prompt_token_ids_len = len(output.prompt_token_ids)
+
+                    delta = output.outputs[0].text
+                    full_text += delta
+
+                    # append output to input
+                    input_stream.put_nowait(list(output.outputs[0].token_ids))
+                    await self.send(TranscriptionDelta(delta=delta))
+
+                    completion_tokens_len += len(output.outputs[0].token_ids)
+
+                if not self._is_connected:
+                    # finish because websocket connection was killed
+                    break
+
+                if self.audio_queue.empty() and self._is_input_finished:
+                    # finish because client signals that audio input
+                    # is finished
+                    break
+
+            usage = UsageInfo(
+                prompt_tokens=prompt_token_ids_len,
+                completion_tokens=completion_tokens_len,
+                total_tokens=prompt_token_ids_len + completion_tokens_len,
+            )
+
+            # Send final completion event
+            await self.send(TranscriptionDone(text=full_text, usage=usage))
+
+            # Clear queue for next utterance
+            while not self.audio_queue.empty():
+                self.audio_queue.get_nowait()
+
+        except Exception as e:
+            logger.exception("Error in generation: %s", e)
+            await self.send_error(str(e), "processing_error")
+
+    async def send(
+        self, event: SessionCreated | TranscriptionDelta | TranscriptionDone
+    ):
+        """Send event to client."""
+        data = event.model_dump_json()
+        await self.websocket.send_text(data)
+
+    async def send_error(self, message: str, code: str | None = None):
+        """Send error event to client."""
+        error_event = ErrorEvent(error=message, code=code)
+        await self.websocket.send_text(error_event.model_dump_json())
+
+    async def cleanup(self):
+        """Cleanup resources."""
+        # Signal audio stream to stop
+        self.audio_queue.put_nowait(None)
+
+        # Cancel generation task if running
+        if self.generation_task and not self.generation_task.done():
+            self.generation_task.cancel()
+
+        logger.debug("Connection cleanup complete: %s", self.connection_id)
diff --git a/vllm/entrypoints/openai/realtime/protocol.py b/vllm/entrypoints/openai/realtime/protocol.py
new file mode 100644
index 000000000..25c5cd39d
--- /dev/null
+++ b/vllm/entrypoints/openai/realtime/protocol.py
@@ -0,0 +1,68 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+
+import time
+from typing import Literal
+
+from pydantic import Field
+
+from vllm.entrypoints.openai.engine.protocol import (
+    OpenAIBaseModel,
+    UsageInfo,
+)
+from vllm.utils import random_uuid
+
+# Client -> Server Events
+
+
+class InputAudioBufferAppend(OpenAIBaseModel):
+    """Append audio chunk to buffer"""
+
+    type: Literal["input_audio_buffer.append"] = "input_audio_buffer.append"
+    audio: str  # base64-encoded PCM16 @ 16kHz
+
+
+class InputAudioBufferCommit(OpenAIBaseModel):
+    """Process accumulated audio buffer"""
+
+    type: Literal["input_audio_buffer.commit"] = "input_audio_buffer.commit"
+    final: bool = False
+
+
+# Server -> Client Events
+class SessionUpdate(OpenAIBaseModel):
+    """Configure session parameters"""
+
+    type: Literal["session.update"] = "session.update"
+    model: str | None = None
+
+
+class SessionCreated(OpenAIBaseModel):
+    """Connection established notification"""
+
+    type: Literal["session.created"] = "session.created"
+    id: str = Field(default_factory=lambda: f"sess-{random_uuid()}")
+    created: int = Field(default_factory=lambda: int(time.time()))
+
+
+class TranscriptionDelta(OpenAIBaseModel):
+    """Incremental transcription text"""
+
+    type: Literal["transcription.delta"] = "transcription.delta"
+    delta: str  # Incremental text
+
+
+class TranscriptionDone(OpenAIBaseModel):
+    """Final transcription with usage stats"""
+
+    type: Literal["transcription.done"] = "transcription.done"
+    text: str  # Complete transcription
+    usage: UsageInfo | None = None
+
+
+class ErrorEvent(OpenAIBaseModel):
+    """Error notification"""
+
+    type: Literal["error"] = "error"
+    error: str
+    code: str | None = None
diff --git a/vllm/entrypoints/openai/realtime/serving.py b/vllm/entrypoints/openai/realtime/serving.py
new file mode 100644
index 000000000..8a2d62a37
--- /dev/null
+++ b/vllm/entrypoints/openai/realtime/serving.py
@@ -0,0 +1,84 @@
+# SPDX-License-Identifier: Apache-2.0
+# SPDX-FileCopyrightText: Copyright contributors to the vLLM project
+
+import asyncio
+from collections.abc import AsyncGenerator
+from functools import cached_property
+from typing import Literal, cast
+
+import numpy as np
+
+from vllm.engine.protocol import EngineClient
+from vllm.entrypoints.logger import RequestLogger
+from vllm.entrypoints.openai.engine.serving import OpenAIServing
+from vllm.entrypoints.openai.models.serving import OpenAIServingModels
+from vllm.inputs.data import PromptType, StreamingInput
+from vllm.logger import init_logger
+from vllm.model_executor.models.interfaces import SupportsRealtime
+
+logger = init_logger(__name__)
+
+
+class OpenAIServingRealtime(OpenAIServing):
+    """Realtime audio transcription service via WebSocket streaming.
+
+    Provides streaming audio-to-text transcription by transforming audio chunks
+    into StreamingInput objects that can be consumed by the engine.
+    """
+
+    def __init__(
+        self,
+        engine_client: EngineClient,
+        models: OpenAIServingModels,
+        *,
+        request_logger: RequestLogger | None,
+        log_error_stack: bool = False,
+    ):
+        super().__init__(
+            engine_client=engine_client,
+            models=models,
+            request_logger=request_logger,
+            log_error_stack=log_error_stack,
+        )
+
+        self.task_type: Literal["realtime"] = "realtime"
+
+        logger.info("OpenAIServingRealtime initialized for task: %s", self.task_type)
+
+    @cached_property
+    def model_cls(self) -> type[SupportsRealtime]:
+        """Get the model class that supports transcription."""
+        from vllm.model_executor.model_loader import get_model_cls
+
+        model_cls = get_model_cls(self.model_config)
+        return cast(type[SupportsRealtime], model_cls)
+
+    async def transcribe_realtime(
+        self,
+        audio_stream: AsyncGenerator[np.ndarray, None],
+        input_stream: asyncio.Queue[list[int]],
+    ) -> AsyncGenerator[StreamingInput, None]:
+        """Transform audio stream into StreamingInput for engine.generate().
+
+        Args:
+            audio_stream: Async generator yielding float32 numpy audio arrays
+            input_stream: Queue containing context token IDs from previous
+                generation outputs. Used for autoregressive multi-turn
+                processing where each generation's output becomes the context
+                for the next iteration.
+
+        Yields:
+            StreamingInput objects containing audio prompts for the engine
+        """
+
+        # mypy is being stupid
+        # TODO(Patrick) - fix this
+        stream_input_iter = cast(
+            AsyncGenerator[PromptType, None],
+            self.model_cls.buffer_realtime_audio(
+                audio_stream, input_stream, self.model_config
+            ),
+        )
+
+        async for prompt in stream_input_iter:
+            yield StreamingInput(prompt=prompt)
diff --git a/vllm/inputs/data.py b/vllm/inputs/data.py
index 1f138a72d..94f56e0b3 100644
--- a/vllm/inputs/data.py
+++ b/vllm/inputs/data.py
@@ -1,11 +1,14 @@
 # SPDX-License-Identifier: Apache-2.0
 # SPDX-FileCopyrightText: Copyright contributors to the vLLM project
 from collections.abc import Iterable
+from dataclasses import dataclass
 from typing import TYPE_CHECKING, Any, Generic, Literal, TypeAlias, cast
 
 import torch
 from typing_extensions import NotRequired, TypedDict, TypeIs, TypeVar
 
+from vllm.sampling_params import SamplingParams
+
 if TYPE_CHECKING:
     from vllm.multimodal.inputs import (
         MultiModalDataDict,
@@ -357,3 +360,15 @@ def to_enc_dec_tuple_list(
         (enc_dec_prompt["encoder_prompt"], enc_dec_prompt["decoder_prompt"])
         for enc_dec_prompt in enc_dec_prompts
     ]
+
+
+@dataclass
+class StreamingInput:
+    """Input data for a streaming generation request.
+
+    This is used with generate() to support multi-turn streaming sessions
+    where inputs are provided via an async generator.
+    """
+
+    prompt: PromptType
+    sampling_params: SamplingParams | None = None
diff --git a/vllm/model_executor/models/interfaces.py b/vllm/model_executor/models/interfaces.py
index ea763afd5..e6ee212af 100644
--- a/vllm/model_executor/models/interfaces.py
+++ b/vllm/model_executor/models/interfaces.py
@@ -1,7 +1,8 @@
 # SPDX-License-Identifier: Apache-2.0
 # SPDX-FileCopyrightText: Copyright contributors to the vLLM project
 
-from collections.abc import Callable, Iterable, Mapping, MutableSequence
+import asyncio
+from collections.abc import AsyncGenerator, Callable, Iterable, Mapping, MutableSequence
 from contextlib import ExitStack, contextmanager, nullcontext
 from typing import (
     TYPE_CHECKING,
@@ -1015,6 +1016,37 @@ class SupportsQuant:
         return None
 
 
+@runtime_checkable
+class SupportsRealtime(Protocol):
+    """The interface required for all models that support transcription."""
+
+    supports_realtime: ClassVar[Literal[True]] = True
+
+    @classmethod
+    async def buffer_realtime_audio(
+        cls,
+        audio_stream: AsyncGenerator[np.ndarray, None],
+        input_stream: asyncio.Queue[list[int]],
+        model_config: ModelConfig,
+    ) -> AsyncGenerator[PromptType, None]: ...
+
+
+@overload
+def supports_realtime(
+    model: type[object],
+) -> TypeIs[type[SupportsRealtime]]: ...
+
+
+@overload
+def supports_realtime(model: object) -> TypeIs[SupportsRealtime]: ...
+
+
+def supports_realtime(
+    model: type[object] | object,
+) -> TypeIs[type[SupportsRealtime]] | TypeIs[SupportsRealtime]:
+    return getattr(model, "supports_realtime", False)
+
+
 @runtime_checkable
 class SupportsTranscription(Protocol):
     """The interface required for all models that support transcription."""
diff --git a/vllm/model_executor/models/voxtral.py b/vllm/model_executor/models/voxtral.py
index c828aa7e5..483f431eb 100644
--- a/vllm/model_executor/models/voxtral.py
+++ b/vllm/model_executor/models/voxtral.py
@@ -1,7 +1,6 @@
 # SPDX-License-Identifier: Apache-2.0
 # SPDX-FileCopyrightText: Copyright contributors to the vLLM project
 
-import inspect
 import math
 from collections.abc import Iterable, Mapping, Sequence
 from functools import cached_property, partial
@@ -20,7 +19,6 @@ from mistral_common.protocol.transcription.request import TranscriptionRequest
 from mistral_common.tokens.tokenizers.audio import (
     Audio,
     AudioEncoder,
-    TranscriptionFormat,
 )
 from transformers import BatchFeature, TensorType, WhisperConfig
 from transformers.tokenization_utils_base import TextInput
@@ -163,19 +161,10 @@ class VoxtralProcessorAdapter:
             assert isinstance(audio, np.ndarray)
             assert audio.ndim == 1
 
-            # pad if necessary
-            # TODO(Patrick) - remove once mistral-common is bumped
-            if (
-                self._audio_processor.audio_config.transcription_format
-                != TranscriptionFormat.STREAMING
-            ):
-                sig = inspect.signature(self._audio_processor.pad)
-                if "is_online_streaming" in sig.parameters:
-                    audio = self._audio_processor.pad(
-                        audio, self.sampling_rate, is_online_streaming=False
-                    )
-                else:
-                    audio = self._audio_processor.pad(audio, self.sampling_rate)
+            if not self._audio_processor.audio_config.is_streaming:
+                audio = self._audio_processor.pad(
+                    audio, self.sampling_rate, is_online_streaming=False
+                )
 
             audio_tokens = [self.begin_audio_token_id] + [
                 self.audio_token_id
diff --git a/vllm/model_executor/models/voxtral_streaming.py b/vllm/model_executor/models/voxtral_streaming.py
index 3d1bb1933..5ff561f73 100644
--- a/vllm/model_executor/models/voxtral_streaming.py
+++ b/vllm/model_executor/models/voxtral_streaming.py
@@ -1,8 +1,9 @@
 # SPDX-License-Identifier: Apache-2.0
 # SPDX-FileCopyrightText: Copyright contributors to the vLLM project
 
+import asyncio
 import math
-from collections.abc import Mapping
+from collections.abc import AsyncGenerator, Mapping
 from typing import Literal, cast
 
 import numpy as np
@@ -12,12 +13,14 @@ from mistral_common.protocol.transcription.request import (
     StreamingMode,
     TranscriptionRequest,
 )
-from mistral_common.tokens.tokenizers.audio import Audio
+from mistral_common.tokens.tokenizers.audio import Audio, AudioConfig
 
+from vllm.compilation.decorators import support_torch_compile
 from vllm.config import ModelConfig, SpeechToTextConfig, VllmConfig
-from vllm.inputs.data import PromptType
+from vllm.envs import VLLM_ENGINE_ITERATION_TIMEOUT_S
+from vllm.inputs.data import PromptType, TokensPrompt
 from vllm.logger import init_logger
-from vllm.model_executor.models.interfaces import MultiModalEmbeddings
+from vllm.model_executor.models.interfaces import MultiModalEmbeddings, SupportsRealtime
 from vllm.model_executor.models.voxtral import (
     VoxtralDummyInputsBuilder,
     VoxtralForConditionalGeneration,
@@ -44,6 +47,8 @@ from .utils import (
 
 logger = init_logger(__name__)
 
+_PRE_ALLOCATE_BUFFER_SIZE_IN_S = 30
+
 
 class VoxtralStreamingMultiModalProcessor(VoxtralMultiModalProcessor):
     def __init__(
@@ -124,29 +129,164 @@ def _expand_tensor(input_tensor: torch.Tensor, scaling: int) -> torch.Tensor:
     return (base.unsqueeze(1) + offsets).view(-1)
 
 
+class VoxtralRealtimeBuffer:
+    def __init__(self, config: AudioConfig) -> None:
+        self._config = config
+
+        self._look_ahead_in_ms = config.streaming_look_ahead_ms
+        self._look_back_in_ms = config.streaming_look_back_ms
+
+        self._sampling_rate = self._config.sampling_rate
+
+        self._look_ahead = self._get_len_in_samples(self._look_ahead_in_ms)
+        self._look_back = self._get_len_in_samples(self._look_back_in_ms)
+        self._streaming_size = self._get_len_in_samples(1000 / self._config.frame_rate)
+
+        # mutable objects
+        streaming_delay = self._get_len_in_samples(self._config.transcription_delay_ms)
+        self._start = 0
+        self._end = streaming_delay + self._streaming_size
+
+        # always pre-allocate 30 second buffers
+        self._buffer_size = _PRE_ALLOCATE_BUFFER_SIZE_IN_S * self._sampling_rate
+        self._buffer: np.ndarray = np.empty(self._buffer_size, dtype=np.float32)
+        self._filled_buffer_len = 0
+
+    @property
+    def start_idx(self):
+        return max(self._start - self._look_back, 0)
+
+    @property
+    def end_idx(self):
+        return self._end + self._look_ahead
+
+    @property
+    def is_audio_complete(self) -> bool:
+        return self._filled_buffer_len >= self.end_idx
+
+    def _get_len_in_samples(self, len_in_ms: float) -> int:
+        _len_in_s = self._sampling_rate * len_in_ms / 1000
+        assert _len_in_s.is_integer(), _len_in_s
+        len_in_s = int(_len_in_s)
+
+        return len_in_s
+
+    def _allocate_new_buffer(self) -> None:
+        # allocate new buffer
+        new_buffer = np.empty(self._buffer_size, dtype=np.float32)
+        left_to_copy = max(self._filled_buffer_len - self.start_idx, 0)
+
+        if left_to_copy > 0:
+            new_buffer[:left_to_copy] = self._buffer[
+                self.start_idx : self._filled_buffer_len
+            ]
+
+        del self._buffer
+        self._buffer = new_buffer
+
+        self._filled_buffer_len = left_to_copy
+        self._start = self._look_back
+        self._end = self._start + self._streaming_size
+
+    def write_audio(self, audio: np.ndarray) -> None:
+        put_end_idx = self._filled_buffer_len + len(audio)
+
+        if put_end_idx > self._buffer_size:
+            self._allocate_new_buffer()
+
+        self._buffer[self._filled_buffer_len : self._filled_buffer_len + len(audio)] = (
+            audio
+        )
+        self._filled_buffer_len += len(audio)
+
+    def read_audio(self) -> np.ndarray | None:
+        if not self.is_audio_complete:
+            return None
+
+        audio = self._buffer[self.start_idx : self.end_idx]
+        self._start = self._end
+        self._end += self._streaming_size
+
+        return audio
+
+
 @MULTIMODAL_REGISTRY.register_processor(
     VoxtralStreamingMultiModalProcessor,
     info=VoxtralProcessingInfo,
     dummy_inputs=VoxtralDummyInputsBuilder,
 )
-class VoxtralStreamingGeneration(VoxtralForConditionalGeneration):
+@support_torch_compile
+class VoxtralStreamingGeneration(VoxtralForConditionalGeneration, SupportsRealtime):
     requires_raw_input_tokens = True
 
     def __init__(self, *, vllm_config: VllmConfig, prefix: str = ""):
         super().__init__(vllm_config=vllm_config, prefix=prefix)
+
+        assert (
+            not vllm_config.compilation_config.cudagraph_mode.has_full_cudagraphs()
+        ), (
+            "Voxtral streaming doesn't support full cudagraphs yet. "
+            "Please use PIECEWISE."
+        )
+
         self.time_embedding: TimeEmbedding = TimeEmbedding(
             dim=self.config.text_config.hidden_size
         )
 
         audio_config = self.tokenizer.instruct.audio_encoder.audio_config
-        _n_delay_tokens = (
-            audio_config.frame_rate * audio_config.transcription_delay_ms / 1000
-        )
-        assert _n_delay_tokens.is_integer(), (
-            f"n_delay_tokens must be integer, got {_n_delay_tokens}"
-        )
+        self.n_delay_tokens = audio_config.num_delay_tokens
 
-        self.n_delay_tokens = int(_n_delay_tokens)
+    # for realtime transcription
+    @classmethod
+    async def buffer_realtime_audio(
+        cls,
+        audio_stream: AsyncGenerator[np.ndarray, None],
+        input_stream: asyncio.Queue[list[int]],
+        model_config: ModelConfig,
+    ) -> AsyncGenerator[PromptType, None]:
+        tokenizer = cached_tokenizer_from_config(model_config)
+        audio_encoder = tokenizer.instruct.audio_encoder
+        config = audio_encoder.audio_config
+
+        buffer = VoxtralRealtimeBuffer(config)
+        is_first_yield = True
+
+        async for audio in audio_stream:
+            buffer.write_audio(audio)
+
+            while (new_audio := buffer.read_audio()) is not None:
+                if is_first_yield:
+                    # make sure that input_stream is empty
+                    assert input_stream.empty()
+
+                    audio = Audio(new_audio, config.sampling_rate, format="wav")
+
+                    request = TranscriptionRequest(
+                        streaming=StreamingMode.ONLINE,
+                        audio=RawAudio.from_audio(audio),
+                        language=None,
+                    )
+                    # mistral tokenizer takes care
+                    # of preparing the first prompt inputs
+                    # and does some left-silence padding
+                    # for improved performance
+                    audio_enc = tokenizer.mistral.encode_transcription(request)
+
+                    token_ids = audio_enc.tokens
+                    new_audio = audio_enc.audios[0].audio_array
+
+                    is_first_yield = False
+                else:
+                    # pop last element from input_stream
+                    all_outputs = await asyncio.wait_for(
+                        input_stream.get(), timeout=VLLM_ENGINE_ITERATION_TIMEOUT_S
+                    )
+                    token_ids = all_outputs[-1:]
+
+                multi_modal_data = {"audio": (new_audio, None)}
+                yield TokensPrompt(
+                    prompt_token_ids=token_ids, multi_modal_data=multi_modal_data
+                )
 
     @property
     def audio_config(self):
@@ -205,8 +345,9 @@ class VoxtralStreamingGeneration(VoxtralForConditionalGeneration):
         # sum pool text and audio embeddings
         inputs_embeds = audio_text_embeds + text_embeds
 
-        time_tensor = torch.tensor(
-            [self.n_delay_tokens],
+        time_tensor = torch.full(
+            (1,),
+            fill_value=self.n_delay_tokens,
             device=inputs_embeds.device,
             dtype=inputs_embeds.dtype,
         )
diff --git a/vllm/tasks.py b/vllm/tasks.py
index bd3e5af77..b898bba69 100644
--- a/vllm/tasks.py
+++ b/vllm/tasks.py
@@ -2,7 +2,7 @@
 # SPDX-FileCopyrightText: Copyright contributors to the vLLM project
 from typing import Literal, get_args
 
-GenerationTask = Literal["generate", "transcription"]
+GenerationTask = Literal["generate", "transcription", "realtime"]
 GENERATION_TASKS: tuple[GenerationTask, ...] = get_args(GenerationTask)
 
 PoolingTask = Literal[
diff --git a/vllm/v1/engine/async_llm.py b/vllm/v1/engine/async_llm.py
index 9f40f41a1..994d5580f 100644
--- a/vllm/v1/engine/async_llm.py
+++ b/vllm/v1/engine/async_llm.py
@@ -7,7 +7,6 @@ import time
 import warnings
 from collections.abc import AsyncGenerator, Iterable, Mapping
 from copy import copy
-from dataclasses import dataclass
 from typing import Any
 
 import torch
@@ -19,6 +18,7 @@ from vllm.engine.arg_utils import AsyncEngineArgs
 from vllm.engine.protocol import EngineClient
 from vllm.entrypoints.utils import _validate_truncation_size
 from vllm.inputs import PromptType
+from vllm.inputs.data import StreamingInput
 from vllm.logger import init_logger
 from vllm.lora.request import LoRARequest
 from vllm.multimodal import MULTIMODAL_REGISTRY, MultiModalRegistry
@@ -53,18 +53,6 @@ from vllm.v1.metrics.stats import IterationStats
 logger = init_logger(__name__)
 
 
-@dataclass
-class StreamingInput:
-    """Input data for a streaming generation request.
-
-    This is used with generate() to support multi-turn streaming sessions
-    where inputs are provided via an async generator.
-    """
-
-    prompt: PromptType
-    sampling_params: SamplingParams | None = None
-
-
 class InputStreamError(Exception):
     """Wrapper for errors from the input stream generator.
 
diff --git a/vllm/v1/worker/gpu_model_runner.py b/vllm/v1/worker/gpu_model_runner.py
index 8e21dea69..3ab7fcad7 100644
--- a/vllm/v1/worker/gpu_model_runner.py
+++ b/vllm/v1/worker/gpu_model_runner.py
@@ -68,6 +68,7 @@ from vllm.model_executor.models.interfaces import (
     supports_eagle3,
     supports_mrope,
     supports_multimodal_pruning,
+    supports_realtime,
     supports_transcription,
     supports_xdrope,
 )
@@ -2541,6 +2542,9 @@ class GPUModelRunner(
 
             supported_tasks.append("transcription")
 
+        if supports_realtime(model):
+            supported_tasks.append("realtime")
+
         return supported_tasks
 
     def get_supported_pooling_tasks(self) -> list[PoolingTask]: