diff --git a/python/sglang/srt/entrypoints/openai/protocol.py b/python/sglang/srt/entrypoints/openai/protocol.py
index f99e52177..f0f61bb08 100644
--- a/python/sglang/srt/entrypoints/openai/protocol.py
+++ b/python/sglang/srt/entrypoints/openai/protocol.py
@@ -109,6 +109,7 @@ class UsageInfo(BaseModel):
 
 class StreamOptions(BaseModel):
     include_usage: Optional[bool] = False
+    continuous_usage_stats: Optional[bool] = False
 
 
 class JsonSchemaResponseFormat(BaseModel):
diff --git a/python/sglang/srt/entrypoints/openai/serving_chat.py b/python/sglang/srt/entrypoints/openai/serving_chat.py
index ba43a21e1..773707c36 100644
--- a/python/sglang/srt/entrypoints/openai/serving_chat.py
+++ b/python/sglang/srt/entrypoints/openai/serving_chat.py
@@ -535,6 +535,17 @@ class OpenAIServingChat(OpenAIServingBase):
                             choices=[choice_data],
                             model=request.model,
                         )
+
+                        # Add usage stats if continuous_usage_stats is enabled
+                        if (
+                            request.stream_options
+                            and request.stream_options.continuous_usage_stats
+                        ):
+                            chunk.usage = UsageProcessor.calculate_token_usage(
+                                prompt_tokens=prompt_tokens.get(index, 0),
+                                completion_tokens=completion_tokens.get(index, 0),
+                            )
+
                         yield f"data: {chunk.model_dump_json()}\n\n"
 
                 # Handle tool calls
@@ -579,6 +590,17 @@ class OpenAIServingChat(OpenAIServingBase):
                             choices=[choice_data],
                             model=request.model,
                         )
+
+                        # Add usage stats if continuous_usage_stats is enabled
+                        if (
+                            request.stream_options
+                            and request.stream_options.continuous_usage_stats
+                        ):
+                            chunk.usage = UsageProcessor.calculate_token_usage(
+                                prompt_tokens=prompt_tokens.get(index, 0),
+                                completion_tokens=completion_tokens.get(index, 0),
+                            )
+
                         yield f"data: {chunk.model_dump_json()}\n\n"
 
             # Send finish_reason chunks for each index that completed
@@ -1056,6 +1078,16 @@ class OpenAIServingChat(OpenAIServingBase):
                 choices=[choice_data],
                 model=request.model,
             )
+
+            # Add usage stats if continuous_usage_stats is enabled
+            if request.stream_options and request.stream_options.continuous_usage_stats:
+                prompt_tokens = content["meta_info"].get("prompt_tokens", 0)
+                completion_tokens = content["meta_info"].get("completion_tokens", 0)
+                chunk.usage = UsageProcessor.calculate_token_usage(
+                    prompt_tokens=prompt_tokens,
+                    completion_tokens=completion_tokens,
+                )
+
             yield f"data: {chunk.model_dump_json()}\n\n"
 
         # Yield tool calls
@@ -1096,6 +1128,16 @@ class OpenAIServingChat(OpenAIServingBase):
                 choices=[choice_data],
                 model=request.model,
             )
+
+            # Add usage stats if continuous_usage_stats is enabled
+            if request.stream_options and request.stream_options.continuous_usage_stats:
+                prompt_tokens = content["meta_info"].get("prompt_tokens", 0)
+                completion_tokens = content["meta_info"].get("completion_tokens", 0)
+                chunk.usage = UsageProcessor.calculate_token_usage(
+                    prompt_tokens=prompt_tokens,
+                    completion_tokens=completion_tokens,
+                )
+
             yield f"data: {chunk.model_dump_json()}\n\n"
 
     def _check_for_unstreamed_tool_args(
diff --git a/python/sglang/srt/entrypoints/openai/serving_completions.py b/python/sglang/srt/entrypoints/openai/serving_completions.py
index 1620dfa76..67fe3c129 100644
--- a/python/sglang/srt/entrypoints/openai/serving_completions.py
+++ b/python/sglang/srt/entrypoints/openai/serving_completions.py
@@ -272,6 +272,16 @@ class OpenAIServingCompletion(OpenAIServingBase):
                     model=request.model,
                 )
 
+                # Add usage stats if continuous_usage_stats is enabled
+                if (
+                    request.stream_options
+                    and request.stream_options.continuous_usage_stats
+                ):
+                    chunk.usage = UsageProcessor.calculate_token_usage(
+                        prompt_tokens=prompt_tokens.get(index, 0),
+                        completion_tokens=completion_tokens.get(index, 0),
+                    )
+
                 yield f"data: {chunk.model_dump_json()}\n\n"
 
             if request.return_hidden_states and hidden_states:
diff --git a/test/srt/openai_server/features/test_continuous_usage_stats.py b/test/srt/openai_server/features/test_continuous_usage_stats.py
new file mode 100644
index 000000000..fa9c706af
--- /dev/null
+++ b/test/srt/openai_server/features/test_continuous_usage_stats.py
@@ -0,0 +1,105 @@
+import asyncio
+import unittest
+
+import openai
+
+from sglang.srt.utils import kill_process_tree
+from sglang.test.test_utils import (
+    DEFAULT_SMALL_MODEL_NAME_FOR_TEST,
+    DEFAULT_URL_FOR_TEST,
+    CustomTestCase,
+    popen_launch_server,
+)
+
+
+class TestContinuousUsageStats(CustomTestCase):
+    @classmethod
+    def setUpClass(cls):
+        cls.model = DEFAULT_SMALL_MODEL_NAME_FOR_TEST
+        cls.base_url = DEFAULT_URL_FOR_TEST
+        cls.process = popen_launch_server(cls.model, cls.base_url, timeout=300)
+        cls.client = openai.Client(api_key="EMPTY", base_url=f"{cls.base_url}/v1")
+        cls.aclient = openai.AsyncClient(api_key="EMPTY", base_url=f"{cls.base_url}/v1")
+
+    @classmethod
+    def tearDownClass(cls):
+        kill_process_tree(cls.process.pid)
+
+    def test_continuous_usage_stats_enabled(self):
+        stream = self.client.chat.completions.create(
+            model=self.model,
+            messages=[{"role": "user", "content": "What is machine learning?"}],
+            stream=True,
+            max_tokens=30,
+            temperature=0,
+            stream_options={"include_usage": True, "continuous_usage_stats": True},
+        )
+
+        chunks_with_usage = 0
+        chunks_with_content = 0
+        last_usage = None
+
+        for chunk in stream:
+            has_content = len(chunk.choices) > 0 and chunk.choices[0].delta.content
+            if chunk.usage:
+                chunks_with_usage += 1
+                last_usage = chunk.usage
+            if has_content:
+                chunks_with_content += 1
+
+        assert chunks_with_content > 0
+        assert chunks_with_usage >= chunks_with_content
+        assert last_usage.prompt_tokens > 0
+        assert last_usage.completion_tokens > 0
+        assert (
+            last_usage.total_tokens
+            == last_usage.prompt_tokens + last_usage.completion_tokens
+        )
+
+    async def test_continuous_usage_stats_async(self):
+        stream = await self.aclient.chat.completions.create(
+            model=self.model,
+            messages=[{"role": "user", "content": "What is deep learning?"}],
+            stream=True,
+            max_tokens=30,
+            temperature=0,
+            stream_options={"include_usage": True, "continuous_usage_stats": True},
+        )
+
+        chunks_with_usage = 0
+        chunks_with_content = 0
+
+        async for chunk in stream:
+            has_content = len(chunk.choices) > 0 and chunk.choices[0].delta.content
+            if chunk.usage:
+                chunks_with_usage += 1
+            if has_content:
+                chunks_with_content += 1
+
+        assert chunks_with_content > 0
+        assert chunks_with_usage >= chunks_with_content
+
+    def test_continuous_usage_stats_disabled(self):
+        stream = self.client.chat.completions.create(
+            model=self.model,
+            messages=[{"role": "user", "content": "What is AI?"}],
+            stream=True,
+            max_tokens=30,
+            temperature=0,
+            stream_options={"include_usage": True, "continuous_usage_stats": False},
+        )
+
+        usage_chunks = []
+        for chunk in stream:
+            if chunk.usage:
+                usage_chunks.append(chunk)
+
+        assert len(usage_chunks) == 1
+        assert len(usage_chunks[0].choices) == 0
+
+    def test_async_runner(self):
+        asyncio.run(self.test_continuous_usage_stats_async())
+
+
+if __name__ == "__main__":
+    unittest.main()