diff --git a/packages/compass-indexes/src/components/create-index-form/create-index-form.spec.tsx b/packages/compass-indexes/src/components/create-index-form/create-index-form.spec.tsx
new file mode 100644
index 00000000000..4475b03f517
--- /dev/null
+++ b/packages/compass-indexes/src/components/create-index-form/create-index-form.spec.tsx
@@ -0,0 +1,67 @@
+import React from 'react';
+import { render, screen, fireEvent } from '@mongodb-js/testing-library-compass';
+import { CreateIndexForm } from './create-index-form';
+import type { Field } from '../../modules/create-index';
+import { expect } from 'chai';
+import type { SinonSpy } from 'sinon';
+
+import sinon from 'sinon';
+
+describe('CreateIndexForm', () => {
+  let onTabClickSpy: SinonSpy;
+
+  beforeEach(function () {
+    onTabClickSpy = sinon.spy();
+  });
+
+  const renderComponent = ({
+    showIndexesGuidanceVariant,
+  }: {
+    showIndexesGuidanceVariant?: boolean;
+  }) => {
+    render(
+      <CreateIndexForm
+        namespace="testNamespace"
+        fields={
+          [
+            { name: 'field1', type: 'string' },
+            { name: 'field2', type: 'number' },
+          ] as Field[]
+        }
+        serverVersion="5.0.0"
+        currentTab="IndexFlow"
+        onSelectFieldNameClick={() => {}}
+        onSelectFieldTypeClick={() => {}}
+        onAddFieldClick={() => {}}
+        onRemoveFieldClick={() => {}}
+        onTabClick={onTabClickSpy}
+        showIndexesGuidanceVariant={showIndexesGuidanceVariant || false}
+      />
+    );
+  };
+
+  it('renders the create index form', () => {
+    renderComponent({});
+    expect(screen.getByTestId('create-index-form')).to.exist;
+  });
+
+  describe('when showIndexesGuidanceVariant is false', () => {
+    it('renders the RadioBoxGroup', () => {
+      renderComponent({});
+      expect(screen.queryByTestId('create-index-form-flows')).not.to.exist;
+    });
+  });
+
+  describe('when showIndexesGuidanceVariant is true', () => {
+    it('renders the RadioBoxGroup', () => {
+      renderComponent({ showIndexesGuidanceVariant: true });
+      expect(screen.getByTestId('create-index-form-flows')).to.exist;
+    });
+    it('calls onTabClick when a RadioBox is selected', () => {
+      renderComponent({ showIndexesGuidanceVariant: true });
+      const radioBox = screen.getByLabelText('Start with a Query');
+      fireEvent.click(radioBox);
+      expect(onTabClickSpy).to.be.calledWith('QueryFlow');
+    });
+  });
+});
diff --git a/packages/compass-indexes/src/components/create-index-form/create-index-form.tsx b/packages/compass-indexes/src/components/create-index-form/create-index-form.tsx
index 111f3442a12..6d319270f04 100644
--- a/packages/compass-indexes/src/components/create-index-form/create-index-form.tsx
+++ b/packages/compass-indexes/src/components/create-index-form/create-index-form.tsx
@@ -1,6 +1,13 @@
 import React, { useMemo } from 'react';
-import { css, spacing, Accordion, Body } from '@mongodb-js/compass-components';
-import type { Field } from '../../modules/create-index';
+import {
+  css,
+  spacing,
+  Accordion,
+  Body,
+  RadioBoxGroup,
+  RadioBox,
+} from '@mongodb-js/compass-components';
+import type { Field, Tab } from '../../modules/create-index';
 import { useAutocompleteFields } from '@mongodb-js/compass-field-store';
 import { CreateIndexFields } from '../create-index-fields';
 import { hasColumnstoreIndexesSupport } from '../../utils/columnstore-indexes';
@@ -24,24 +31,34 @@ const createIndexModalOptionStyles = css({
   paddingLeft: spacing[1] + 2,
 });
 
-type CreateIndexFormProps = {
+const createIndexModalFlowsStyles = css({
+  marginBottom: spacing[600],
+});
+
+export type CreateIndexFormProps = {
   namespace: string;
   fields: Field[];
   serverVersion: string;
+  currentTab: Tab;
   onSelectFieldNameClick: (idx: number, name: string) => void;
   onSelectFieldTypeClick: (idx: number, fType: string) => void;
   onAddFieldClick: () => void; // Plus icon.
   onRemoveFieldClick: (idx: number) => void; // Minus icon.
+  onTabClick: (tab: Tab) => void;
+  showIndexesGuidanceVariant?: boolean;
 };
 
 function CreateIndexForm({
   namespace,
   fields,
   serverVersion,
+  currentTab,
   onSelectFieldNameClick,
   onSelectFieldTypeClick,
   onAddFieldClick,
   onRemoveFieldClick,
+  onTabClick,
+  showIndexesGuidanceVariant,
 }: CreateIndexFormProps) {
   const { id: connectionId } = useConnectionInfo();
   const rollingIndexesFeatureEnabled = !!usePreference('enableRollingIndexes');
@@ -68,10 +85,33 @@ function CreateIndexForm({
         className={createIndexModalFieldsStyles}
         data-testid="create-index-form"
       >
-        <Body weight="medium" className={indexFieldsHeaderStyles}>
-          Index fields
-        </Body>
-        {fields.length > 0 ? (
+        {showIndexesGuidanceVariant ? (
+          <RadioBoxGroup
+            aria-labelledby="index-flows"
+            data-testid="create-index-form-flows"
+            id="create-index-form-flows"
+            onChange={(e) => {
+              onTabClick(e.target.value as Tab);
+            }}
+            value={currentTab}
+            className={createIndexModalFlowsStyles}
+          >
+            <RadioBox id="index-flow" value={'IndexFlow'}>
+              Start with an Index
+            </RadioBox>
+            <RadioBox id="query-flow" value={'QueryFlow'}>
+              Start with a Query
+            </RadioBox>
+          </RadioBoxGroup>
+        ) : (
+          <Body weight="medium" className={indexFieldsHeaderStyles}>
+            Index fields
+          </Body>
+        )}
+
+        {/* Only show the fields if user is in the Start with an index flow or if they're in the control */}
+        {fields.length > 0 &&
+        (!showIndexesGuidanceVariant || currentTab === 'IndexFlow') ? (
           <CreateIndexFields
             schemaFields={schemaFieldNames}
             fields={fields}
diff --git a/packages/compass-indexes/src/components/create-index-modal/create-index-modal.tsx b/packages/compass-indexes/src/components/create-index-modal/create-index-modal.tsx
index a37b1a85ab9..70b8aba6318 100644
--- a/packages/compass-indexes/src/components/create-index-modal/create-index-modal.tsx
+++ b/packages/compass-indexes/src/components/create-index-modal/create-index-modal.tsx
@@ -6,6 +6,7 @@ import {
   ModalHeader,
   ModalBody,
 } from '@mongodb-js/compass-components';
+import type { Tab } from '../../modules/create-index';
 import {
   fieldAdded,
   fieldRemoved,
@@ -14,6 +15,7 @@ import {
   errorCleared,
   createIndexFormSubmitted,
   createIndexClosed,
+  tabUpdated,
 } from '../../modules/create-index';
 import { CreateIndexForm } from '../create-index-form/create-index-form';
 import CreateIndexActions from '../create-index-actions';
@@ -32,15 +34,18 @@ type CreateIndexModalProps = React.ComponentProps<typeof CreateIndexForm> & {
   isVisible: boolean;
   namespace: string;
   error: string | null;
+  currentTab: Tab;
   onErrorBannerCloseClick: () => void;
   onCreateIndexClick: () => void;
   onCancelCreateIndexClick: () => void;
+  onTabClick: (tab: Tab) => void;
 };
 
 function CreateIndexModal({
   isVisible,
   namespace,
   error,
+  currentTab,
   onErrorBannerCloseClick,
   onCreateIndexClick,
   onCancelCreateIndexClick,
@@ -98,7 +103,12 @@ function CreateIndexModal({
       )}
 
       <ModalBody>
-        <CreateIndexForm namespace={namespace} {...props} />
+        <CreateIndexForm
+          {...props}
+          namespace={namespace}
+          showIndexesGuidanceVariant={showIndexesGuidanceVariant}
+          currentTab={currentTab}
+        />
       </ModalBody>
 
       <ModalFooter>
@@ -114,13 +124,14 @@ function CreateIndexModal({
 }
 
 const mapState = ({ namespace, serverVersion, createIndex }: RootState) => {
-  const { fields, error, isVisible } = createIndex;
+  const { fields, error, isVisible, currentTab } = createIndex;
   return {
     fields,
     error,
     isVisible,
     namespace,
     serverVersion,
+    currentTab,
   };
 };
 
@@ -132,6 +143,7 @@ const mapDispatch = {
   onRemoveFieldClick: fieldRemoved,
   onSelectFieldNameClick: updateFieldName,
   onSelectFieldTypeClick: fieldTypeUpdated,
+  onTabClick: tabUpdated,
 };
 
 export default connect(mapState, mapDispatch)(CreateIndexModal);
diff --git a/packages/compass-indexes/src/modules/create-index.tsx b/packages/compass-indexes/src/modules/create-index.tsx
index ba723067276..89eab255407 100644
--- a/packages/compass-indexes/src/modules/create-index.tsx
+++ b/packages/compass-indexes/src/modules/create-index.tsx
@@ -25,11 +25,14 @@ export enum ActionTypes {
   CreateIndexClosed = 'compass-indexes/create-index/create-index-hidden',
 
   CreateIndexFormSubmitted = 'compass-indexes/create-index/create-index-form-submitted',
+
+  TabUpdated = 'compass-indexes/create-index/tab-updated',
 }
 
 // fields
 
 export type Field = { name: string; type: string };
+export type Tab = 'QueryFlow' | 'IndexFlow';
 
 const INITIAL_FIELDS_STATE = [{ name: '', type: '' }];
 
@@ -82,6 +85,11 @@ type CreateIndexFormSubmittedAction = {
   type: ActionTypes.CreateIndexFormSubmitted;
 };
 
+type TabUpdatedAction = {
+  type: ActionTypes.TabUpdated;
+  currentTab: Tab;
+};
+
 export const fieldAdded = () => ({
   type: ActionTypes.FieldAdded,
 });
@@ -97,6 +105,11 @@ export const fieldTypeUpdated = (idx: number, fType: string) => ({
   fType,
 });
 
+export const tabUpdated = (tab: Tab) => ({
+  type: ActionTypes.TabUpdated,
+  currentTab: tab,
+});
+
 const fieldsChanged = (fields: Field[]) => ({
   type: ActionTypes.FieldsChanged,
   fields: fields,
@@ -280,6 +293,9 @@ export type State = {
 
   // index options
   options: Options;
+
+  // current tab that user is on (Query Flow or Index Flow)
+  currentTab: Tab;
 };
 
 export const INITIAL_STATE: State = {
@@ -288,6 +304,7 @@ export const INITIAL_STATE: State = {
   error: null,
   fields: INITIAL_FIELDS_STATE,
   options: INITIAL_OPTIONS_STATE,
+  currentTab: 'IndexFlow',
 };
 
 function getInitialState(): State {
@@ -590,6 +607,13 @@ const reducer: Reducer<State, Action> = (state = INITIAL_STATE, action) => {
     };
   }
 
+  if (isAction<TabUpdatedAction>(action, ActionTypes.TabUpdated)) {
+    return {
+      ...state,
+      currentTab: action.currentTab,
+    };
+  }
+
   return state;
 };