diff --git a/pkg/sip/inbound.go b/pkg/sip/inbound.go
index f4feb89e..0c868fd0 100644
--- a/pkg/sip/inbound.go
+++ b/pkg/sip/inbound.go
@@ -656,6 +656,20 @@ func (c *inboundCall) appendLogValues(kvs ...any) {
 	c.setLog(c.log().WithValues(kvs...))
 }
 
+func (c *inboundCall) mediaTimeout() error {
+	if c.cc == nil {
+		c.closeWithTimeout(true)
+		return psrpc.NewErrorf(psrpc.DeadlineExceeded, "media timeout")
+	}
+	if !c.cc.GotACK() {
+		c.log().Warnw("Media timeout after missing ACK", errNoACK)
+		c.closeWithNoACK()
+		return psrpc.NewError(psrpc.DeadlineExceeded, errNoACK)
+	}
+	c.closeWithTimeout(false)
+	return nil // logged as a warning in close
+}
+
 func (c *inboundCall) handleInvite(ctx context.Context, tid traceid.ID, req *sip.Request, trunkID string, conf *config.Config) error {
 	c.mon.InviteAccept()
 	c.mon.CallStart()
@@ -857,7 +871,6 @@ func (c *inboundCall) handleInvite(ctx context.Context, tid traceid.ID, req *sip
 
 	c.started.Break()
 
-	var noAck = false
 	// Wait for the caller to terminate the call. Send regular keep alives
 	ticker := time.NewTicker(stateUpdateTick)
 	defer ticker.Stop()
@@ -877,13 +890,7 @@ func (c *inboundCall) handleInvite(ctx context.Context, tid traceid.ID, req *sip
 			c.close(false, callDropped, "removed")
 			return nil
 		case <-c.media.Timeout():
-			if noAck {
-				c.log().Warnw("Media timeout after missing ACK", errNoACK)
-				c.closeWithNoACK()
-				return psrpc.NewError(psrpc.DeadlineExceeded, errNoACK)
-			}
-			c.closeWithTimeout()
-			return psrpc.NewErrorf(psrpc.DeadlineExceeded, "media timeout")
+			return c.mediaTimeout()
 		case <-ackReceived:
 			ackTimeout = nil // all good, disable timeout
 			ackReceived = nil
@@ -892,7 +899,6 @@ func (c *inboundCall) handleInvite(ctx context.Context, tid traceid.ID, req *sip
 			c.log().Warnw("Call accepted, but no ACK received", errNoACK)
 			// We don't need to wait for a full media timeout initially, we already know something is not quite right.
 			c.media.SetTimeout(min(inviteOkAckLateTimeout, c.s.conf.MediaTimeoutInitial), c.s.conf.MediaTimeout)
-			noAck = true
 		}
 	}
 }
@@ -978,8 +984,7 @@ func (c *inboundCall) waitMedia(ctx context.Context) (bool, error) {
 		c.closeWithHangup()
 		return false, psrpc.NewErrorf(psrpc.Canceled, "room closed")
 	case <-c.media.Timeout():
-		c.closeWithTimeout()
-		return false, psrpc.NewErrorf(psrpc.DeadlineExceeded, "media timed out")
+		return false, c.mediaTimeout()
 	case <-c.media.Received():
 	case <-delay.C:
 	}
@@ -1002,8 +1007,7 @@ func (c *inboundCall) waitSubscribe(ctx context.Context, timeout time.Duration)
 		c.closeWithHangup()
 		return false, psrpc.NewErrorf(psrpc.Canceled, "room closed")
 	case <-c.media.Timeout():
-		c.closeWithTimeout()
-		return false, psrpc.NewErrorf(psrpc.DeadlineExceeded, "media timed out")
+		return false, c.mediaTimeout()
 	case <-timer.C:
 		c.close(false, callDropped, "cannot-subscribe")
 		return false, psrpc.NewErrorf(psrpc.DeadlineExceeded, "room subscription timed out")
@@ -1029,8 +1033,7 @@ func (c *inboundCall) pinPrompt(ctx context.Context, trunkID string) (disp CallD
 			c.closeWithHangup()
 			return disp, false, nil
 		case <-c.media.Timeout():
-			c.closeWithTimeout()
-			return disp, false, psrpc.NewErrorf(psrpc.DeadlineExceeded, "media timeout")
+			return disp, false, c.mediaTimeout()
 		case b, ok := <-c.dtmf:
 			if !ok {
 				c.Close()
@@ -1095,7 +1098,8 @@ func (c *inboundCall) close(error bool, status CallStatus, reason string) {
 	defer c.printStats(log)
 	c.setStatus(status)
 	c.mon.CallTerminate(reason)
-	if error {
+	isWarn := error || status == callHangupMedia
+	if isWarn {
 		log.Warnw("Closing inbound call with error", nil)
 	} else {
 		log.Infow("Closing inbound call")
@@ -1131,8 +1135,12 @@ func (c *inboundCall) close(error bool, status CallStatus, reason string) {
 	c.cancel()
 }
 
-func (c *inboundCall) closeWithTimeout() {
-	c.close(true, callDropped, "media-timeout")
+func (c *inboundCall) closeWithTimeout(isError bool) {
+	status := callDropped
+	if !isError {
+		status = callHangupMedia
+	}
+	c.close(isError, status, "media-timeout")
 }
 
 func (c *inboundCall) closeWithNoACK() {
@@ -1556,6 +1564,10 @@ func (c *sipInbound) stopRinging() {
 	}
 }
 
+func (c *sipInbound) GotACK() bool {
+	return c.acked.IsBroken()
+}
+
 func (c *sipInbound) InviteACK() <-chan struct{} {
 	return c.acked.Watch()
 }
diff --git a/pkg/sip/participant.go b/pkg/sip/participant.go
index 85ba9bd1..dabf5dda 100644
--- a/pkg/sip/participant.go
+++ b/pkg/sip/participant.go
@@ -66,7 +66,7 @@ func (v CallStatus) Attribute() string {
 		return "automation"
 	case CallActive:
 		return "active"
-	case CallHangup:
+	case CallHangup, callHangupMedia:
 		return "hangup"
 	}
 }
@@ -75,7 +75,7 @@ func (v CallStatus) DisconnectReason() livekit.DisconnectReason {
 	switch v {
 	default:
 		return livekit.DisconnectReason_UNKNOWN_REASON
-	case CallHangup:
+	case CallHangup, callHangupMedia:
 		// It's the default that LK sets, but map it here explicitly to show the assumption.
 		return livekit.DisconnectReason_CLIENT_INITIATED
 	case callUnavailable:
@@ -107,4 +107,5 @@ const (
 	callMediaFailed
 	callAcceptFailed
 	callNoACK
+	callHangupMedia
 )