diff --git a/.changeset/preserve-transcription-item-id.md b/.changeset/preserve-transcription-item-id.md
new file mode 100644
index 000000000..f24be5cd6
--- /dev/null
+++ b/.changeset/preserve-transcription-item-id.md
@@ -0,0 +1,5 @@
+---
+'@livekit/agents': patch
+---
+
+Preserve realtime transcription item IDs on user input transcription events.
diff --git a/agents/src/voice/agent_activity.test.ts b/agents/src/voice/agent_activity.test.ts
index 5600418d3..17e18d7cd 100644
--- a/agents/src/voice/agent_activity.test.ts
+++ b/agents/src/voice/agent_activity.test.ts
@@ -22,6 +22,7 @@ import { Future, Task } from '../utils.js';
 import { _getActivityTaskInfo } from './agent.js';
 import { AgentActivity } from './agent_activity.js';
 import type { PreemptiveGenerationInfo } from './audio_recognition.js';
+import type { AgentSessionEventTypes, UserInputTranscribedEvent } from './events.js';
 import { SpeechHandle } from './speech_handle.js';
 
 const agentMocks = vi.hoisted(() => ({
@@ -132,6 +133,29 @@ function buildMainTaskRunner() {
 }
 
 describe('AgentActivity - mainTask', () => {
+  it('preserves realtime user input transcription item IDs', () => {
+    const capturedEvents: UserInputTranscribedEvent[] = [];
+    const activity = Object.create(AgentActivity.prototype) as AgentActivity;
+    Object.assign(activity, {
+      agentSession: {
+        emit: (_type: AgentSessionEventTypes, ev: UserInputTranscribedEvent) => {
+          capturedEvents.push(ev);
+        },
+      },
+    });
+
+    activity.onInputAudioTranscriptionCompleted({
+      itemId: 'item_123',
+      transcript: 'hello',
+      isFinal: false,
+    });
+
+    expect(capturedEvents).toHaveLength(1);
+    expect(capturedEvents[0]?.transcript).toBe('hello');
+    expect(capturedEvents[0]?.isFinal).toBe(false);
+    expect(capturedEvents[0]?.itemId).toBe('item_123');
+  });
+
   it('should recover when speech handle is interrupted after authorization', async () => {
     const { fakeActivity, mainTask, speechQueue, q_updated } = buildMainTaskRunner();
 
diff --git a/agents/src/voice/agent_activity.ts b/agents/src/voice/agent_activity.ts
index c9cdbf384..b93e5cce9 100644
--- a/agents/src/voice/agent_activity.ts
+++ b/agents/src/voice/agent_activity.ts
@@ -1168,6 +1168,7 @@ export class AgentActivity implements RecognitionHooks {
       createUserInputTranscribedEvent({
         transcript: ev.transcript,
         isFinal: ev.isFinal,
+        itemId: ev.itemId,
       }),
     );
 
diff --git a/agents/src/voice/events.ts b/agents/src/voice/events.ts
index b79b72930..3a3050f4b 100644
--- a/agents/src/voice/events.ts
+++ b/agents/src/voice/events.ts
@@ -94,6 +94,8 @@ export type UserInputTranscribedEvent = {
   type: 'user_input_transcribed';
   transcript: string;
   isFinal: boolean;
+  /** Provider-specific ID for the transcribed input item, when available. */
+  itemId: string | null;
   // TODO(AJS-106): add multi participant support
   /** Not supported yet. Always null by default. */
   speakerId: string | null;
@@ -104,12 +106,14 @@ export type UserInputTranscribedEvent = {
 export const createUserInputTranscribedEvent = ({
   transcript,
   isFinal,
+  itemId = null,
   speakerId = null,
   language = null,
   createdAt = Date.now(),
 }: {
   transcript: string;
   isFinal: boolean;
+  itemId?: string | null;
   speakerId?: string | null;
   language?: LanguageCode | null;
   createdAt?: number;
@@ -117,6 +121,7 @@ export const createUserInputTranscribedEvent = ({
   type: 'user_input_transcribed',
   transcript,
   isFinal,
+  itemId,
   speakerId,
   language,
   createdAt,
diff --git a/agents/src/voice/report.test.ts b/agents/src/voice/report.test.ts
index f29b5201a..e401c9c6a 100644
--- a/agents/src/voice/report.test.ts
+++ b/agents/src/voice/report.test.ts
@@ -254,6 +254,7 @@ describe('sessionReportToJSON', () => {
         type: 'user_input_transcribed',
         transcript: 'hello',
         is_final: true,
+        item_id: null,
         speaker_id: 'spk_1',
         language: null,
         created_at: 9,