diff --git a/homeassistant/components/notify/__init__.py b/homeassistant/components/notify/__init__.py
index 1fc7836ecd858e..5aac58b2bad302 100644
--- a/homeassistant/components/notify/__init__.py
+++ b/homeassistant/components/notify/__init__.py
@@ -102,11 +102,17 @@ async def persistent_notification(service: ServiceCall) -> None:
             title = title_tpl.async_render(parse_result=False)
 
         notification_id = None
+        actions = None
         if data := service.data.get(ATTR_DATA):
             notification_id = data.get(pn.ATTR_NOTIFICATION_ID)
+            actions = data.get(pn.ATTR_ACTIONS)
 
         pn.async_create(
-            hass, message.async_render(parse_result=False), title, notification_id
+            hass,
+            message.async_render(parse_result=False),
+            title,
+            notification_id,
+            actions,
         )
 
     hass.services.async_register(
diff --git a/homeassistant/components/persistent_notification/__init__.py b/homeassistant/components/persistent_notification/__init__.py
index a785d015ffb620..bdfff25d9f7625 100644
--- a/homeassistant/components/persistent_notification/__init__.py
+++ b/homeassistant/components/persistent_notification/__init__.py
@@ -30,7 +30,16 @@
 ATTR_MESSAGE: Final = "message"
 ATTR_NOTIFICATION_ID: Final = "notification_id"
 ATTR_TITLE: Final = "title"
+ATTR_ACTION: Final = "action"
 ATTR_STATUS: Final = "status"
+ATTR_ACTIONS: Final = "actions"
+
+
+class NotificationAction(TypedDict):
+    """Action for a persistent notification."""
+
+    action: str
+    title: str
 
 
 class Notification(TypedDict):
@@ -40,6 +49,7 @@ class Notification(TypedDict):
     message: str
     notification_id: str
     title: str | None
+    actions: list[NotificationAction] | None
 
 
 class UpdateType(StrEnum):
@@ -81,9 +91,10 @@ def create(
     message: str,
     title: str | None = None,
     notification_id: str | None = None,
+    actions: list[NotificationAction] | None = None,
 ) -> None:
     """Generate a notification."""
-    hass.add_job(async_create, hass, message, title, notification_id)
+    hass.add_job(async_create, hass, message, title, notification_id, actions)
 
 
 @bind_hass
@@ -99,6 +110,7 @@ def async_create(
     message: str,
     title: str | None = None,
     notification_id: str | None = None,
+    actions: list[NotificationAction] | None = None,
 ) -> None:
     """Generate a notification."""
     notifications = _async_get_or_create_notifications(hass)
@@ -108,6 +120,7 @@ def async_create(
         ATTR_MESSAGE: message,
         ATTR_NOTIFICATION_ID: notification_id,
         ATTR_TITLE: title,
+        ATTR_ACTIONS: actions,
         ATTR_CREATED_AT: dt_util.utcnow(),
     }
 
@@ -166,6 +179,7 @@ def create_service(call: ServiceCall) -> None:
             call.data[ATTR_MESSAGE],
             call.data.get(ATTR_TITLE),
             call.data.get(ATTR_NOTIFICATION_ID),
+            call.data.get(ATTR_ACTIONS),
         )
 
     @callback
@@ -187,6 +201,17 @@ def dismiss_all_service(call: ServiceCall) -> None:
                 vol.Required(ATTR_MESSAGE): vol.Any(cv.dynamic_template, cv.string),
                 vol.Optional(ATTR_TITLE): vol.Any(cv.dynamic_template, cv.string),
                 vol.Optional(ATTR_NOTIFICATION_ID): cv.string,
+                vol.Optional(ATTR_ACTIONS): vol.All(
+                    cv.ensure_list,
+                    [
+                        vol.Schema(
+                            {
+                                vol.Required(ATTR_ACTION): cv.string,
+                                vol.Required(ATTR_TITLE): cv.string,
+                            }
+                        )
+                    ],
+                ),
             }
         ),
     )
diff --git a/homeassistant/components/persistent_notification/services.yaml b/homeassistant/components/persistent_notification/services.yaml
index c335d96260087d..553c4188d3dd10 100644
--- a/homeassistant/components/persistent_notification/services.yaml
+++ b/homeassistant/components/persistent_notification/services.yaml
@@ -9,6 +9,9 @@ create:
       example: Test notification
       selector:
         text:
+    actions:
+      selector:
+        object:
     notification_id:
       example: 1234
       selector:
diff --git a/homeassistant/components/persistent_notification/strings.json b/homeassistant/components/persistent_notification/strings.json
index ca89a4d33cd630..3e0fed30b7ed86 100644
--- a/homeassistant/components/persistent_notification/strings.json
+++ b/homeassistant/components/persistent_notification/strings.json
@@ -13,6 +13,10 @@
           "name": "Title",
           "description": "Optional title of the notification."
         },
+        "actions": {
+          "name": "Actions",
+          "description": "Optional actions to be presented to the user with the notification."
+        },
         "notification_id": {
           "name": "Notification ID",
           "description": "ID of the notification. This new notification will overwrite an existing notification with the same ID."