diff --git a/homeassistant/components/ntfy/icons.json b/homeassistant/components/ntfy/icons.json
index 57a1c69ac973e6..5dcf82ac3b5ef3 100644
--- a/homeassistant/components/ntfy/icons.json
+++ b/homeassistant/components/ntfy/icons.json
@@ -75,6 +75,9 @@
   },
   "services": {
     "publish": {
+      "sections": {
+        "actions": "mdi:gesture-tap-button"
+      },
       "service": "mdi:send"
     }
   }
diff --git a/homeassistant/components/ntfy/notify.py b/homeassistant/components/ntfy/notify.py
index 176dddd7a44ce2..7d25e8cb569175 100644
--- a/homeassistant/components/ntfy/notify.py
+++ b/homeassistant/components/ntfy/notify.py
@@ -5,7 +5,7 @@
 from datetime import timedelta
 from typing import Any
 
-from aiontfy import Message
+from aiontfy import BroadcastAction, HttpAction, Message, ViewAction
 from aiontfy.exceptions import (
     NtfyException,
     NtfyHTTPError,
@@ -31,7 +31,7 @@
 from .entity import NtfyBaseEntity
 
 PARALLEL_UPDATES = 0
-
+MAX_ACTIONS_ALLOWED = 3  # ntfy only supports up to 3 actions per notification
 
 SERVICE_PUBLISH = "publish"
 ATTR_ATTACH = "attach"
@@ -43,7 +43,53 @@
 ATTR_MARKDOWN = "markdown"
 ATTR_PRIORITY = "priority"
 ATTR_TAGS = "tags"
-
+ATTR_ACTIONS = "actions"
+ATTR_ACTION = "action"
+ATTR_VIEW = "view"
+ATTR_BROADCAST = "broadcast"
+ATTR_HTTP = "http"
+ATTR_LABEL = "label"
+ATTR_URL = "url"
+ATTR_CLEAR = "clear"
+ATTR_POSITION = "position"
+ATTR_INTENT = "intent"
+ATTR_EXTRAS = "extras"
+ATTR_METHOD = "method"
+ATTR_HEADERS = "headers"
+ATTR_BODY = "body"
+ACTIONS_MAP = {
+    ATTR_VIEW: ViewAction,
+    ATTR_BROADCAST: BroadcastAction,
+    ATTR_HTTP: HttpAction,
+}
+
+ACTION_SCHEMA = vol.Schema(
+    {
+        vol.Required(ATTR_LABEL): cv.string,
+        vol.Optional(ATTR_CLEAR, default=False): cv.boolean,
+    }
+)
+VIEW_SCHEMA = ACTION_SCHEMA.extend(
+    {
+        vol.Optional(ATTR_ACTION): vol.All(str, "view"),
+        vol.Required(ATTR_URL): cv.url,
+    }
+)
+BROADCAST_SCHEMA = ACTION_SCHEMA.extend(
+    {
+        vol.Optional(ATTR_ACTION): vol.All(str, "broadcast"),
+        vol.Optional(ATTR_INTENT): cv.string,
+        vol.Optional(ATTR_EXTRAS): dict[str, str],
+    }
+)
+HTTP_SCHEMA = VIEW_SCHEMA.extend(
+    {
+        vol.Optional(ATTR_ACTION): vol.All(str, "http"),
+        vol.Optional(ATTR_METHOD): cv.string,
+        vol.Optional(ATTR_HEADERS): dict[str, str],
+        vol.Optional(ATTR_BODY): cv.string,
+    }
+)
 SERVICE_PUBLISH_SCHEMA = cv.make_entity_service_schema(
     {
         vol.Optional(ATTR_TITLE): cv.string,
@@ -60,6 +106,9 @@
         vol.Optional(ATTR_EMAIL): vol.Email(),
         vol.Optional(ATTR_CALL): cv.string,
         vol.Optional(ATTR_ICON): vol.All(vol.Url(), vol.Coerce(URL)),
+        vol.Optional(ATTR_ACTIONS): vol.All(
+            cv.ensure_list, [vol.Any(VIEW_SCHEMA, BROADCAST_SCHEMA, HTTP_SCHEMA)]
+        ),
     }
 )
 
@@ -116,6 +165,17 @@ async def publish(self, **kwargs: Any) -> None:
                     translation_key="delay_no_call",
                 )
 
+        actions: list[dict[str, Any]] | None = params.get(ATTR_ACTIONS)
+        if actions:
+            if len(actions) > MAX_ACTIONS_ALLOWED:
+                raise ServiceValidationError(
+                    translation_domain=DOMAIN,
+                    translation_key="too_many_actions",
+                )
+            params["actions"] = [
+                ACTIONS_MAP[action.pop(ATTR_ACTION)](**action) for action in actions
+            ]
+
         msg = Message(topic=self.topic, **params)
         try:
             await self.ntfy.publish(msg)
diff --git a/homeassistant/components/ntfy/services.yaml b/homeassistant/components/ntfy/services.yaml
index 2c8e00746e5a27..1719221deb7b1f 100644
--- a/homeassistant/components/ntfy/services.yaml
+++ b/homeassistant/components/ntfy/services.yaml
@@ -88,3 +88,58 @@ publish:
           type: url
           autocomplete: url
       example: https://example.org/logo.png
+    actions:
+      selector:
+        object:
+          label_field: "label"
+          description_field: "url"
+          multiple: true
+          translation_key: actions
+          fields:
+            action:
+              selector:
+                select:
+                  options:
+                    - value: view
+                      label: Open website/app
+                    - value: broadcast
+                      label: Send Android broadcast
+                    - value: http
+                      label: Send HTTP request
+                  translation_key: action_type
+                  mode: dropdown
+            label:
+              selector:
+                text:
+              required: true
+            url:
+              selector:
+                text:
+                  type: url
+              required: true
+            intent:
+              selector:
+                text:
+              required: true
+            extras:
+              selector:
+                object:
+            method:
+              selector:
+                select:
+                  options:
+                    - GET
+                    - POST
+                    - PUT
+                    - DELETE
+                  custom_value: true
+            headers:
+              selector:
+                object:
+            body:
+              selector:
+                text:
+                  multiline: true
+            clear:
+              selector:
+                boolean:
diff --git a/homeassistant/components/ntfy/strings.json b/homeassistant/components/ntfy/strings.json
index 760f61530172fd..7f24229ca0503a 100644
--- a/homeassistant/components/ntfy/strings.json
+++ b/homeassistant/components/ntfy/strings.json
@@ -290,6 +290,9 @@
     },
     "timeout_error": {
       "message": "Failed to connect to ntfy service due to a connection timeout"
+    },
+    "too_many_actions": {
+      "message": "Too many actions defined. A maximum of 3 is supported"
     }
   },
   "issues": {
@@ -306,6 +309,19 @@
     }
   },
   "selector": {
+    "actions": {
+      "fields": {
+        "action": "Action type",
+        "body": "Body of the HTTP request ('http' action only)",
+        "clear": "Clear notification after action button is tapped",
+        "extras": "Extras to include in the intent as key-value pairs ('broadcast' action only)",
+        "headers": "Additional HTTP headers as key-value pairs ('http' action only)",
+        "intent": "Android intent to send when the 'broadcast' action is triggered",
+        "label": "Label of the action button",
+        "method": "HTTP method to use for the 'http' action",
+        "url": "URL to open for the 'view' action or to request for the 'http' action"
+      }
+    },
     "priority": {
       "options": {
         "1": "Minimum",
@@ -320,6 +336,10 @@
     "publish": {
       "description": "Publishes a notification message to a ntfy topic",
       "fields": {
+        "actions": {
+          "description": "Up to three actions ('view', 'broadcast', or 'http') can be added as buttons below the notification. Actions are executed when the corresponding button is tapped or clicked.",
+          "name": "Action buttons"
+        },
         "attach": {
           "description": "Attach images or other files by URL.",
           "name": "Attachment URL"
diff --git a/tests/components/ntfy/test_services.py b/tests/components/ntfy/test_services.py
index d07df40264f6a1..af63522c6883fe 100644
--- a/tests/components/ntfy/test_services.py
+++ b/tests/components/ntfy/test_services.py
@@ -2,7 +2,7 @@
 
 from typing import Any
 
-from aiontfy import Message
+from aiontfy import BroadcastAction, HttpAction, Message, ViewAction
 from aiontfy.exceptions import (
     NtfyException,
     NtfyHTTPError,
@@ -14,6 +14,7 @@
 from homeassistant.components.notify import ATTR_MESSAGE, ATTR_TITLE
 from homeassistant.components.ntfy.const import DOMAIN
 from homeassistant.components.ntfy.notify import (
+    ATTR_ACTIONS,
     ATTR_ATTACH,
     ATTR_CALL,
     ATTR_CLICK,
@@ -60,6 +61,29 @@ async def test_ntfy_publish(
             ATTR_MARKDOWN: True,
             ATTR_PRIORITY: "5",
             ATTR_TAGS: ["partying_face", "grin"],
+            ATTR_ACTIONS: [
+                {
+                    "action": "broadcast",
+                    "label": "Take picture",
+                    "intent": "com.example.AN_INTENT",
+                    "extras": {"cmd": "pic"},
+                    "clear": True,
+                },
+                {
+                    "action": "view",
+                    "label": "Open website",
+                    "url": "https://example.com",
+                    "clear": False,
+                },
+                {
+                    "action": "http",
+                    "label": "Close door",
+                    "url": "https://api.example.local/",
+                    "method": "PUT",
+                    "headers": {"Authorization": "Bearer ..."},
+                    "clear": False,
+                },
+            ],
         },
         blocking=True,
     )
@@ -76,6 +100,27 @@ async def test_ntfy_publish(
             markdown=True,
             icon=URL("https://example.org/logo.png"),
             delay="86430.0s",
+            actions=[
+                BroadcastAction(
+                    label="Take picture",
+                    intent="com.example.AN_INTENT",
+                    extras={"cmd": "pic"},
+                    clear=True,
+                ),
+                ViewAction(
+                    label="Open website",
+                    url="https://example.com",
+                    clear=False,
+                ),
+                HttpAction(
+                    label="Close door",
+                    url="https://api.example.local/",
+                    method="PUT",
+                    headers={"Authorization": "Bearer ..."},
+                    body=None,
+                    clear=False,
+                ),
+            ],
         )
     )
 
@@ -142,12 +187,23 @@ async def test_send_message_exception(
             {ATTR_DELAY: {"days": 1, "seconds": 30}, ATTR_EMAIL: "mail@example.org"},
             "Delayed email notifications are not supported",
         ),
+        (
+            {
+                ATTR_ACTIONS: [
+                    {"action": "broadcast", "label": "1"},
+                    {"action": "broadcast", "label": "2"},
+                    {"action": "broadcast", "label": "3"},
+                    {"action": "broadcast", "label": "4"},
+                ],
+            },
+            "Too many actions defined. A maximum of 3 is supported",
+        ),
     ],
 )
+@pytest.mark.usefixtures("mock_aiontfy")
 async def test_send_message_validation_errors(
     hass: HomeAssistant,
     config_entry: MockConfigEntry,
-    mock_aiontfy: AsyncMock,
     payload: dict[str, Any],
     error_msg: str,
 ) -> None: