diff --git a/litellm/responses/mcp/mcp_streaming_iterator.py b/litellm/responses/mcp/mcp_streaming_iterator.py
index e4c3fa5da75..bc88db2e6f0 100644
--- a/litellm/responses/mcp/mcp_streaming_iterator.py
+++ b/litellm/responses/mcp/mcp_streaming_iterator.py
@@ -284,6 +284,7 @@ class MCPEnhancedStreamingIterator(BaseResponsesAPIStreamingIterator):
             mcp_events  # Store the initial MCP events for backward compatibility
         )
         self.tool_server_map = tool_server_map
+        self._sync_response_created_emitted = False
 
         # Iterator references
         self.base_iterator: Optional[
@@ -725,19 +726,39 @@ class MCPEnhancedStreamingIterator(BaseResponsesAPIStreamingIterator):
         return self
 
     def __next__(self) -> ResponsesAPIStreamingResponse:
-        # First, emit any queued MCP events
+        if self.is_async:
+            raise RuntimeError("Cannot use sync iteration on async iterator")
+
+        # Emit response.created first (OpenAI SDK expects it before other events)
+        if not self._sync_response_created_emitted:
+            self._ensure_sync_base_iterator()
+            if self.base_iterator and hasattr(self.base_iterator, "__next__"):
+                try:
+                    first_chunk = next(cast(Any, self.base_iterator))  # type: ignore[arg-type]
+                    self._sync_response_created_emitted = True
+                    return first_chunk
+                except StopIteration:
+                    self.finished = True
+                    raise
+            self._sync_response_created_emitted = True
+
+        # Then emit MCP discovery events
         if self.mcp_events:  # type: ignore[attr-defined]
             return self.mcp_events.pop(0)  # type: ignore[attr-defined]
 
         # Then delegate to the base iterator
-        if not self.is_async:
-            try:
-                if self.base_iterator and hasattr(self.base_iterator, "__next__"):
-                    return next(cast(Any, self.base_iterator))  # type: ignore[arg-type]
-                else:
-                    raise StopIteration
-            except StopIteration:
-                self.finished = True
-                raise
-        else:
-            raise RuntimeError("Cannot use sync iteration on async iterator")
+        try:
+            if self.base_iterator and hasattr(self.base_iterator, "__next__"):
+                return next(cast(Any, self.base_iterator))  # type: ignore[arg-type]
+            raise StopIteration
+        except StopIteration:
+            self.finished = True
+            raise
+
+    def _ensure_sync_base_iterator(self) -> None:
+        """Create base iterator synchronously when needed (for sync __next__ path)."""
+        if self.base_iterator is not None:
+            return
+        from litellm.litellm_core_utils.asyncify import run_async_function
+
+        run_async_function(self._create_initial_response_iterator)
diff --git a/tests/mcp_tests/test_aresponses_api_with_mcp.py b/tests/mcp_tests/test_aresponses_api_with_mcp.py
index 7ce87dc571f..f0b5048e3a8 100644
--- a/tests/mcp_tests/test_aresponses_api_with_mcp.py
+++ b/tests/mcp_tests/test_aresponses_api_with_mcp.py
@@ -562,6 +562,96 @@ async def test_sse_event_ordering_response_created_first():
     )
 
 
+def test_sse_event_ordering_sync_response_created_first():
+    """
+    Test that sync __next__ emits response.created before mcp_list_tools events.
+    """
+    from unittest.mock import patch
+    from litellm.types.llms.openai import (
+        ResponsesAPIStreamEvents,
+        ResponseCreatedEvent,
+        ResponsesAPIResponse,
+    )
+    from litellm.responses.mcp.mcp_streaming_iterator import (
+        MCPEnhancedStreamingIterator,
+        create_mcp_list_tools_events,
+    )
+
+    mock_mcp_tools = [
+        type("MCPTool", (), {
+            "name": "test_tool",
+            "description": "Test",
+            "inputSchema": {"type": "object", "properties": {}},
+        })(),
+    ]
+
+    import asyncio
+    mcp_events = asyncio.run(
+        create_mcp_list_tools_events(
+            mcp_tools_with_litellm_proxy=[{"type": "mcp", "server_url": "litellm_proxy/mcp/test"}],
+            user_api_key_auth=None,
+            base_item_id="mcp_test123",
+            pre_processed_mcp_tools=mock_mcp_tools,
+        )
+    )
+
+    def mock_stream():
+        yield ResponseCreatedEvent(
+            type=ResponsesAPIStreamEvents.RESPONSE_CREATED,
+            response=ResponsesAPIResponse(
+                id="resp_123",
+                object="response",
+                created_at=1234567890,
+                status="in_progress",
+                error=None,
+                incomplete_details=None,
+                instructions=None,
+                max_output_tokens=None,
+                model="gpt-4o-mini",
+                output=[],
+                parallel_tool_calls=True,
+                previous_response_id=None,
+                reasoning=None,
+                store=True,
+                temperature=1.0,
+                text={"format": {"type": "text"}},
+                tool_choice="auto",
+                tools=[],
+                top_p=1.0,
+                truncation="disabled",
+                usage=None,
+                user=None,
+                metadata={},
+            ),
+        )
+
+    iterator = MCPEnhancedStreamingIterator(
+        base_iterator=mock_stream(),
+        mcp_events=mcp_events,
+        tool_server_map={"test": "test_server"},
+        mcp_tools_with_litellm_proxy=[{"type": "mcp", "server_url": "litellm_proxy"}],
+        user_api_key_auth=None,
+        original_request_params={
+            "model": "gpt-4o-mini",
+            "stream": True,
+            "tools": [{"type": "mcp", "server_url": "litellm_proxy"}],
+        },
+    )
+    iterator.is_async = False
+
+    event_types = []
+    for chunk in iterator:
+        event_types.append(getattr(chunk, "type", "unknown"))
+        if len(event_types) >= 5:
+            break
+
+    assert len(event_types) >= 1, "Should have at least one event"
+    assert event_types[0] == ResponsesAPIStreamEvents.RESPONSE_CREATED, (
+        f"Sync path: first event must be response.created, got {event_types[0]}. "
+        f"Order: {event_types}"
+    )
+
+
 @pytest.mark.asyncio
 async def test_streaming_mcp_events_validation():
     """