diff --git a/crates/ruff_linter/resources/test/fixtures/flake8_print/T203.py b/crates/ruff_linter/resources/test/fixtures/flake8_print/T203.py
index 5d4cd5c390f97..900a0675b7200 100644
--- a/crates/ruff_linter/resources/test/fixtures/flake8_print/T203.py
+++ b/crates/ruff_linter/resources/test/fixtures/flake8_print/T203.py
@@ -1,9 +1,23 @@
+import sys
+import tempfile
 from pprint import pprint
 
 pprint("Hello, world!")  # T203
+pprint("Hello, world!", stream=None)  # T203
+pprint("Hello, world!", stream=sys.stdout)  # T203
+pprint("Hello, world!", stream=sys.stderr)  # T203
+
+with tempfile.NamedTemporaryFile() as fp:
+    pprint("Hello, world!", stream=fp)  # OK
 
 import pprint
 
 pprint.pprint("Hello, world!")  # T203
+pprint.pprint("Hello, world!", stream=None)  # T203
+pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+
+with tempfile.NamedTemporaryFile() as fp:
+    pprint.pprint("Hello, world!", stream=fp)  # OK
 
 pprint.pformat("Hello, world!")
diff --git a/crates/ruff_linter/src/rules/flake8_print/rules/print_call.rs b/crates/ruff_linter/src/rules/flake8_print/rules/print_call.rs
index 7514b0b298d74..870d43405b58d 100644
--- a/crates/ruff_linter/src/rules/flake8_print/rules/print_call.rs
+++ b/crates/ruff_linter/src/rules/flake8_print/rules/print_call.rs
@@ -1,5 +1,6 @@
 use ruff_macros::{ViolationMetadata, derive_message_formats};
 use ruff_python_ast as ast;
+use ruff_python_semantic::SemanticModel;
 use ruff_text_size::Ranged;
 
 use crate::checkers::ast::Checker;
@@ -130,20 +131,19 @@ pub(crate) fn print_call(checker: &Checker, call: &ast::ExprCall) {
         ["" | "builtins", "print"] => {
             // If the print call has a `file=` argument (that isn't `None`, `"sys.stdout"`,
             // or `"sys.stderr"`), don't trigger T201.
-            if let Some(keyword) = call.arguments.find_keyword("file") {
-                if !keyword.value.is_none_literal_expr() {
-                    if semantic.resolve_qualified_name(&keyword.value).is_none_or(
-                        |qualified_name| {
-                            !matches!(qualified_name.segments(), ["sys", "stdout" | "stderr"])
-                        },
-                    ) {
-                        return;
-                    }
-                }
+            if has_non_default_output_target(semantic, call, "file") {
+                return;
             }
             checker.report_diagnostic_if_enabled(Print, call.func.range())
         }
-        ["pprint", "pprint"] => checker.report_diagnostic_if_enabled(PPrint, call.func.range()),
+        ["pprint", "pprint"] => {
+            // If the pprint call has a `stream=` argument (that isn't `None`,
+            // `"sys.stdout"`, or `"sys.stderr"`), don't trigger T203.
+            if has_non_default_output_target(semantic, call, "stream") {
+                return;
+            }
+            checker.report_diagnostic_if_enabled(PPrint, call.func.range())
+        }
         _ => return,
     };
 
@@ -162,3 +162,18 @@ pub(crate) fn print_call(checker: &Checker, call: &ast::ExprCall) {
         );
     }
 }
+
+fn has_non_default_output_target(
+    semantic: &SemanticModel,
+    call: &ast::ExprCall,
+    keyword: &str,
+) -> bool {
+    call.arguments.find_keyword(keyword).is_some_and(|keyword| {
+        !keyword.value.is_none_literal_expr()
+            && semantic
+                .resolve_qualified_name(&keyword.value)
+                .is_none_or(|qualified_name| {
+                    !matches!(qualified_name.segments(), ["sys", "stdout" | "stderr"])
+                })
+    })
+}
diff --git a/crates/ruff_linter/src/rules/flake8_print/snapshots/ruff_linter__rules__flake8_print__tests__T203_T203.py.snap b/crates/ruff_linter/src/rules/flake8_print/snapshots/ruff_linter__rules__flake8_print__tests__T203_T203.py.snap
index 0013e8aec6d6c..2fd91f65e4236 100644
--- a/crates/ruff_linter/src/rules/flake8_print/snapshots/ruff_linter__rules__flake8_print__tests__T203_T203.py.snap
+++ b/crates/ruff_linter/src/rules/flake8_print/snapshots/ruff_linter__rules__flake8_print__tests__T203_T203.py.snap
@@ -1,40 +1,159 @@
 ---
 source: crates/ruff_linter/src/rules/flake8_print/mod.rs
+assertion_line: 23
 ---
 T203 [*] `pprint` found
- --> T203.py:3:1
+ --> T203.py:5:1
   |
-1 | from pprint import pprint
-2 |
-3 | pprint("Hello, world!")  # T203
-  | ^^^^^^
+3 | from pprint import pprint
 4 |
-5 | import pprint
+5 | pprint("Hello, world!")  # T203
+  | ^^^^^^
+6 | pprint("Hello, world!", stream=None)  # T203
+7 | pprint("Hello, world!", stream=sys.stdout)  # T203
   |
 help: Remove `pprint`
-1 | from pprint import pprint
-2 | 
+2 | import tempfile
+3 | from pprint import pprint
+4 | 
   - pprint("Hello, world!")  # T203
-3 | 
-4 | import pprint
-5 | 
+5 | pprint("Hello, world!", stream=None)  # T203
+6 | pprint("Hello, world!", stream=sys.stdout)  # T203
+7 | pprint("Hello, world!", stream=sys.stderr)  # T203
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+ --> T203.py:6:1
+  |
+5 | pprint("Hello, world!")  # T203
+6 | pprint("Hello, world!", stream=None)  # T203
+  | ^^^^^^
+7 | pprint("Hello, world!", stream=sys.stdout)  # T203
+8 | pprint("Hello, world!", stream=sys.stderr)  # T203
+  |
+help: Remove `pprint`
+3 | from pprint import pprint
+4 | 
+5 | pprint("Hello, world!")  # T203
+  - pprint("Hello, world!", stream=None)  # T203
+6 | pprint("Hello, world!", stream=sys.stdout)  # T203
+7 | pprint("Hello, world!", stream=sys.stderr)  # T203
+8 | 
 note: This is an unsafe fix and may change runtime behavior
 
 T203 [*] `pprint` found
  --> T203.py:7:1
   |
-5 | import pprint
-6 |
-7 | pprint.pprint("Hello, world!")  # T203
-  | ^^^^^^^^^^^^^
-8 |
-9 | pprint.pformat("Hello, world!")
+5 | pprint("Hello, world!")  # T203
+6 | pprint("Hello, world!", stream=None)  # T203
+7 | pprint("Hello, world!", stream=sys.stdout)  # T203
+  | ^^^^^^
+8 | pprint("Hello, world!", stream=sys.stderr)  # T203
   |
 help: Remove `pprint`
 4 | 
-5 | import pprint
-6 | 
-  - pprint.pprint("Hello, world!")  # T203
-7 | 
-8 | pprint.pformat("Hello, world!")
+5 | pprint("Hello, world!")  # T203
+6 | pprint("Hello, world!", stream=None)  # T203
+  - pprint("Hello, world!", stream=sys.stdout)  # T203
+7 | pprint("Hello, world!", stream=sys.stderr)  # T203
+8 | 
+9 | with tempfile.NamedTemporaryFile() as fp:
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+  --> T203.py:8:1
+   |
+ 6 | pprint("Hello, world!", stream=None)  # T203
+ 7 | pprint("Hello, world!", stream=sys.stdout)  # T203
+ 8 | pprint("Hello, world!", stream=sys.stderr)  # T203
+   | ^^^^^^
+ 9 |
+10 | with tempfile.NamedTemporaryFile() as fp:
+   |
+help: Remove `pprint`
+5  | pprint("Hello, world!")  # T203
+6  | pprint("Hello, world!", stream=None)  # T203
+7  | pprint("Hello, world!", stream=sys.stdout)  # T203
+   - pprint("Hello, world!", stream=sys.stderr)  # T203
+8  | 
+9  | with tempfile.NamedTemporaryFile() as fp:
+10 |     pprint("Hello, world!", stream=fp)  # OK
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+  --> T203.py:15:1
+   |
+13 | import pprint
+14 |
+15 | pprint.pprint("Hello, world!")  # T203
+   | ^^^^^^^^^^^^^
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+   |
+help: Remove `pprint`
+12 | 
+13 | import pprint
+14 | 
+   - pprint.pprint("Hello, world!")  # T203
+15 | pprint.pprint("Hello, world!", stream=None)  # T203
+16 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+  --> T203.py:16:1
+   |
+15 | pprint.pprint("Hello, world!")  # T203
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+   | ^^^^^^^^^^^^^
+17 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+18 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+   |
+help: Remove `pprint`
+13 | import pprint
+14 | 
+15 | pprint.pprint("Hello, world!")  # T203
+   - pprint.pprint("Hello, world!", stream=None)  # T203
+16 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+18 | 
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+  --> T203.py:17:1
+   |
+15 | pprint.pprint("Hello, world!")  # T203
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+   | ^^^^^^^^^^^^^
+18 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+   |
+help: Remove `pprint`
+14 | 
+15 | pprint.pprint("Hello, world!")  # T203
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+   - pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+18 | 
+19 | with tempfile.NamedTemporaryFile() as fp:
+note: This is an unsafe fix and may change runtime behavior
+
+T203 [*] `pprint` found
+  --> T203.py:18:1
+   |
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+18 | pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+   | ^^^^^^^^^^^^^
+19 |
+20 | with tempfile.NamedTemporaryFile() as fp:
+   |
+help: Remove `pprint`
+15 | pprint.pprint("Hello, world!")  # T203
+16 | pprint.pprint("Hello, world!", stream=None)  # T203
+17 | pprint.pprint("Hello, world!", stream=sys.stdout)  # T203
+   - pprint.pprint("Hello, world!", stream=sys.stderr)  # T203
+18 | 
+19 | with tempfile.NamedTemporaryFile() as fp:
+20 |     pprint.pprint("Hello, world!", stream=fp)  # OK
 note: This is an unsafe fix and may change runtime behavior