diff --git a/app/controllers/concerns/mfa_setup_concern.rb b/app/controllers/concerns/mfa_setup_concern.rb
index f0d4bd6d0dc..d22df51a6c0 100644
--- a/app/controllers/concerns/mfa_setup_concern.rb
+++ b/app/controllers/concerns/mfa_setup_concern.rb
@@ -1,6 +1,25 @@
 module MfaSetupConcern
   extend ActiveSupport::Concern
 
+  def user_next_authentication_setup_path!(final_path = nil)
+    case user_session[:selected_mfa_options]&.shift
+    when 'voice', 'sms', 'phone'
+      phone_setup_url
+    when 'auth_app'
+      authenticator_setup_url
+    when 'piv_cac'
+      setup_piv_cac_url
+    when 'webauthn'
+      webauthn_setup_url
+    when 'webauthn_platform'
+      webauthn_setup_url(platform: true)
+    when 'backup_code'
+      backup_code_setup_url
+    else
+      final_path
+    end
+  end
+
   def confirm_user_authenticated_for_2fa_setup
     authenticate_user!(force: true)
     return if user_fully_authenticated?
diff --git a/app/controllers/two_factor_authentication/otp_verification_controller.rb b/app/controllers/two_factor_authentication/otp_verification_controller.rb
index 5cd8f7ddf37..6c170fc3d3e 100644
--- a/app/controllers/two_factor_authentication/otp_verification_controller.rb
+++ b/app/controllers/two_factor_authentication/otp_verification_controller.rb
@@ -1,6 +1,7 @@
 module TwoFactorAuthentication
   class OtpVerificationController < ApplicationController
     include TwoFactorAuthenticatable
+    include MfaSetupConcern
 
     before_action :check_sp_required_mfa_bypass
     before_action :confirm_multiple_factors_enabled
@@ -16,7 +17,11 @@ def create
       result = OtpVerificationForm.new(current_user, sanitized_otp_code).submit
       post_analytics(result)
       if result.success?
-        handle_valid_otp
+        next_url = nil
+        if UserSessionContext.confirmation_context?(context)
+          next_url = user_next_authentication_setup_path!
+        end
+        handle_valid_otp(next_url)
       else
         handle_invalid_otp
       end
diff --git a/app/controllers/users/backup_code_setup_controller.rb b/app/controllers/users/backup_code_setup_controller.rb
index a23d8dd332b..d844d6d1157 100644
--- a/app/controllers/users/backup_code_setup_controller.rb
+++ b/app/controllers/users/backup_code_setup_controller.rb
@@ -25,7 +25,7 @@ def edit; end
 
     def continue
       flash[:success] = t('notices.backup_codes_configured')
-      redirect_to after_mfa_setup_path
+      redirect_to user_next_authentication_setup_path!(after_mfa_setup_path)
     end
 
     def download
diff --git a/app/controllers/users/piv_cac_authentication_setup_controller.rb b/app/controllers/users/piv_cac_authentication_setup_controller.rb
index 735f6bf8b3c..ee21c20ff7d 100644
--- a/app/controllers/users/piv_cac_authentication_setup_controller.rb
+++ b/app/controllers/users/piv_cac_authentication_setup_controller.rb
@@ -103,7 +103,8 @@ def process_valid_submission
       create_user_event(:piv_cac_enabled)
       Funnel::Registration::AddMfa.call(current_user.id, 'piv_cac')
       session[:needs_to_setup_piv_cac_after_sign_in] = false
-      redirect_to after_sign_in_path_for(current_user)
+      final_path = after_sign_in_path_for(current_user)
+      redirect_to user_next_authentication_setup_path!(final_path)
     end
 
     def piv_cac_enabled?
diff --git a/app/controllers/users/totp_setup_controller.rb b/app/controllers/users/totp_setup_controller.rb
index e1dd7cfb875..1790e3de945 100644
--- a/app/controllers/users/totp_setup_controller.rb
+++ b/app/controllers/users/totp_setup_controller.rb
@@ -78,8 +78,8 @@ def process_valid_code
       mark_user_as_fully_authenticated
       handle_remember_device
       flash[:success] = t('notices.totp_configured')
-      redirect_to after_mfa_setup_path
       user_session.delete(:new_totp_secret)
+      redirect_to user_next_authentication_setup_path!(after_mfa_setup_path)
     end
 
     def handle_remember_device
diff --git a/app/controllers/users/two_factor_authentication_setup_controller.rb b/app/controllers/users/two_factor_authentication_setup_controller.rb
index 8c678faa4a2..2db72b6c6e4 100644
--- a/app/controllers/users/two_factor_authentication_setup_controller.rb
+++ b/app/controllers/users/two_factor_authentication_setup_controller.rb
@@ -43,20 +43,8 @@ def two_factor_options_presenter
     end
 
     def process_valid_form
-      case @two_factor_options_form.selection
-      when 'voice', 'sms', 'phone'
-        redirect_to phone_setup_url
-      when 'auth_app'
-        redirect_to authenticator_setup_url
-      when 'piv_cac'
-        redirect_to setup_piv_cac_url
-      when 'webauthn'
-        redirect_to webauthn_setup_url
-      when 'webauthn_platform'
-        redirect_to webauthn_setup_url(platform: true)
-      when 'backup_code'
-        redirect_to backup_code_setup_url
-      end
+      user_session[:selected_mfa_options] = @two_factor_options_form.selection
+      redirect_to user_next_authentication_setup_path!(user_session[:selected_mfa_options].first)
     end
 
     def handle_empty_selection
@@ -73,7 +61,7 @@ def confirm_user_needs_2fa_setup
     end
 
     def two_factor_options_form_params
-      params.require(:two_factor_options_form).permit(:selection)
+      params.require(:two_factor_options_form).permit(:selection, selection: [])
     end
   end
 end
diff --git a/app/controllers/users/webauthn_setup_controller.rb b/app/controllers/users/webauthn_setup_controller.rb
index 516955b3577..1fd64e6a13c 100644
--- a/app/controllers/users/webauthn_setup_controller.rb
+++ b/app/controllers/users/webauthn_setup_controller.rb
@@ -138,7 +138,8 @@ def process_valid_webauthn(form)
         flash[:success] = t('notices.webauthn_configured')
       end
       user_session[:auth_method] = 'webauthn'
-      redirect_to after_mfa_setup_path
+
+      redirect_to user_next_authentication_setup_path!(after_mfa_setup_path)
     end
 
     def handle_remember_device
diff --git a/app/forms/two_factor_options_form.rb b/app/forms/two_factor_options_form.rb
index 37e5937bae0..e25258d8676 100644
--- a/app/forms/two_factor_options_form.rb
+++ b/app/forms/two_factor_options_form.rb
@@ -13,7 +13,7 @@ def initialize(user)
   end
 
   def submit(params)
-    self.selection = params[:selection]
+    self.selection = Array(params[:selection])
 
     success = valid?
     update_otp_delivery_preference_for_user if success && user_needs_updating?
@@ -33,11 +33,13 @@ def extra_analytics_attributes
   end
 
   def user_needs_updating?
-    %w[voice sms].include?(selection) && selection != user.otp_delivery_preference
+    (%w[voice sms] & selection).present? &&
+      !selection.include?(user.otp_delivery_preference)
   end
 
   def update_otp_delivery_preference_for_user
-    user_attributes = { otp_delivery_preference: selection }
+    user_attributes = { otp_delivery_preference:
+      selection.find { |element| %w[voice sms].include?(element) } }
     UpdateUser.new(user: user, attributes: user_attributes).call
   end
 end
diff --git a/spec/controllers/users/backup_code_setup_controller_spec.rb b/spec/controllers/users/backup_code_setup_controller_spec.rb
index 75b874f155e..0c0b15daf30 100644
--- a/spec/controllers/users/backup_code_setup_controller_spec.rb
+++ b/spec/controllers/users/backup_code_setup_controller_spec.rb
@@ -13,7 +13,7 @@
   end
 
   it 'creates backup codes' do
-    user = create(:user, :signed_up)
+    user = build(:user, :signed_up)
     stub_sign_in(user)
     expect(PushNotification::HttpPush).to receive(:deliver).
       with(PushNotification::RecoveryInformationChangedEvent.new(user: user))
@@ -24,7 +24,7 @@
   end
 
   it 'deletes backup codes' do
-    user = create(:user, :signed_up)
+    user = build(:user, :signed_up)
     stub_sign_in(user)
     expect(PushNotification::HttpPush).to receive(:deliver).
       with(PushNotification::RecoveryInformationChangedEvent.new(user: user))
@@ -34,6 +34,31 @@
     expect(user.backup_code_configurations.length).to eq 0
   end
 
+  context 'when user selects multiple mfas on account creation' do
+    it 'redirects to phone setup page' do
+      user = build(:user, :signed_up)
+      stub_sign_in(user)
+      codes = BackupCodeGenerator.new(user).create
+      controller.user_session[:backup_codes] = codes
+
+      controller.user_session[:selected_mfa_options] = ['voice']
+      post :continue
+
+      expect(response).to redirect_to(phone_setup_url)
+    end
+  end
+
+  context 'when user only selects backup code on account creation' do
+    it 'redirects to account page' do
+      user = build(:user, :signed_up)
+      stub_sign_in(user)
+      codes = BackupCodeGenerator.new(user).create
+      controller.user_session[:backup_codes] = codes
+      post :continue
+      expect(response).to redirect_to(account_url)
+    end
+  end
+
   describe '#refreshed' do
     render_views
 
diff --git a/spec/controllers/users/piv_cac_authentication_setup_controller_spec.rb b/spec/controllers/users/piv_cac_authentication_setup_controller_spec.rb
index 013c440b166..55d89d59d44 100644
--- a/spec/controllers/users/piv_cac_authentication_setup_controller_spec.rb
+++ b/spec/controllers/users/piv_cac_authentication_setup_controller_spec.rb
@@ -94,26 +94,55 @@
         end
 
         context 'when redirected with a good token' do
-          it 'redirects to account page' do
-            get :new, params: { token: good_token }
-            expect(response).to redirect_to(account_url)
+          context 'with no additional MFAs chosen on setup' do
+            it 'redirects to account page' do
+              get :new, params: { token: good_token }
+              expect(response).to redirect_to(account_url)
+            end
+
+            it 'sets the piv/cac session information' do
+              get :new, params: { token: good_token }
+              json = {
+                'subject' => 'some dn',
+                'issuer' => nil,
+                'presented' => true,
+              }.to_json
+
+              expect(subject.user_session[:decrypted_x509]).to eq json
+            end
+
+            it 'sets the session to not require piv setup upon sign-in' do
+              get :new, params: { token: good_token }
+
+              expect(subject.session[:needs_to_setup_piv_cac_after_sign_in]).to eq false
+            end
           end
 
-          it 'sets the piv/cac session information' do
-            get :new, params: { token: good_token }
-            json = {
-              'subject' => 'some dn',
-              'issuer' => nil,
-              'presented' => true,
-            }.to_json
-
-            expect(subject.user_session[:decrypted_x509]).to eq json
-          end
-
-          it 'sets the session to not require piv setup upon sign-in' do
-            get :new, params: { token: good_token }
-
-            expect(subject.session[:needs_to_setup_piv_cac_after_sign_in]).to eq false
+          context 'with additional MFAs leftover' do
+            before do
+              subject.user_session[:selected_mfa_options] = ['voice']
+            end
+            it 'redirects to phone setup page' do
+              get :new, params: { token: good_token }
+              expect(response).to redirect_to(phone_setup_url)
+            end
+
+            it 'sets the piv/cac session information' do
+              get :new, params: { token: good_token }
+              json = {
+                'subject' => 'some dn',
+                'issuer' => nil,
+                'presented' => true,
+              }.to_json
+
+              expect(subject.user_session[:decrypted_x509]).to eq json
+            end
+
+            it 'sets the session to not require piv setup upon sign-in' do
+              get :new, params: { token: good_token }
+
+              expect(subject.session[:needs_to_setup_piv_cac_after_sign_in]).to eq false
+            end
           end
         end
 
diff --git a/spec/controllers/users/totp_setup_controller_spec.rb b/spec/controllers/users/totp_setup_controller_spec.rb
index 0b7e91c4dfe..8ea3ccb3402 100644
--- a/spec/controllers/users/totp_setup_controller_spec.rb
+++ b/spec/controllers/users/totp_setup_controller_spec.rb
@@ -194,30 +194,51 @@
       end
 
       context 'when user presents correct code' do
+        let(:selected_mfa_options) { nil }
         before do
           secret = ROTP::Base32.random_base32
           stub_sign_in_before_2fa
           stub_analytics
           allow(@analytics).to receive(:track_event)
           subject.user_session[:new_totp_secret] = secret
+          subject.user_session[:selected_mfa_options] = selected_mfa_options
 
           patch :confirm, params: { code: generate_totp_code(secret) }
         end
+        context 'when user selected only one method on account creation' do
+          it 'redirects to account_path with a success message' do
+            expect(response).to redirect_to(account_path)
+            expect(subject.user_session[:new_totp_secret]).to be_nil
+
+            result = {
+              success: true,
+              errors: {},
+              totp_secret_present: true,
+              multi_factor_auth_method: 'totp',
+              auth_app_configuration_id: next_auth_app_id,
+            }
+
+            expect(@analytics).to have_received(:track_event).
+              with(Analytics::MULTI_FACTOR_AUTH_SETUP, result)
+          end
+        end
 
-        it 'redirects to account_path with a success message' do
-          expect(response).to redirect_to(account_path)
-          expect(subject.user_session[:new_totp_secret]).to be_nil
-
-          result = {
-            success: true,
-            errors: {},
-            totp_secret_present: true,
-            multi_factor_auth_method: 'totp',
-            auth_app_configuration_id: next_auth_app_id,
-          }
-
-          expect(@analytics).to have_received(:track_event).
-            with(Analytics::MULTI_FACTOR_AUTH_SETUP, result)
+        context 'when user has multiple MFA methods left in user session' do
+          let(:selected_mfa_options) { ['voice'] }
+          it 'redirects to phone_setup_path with a success message and still logs analytics' do
+            expect(response).to redirect_to(phone_setup_path)
+
+            result = {
+              success: true,
+              errors: {},
+              totp_secret_present: true,
+              multi_factor_auth_method: 'totp',
+              auth_app_configuration_id: next_auth_app_id,
+            }
+
+            expect(@analytics).to have_received(:track_event).
+              with(Analytics::MULTI_FACTOR_AUTH_SETUP, result)
+          end
         end
       end
 
diff --git a/spec/controllers/users/two_factor_authentication_setup_controller_spec.rb b/spec/controllers/users/two_factor_authentication_setup_controller_spec.rb
index bdd7d7a115b..96c11d000d8 100644
--- a/spec/controllers/users/two_factor_authentication_setup_controller_spec.rb
+++ b/spec/controllers/users/two_factor_authentication_setup_controller_spec.rb
@@ -64,14 +64,14 @@
         },
       }
       params = ActionController::Parameters.new(voice_params)
-      response = FormResponse.new(success: true, errors: {}, extra: { selection: 'voice' })
+      response = FormResponse.new(success: true, errors: {}, extra: { selection: ['voice'] })
 
       form = instance_double(TwoFactorOptionsForm)
       allow(TwoFactorOptionsForm).to receive(:new).with(user).and_return(form)
       expect(form).to receive(:submit).
         with(params.require(:two_factor_options_form).permit(:selection)).
         and_return(response)
-      expect(form).to receive(:selection).and_return('voice')
+      expect(form).to receive(:selection).and_return(['voice'])
 
       patch :create, params: voice_params
     end
@@ -81,7 +81,7 @@
       stub_analytics
 
       result = {
-        selection: 'voice',
+        selection: ['voice'],
         success: true,
         errors: {},
       }
@@ -110,6 +110,32 @@
       end
     end
 
+    context 'when multi selection with phone first' do
+      it 'redirects properly' do
+        stub_sign_in_before_2fa
+        patch :create, params: {
+          two_factor_options_form: {
+            selection: ['phone', 'auth_app'],
+          },
+        }
+
+        expect(response).to redirect_to phone_setup_url
+      end
+    end
+
+    context 'when multi selection with auth app first' do
+      it 'redirects properly' do
+        stub_sign_in_before_2fa
+        patch :create, params: {
+          two_factor_options_form: {
+            selection: ['auth_app', 'phone', 'webauthn'],
+          },
+        }
+
+        expect(response).to redirect_to authenticator_setup_url
+      end
+    end
+
     context 'when the selection is auth_app' do
       it 'redirects to authentication app setup page' do
         stub_sign_in_before_2fa
diff --git a/spec/controllers/users/webauthn_setup_controller_spec.rb b/spec/controllers/users/webauthn_setup_controller_spec.rb
index f5a2c890a99..75fe4ef17dc 100644
--- a/spec/controllers/users/webauthn_setup_controller_spec.rb
+++ b/spec/controllers/users/webauthn_setup_controller_spec.rb
@@ -134,4 +134,42 @@
       end
     end
   end
+
+  describe 'when signed in and account creation' do
+    let(:user) { create(:user, :signed_up) }
+    let(:params) do
+      {
+        attestation_object: attestation_object,
+        client_data_json: setup_client_data_json,
+        name: 'mykey',
+      }
+    end
+
+    before do
+      stub_analytics
+      stub_sign_in(user)
+      allow(IdentityConfig.store).to receive(:domain_name).and_return('localhost:3000')
+      controller.user_session[:webauthn_challenge] = webauthn_challenge
+    end
+
+    context 'with multiple MFA methods chosen on account creation' do
+      before do
+        controller.user_session[:selected_mfa_options] = ['voice']
+      end
+
+      it 'should direct user to phone page' do
+        patch :confirm, params: params
+
+        expect(response).to redirect_to(phone_setup_url)
+      end
+    end
+
+    context 'with a single MFA method chosen on account creation' do
+      it 'should direct user to account page' do
+        patch :confirm, params: params
+
+        expect(response).to redirect_to(account_url)
+      end
+    end
+  end
 end