diff --git a/homeassistant/components/assist_pipeline/pipeline.py b/homeassistant/components/assist_pipeline/pipeline.py
index a028fa638df..42bb2d4ced8 100644
--- a/homeassistant/components/assist_pipeline/pipeline.py
+++ b/homeassistant/components/assist_pipeline/pipeline.py
@@ -649,6 +649,7 @@ class PipelineRun:
             data["runner_data"] = self.runner_data
         if self.tts_stream:
             data["tts_output"] = {
+                "token": self.tts_stream.token,
                 "url": self.tts_stream.url,
                 "mime_type": self.tts_stream.content_type,
             }
@@ -1295,6 +1296,7 @@ class PipelineRun:
 
         tts_output = {
             "media_id": tts_media_id,
+            "token": self.tts_stream.token,
             "url": self.tts_stream.url,
             "mime_type": self.tts_stream.content_type,
         }
diff --git a/homeassistant/components/tts/__init__.py b/homeassistant/components/tts/__init__.py
index 31a92c62258..6fc25e32091 100644
--- a/homeassistant/components/tts/__init__.py
+++ b/homeassistant/components/tts/__init__.py
@@ -182,6 +182,12 @@ def async_create_stream(
     )
 
 
+@callback
+def async_get_stream(hass: HomeAssistant, token: str) -> ResultStream | None:
+    """Return a result stream given a token."""
+    return hass.data[DATA_TTS_MANAGER].token_to_stream.get(token)
+
+
 async def async_get_media_source_audio(
     hass: HomeAssistant,
     media_source_id: str,
diff --git a/tests/components/assist_pipeline/snapshots/test_init.ambr b/tests/components/assist_pipeline/snapshots/test_init.ambr
index 2375d48fcf9..f772f877d3a 100644
--- a/tests/components/assist_pipeline/snapshots/test_init.ambr
+++ b/tests/components/assist_pipeline/snapshots/test_init.ambr
@@ -8,6 +8,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -85,6 +86,7 @@
         'tts_output': dict({
           'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -105,6 +107,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -182,6 +185,7 @@
         'tts_output': dict({
           'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22Arnold+Schwarzenegger%22%7D",
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -202,6 +206,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -279,6 +284,7 @@
         'tts_output': dict({
           'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22Arnold+Schwarzenegger%22%7D",
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -299,6 +305,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -400,6 +407,7 @@
         'tts_output': dict({
           'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
           'mime_type': 'audio/mpeg',
+          'token': 'test_token.mp3',
           'url': '/api/tts_proxy/test_token.mp3',
         }),
       }),
@@ -420,6 +428,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'mocked-token.mp3',
           'url': '/api/tts_proxy/mocked-token.mp3',
         }),
       }),
@@ -620,6 +629,7 @@
         'pipeline': <ANY>,
         'tts_output': dict({
           'mime_type': 'audio/mpeg',
+          'token': 'mocked-token.mp3',
           'url': '/api/tts_proxy/mocked-token.mp3',
         }),
       }),
diff --git a/tests/components/assist_pipeline/snapshots/test_websocket.ambr b/tests/components/assist_pipeline/snapshots/test_websocket.ambr
index d937b5396d1..57ae0095236 100644
--- a/tests/components/assist_pipeline/snapshots/test_websocket.ambr
+++ b/tests/components/assist_pipeline/snapshots/test_websocket.ambr
@@ -10,6 +10,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -81,6 +82,7 @@
     'tts_output': dict({
       'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -99,6 +101,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -170,6 +173,7 @@
     'tts_output': dict({
       'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -200,6 +204,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -271,6 +276,7 @@
     'tts_output': dict({
       'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -289,6 +295,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -382,6 +389,7 @@
     'tts_output': dict({
       'media_id': "media-source://tts/test?message=Sorry,+I+couldn't+understand+that&language=en-US&tts_options=%7B%22voice%22:%22james_earl_jones%22%7D",
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -400,6 +408,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'test_token.mp3',
       'url': '/api/tts_proxy/test_token.mp3',
     }),
   })
@@ -607,6 +616,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -660,6 +670,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -675,6 +686,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -690,6 +702,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -705,6 +718,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -720,6 +734,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -853,6 +868,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -868,6 +884,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -924,6 +941,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -939,6 +957,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -998,6 +1017,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
@@ -1013,6 +1033,7 @@
     }),
     'tts_output': dict({
       'mime_type': 'audio/mpeg',
+      'token': 'mocked-token.mp3',
       'url': '/api/tts_proxy/mocked-token.mp3',
     }),
   })
diff --git a/tests/components/tts/common.py b/tests/components/tts/common.py
index 921cab4cba2..9ae83cb2bb5 100644
--- a/tests/components/tts/common.py
+++ b/tests/components/tts/common.py
@@ -14,9 +14,11 @@ import voluptuous as vol
 from homeassistant.components import media_source
 from homeassistant.components.tts import (
     CONF_LANG,
+    DATA_TTS_MANAGER,
     DOMAIN as TTS_DOMAIN,
     PLATFORM_SCHEMA as TTS_PLATFORM_SCHEMA,
     Provider,
+    ResultStream,
     TextToSpeechEntity,
     TtsAudioType,
     Voice,
@@ -263,3 +265,26 @@ async def mock_config_entry_setup(
     await hass.async_block_till_done()
 
     return config_entry
+
+
+class MockResultStream(ResultStream):
+    """Mock result stream."""
+
+    def __init__(self, hass: HomeAssistant, extension: str, data: bytes) -> None:
+        """Initialize the result stream."""
+        super().__init__(
+            token="test-token",
+            extension=extension,
+            content_type=f"audio/mock-{extension}",
+            engine="test-engine",
+            use_file_cache=True,
+            language="en",
+            options={},
+            _manager=hass.data[DATA_TTS_MANAGER],
+        )
+        hass.data[DATA_TTS_MANAGER].token_to_stream[self.token] = self
+        self._mock_data = data
+
+    async def async_stream_result(self):
+        """Stream the result."""
+        yield self._mock_data
diff --git a/tests/components/tts/test_init.py b/tests/components/tts/test_init.py
index 1b9692cc70c..8bdd17cf3e9 100644
--- a/tests/components/tts/test_init.py
+++ b/tests/components/tts/test_init.py
@@ -28,6 +28,7 @@ from homeassistant.util import dt as dt_util
 from .common import (
     DEFAULT_LANG,
     TEST_DOMAIN,
+    MockResultStream,
     MockTTS,
     MockTTSEntity,
     MockTTSProvider,
@@ -1829,3 +1830,19 @@ async def test_default_engine_prefer_cloud_entity(
     provider_engine = tts.async_resolve_engine(hass, "test")
     assert provider_engine == "test"
     assert tts.async_default_engine(hass) == "tts.cloud_tts_entity"
+
+
+async def test_stream(hass: HomeAssistant, mock_tts_entity: MockTTSEntity) -> None:
+    """Test creating streams."""
+    await mock_config_entry_setup(hass, mock_tts_entity)
+    stream = tts.async_create_stream(hass, mock_tts_entity.entity_id)
+    assert stream.language == mock_tts_entity.default_language
+    assert stream.options == (mock_tts_entity.default_options or {})
+    assert tts.async_get_stream(hass, stream.token) is stream
+
+    data = b"beer"
+    stream2 = MockResultStream(hass, "wav", data)
+    assert tts.async_get_stream(hass, stream2.token) is stream2
+    assert stream2.extension == "wav"
+    result_data = b"".join([chunk async for chunk in stream2.async_stream_result()])
+    assert result_data == data