diff --git a/.coveragerc b/.coveragerc
index d36153ccca7..e64058d93d0 100644
--- a/.coveragerc
+++ b/.coveragerc
@@ -341,6 +341,7 @@ omit =
     homeassistant/components/ezviz/entity.py
     homeassistant/components/ezviz/select.py
     homeassistant/components/ezviz/sensor.py
+    homeassistant/components/ezviz/siren.py
     homeassistant/components/ezviz/switch.py
     homeassistant/components/ezviz/update.py
     homeassistant/components/faa_delays/__init__.py
diff --git a/homeassistant/components/ezviz/__init__.py b/homeassistant/components/ezviz/__init__.py
index c007de78130..12754af25e8 100644
--- a/homeassistant/components/ezviz/__init__.py
+++ b/homeassistant/components/ezviz/__init__.py
@@ -42,6 +42,7 @@ PLATFORMS_BY_TYPE: dict[str, list] = {
         Platform.NUMBER,
         Platform.SELECT,
         Platform.SENSOR,
+        Platform.SIREN,
         Platform.SWITCH,
         Platform.UPDATE,
     ],
diff --git a/homeassistant/components/ezviz/camera.py b/homeassistant/components/ezviz/camera.py
index 083e433952f..85b1f316a7b 100644
--- a/homeassistant/components/ezviz/camera.py
+++ b/homeassistant/components/ezviz/camera.py
@@ -288,6 +288,17 @@ class EzvizCamera(EzvizEntity, Camera):
 
     def perform_sound_alarm(self, enable: int) -> None:
         """Sound the alarm on a camera."""
+        ir.async_create_issue(
+            self.hass,
+            DOMAIN,
+            "service_depreciation_sound_alarm",
+            breaks_in_ha_version="2024.3.0",
+            is_fixable=True,
+            is_persistent=True,
+            severity=ir.IssueSeverity.WARNING,
+            translation_key="service_depreciation_sound_alarm",
+        )
+
         try:
             self.coordinator.ezviz_client.sound_alarm(self._serial, enable)
         except HTTPError as err:
diff --git a/homeassistant/components/ezviz/entity.py b/homeassistant/components/ezviz/entity.py
index 6fad2b57142..c8ce3daf074 100644
--- a/homeassistant/components/ezviz/entity.py
+++ b/homeassistant/components/ezviz/entity.py
@@ -45,6 +45,8 @@ class EzvizEntity(CoordinatorEntity[EzvizDataUpdateCoordinator], Entity):
 class EzvizBaseEntity(Entity):
     """Generic entity for EZVIZ individual poll entities."""
 
+    _attr_has_entity_name = True
+
     def __init__(
         self,
         coordinator: EzvizDataUpdateCoordinator,
diff --git a/homeassistant/components/ezviz/siren.py b/homeassistant/components/ezviz/siren.py
new file mode 100644
index 00000000000..1f08b389236
--- /dev/null
+++ b/homeassistant/components/ezviz/siren.py
@@ -0,0 +1,133 @@
+"""Support for EZVIZ sirens."""
+from __future__ import annotations
+
+from collections.abc import Callable
+from datetime import datetime, timedelta
+from typing import Any
+
+from pyezviz import HTTPError, PyEzvizError, SupportExt
+
+from homeassistant.components.siren import (
+    SirenEntity,
+    SirenEntityDescription,
+    SirenEntityFeature,
+)
+from homeassistant.config_entries import ConfigEntry
+from homeassistant.const import STATE_ON
+from homeassistant.core import HomeAssistant, callback
+from homeassistant.exceptions import HomeAssistantError
+from homeassistant.helpers.entity_platform import AddEntitiesCallback
+import homeassistant.helpers.event as evt
+from homeassistant.helpers.restore_state import RestoreEntity
+
+from .const import DATA_COORDINATOR, DOMAIN
+from .coordinator import EzvizDataUpdateCoordinator
+from .entity import EzvizBaseEntity
+
+PARALLEL_UPDATES = 1
+OFF_DELAY = timedelta(seconds=60)  # Camera firmware has hard coded turn off.
+
+SIREN_ENTITY_TYPE = SirenEntityDescription(
+    key="siren",
+    translation_key="siren",
+)
+
+
+async def async_setup_entry(
+    hass: HomeAssistant, entry: ConfigEntry, async_add_entities: AddEntitiesCallback
+) -> None:
+    """Set up EZVIZ sensors based on a config entry."""
+    coordinator: EzvizDataUpdateCoordinator = hass.data[DOMAIN][entry.entry_id][
+        DATA_COORDINATOR
+    ]
+
+    async_add_entities(
+        EzvizSirenEntity(coordinator, camera, SIREN_ENTITY_TYPE)
+        for camera in coordinator.data
+        for capability, value in coordinator.data[camera]["supportExt"].items()
+        if capability == str(SupportExt.SupportActiveDefense.value)
+        if value != "0"
+    )
+
+
+class EzvizSirenEntity(EzvizBaseEntity, SirenEntity, RestoreEntity):
+    """Representation of a EZVIZ Siren entity."""
+
+    _attr_supported_features = SirenEntityFeature.TURN_ON | SirenEntityFeature.TURN_OFF
+    _attr_should_poll = False
+    _attr_assumed_state = True
+
+    def __init__(
+        self,
+        coordinator: EzvizDataUpdateCoordinator,
+        serial: str,
+        description: SirenEntityDescription,
+    ) -> None:
+        """Initialize the Siren."""
+        super().__init__(coordinator, serial)
+        self._attr_unique_id = f"{serial}_{description.key}"
+        self.entity_description = description
+        self._attr_is_on = False
+        self._delay_listener: Callable | None = None
+
+    async def async_added_to_hass(self) -> None:
+        """Run when entity about to be added to hass."""
+        if not (last_state := await self.async_get_last_state()):
+            return
+        self._attr_is_on = last_state.state == STATE_ON
+
+        if self._attr_is_on:
+            evt.async_call_later(self.hass, OFF_DELAY, self.off_delay_listener)
+
+    async def async_turn_off(self, **kwargs: Any) -> None:
+        """Turn off camera siren."""
+        try:
+            result = await self.hass.async_add_executor_job(
+                self.coordinator.ezviz_client.sound_alarm, self._serial, 1
+            )
+
+        except (HTTPError, PyEzvizError) as err:
+            raise HomeAssistantError(
+                f"Failed to turn siren off for {self.name}"
+            ) from err
+
+        if result:
+            if self._delay_listener is not None:
+                self._delay_listener()
+                self._delay_listener = None
+
+            self._attr_is_on = False
+            self.async_write_ha_state()
+
+    async def async_turn_on(self, **kwargs: Any) -> None:
+        """Turn on camera siren."""
+        try:
+            result = self.hass.async_add_executor_job(
+                self.coordinator.ezviz_client.sound_alarm, self._serial, 2
+            )
+
+        except (HTTPError, PyEzvizError) as err:
+            raise HomeAssistantError(
+                f"Failed to turn siren on for {self.name}"
+            ) from err
+
+        if result:
+            if self._delay_listener is not None:
+                self._delay_listener()
+                self._delay_listener = None
+
+            self._attr_is_on = True
+            self._delay_listener = evt.async_call_later(
+                self.hass, OFF_DELAY, self.off_delay_listener
+            )
+            self.async_write_ha_state()
+
+    @callback
+    def off_delay_listener(self, now: datetime) -> None:
+        """Switch device off after a delay.
+
+        Camera firmware has hard coded turn off after 60 seconds.
+        """
+        self._attr_is_on = False
+        self._delay_listener = None
+        self.async_write_ha_state()
diff --git a/homeassistant/components/ezviz/strings.json b/homeassistant/components/ezviz/strings.json
index 3e8797e7c02..373f9af22fc 100644
--- a/homeassistant/components/ezviz/strings.json
+++ b/homeassistant/components/ezviz/strings.json
@@ -92,6 +92,17 @@
           }
         }
       }
+    },
+    "service_depreciation_sound_alarm": {
+      "title": "Ezviz Sound alarm service is being removed",
+      "fix_flow": {
+        "step": {
+          "confirm": {
+            "title": "[%key:component::ezviz::issues::service_depreciation_sound_alarm::title%]",
+            "description": "Ezviz Sound alarm service is deprecated and will be removed.\nTo sound the alarm, you can instead use the `siren.toggle` service targeting the Siren entity.\n\nPlease remove the use of this service from your automations and scripts and select **submit** to fix this issue."
+          }
+        }
+      }
     }
   },
   "entity": {
@@ -216,6 +227,11 @@
       "firmware": {
         "name": "[%key:component::update::entity_component::firmware::name%]"
       }
+    },
+    "siren": {
+      "siren": {
+        "name": "[%key:component::siren::title%]"
+      }
     }
   },
   "services": {