diff --git a/extensions/voice-call/src/providers/twilio.test.ts b/extensions/voice-call/src/providers/twilio.test.ts
index 92cbe0fec32..0a88bdeae07 100644
--- a/extensions/voice-call/src/providers/twilio.test.ts
+++ b/extensions/voice-call/src/providers/twilio.test.ts
@@ -60,6 +60,76 @@ describe("TwilioProvider", () => {
     expect(result.providerResponseBody).toContain("<Connect>");
   });
 
+  it("returns queue TwiML for second inbound call when first call is active", () => {
+    const provider = createProvider();
+    const firstInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA111");
+    const secondInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA222");
+
+    const firstResult = provider.parseWebhookEvent(firstInbound);
+    const secondResult = provider.parseWebhookEvent(secondInbound);
+
+    expect(firstResult.providerResponseBody).toContain("<Connect>");
+    expect(secondResult.providerResponseBody).toContain("Please hold while we connect you.");
+    expect(secondResult.providerResponseBody).toContain("<Enqueue");
+    expect(secondResult.providerResponseBody).toContain("hold-queue");
+  });
+
+  it("connects next inbound call after unregisterCallStream cleanup", () => {
+    const provider = createProvider();
+    const firstInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA311");
+    const secondInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA322");
+
+    provider.parseWebhookEvent(firstInbound);
+    provider.unregisterCallStream("CA311");
+    const secondResult = provider.parseWebhookEvent(secondInbound);
+
+    expect(secondResult.providerResponseBody).toContain("<Connect>");
+    expect(secondResult.providerResponseBody).not.toContain("hold-queue");
+  });
+
+  it("cleans up active inbound call on completed status callback", () => {
+    const provider = createProvider();
+    const firstInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA411");
+    const completed = createContext("CallStatus=completed&Direction=inbound&CallSid=CA411", {
+      type: "status",
+    });
+    const nextInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA422");
+
+    provider.parseWebhookEvent(firstInbound);
+    provider.parseWebhookEvent(completed);
+    const nextResult = provider.parseWebhookEvent(nextInbound);
+
+    expect(nextResult.providerResponseBody).toContain("<Connect>");
+    expect(nextResult.providerResponseBody).not.toContain("hold-queue");
+  });
+
+  it("cleans up active inbound call on canceled status callback", () => {
+    const provider = createProvider();
+    const firstInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA511");
+    const canceled = createContext("CallStatus=canceled&Direction=inbound&CallSid=CA511", {
+      type: "status",
+    });
+    const nextInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA522");
+
+    provider.parseWebhookEvent(firstInbound);
+    provider.parseWebhookEvent(canceled);
+    const nextResult = provider.parseWebhookEvent(nextInbound);
+
+    expect(nextResult.providerResponseBody).toContain("<Connect>");
+    expect(nextResult.providerResponseBody).not.toContain("hold-queue");
+  });
+
+  it("QUEUE_TWIML references /voice/hold-music waitUrl", () => {
+    const provider = createProvider();
+    const firstInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA611");
+    const secondInbound = createContext("CallStatus=ringing&Direction=inbound&CallSid=CA622");
+
+    provider.parseWebhookEvent(firstInbound);
+    const result = provider.parseWebhookEvent(secondInbound);
+
+    expect(result.providerResponseBody).toContain('waitUrl="/voice/hold-music"');
+  });
+
   it("uses a stable fallback dedupeKey for identical request payloads", () => {
     const provider = createProvider();
     const rawBody = "CallSid=CA789&Direction=inbound&SpeechResult=hello";
diff --git a/extensions/voice-call/src/providers/twilio.ts b/extensions/voice-call/src/providers/twilio.ts
index 10c68bc93d3..58ddc073273 100644
--- a/extensions/voice-call/src/providers/twilio.ts
+++ b/extensions/voice-call/src/providers/twilio.ts
@@ -95,6 +95,7 @@ export class TwilioProvider implements VoiceCallProvider {
   private readonly twimlStorage = new Map<string, string>();
   /** Track notify-mode calls to avoid streaming on follow-up callbacks */
   private readonly notifyCalls = new Set<string>();
+  private readonly activeStreamCalls = new Set<string>();
 
   /**
    * Delete stored TwiML for a given `callId`.
@@ -167,6 +168,7 @@ export class TwilioProvider implements VoiceCallProvider {
 
   unregisterCallStream(callSid: string): void {
     this.callStreamMap.delete(callSid);
+    this.activeStreamCalls.delete(callSid);
   }
 
   isValidStreamToken(callSid: string, token?: string): boolean {
@@ -338,12 +340,14 @@ export class TwilioProvider implements VoiceCallProvider {
       case "no-answer":
       case "failed":
         this.streamAuthTokens.delete(callSid);
+        this.activeStreamCalls.delete(callSid);
         if (callIdOverride) {
           this.deleteStoredTwiml(callIdOverride);
         }
         return { ...baseEvent, type: "call.ended", reason: callStatus };
       case "canceled":
         this.streamAuthTokens.delete(callSid);
+        this.activeStreamCalls.delete(callSid);
         if (callIdOverride) {
           this.deleteStoredTwiml(callIdOverride);
         }
@@ -361,6 +365,12 @@ export class TwilioProvider implements VoiceCallProvider {
   <Pause length="30"/>
 </Response>`;
 
+  private static readonly QUEUE_TWIML = `<?xml version="1.0" encoding="UTF-8"?>
+<Response>
+  <Say voice="alice">Please hold while we connect you.</Say>
+  <Enqueue waitUrl="/voice/hold-music">hold-queue</Enqueue>
+</Response>`;
+
   /**
    * Generate TwiML response for webhook.
    * When a call is answered, connects to media stream for bidirectional audio.
@@ -412,7 +422,13 @@ export class TwilioProvider implements VoiceCallProvider {
     // Handle subsequent webhook requests (status callbacks, etc.)
     // For inbound calls, answer immediately with stream
     if (direction === "inbound") {
+      if (this.activeStreamCalls.size > 0) {
+        return TwilioProvider.QUEUE_TWIML;
+      }
       const streamUrl = callSid ? this.getStreamUrlForCall(callSid) : null;
+      if (streamUrl && callSid) {
+        this.activeStreamCalls.add(callSid);
+      }
       return streamUrl ? this.getStreamConnectXml(streamUrl) : TwilioProvider.PAUSE_TWIML;
     }
 
@@ -546,6 +562,7 @@ export class TwilioProvider implements VoiceCallProvider {
 
     this.callWebhookUrls.delete(input.providerCallId);
     this.streamAuthTokens.delete(input.providerCallId);
+    this.activeStreamCalls.delete(input.providerCallId);
 
     await this.apiRequest(
       `/Calls/${input.providerCallId}.json`,
diff --git a/extensions/voice-call/src/webhook.ts b/extensions/voice-call/src/webhook.ts
index 4e1585e269e..43c31d770b8 100644
--- a/extensions/voice-call/src/webhook.ts
+++ b/extensions/voice-call/src/webhook.ts
@@ -284,6 +284,17 @@ export class VoiceCallWebhookServer {
   ): Promise<void> {
     const url = new URL(req.url || "/", `http://${req.headers.host}`);
 
+    // Serve hold-music TwiML for call-waiting queue (Twilio waitUrl sends GET or POST)
+    if (url.pathname === "/voice/hold-music") {
+      res.setHeader("Content-Type", "text/xml");
+      res.end(`<?xml version="1.0" encoding="UTF-8"?>
+<Response>
+  <Say voice="alice">All agents are currently busy. Please hold.</Say>
+  <Play loop="0">http://com.twilio.sounds.music.s3.amazonaws.com/MARKOVICHAMP-B8.mp3</Play>
+</Response>`);
+      return;
+    }
+
     // Check path
     if (!this.isWebhookPathMatch(url.pathname, webhookPath)) {
       res.statusCode = 404;