diff --git a/src/components/ha-list-item.ts b/src/components/ha-list-item.ts
index 0331381a0c..8107ae4f2a 100644
--- a/src/components/ha-list-item.ts
+++ b/src/components/ha-list-item.ts
@@ -30,6 +30,9 @@ export class HaListItem extends ListItemBase {
           margin-inline-end: 0px !important;
           direction: var(--direction);
         }
+        .mdc-deprecated-list-item__meta {
+          display: var(--mdc-list-item-meta-display);
+        }
         :host([multiline-secondary]) {
           height: auto;
         }
diff --git a/src/data/assist_pipeline.ts b/src/data/assist_pipeline.ts
index 49cd6f76bc..7e442bf271 100644
--- a/src/data/assist_pipeline.ts
+++ b/src/data/assist_pipeline.ts
@@ -221,7 +221,10 @@ export const runAssistPipeline = (
 };
 
 export const fetchAssistPipelines = (hass: HomeAssistant) =>
-  hass.callWS<AssistPipeline[]>({
+  hass.callWS<{
+    pipelines: AssistPipeline[];
+    preferred_pipeline: string | null;
+  }>({
     type: "assist_pipeline/pipeline/list",
   });
 
@@ -236,15 +239,24 @@ export const createAssistPipeline = (
 
 export const updateAssistPipeline = (
   hass: HomeAssistant,
-  pipelineId: string,
+  pipeline_id: string,
   pipeline: Partial<AssistPipelineMutableParams>
 ) =>
   hass.callWS<AssistPipeline>({
     type: "assist_pipeline/pipeline/update",
-    pipeline_id: pipelineId,
+    pipeline_id,
     ...pipeline,
   });
 
+export const setAssistPipelinePreferred = (
+  hass: HomeAssistant,
+  pipeline_id: string
+) =>
+  hass.callWS({
+    type: "assist_pipeline/pipeline/set_preferred",
+    pipeline_id,
+  });
+
 export const deleteAssistPipeline = (hass: HomeAssistant, pipelineId: string) =>
   hass.callWS<void>({
     type: "assist_pipeline/pipeline/delete",
diff --git a/src/panels/config/voice-assistants/assist-pref.ts b/src/panels/config/voice-assistants/assist-pref.ts
index d5165e1f06..daeb92d895 100644
--- a/src/panels/config/voice-assistants/assist-pref.ts
+++ b/src/panels/config/voice-assistants/assist-pref.ts
@@ -1,10 +1,11 @@
 import "@material/mwc-list/mwc-list";
-import { mdiHelpCircle, mdiPlus } from "@mdi/js";
+import { mdiHelpCircle, mdiPlus, mdiStar } from "@mdi/js";
 import { css, CSSResultGroup, html, LitElement, PropertyValues } from "lit";
 import { property, state } from "lit/decorators";
 import "../../../components/ha-alert";
 import "../../../components/ha-card";
 import "../../../components/ha-icon-next";
+import "../../../components/ha-svg-icon";
 import "../../../components/ha-list-item";
 import "../../../components/ha-switch";
 import "../../../components/ha-button";
@@ -14,6 +15,7 @@ import {
   fetchAssistPipelines,
   updateAssistPipeline,
   AssistPipeline,
+  setAssistPipelinePreferred,
 } from "../../../data/assist_pipeline";
 import { showConfirmationDialog } from "../../../dialogs/generic/show-dialog-box";
 import type { HomeAssistant } from "../../../types";
@@ -25,11 +27,14 @@ export class AssistPref extends LitElement {
 
   @state() private _pipelines: AssistPipeline[] = [];
 
+  @state() private _preferred: string | null = null;
+
   protected firstUpdated(changedProps: PropertyValues) {
     super.firstUpdated(changedProps);
 
     fetchAssistPipelines(this.hass).then((pipelines) => {
-      this._pipelines = pipelines;
+      this._pipelines = pipelines.pipelines;
+      this._preferred = pipelines.preferred_pipeline;
     });
   }
 
@@ -72,6 +77,12 @@ export class AssistPref extends LitElement {
               >
                 ${pipeline.name}
                 <span slot="secondary">${pipeline.language}</span>
+                ${this._preferred === pipeline.id
+                  ? html`<ha-svg-icon
+                      slot="meta"
+                      .path=${mdiStar}
+                    ></ha-svg-icon>`
+                  : ""}
                 <ha-icon-next slot="meta"></ha-icon-next>
               </ha-list-item>
             `
@@ -112,6 +123,7 @@ export class AssistPref extends LitElement {
   private async _openDialog(pipeline?: AssistPipeline): Promise<void> {
     showVoiceAssistantPipelineDetailDialog(this, {
       pipeline,
+      preferred: pipeline?.id === this._preferred,
       createPipeline: async (values) => {
         const created = await createAssistPipeline(this.hass!, values);
         this._pipelines = this._pipelines!.concat(created);
@@ -126,6 +138,10 @@ export class AssistPref extends LitElement {
           res === pipeline ? updated : res
         );
       },
+      setPipelinePreferred: async () => {
+        await setAssistPipelinePreferred(this.hass!, pipeline!.id);
+        this._preferred = pipeline!.id;
+      },
       deletePipeline: async () => {
         if (
           !(await showConfirmationDialog(this, {
@@ -174,6 +190,14 @@ export class AssistPref extends LitElement {
         direction: var(--direction);
         color: var(--secondary-text-color);
       }
+      ha-list-item {
+        --mdc-list-item-meta-size: auto;
+        --mdc-list-item-meta-display: flex;
+      }
+      ha-svg-icon,
+      ha-icon-next {
+        width: 24px;
+      }
       .add {
         margin: 0 16px 16px;
       }
diff --git a/src/panels/config/voice-assistants/dialog-voice-assistant-pipeline-detail.ts b/src/panels/config/voice-assistants/dialog-voice-assistant-pipeline-detail.ts
index d5d723854b..64b4b9efb5 100644
--- a/src/panels/config/voice-assistants/dialog-voice-assistant-pipeline-detail.ts
+++ b/src/panels/config/voice-assistants/dialog-voice-assistant-pipeline-detail.ts
@@ -22,6 +22,8 @@ export class DialogVoiceAssistantPipelineDetail extends LitElement {
 
   @state() private _data?: Partial<AssistPipeline>;
 
+  @state() private _preferred?: boolean;
+
   @state() private _error?: Record<string, string>;
 
   @state() private _submitting = false;
@@ -31,6 +33,7 @@ export class DialogVoiceAssistantPipelineDetail extends LitElement {
     this._error = undefined;
     if (this._params.pipeline) {
       this._data = this._params.pipeline;
+      this._preferred = this._params.preferred;
     } else {
       this._data = {};
     }
@@ -82,6 +85,12 @@ export class DialogVoiceAssistantPipelineDetail extends LitElement {
               >
                 ${this.hass.localize("ui.common.delete")}
               </ha-button>
+              <ha-button
+                .disabled=${this._preferred}
+                slot="secondaryAction"
+                @click=${this._setPreferred}
+                >Set as default</ha-button
+              >
             `
           : nothing}
         <ha-button
@@ -181,6 +190,11 @@ export class DialogVoiceAssistantPipelineDetail extends LitElement {
     }
   }
 
+  private async _setPreferred() {
+    await this._params!.setPipelinePreferred();
+    this._preferred = true;
+  }
+
   private async _deletePipeline() {
     this._submitting = true;
     try {
diff --git a/src/panels/config/voice-assistants/show-dialog-voice-assistant-pipeline-detail.ts b/src/panels/config/voice-assistants/show-dialog-voice-assistant-pipeline-detail.ts
index dc794cb30b..3340dce424 100644
--- a/src/panels/config/voice-assistants/show-dialog-voice-assistant-pipeline-detail.ts
+++ b/src/panels/config/voice-assistants/show-dialog-voice-assistant-pipeline-detail.ts
@@ -6,10 +6,12 @@ import {
 
 export interface VoiceAssistantPipelineDetailsDialogParams {
   pipeline?: AssistPipeline;
+  preferred?: boolean;
   createPipeline: (values: AssistPipelineMutableParams) => Promise<unknown>;
   updatePipeline: (
     updates: Partial<AssistPipelineMutableParams>
   ) => Promise<unknown>;
+  setPipelinePreferred: () => Promise<unknown>;
   deletePipeline: () => Promise<boolean>;
 }