diff --git a/doc/api/quic.md b/doc/api/quic.md
index 80a45709f6..ecd008730e 100644
--- a/doc/api/quic.md
+++ b/doc/api/quic.md
@@ -943,7 +943,7 @@ socket.on('ready', () => {
 });
 ```
 
-#### Call Results#
+#### Call Results
 
 A call on a socket that is not ready to send or no longer open may throw a
 Not running Error.
@@ -1106,6 +1106,54 @@ added: REPLACEME
 
 The `QuicServerSession` or `QuicClientSession`.
 
+### quicstream.sendFD(fd[, options])
+<!-- YAML
+added: REPLACEME
+-->
+
+* `fd` {number|FileHandle} A readable file descriptor.
+* `options` {Object}
+  * `offset` {number} The offset position at which to begin reading.
+    Default: `-1`.
+  * `length` {number} The amount of data from the fd to send.
+    Default: `-1`.
+
+Instead of using a `Quicstream` as a writable stream, send data from a given file
+descriptor.
+
+If `offset` is set to a non-negative number, reading starts from that position
+and the file offset will not be advanced.
+If `length` is set to a non-negative number, it gives the maximum number of
+bytes that are read from the file.
+
+The file descriptor or `FileHandle` is not closed when the stream is closed,
+so it will need to be closed manually once it is no longer needed.
+Using the same file descriptor concurrently for multiple streams
+is not supported and may result in data loss. Re-using a file descriptor
+after a stream has finished is supported.
+
+### quicstream.sendFile(path[, options])
+<!-- YAML
+added: REPLACEME
+-->
+
+* `path` {string|Buffer|URL}
+* `options` {Object}
+  * `onError` {Function} Callback function invoked in the case of an
+    error before send.
+  * `offset` {number} The offset position at which to begin reading.
+    Default: `-1`.
+  * `length` {number} The amount of data from the fd to send.
+    Default: `-1`.
+
+Instead of using a `QuicStream` as a writable stream, send data from a given file
+path.
+
+The `options.onError` callback will be called if the file could not be opened.
+If `offset` is set to a non-negative number, reading starts from that position.
+If `length` is set to a non-negative number, it gives the maximum number of
+bytes that are read from the file.
+
 ### quicstream.unidirectional
 <!-- YAML
 added: REPLACEME
diff --git a/lib/internal/quic/core.js b/lib/internal/quic/core.js
index cbefe4e69d..ae75d82caf 100644
--- a/lib/internal/quic/core.js
+++ b/lib/internal/quic/core.js
@@ -21,9 +21,12 @@ const {
   validateQuicClientSessionOptions,
   validateQuicSocketOptions,
 } = require('internal/quic/util');
+const { validateNumber } = require('internal/validators');
 const util = require('util');
 const assert = require('internal/assert');
 const EventEmitter = require('events');
+const fs = require('fs');
+const fsPromisesInternal = require('internal/fs/promises');
 const { Duplex } = require('stream');
 const {
   createSecureContext: _createSecureContext
@@ -32,7 +35,7 @@ const {
   translatePeerCertificate
 } = require('_tls_common');
 const {
-  defaultTriggerAsyncIdScope, // eslint-disable-line no-unused-vars
+  defaultTriggerAsyncIdScope,
   symbols: {
     async_id_symbol,
     owner_symbol,
@@ -52,14 +55,15 @@ const {
 
 const {
   ShutdownWrap,
-  kReadBytesOrError, // eslint-disable-line no-unused-vars
-  streamBaseState // eslint-disable-line no-unused-vars
+  kReadBytesOrError,
+  streamBaseState
 } = internalBinding('stream_wrap');
 
 const {
   codes: {
     ERR_INVALID_ARG_TYPE,
     ERR_INVALID_ARG_VALUE,
+    ERR_INVALID_OPT_VALUE,
     ERR_INVALID_CALLBACK,
     ERR_OUT_OF_RANGE,
     ERR_QUIC_ERROR,
@@ -78,6 +82,10 @@ const {
   exceptionWithHostPort
 } = require('internal/errors');
 
+const { FileHandle } = internalBinding('fs');
+const { StreamPipe } = internalBinding('stream_pipe');
+const { UV_EOF } = internalBinding('uv');
+
 const {
   QuicSocket: QuicSocketHandle,
   initSecureContext,
@@ -2253,6 +2261,87 @@ class QuicStream extends Duplex {
     streamOnResume.call(this);
   }
 
+  sendFile(path, options = {}) {
+    fs.open(path, 'r', QuicStream.#onFileOpened.bind(this, options));
+  }
+
+  static #onFileOpened = function(options, err, fd) {
+    const onError = options.onError;
+    if (err) {
+      if (onError) {
+        this.close();
+        onError(err);
+      } else {
+        this.destroy(err);
+      }
+      return;
+    }
+
+    if (this.destroyed || this.closed) {
+      fs.close(fd, (err) => { if (err) throw err; });
+      return;
+    }
+
+    this.sendFD(fd, options, true);
+  }
+
+  sendFD(fd, { offset = -1, length = -1 } = {}, ownsFd = false) {
+    if (this.destroyed || this.#closed)
+      return;
+
+    if (typeof offset !== 'number')
+      throw new ERR_INVALID_OPT_VALUE('options.offset', offset);
+    if (typeof length !== 'number')
+      throw new ERR_INVALID_OPT_VALUE('options.length', length);
+
+    if (fd instanceof fsPromisesInternal.FileHandle)
+      fd = fd.fd;
+    else if (typeof fd !== 'number')
+      throw new ERR_INVALID_ARG_TYPE('fd', ['number', 'FileHandle'], fd);
+
+    this[kUpdateTimer]();
+    this.ownsFd = ownsFd;
+
+    // Close the writable side of the stream, but only as far as the writable
+    // stream implementation is concerned.
+    this._final = null;
+    this.end();
+
+    defaultTriggerAsyncIdScope(this[async_id_symbol],
+                               QuicStream.#startFilePipe,
+                               this, fd, offset, length);
+  }
+
+  static #startFilePipe = (stream, fd, offset, length) => {
+    const handle = new FileHandle(fd, offset, length);
+    handle.onread = QuicStream.#onPipedFileHandleRead;
+    handle.stream = stream;
+
+    const pipe = new StreamPipe(handle, stream[kHandle]);
+    pipe.onunpipe = QuicStream.#onFileUnpipe;
+    pipe.start();
+
+    // Exact length of the file doesn't matter here, since the
+    // stream is closing anyway - just use 1 to signify that
+    // a write does exist
+    stream[kTrackWriteState](stream, 1);
+  }
+
+  static #onFileUnpipe = function() {  // Called on the StreamPipe instance.
+    const stream = this.sink[owner_symbol];
+    if (stream.ownsFd)
+      this.source.close().catch(stream.destroy.bind(stream));
+    else
+      this.source.releaseFD();
+  }
+
+  static #onPipedFileHandleRead = function() {
+    const err = streamBaseState[kReadBytesOrError];
+    if (err < 0 && err !== UV_EOF) {
+      this.stream.destroy(errnoException(err, 'sendFD'));
+    }
+  }
+
   get resetReceived() {
     return (this.#resetCode !== undefined) ?
       { code: this.#resetCode | 0, finalSize: this.#resetFinalSize | 0 } :