diff --git a/docs/advanced_features/attention_backend.md b/docs/advanced_features/attention_backend.md
index 7d7fbe31d..af163fc8b 100644
--- a/docs/advanced_features/attention_backend.md
+++ b/docs/advanced_features/attention_backend.md
@@ -228,6 +228,25 @@ python3 -m sglang.launch_server \
   --trust-remote-code
 ```
 
+- TRTLLM MHA (Optimized for Blackwell Architecture, e.g., B200)
+```bash
+python3 -m sglang.launch_server \
+  --tp 4 \
+  --model Qwen/Qwen3.5-35B-A3B-FP8 \
+  --attention-backend trtllm_mha \
+  --trust-remote-code
+```
+
+- TRTLLM MHA (XQA backend) (Optimized for SM90 and SM120, e.g., H20, H200, 5090)
+Note that TRTLLM XQA backend only works well for pagesize 64.
+```bash
+python3 -m sglang.launch_server \
+  --tp 4 \
+  --model Qwen/Qwen3.5-35B-A3B-FP8 \
+  --decode-attention-backend trtllm_mha \
+  --trust-remote-code
+```
+
 - FlashAttention 4 (MHA & MLA)
 ```bash
 # FA4 for both prefill and decode on SM90/SM100
diff --git a/python/sglang/srt/layers/attention/hybrid_attn_backend.py b/python/sglang/srt/layers/attention/hybrid_attn_backend.py
index 4f1439c26..88d81ab59 100644
--- a/python/sglang/srt/layers/attention/hybrid_attn_backend.py
+++ b/python/sglang/srt/layers/attention/hybrid_attn_backend.py
@@ -145,3 +145,25 @@ class HybridAttnBackend(AttentionBackend):
     ) -> Optional[BaseIndexerMetadata]:
         backend = self._select_backend(forward_batch.forward_mode)
         return backend.get_indexer_metadata(layer_id, forward_batch)
+
+    def forward(
+        self,
+        q: torch.Tensor = None,
+        k: torch.Tensor = None,
+        v: torch.Tensor = None,
+        layer: RadixAttention = None,
+        forward_batch: ForwardBatch = None,
+        save_kv_cache: bool = True,
+        **kwargs,
+    ):
+        """Delegate forward to the appropriate backend based on forward mode."""
+        backend = self._select_backend(forward_batch.forward_mode)
+        return backend.forward(
+            q=q,
+            k=k,
+            v=v,
+            layer=layer,
+            forward_batch=forward_batch,
+            save_kv_cache=save_kv_cache,
+            **kwargs,
+        )
diff --git a/python/sglang/srt/layers/attention/trtllm_mha_backend.py b/python/sglang/srt/layers/attention/trtllm_mha_backend.py
index ddd3a67ea..09f3f409a 100644
--- a/python/sglang/srt/layers/attention/trtllm_mha_backend.py
+++ b/python/sglang/srt/layers/attention/trtllm_mha_backend.py
@@ -23,6 +23,7 @@ from sglang.srt.layers.attention.utils import canonicalize_stride
 from sglang.srt.mem_cache.swa_memory_pool import SWAKVPool, SWATokenToKVPoolAllocator
 from sglang.srt.model_executor.forward_batch_info import ForwardBatch, ForwardMode
 from sglang.srt.utils import is_flashinfer_available
+from sglang.srt.utils.common import is_sm90_supported, is_sm120_supported
 
 logger = logging.getLogger(__name__)
 
@@ -138,6 +139,16 @@ class TRTLLMHAAttnBackend(FlashInferAttnBackend):
         # Forward metadata
         self.forward_metadata: Optional[TRTLLMMHAMetadata] = None
 
+        # Init backend (XQA or TRTLLM-GEN)
+        # We need to specify q_type and out_type for different backend
+        # XQA: (q_type must be bf16)
+        #   KV bf16: q_type = bf16, out_type=model_runner.dtype
+        #   KV fp8: q_type = bf16, out_type=model_runner.dtype
+        # TRTLLM-GEN:
+        #   KV bf16: q_type = bf16, out_type=model_runner.dtype
+        #   KV fp8: q_type = fp8, out_type=model_runner.dtype
+        self.is_xqa_impl = is_sm90_supported() or is_sm120_supported()
+
     def _maybe_translate_swa(
         self, token_indices: torch.Tensor
     ) -> Optional[torch.Tensor]:
@@ -714,7 +725,8 @@ class TRTLLMHAAttnBackend(FlashInferAttnBackend):
                     layer, cache_loc, k, v, layer.k_scale, layer.v_scale
                 )
 
-        if self.data_type == torch.float8_e4m3fn:
+        # For XQA, q_dtype should be bf16
+        if self.data_type == torch.float8_e4m3fn and (not self.is_xqa_impl):
             q = q.to(torch.float8_e4m3fn)
         q = q.contiguous().view(-1, layer.tp_q_head_num, layer.head_dim)
         k_cache, v_cache = forward_batch.token_to_kv_pool.get_kv_buffer(layer.layer_id)
diff --git a/python/sglang/srt/server_args.py b/python/sglang/srt/server_args.py
index d14a9f3af..3851eeced 100644
--- a/python/sglang/srt/server_args.py
+++ b/python/sglang/srt/server_args.py
@@ -2035,9 +2035,28 @@ class ServerArgs:
             or self.decode_attention_backend == "trtllm_mha"
             or self.prefill_attention_backend == "trtllm_mha"
         ):
-            if not is_sm100_supported():
+            # Check prefill backend
+            prefill_backend = (
+                self.prefill_attention_backend
+                if self.prefill_attention_backend is not None
+                else self.attention_backend
+            )
+            if prefill_backend == "trtllm_mha" and not is_sm100_supported():
                 raise ValueError(
-                    "TRTLLM MHA backend is only supported on Blackwell GPUs (SM100). Please use a different backend."
+                    "TRTLLM MHA backend for prefill is only supported on Blackwell GPUs (SM100). Please use a different prefill backend."
+                )
+
+            # Check decode backend
+            decode_backend = (
+                self.decode_attention_backend
+                if self.decode_attention_backend is not None
+                else self.attention_backend
+            )
+            if decode_backend == "trtllm_mha" and not (
+                is_sm90_supported() or is_sm100_supported() or is_sm120_supported()
+            ):
+                raise ValueError(
+                    "TRTLLM MHA backend for decode is only supported on Hopper (SM90), Blackwell (SM100) and (SM120) GPUs. Please use a different decode backend."
                 )
 
             if self.page_size not in [16, 32, 64]: