diff --git a/nixos/doc/manual/release-notes/rl-2405.section.md b/nixos/doc/manual/release-notes/rl-2405.section.md
index 15696e802c127..9191a204a7a19 100644
--- a/nixos/doc/manual/release-notes/rl-2405.section.md
+++ b/nixos/doc/manual/release-notes/rl-2405.section.md
@@ -53,3 +53,5 @@ The pre-existing [services.ankisyncd](#opt-services.ankisyncd.enable) has been m
 
 - The `hardware.pulseaudio` module now sets permission of pulse user home directory to 755 when running in "systemWide" mode. It fixes [issue 114399](https://github.com/NixOS/nixpkgs/issues/114399).
 
+- QtMultimedia has changed its default backend to `QT_MEDIA_BACKEND=ffmpeg` (previously `gstreamer` on Linux or `darwin` on MacOS).
+  The previous native backends remain available but are now minimally maintained. Refer to [upstream documentation](https://doc.qt.io/qt-6/qtmultimedia-index.html#ffmpeg-as-the-default-backend) for further details about each platform.
diff --git a/pkgs/development/libraries/qt-6/modules/qtmultimedia.nix b/pkgs/development/libraries/qt-6/modules/qtmultimedia.nix
index 538687dce58a0..f77fdac059ce6 100644
--- a/pkgs/development/libraries/qt-6/modules/qtmultimedia.nix
+++ b/pkgs/development/libraries/qt-6/modules/qtmultimedia.nix
@@ -3,6 +3,7 @@
 , stdenv
 , qtbase
 , qtdeclarative
+, qtquick3d
 , qtshadertools
 , qtsvg
 , pkg-config
@@ -12,8 +13,11 @@
 , gst-plugins-good
 , gst-libav
 , gst-vaapi
+, ffmpeg_6
+, libva
 , libpulseaudio
 , wayland
+, libXrandr
 , elfutils
 , libunwind
 , orc
@@ -23,12 +27,14 @@
 qtModule {
   pname = "qtmultimedia";
   nativeBuildInputs = [ pkg-config ];
-  buildInputs = [ libunwind orc ]
-    ++ lib.optionals stdenv.isLinux [ libpulseaudio elfutils alsa-lib wayland ];
-  propagatedBuildInputs = [ qtbase qtdeclarative qtsvg qtshadertools ]
+  buildInputs = [ libunwind orc ffmpeg_6 ]
+    ++ lib.optionals stdenv.isLinux [ libpulseaudio elfutils alsa-lib wayland libXrandr libva ];
+  propagatedBuildInputs = [ qtbase qtdeclarative qtsvg qtshadertools qtquick3d ]
     ++ lib.optionals stdenv.isLinux [ gstreamer gst-plugins-base gst-plugins-good gst-libav gst-vaapi ]
     ++ lib.optionals stdenv.isDarwin [ VideoToolbox ];
 
+  cmakeFlags = [ "-DENABLE_DYNAMIC_RESOLVE_VAAPI_SYMBOLS=0" ];
+
   env.NIX_CFLAGS_COMPILE = lib.optionalString stdenv.isDarwin
     "-include AudioToolbox/AudioToolbox.h";
   NIX_LDFLAGS = lib.optionalString stdenv.isDarwin