diff --git a/litellm/proxy/_types.py b/litellm/proxy/_types.py
index c6653a722d..d777d34eaf 100644
--- a/litellm/proxy/_types.py
+++ b/litellm/proxy/_types.py
@@ -353,8 +353,10 @@ class LiteLLMRoutes(enum.Enum):
         # realtime
         "/realtime",
         "/v1/realtime",
+        "/openai/v1/realtime",
         "/realtime?{model}",
         "/v1/realtime?{model}",
+        "/openai/v1/realtime?{model}",
         # responses API
         "/responses",
         "/v1/responses",
diff --git a/litellm/proxy/proxy_server.py b/litellm/proxy/proxy_server.py
index a5905765c6..3f7745a54c 100644
--- a/litellm/proxy/proxy_server.py
+++ b/litellm/proxy/proxy_server.py
@@ -8805,6 +8805,7 @@ def _realtime_query_params_template(
     return tuple(params)
 
 
+@app.websocket("/openai/v1/realtime")
 @app.websocket("/v1/realtime")
 @app.websocket("/realtime")
 async def realtime_websocket_endpoint(
diff --git a/litellm/types/utils.py b/litellm/types/utils.py
index 00a7748309..400edcac88 100644
--- a/litellm/types/utils.py
+++ b/litellm/types/utils.py
@@ -825,6 +825,7 @@ API_ROUTE_TO_CALL_TYPES = {
     # Realtime API
     "/realtime": [CallTypes.arealtime],
     "/v1/realtime": [CallTypes.arealtime],
+    "/openai/v1/realtime": [CallTypes.arealtime],
     # Provider-specific routes
     "/anthropic/v1/messages": [CallTypes.anthropic_messages],
     # Google GenAI routes
diff --git a/tests/test_litellm/proxy/test_proxy_server.py b/tests/test_litellm/proxy/test_proxy_server.py
index 3f19db36c3..6718f52cbf 100644
--- a/tests/test_litellm/proxy/test_proxy_server.py
+++ b/tests/test_litellm/proxy/test_proxy_server.py
@@ -6513,3 +6513,37 @@ async def test_get_current_spend_redis_error_falls_back_to_in_memory():
     finally:
         ps.spend_counter_cache = orig_counter
         ps.prisma_client = orig_prisma
+
+
+def test_realtime_websocket_route_aliases_registered():
+    """Realtime sessions reach the proxy via three path aliases stacked on
+    `realtime_websocket_endpoint`. Dropping any of them silently 405s
+    WebSocket upgrades because the catch-all `/openai/{endpoint:path}`
+    HTTP passthrough only declares HTTP methods. The aliases must also be
+    in `LiteLLMRoutes.openai_routes` (so non-admin / team / key-scoped
+    auth allows them) and in `API_ROUTE_TO_CALL_TYPES` (so call-type-aware
+    logic such as guardrails can resolve the realtime call type)."""
+    from starlette.routing import WebSocketRoute
+
+    from litellm.proxy._types import LiteLLMRoutes
+    from litellm.proxy.proxy_server import app
+    from litellm.types.utils import API_ROUTE_TO_CALL_TYPES, CallTypes
+
+    websocket_paths = {
+        route.path for route in app.routes if isinstance(route, WebSocketRoute)
+    }
+    openai_routes = LiteLLMRoutes.openai_routes.value
+
+    for expected in ("/openai/v1/realtime", "/v1/realtime", "/realtime"):
+        assert expected in websocket_paths, (
+            f"{expected!r} missing from registered WebSocket routes; the "
+            f"realtime endpoint will 405 for clients hitting this path."
+        )
+        assert expected in openai_routes, (
+            f"{expected!r} missing from LiteLLMRoutes.openai_routes; "
+            f"non-admin / team / key-scoped users will get 403 on this path."
+        )
+        assert API_ROUTE_TO_CALL_TYPES.get(expected) == [CallTypes.arealtime], (
+            f"{expected!r} missing from API_ROUTE_TO_CALL_TYPES; call-type "
+            f"resolution will return None and break call-type-aware features."
+        )