diff --git a/homeassistant/components/stream/__init__.py b/homeassistant/components/stream/__init__.py
index 157f20b5b37..9ec389fb4a8 100644
--- a/homeassistant/components/stream/__init__.py
+++ b/homeassistant/components/stream/__init__.py
@@ -23,7 +23,7 @@ import secrets
 import threading
 import time
 from types import MappingProxyType
-from typing import cast
+from typing import Any, cast
 
 import voluptuous as vol
 
@@ -51,6 +51,7 @@ from .const import (
     TARGET_SEGMENT_DURATION_NON_LL_HLS,
 )
 from .core import PROVIDERS, IdleTimer, KeyFrameConverter, StreamOutput, StreamSettings
+from .diagnostics import Diagnostics
 from .hls import HlsStreamOutput, async_setup_hls
 
 _LOGGER = logging.getLogger(__name__)
@@ -225,6 +226,7 @@ class Stream:
             if stream_label
             else _LOGGER
         )
+        self._diagnostics = Diagnostics()
 
     def endpoint_url(self, fmt: str) -> str:
         """Start the stream and returns a url for the output format."""
@@ -259,6 +261,7 @@ class Stream:
                 self.hass, IdleTimer(self.hass, timeout, idle_callback)
             )
             self._outputs[fmt] = provider
+
         return provider
 
     def remove_provider(self, provider: StreamOutput) -> None:
@@ -310,6 +313,7 @@ class Stream:
 
     def update_source(self, new_source: str) -> None:
         """Restart the stream with a new stream source."""
+        self._diagnostics.increment("update_source")
         self._logger.debug(
             "Updating stream source %s", redact_credentials(str(new_source))
         )
@@ -323,11 +327,13 @@ class Stream:
         # pylint: disable=import-outside-toplevel
         from .worker import StreamState, StreamWorkerError, stream_worker
 
-        stream_state = StreamState(self.hass, self.outputs)
+        stream_state = StreamState(self.hass, self.outputs, self._diagnostics)
         wait_timeout = 0
         while not self._thread_quit.wait(timeout=wait_timeout):
             start_time = time.time()
             self.hass.add_job(self._async_update_state, True)
+            self._diagnostics.set_value("keepalive", self.keepalive)
+            self._diagnostics.increment("start_worker")
             try:
                 stream_worker(
                     self.source,
@@ -337,6 +343,7 @@ class Stream:
                     self._thread_quit,
                 )
             except StreamWorkerError as err:
+                self._diagnostics.increment("worker_error")
                 self._logger.error("Error from stream worker: %s", str(err))
 
             stream_state.discontinuity()
@@ -358,6 +365,7 @@ class Stream:
             if time.time() - start_time > STREAM_RESTART_RESET_TIME:
                 wait_timeout = 0
             wait_timeout += STREAM_RESTART_INCREMENT
+            self._diagnostics.set_value("retry_timeout", wait_timeout)
             self._logger.debug(
                 "Restarting stream worker in %d seconds: %s",
                 wait_timeout,
@@ -447,6 +455,10 @@ class Stream:
             width=width, height=height
         )
 
+    def get_diagnostics(self) -> dict[str, Any]:
+        """Return diagnostics information for the stream."""
+        return self._diagnostics.as_dict()
+
 
 def _should_retry() -> bool:
     """Return true if worker failures should be retried, for disabling during tests."""
diff --git a/homeassistant/components/stream/diagnostics.py b/homeassistant/components/stream/diagnostics.py
new file mode 100644
index 00000000000..47370eeb5f9
--- /dev/null
+++ b/homeassistant/components/stream/diagnostics.py
@@ -0,0 +1,33 @@
+"""Diagnostics for debugging.
+
+The stream component does not have config entries itself, and all diagnostics
+information is managed by dependent components (e.g. camera)
+"""
+
+from __future__ import annotations
+
+from collections import Counter
+from typing import Any
+
+
+class Diagnostics:
+    """Holds diagnostics counters and key/values."""
+
+    def __init__(self) -> None:
+        """Initialize Diagnostics."""
+        self._counter: Counter = Counter()
+        self._values: dict[str, Any] = {}
+
+    def increment(self, key: str) -> None:
+        """Increment a counter for the spcified key/event."""
+        self._counter.update(Counter({key: 1}))
+
+    def set_value(self, key: str, value: Any) -> None:
+        """Update a key/value pair."""
+        self._values[key] = value
+
+    def as_dict(self) -> dict[str, Any]:
+        """Return diagnostics as a debug dictionary."""
+        result = {k: self._counter[k] for k in self._counter}
+        result.update(self._values)
+        return result
diff --git a/homeassistant/components/stream/worker.py b/homeassistant/components/stream/worker.py
index 42a34cf4e8c..bde5ab0fb05 100644
--- a/homeassistant/components/stream/worker.py
+++ b/homeassistant/components/stream/worker.py
@@ -27,6 +27,7 @@ from .const import (
     SOURCE_TIMEOUT,
 )
 from .core import KeyFrameConverter, Part, Segment, StreamOutput, StreamSettings
+from .diagnostics import Diagnostics
 from .hls import HlsStreamOutput
 
 _LOGGER = logging.getLogger(__name__)
@@ -52,6 +53,7 @@ class StreamState:
         self,
         hass: HomeAssistant,
         outputs_callback: Callable[[], Mapping[str, StreamOutput]],
+        diagnostics: Diagnostics,
     ) -> None:
         """Initialize StreamState."""
         self._stream_id: int = 0
@@ -62,6 +64,7 @@ class StreamState:
         # sequence gets incremented before the first segment so the first segment
         # has a sequence number of 0.
         self._sequence = -1
+        self._diagnostics = diagnostics
 
     @property
     def sequence(self) -> int:
@@ -93,6 +96,11 @@ class StreamState:
         """Return the active stream outputs."""
         return list(self._outputs_callback().values())
 
+    @property
+    def diagnostics(self) -> Diagnostics:
+        """Return diagnostics object."""
+        return self._diagnostics
+
 
 class StreamMuxer:
     """StreamMuxer re-packages video/audio packets for output."""
@@ -468,6 +476,10 @@ def stream_worker(
     # Some audio streams do not have a profile and throw errors when remuxing
     if audio_stream and audio_stream.profile is None:
         audio_stream = None
+    stream_state.diagnostics.set_value("container_format", container.format.name)
+    stream_state.diagnostics.set_value("video_codec", video_stream.name)
+    if audio_stream:
+        stream_state.diagnostics.set_value("audio_codec", audio_stream.name)
 
     dts_validator = TimestampValidator()
     container_packets = PeekIterator(
diff --git a/tests/components/stream/test_hls.py b/tests/components/stream/test_hls.py
index a2bb328826d..8e01c55de84 100644
--- a/tests/components/stream/test_hls.py
+++ b/tests/components/stream/test_hls.py
@@ -177,6 +177,14 @@ async def test_hls_stream(
     fail_response = await hls_client.get()
     assert fail_response.status == HTTPStatus.NOT_FOUND
 
+    assert stream.get_diagnostics() == {
+        "container_format": "mov,mp4,m4a,3gp,3g2,mj2",
+        "keepalive": False,
+        "start_worker": 1,
+        "video_codec": "h264",
+        "worker_error": 1,
+    }
+
 
 async def test_stream_timeout(
     hass, hass_client, setup_component, stream_worker_sync, h264_video
diff --git a/tests/components/stream/test_worker.py b/tests/components/stream/test_worker.py
index e5477c66f52..2a44dd64455 100644
--- a/tests/components/stream/test_worker.py
+++ b/tests/components/stream/test_worker.py
@@ -270,7 +270,7 @@ class MockPyAv:
 
 def run_worker(hass, stream, stream_source):
     """Run the stream worker under test."""
-    stream_state = StreamState(hass, stream.outputs)
+    stream_state = StreamState(hass, stream.outputs, stream._diagnostics)
     stream_worker(
         stream_source, {}, stream_state, KeyFrameConverter(hass), threading.Event()
     )
@@ -873,6 +873,14 @@ async def test_h265_video_is_hvc1(hass, record_worker_sync):
 
     stream.stop()
 
+    assert stream.get_diagnostics() == {
+        "container_format": "mov,mp4,m4a,3gp,3g2,mj2",
+        "keepalive": False,
+        "start_worker": 1,
+        "video_codec": "hevc",
+        "worker_error": 1,
+    }
+
 
 async def test_get_image(hass, record_worker_sync):
     """Test that the has_keyframe metadata matches the media."""