diff --git a/homeassistant/components/cloud/http_api.py b/homeassistant/components/cloud/http_api.py
index 473f553593a..b1a845ef8b0 100644
--- a/homeassistant/components/cloud/http_api.py
+++ b/homeassistant/components/cloud/http_api.py
@@ -29,6 +29,7 @@ from homeassistant.components.google_assistant import helpers as google_helpers
 from homeassistant.components.homeassistant import exposed_entities
 from homeassistant.components.http import KEY_HASS, HomeAssistantView, require_admin
 from homeassistant.components.http.data_validator import RequestDataValidator
+from homeassistant.components.system_health import get_info as get_system_health_info
 from homeassistant.const import CLOUD_NEVER_EXPOSED_ENTITIES
 from homeassistant.core import HomeAssistant, callback
 from homeassistant.exceptions import HomeAssistantError
@@ -107,6 +108,7 @@ def async_setup(hass: HomeAssistant) -> None:
     hass.http.register_view(CloudRegisterView)
     hass.http.register_view(CloudResendConfirmView)
     hass.http.register_view(CloudForgotPasswordView)
+    hass.http.register_view(DownloadSupportPackageView)
 
     _CLOUD_ERRORS.update(
         {
@@ -389,6 +391,59 @@ class CloudForgotPasswordView(HomeAssistantView):
         return self.json_message("ok")
 
 
+class DownloadSupportPackageView(HomeAssistantView):
+    """Download support package view."""
+
+    url = "/api/cloud/support_package"
+    name = "api:cloud:support_package"
+
+    def _generate_markdown(
+        self, hass_info: dict[str, Any], domains_info: dict[str, dict[str, str]]
+    ) -> str:
+        def get_domain_table_markdown(domain_info: dict[str, Any]) -> str:
+            if len(domain_info) == 0:
+                return "No information available\n"
+
+            markdown = ""
+            first = True
+            for key, value in domain_info.items():
+                markdown += f"{key} | {value}\n"
+                if first:
+                    markdown += "--- | ---\n"
+                    first = False
+            return markdown + "\n"
+
+        markdown = "## System Information\n\n"
+        markdown += get_domain_table_markdown(hass_info)
+
+        for domain, domain_info in domains_info.items():
+            domain_info_md = get_domain_table_markdown(domain_info)
+            markdown += (
+                f"<details><summary>{domain}</summary>\n\n"
+                f"{domain_info_md}"
+                "</details>\n\n"
+            )
+
+        return markdown
+
+    async def get(self, request: web.Request) -> web.Response:
+        """Download support package file."""
+
+        hass = request.app[KEY_HASS]
+        domain_health = await get_system_health_info(hass)
+
+        hass_info = domain_health.pop("homeassistant", {})
+        markdown = self._generate_markdown(hass_info, domain_health)
+
+        return web.Response(
+            body=markdown,
+            content_type="text/markdown",
+            headers={
+                "Content-Disposition": 'attachment; filename="support_package.md"'
+            },
+        )
+
+
 @websocket_api.require_admin
 @websocket_api.websocket_command({vol.Required("type"): "cloud/remove_data"})
 @websocket_api.async_response
diff --git a/homeassistant/components/system_health/__init__.py b/homeassistant/components/system_health/__init__.py
index ce80f6303d9..7d2224fc6fc 100644
--- a/homeassistant/components/system_health/__init__.py
+++ b/homeassistant/components/system_health/__init__.py
@@ -3,7 +3,7 @@
 from __future__ import annotations
 
 import asyncio
-from collections.abc import Awaitable, Callable
+from collections.abc import AsyncGenerator, Awaitable, Callable
 import dataclasses
 from datetime import datetime
 import logging
@@ -101,6 +101,57 @@ async def get_integration_info(
     return result
 
 
+async def _registered_domain_data(
+    hass: HomeAssistant,
+) -> AsyncGenerator[tuple[str, dict[str, Any]]]:
+    registrations: dict[str, SystemHealthRegistration] = hass.data[DOMAIN]
+    for domain, domain_data in zip(
+        registrations,
+        await asyncio.gather(
+            *(
+                get_integration_info(hass, registration)
+                for registration in registrations.values()
+            )
+        ),
+        strict=False,
+    ):
+        yield domain, domain_data
+
+
+async def get_info(hass: HomeAssistant) -> dict[str, dict[str, str]]:
+    """Get the full set of system health information."""
+    domains: dict[str, dict[str, Any]] = {}
+
+    async def _get_info_value(value: Any) -> Any:
+        if not asyncio.iscoroutine(value):
+            return value
+        try:
+            return await value
+        except Exception as exception:
+            _LOGGER.exception("Error fetching system info for %s - %s", domain, key)
+            return f"Exception: {exception}"
+
+    async for domain, domain_data in _registered_domain_data(hass):
+        domain_info: dict[str, Any] = {}
+        for key, value in domain_data["info"].items():
+            info_value = await _get_info_value(value)
+
+            if isinstance(info_value, datetime):
+                domain_info[key] = info_value.isoformat()
+            elif (
+                isinstance(info_value, dict)
+                and "type" in info_value
+                and info_value["type"] == "failed"
+            ):
+                domain_info[key] = f"Failed: {info_value.get('error', 'unknown')}"
+            else:
+                domain_info[key] = info_value
+
+        domains[domain] = domain_info
+
+    return domains
+
+
 @callback
 def _format_value(val: Any) -> Any:
     """Format a system health value."""
@@ -115,20 +166,10 @@ async def handle_info(
     hass: HomeAssistant, connection: websocket_api.ActiveConnection, msg: dict[str, Any]
 ) -> None:
     """Handle an info request via a subscription."""
-    registrations: dict[str, SystemHealthRegistration] = hass.data[DOMAIN]
     data = {}
     pending_info: dict[tuple[str, str], asyncio.Task] = {}
 
-    for domain, domain_data in zip(
-        registrations,
-        await asyncio.gather(
-            *(
-                get_integration_info(hass, registration)
-                for registration in registrations.values()
-            )
-        ),
-        strict=False,
-    ):
+    async for domain, domain_data in _registered_domain_data(hass):
         for key, value in domain_data["info"].items():
             if asyncio.iscoroutine(value):
                 value = asyncio.create_task(value)
diff --git a/tests/components/cloud/snapshots/test_http_api.ambr b/tests/components/cloud/snapshots/test_http_api.ambr
new file mode 100644
index 00000000000..9b2f2e0eb33
--- /dev/null
+++ b/tests/components/cloud/snapshots/test_http_api.ambr
@@ -0,0 +1,49 @@
+# serializer version: 1
+# name: test_download_support_package
+  '''
+  ## System Information
+  
+  version | core-2025.2.0
+  --- | ---
+  installation_type | Home Assistant Core
+  dev | False
+  hassio | False
+  docker | False
+  user | hass
+  virtualenv | False
+  python_version | 3.13.1
+  os_name | Linux
+  os_version | 6.12.9
+  arch | x86_64
+  timezone | US/Pacific
+  config_dir | config
+  
+  <details><summary>mock_no_info_integration</summary>
+  
+  No information available
+  </details>
+  
+  <details><summary>cloud</summary>
+  
+  logged_in | True
+  --- | ---
+  subscription_expiration | 2025-01-17T11:19:31+00:00
+  relayer_connected | True
+  relayer_region | xx-earth-616
+  remote_enabled | True
+  remote_connected | False
+  alexa_enabled | True
+  google_enabled | False
+  cloud_ice_servers_enabled | True
+  remote_server | us-west-1
+  certificate_status | CertificateStatus.READY
+  instance_id | 12345678901234567890
+  can_reach_cert_server | Exception: Unexpected exception
+  can_reach_cloud_auth | Failed: unreachable
+  can_reach_cloud | ok
+  
+  </details>
+  
+  
+  '''
+# ---
diff --git a/tests/components/cloud/test_http_api.py b/tests/components/cloud/test_http_api.py
index 910fa03d46c..e4a526ceadd 100644
--- a/tests/components/cloud/test_http_api.py
+++ b/tests/components/cloud/test_http_api.py
@@ -1,10 +1,11 @@
 """Tests for the HTTP API for the cloud component."""
 
+from collections.abc import Callable, Coroutine
 from copy import deepcopy
 from http import HTTPStatus
 import json
 from typing import Any
-from unittest.mock import AsyncMock, MagicMock, Mock, patch
+from unittest.mock import AsyncMock, MagicMock, Mock, PropertyMock, patch
 
 import aiohttp
 from hass_nabucasa import thingtalk
@@ -15,9 +16,12 @@ from hass_nabucasa.auth import (
     UnknownError,
 )
 from hass_nabucasa.const import STATE_CONNECTED
+from hass_nabucasa.remote import CertificateStatus
 from hass_nabucasa.voice import TTS_VOICES
 import pytest
+from syrupy.assertion import SnapshotAssertion
 
+from homeassistant.components import system_health
 from homeassistant.components.alexa import errors as alexa_errors
 
 # pylint: disable-next=hass-component-root-import
@@ -30,8 +34,10 @@ from homeassistant.components.websocket_api import ERR_INVALID_FORMAT
 from homeassistant.core import HomeAssistant, State
 from homeassistant.helpers import entity_registry as er
 from homeassistant.setup import async_setup_component
+from homeassistant.util import dt as dt_util
 from homeassistant.util.location import LocationInfo
 
+from tests.common import mock_platform
 from tests.components.google_assistant import MockConfig
 from tests.test_util.aiohttp import AiohttpClientMocker
 from tests.typing import ClientSessionGenerator, WebSocketGenerator
@@ -113,6 +119,7 @@ async def setup_cloud_fixture(hass: HomeAssistant, cloud: MagicMock) -> None:
                 "user_pool_id": "user_pool_id",
                 "region": "region",
                 "relayer_server": "relayer",
+                "acme_server": "cert-server",
                 "accounts_server": "api-test.hass.io",
                 "google_actions": {"filter": {"include_domains": "light"}},
                 "alexa": {
@@ -1860,3 +1867,96 @@ async def test_logout_view_dispatch_event(
     assert async_dispatcher_send_mock.call_count == 1
     assert async_dispatcher_send_mock.mock_calls[0][1][1] == "cloud_event"
     assert async_dispatcher_send_mock.mock_calls[0][1][2] == {"type": "logout"}
+
+
+async def test_download_support_package(
+    hass: HomeAssistant,
+    cloud: MagicMock,
+    set_cloud_prefs: Callable[[dict[str, Any]], Coroutine[Any, Any, None]],
+    hass_client: ClientSessionGenerator,
+    aioclient_mock: AiohttpClientMocker,
+    snapshot: SnapshotAssertion,
+) -> None:
+    """Test downloading a support package file."""
+    aioclient_mock.get("https://cloud.bla.com/status", text="")
+    aioclient_mock.get(
+        "https://cert-server/directory", exc=Exception("Unexpected exception")
+    )
+    aioclient_mock.get(
+        "https://cognito-idp.us-east-1.amazonaws.com/AAAA/.well-known/jwks.json",
+        exc=aiohttp.ClientError,
+    )
+
+    def async_register_mock_platform(
+        hass: HomeAssistant, register: system_health.SystemHealthRegistration
+    ) -> None:
+        async def mock_empty_info(hass: HomeAssistant) -> dict[str, Any]:
+            return {}
+
+        register.async_register_info(mock_empty_info, "/config/mock_integration")
+
+    mock_platform(
+        hass,
+        "mock_no_info_integration.system_health",
+        MagicMock(async_register=async_register_mock_platform),
+    )
+    hass.config.components.add("mock_no_info_integration")
+
+    assert await async_setup_component(hass, "system_health", {})
+
+    with patch("uuid.UUID.hex", new_callable=PropertyMock) as hexmock:
+        hexmock.return_value = "12345678901234567890"
+        assert await async_setup_component(
+            hass,
+            DOMAIN,
+            {
+                DOMAIN: {
+                    "user_pool_id": "AAAA",
+                    "region": "us-east-1",
+                    "acme_server": "cert-server",
+                    "relayer_server": "cloud.bla.com",
+                },
+            },
+        )
+        await hass.async_block_till_done()
+
+    await cloud.login("test-user", "test-pass")
+
+    cloud.remote.snitun_server = "us-west-1"
+    cloud.remote.certificate_status = CertificateStatus.READY
+    cloud.expiration_date = dt_util.parse_datetime("2025-01-17T11:19:31.0+00:00")
+
+    await cloud.client.async_system_message({"region": "xx-earth-616"})
+    await set_cloud_prefs(
+        {
+            "alexa_enabled": True,
+            "google_enabled": False,
+            "remote_enabled": True,
+            "cloud_ice_servers_enabled": True,
+        }
+    )
+
+    cloud_client = await hass_client()
+    with (
+        patch.object(hass.config, "config_dir", new="config"),
+        patch(
+            "homeassistant.components.homeassistant.system_health.system_info.async_get_system_info",
+            return_value={
+                "installation_type": "Home Assistant Core",
+                "version": "2025.2.0",
+                "dev": False,
+                "hassio": False,
+                "virtualenv": False,
+                "python_version": "3.13.1",
+                "docker": False,
+                "arch": "x86_64",
+                "timezone": "US/Pacific",
+                "os_name": "Linux",
+                "os_version": "6.12.9",
+                "user": "hass",
+            },
+        ),
+    ):
+        req = await cloud_client.get("/api/cloud/support_package")
+    assert req.status == HTTPStatus.OK
+    assert await req.text() == snapshot