diff --git a/tests/test_litellm/llms/openai/responses/test_openai_responses_guardrail_handler.py b/tests/test_litellm/llms/openai/responses/test_openai_responses_guardrail_handler.py
index a2849ab91a2..ccece8018ff 100644
--- a/tests/test_litellm/llms/openai/responses/test_openai_responses_guardrail_handler.py
+++ b/tests/test_litellm/llms/openai/responses/test_openai_responses_guardrail_handler.py
@@ -817,3 +817,181 @@ class TestOpenAIResponsesHandlerToolCallExtraction:
         assert task_mappings[0] == (0, 0)
         assert task_mappings[1] == (0, 1)
         assert task_mappings[2] == (0, 2)
+
+
+class MockPassThroughGuardrail(CustomGuardrail):
+    """Mock guardrail that passes through without blocking - for testing streaming fallback behavior"""
+
+    async def apply_guardrail(
+        self,
+        inputs: GenericGuardrailAPIInputs,
+        request_data: dict,
+        input_type: Literal["request", "response"],
+        logging_obj: Optional[Any] = None,
+    ) -> GenericGuardrailAPIInputs:
+        """Simply return inputs unchanged"""
+        return inputs
+
+
+class TestOpenAIResponsesHandlerStreamingOutputProcessing:
+    """Test streaming output processing functionality"""
+
+    @pytest.mark.asyncio
+    async def test_process_output_streaming_response_empty_output(self):
+        """Test that streaming response with empty output doesn't raise IndexError
+
+        This test verifies the fix for the bug where accessing model_response_choices[0]
+        would raise IndexError when the response.completed event has an empty output array.
+        """
+        handler = OpenAIResponsesHandler()
+        guardrail = MockPassThroughGuardrail(guardrail_name="test")
+
+        # Simulate a response.completed streaming event with empty output
+        responses_so_far = [
+            {
+                "type": "response.completed",
+                "response": {
+                    "id": "resp_123",
+                    "output": [],  # Empty output - this was causing the IndexError
+                    "status": "completed",
+                },
+            }
+        ]
+
+        # This should not raise IndexError
+        result = await handler.process_output_streaming_response(
+            responses_so_far=responses_so_far,
+            guardrail_to_apply=guardrail,
+            litellm_logging_obj=None,
+        )
+
+        # Should return the responses unchanged
+        assert result == responses_so_far
+
+    @pytest.mark.asyncio
+    async def test_process_output_streaming_response_missing_output_key(self):
+        """Test that streaming response with missing output key doesn't raise IndexError
+
+        This test verifies the handler gracefully handles when the response dict
+        doesn't contain an 'output' key at all.
+        """
+        handler = OpenAIResponsesHandler()
+        guardrail = MockPassThroughGuardrail(guardrail_name="test")
+
+        # Simulate a response.completed streaming event with missing output key
+        responses_so_far = [
+            {
+                "type": "response.completed",
+                "response": {
+                    "id": "resp_123",
+                    "status": "completed",
+                    # No 'output' key - get() will return []
+                },
+            }
+        ]
+
+        # This should not raise IndexError
+        result = await handler.process_output_streaming_response(
+            responses_so_far=responses_so_far,
+            guardrail_to_apply=guardrail,
+            litellm_logging_obj=None,
+        )
+
+        # Should return the responses unchanged
+        assert result == responses_so_far
+
+    @pytest.mark.asyncio
+    async def test_process_output_streaming_response_unrecognized_output_type(self):
+        """Test that streaming response with unrecognized output types doesn't raise IndexError
+
+        This test verifies the handler gracefully handles when output items are of
+        unrecognized types that _convert_response_output_to_choices skips over.
+        """
+        handler = OpenAIResponsesHandler()
+        guardrail = MockPassThroughGuardrail(guardrail_name="test")
+
+        # Simulate a response.completed streaming event with unrecognized output type
+        responses_so_far = [
+            {
+                "type": "response.completed",
+                "response": {
+                    "id": "resp_123",
+                    "output": [
+                        {
+                            "type": "unknown_type",  # Unrecognized type
+                            "id": "item_123",
+                            "data": "some data",
+                        }
+                    ],
+                    "status": "completed",
+                },
+            }
+        ]
+
+        # This should not raise IndexError
+        result = await handler.process_output_streaming_response(
+            responses_so_far=responses_so_far,
+            guardrail_to_apply=guardrail,
+            litellm_logging_obj=None,
+        )
+
+        # Should return the responses unchanged
+        assert result == responses_so_far
+
+    @pytest.mark.asyncio
+    async def test_process_output_streaming_response_with_valid_output(self):
+        """Test that streaming response with valid output still works correctly"""
+        handler = OpenAIResponsesHandler()
+        guardrail = MockPassThroughGuardrail(guardrail_name="test")
+
+        # Simulate a response.completed streaming event with valid message output
+        responses_so_far = [
+            {
+                "type": "response.created",
+                "response": {"id": "resp_123"},
+            },
+            {
+                "type": "response.output_item.added",
+                "item": {"type": "message", "id": "msg_123"},
+            },
+            {
+                "type": "response.content_part.added",
+                "part": {"type": "output_text", "text": ""},
+            },
+            {
+                "type": "response.output_text.delta",
+                "delta": "Hello",
+            },
+            {
+                "type": "response.output_text.delta",
+                "delta": " world",
+            },
+            {
+                "type": "response.completed",
+                "response": {
+                    "id": "resp_123",
+                    "output": [
+                        {
+                            "type": "message",
+                            "id": "msg_123",
+                            "status": "completed",
+                            "role": "assistant",
+                            "content": [
+                                {"type": "output_text", "text": "Hello world"},
+                            ],
+                        }
+                    ],
+                    "status": "completed",
+                },
+            },
+        ]
+
+        # This should process successfully
+        result = await handler.process_output_streaming_response(
+            responses_so_far=responses_so_far,
+            guardrail_to_apply=guardrail,
+            litellm_logging_obj=None,
+        )
+
+        # Should return the responses
+        assert result == responses_so_far