diff --git a/src/cursor/abstract_cursor.ts b/src/cursor/abstract_cursor.ts
index b29c1e07605..4c12f9faa81 100644
--- a/src/cursor/abstract_cursor.ts
+++ b/src/cursor/abstract_cursor.ts
@@ -317,10 +317,14 @@ export abstract class AbstractCursor<
     };
   }
 
+  cursorStream(): Readable {
+    return new ReadableCursorStream(this);
+  }
+
   stream(options?: CursorStreamOptions): Readable & AsyncIterable<TSchema> {
     if (options?.transform) {
       const transform = options.transform;
-      const readable = new ReadableCursorStream(this);
+      const readable = this.cursorStream();
 
       return readable.pipe(
         new Transform({
@@ -338,7 +342,7 @@ export abstract class AbstractCursor<
       );
     }
 
-    return new ReadableCursorStream(this);
+    return this.cursorStream();
   }
 
   hasNext(): Promise<boolean>;
@@ -857,9 +861,10 @@ export function assertUninitialized(cursor: AbstractCursor): void {
   }
 }
 
-class ReadableCursorStream extends Readable {
-  private _cursor: AbstractCursor;
-  private _readInProgress = false;
+/** @internal */
+export class ReadableCursorStream extends Readable {
+  _cursor: AbstractCursor;
+  _readInProgress = false;
 
   constructor(cursor: AbstractCursor) {
     super({
@@ -882,7 +887,7 @@ class ReadableCursorStream extends Readable {
     this._cursor.close(err => process.nextTick(callback, err || error));
   }
 
-  private _readNext() {
+  _readNext() {
     next(this._cursor, true, (err, result) => {
       if (err) {
         // NOTE: This is questionable, but we have a test backing the behavior. It seems the
@@ -903,6 +908,14 @@ class ReadableCursorStream extends Readable {
           return this.push(null);
         }
 
+        // NOTE: The two above checks on the message of the error will cause a null to be pushed
+        //       to the stream, thus closing the stream before the destroy call happens. This means
+        //       that either of those error messages on a change stream will not get a proper
+        //       'error' event to be emitted (the error passed to destroy). Change stream resumability
+        //       relies on that error event to be emitted to create its new cursor and thus was not
+        //       working on 4.4 servers because the error emitted on failover was "interrupted at
+        //       shutdown" while on 5.0+ it is "The server is in quiesce mode and will shut down".
+        //       See NODE-4475 for why change stream cursors have their own readable streams now.
         return this.destroy(err);
       }
 
diff --git a/src/cursor/change_stream_cursor.ts b/src/cursor/change_stream_cursor.ts
index b5a4ae46307..099877399c8 100644
--- a/src/cursor/change_stream_cursor.ts
+++ b/src/cursor/change_stream_cursor.ts
@@ -1,3 +1,5 @@
+import type { Readable } from 'stream';
+
 import type { Document, Long, Timestamp } from '../bson';
 import {
   type ChangeStreamDocument,
@@ -14,7 +16,12 @@ import type { CollationOptions } from '../operations/command';
 import { type ExecutionResult, executeOperation } from '../operations/execute_operation';
 import type { ClientSession } from '../sessions';
 import { type Callback, type MongoDBNamespace, maxWireVersion } from '../utils';
-import { type AbstractCursorOptions, AbstractCursor } from './abstract_cursor';
+import {
+  type AbstractCursorOptions,
+  AbstractCursor,
+  next,
+  ReadableCursorStream
+} from './abstract_cursor';
 
 /** @internal */
 export interface ChangeStreamCursorOptions extends AbstractCursorOptions {
@@ -111,6 +118,10 @@ export class ChangeStreamCursor<
     return options;
   }
 
+  override cursorStream(): Readable {
+    return new ChangeStreamCursorStream(this);
+  }
+
   cacheResumeToken(resumeToken: ResumeToken): void {
     if (this.bufferedCount() === 0 && this.postBatchResumeToken) {
       this.resumeToken = this.postBatchResumeToken;
@@ -192,3 +203,26 @@ export class ChangeStreamCursor<
     });
   }
 }
+
+/** @internal */
+export class ChangeStreamCursorStream extends ReadableCursorStream {
+  override _readNext() {
+    next(this._cursor, true, (err, result) => {
+      if (err) {
+        return this.destroy(err);
+      }
+
+      if (result == null) {
+        this.push(null);
+      } else if (this.destroyed) {
+        this._cursor.close().catch(() => null);
+      } else {
+        if (this.push(result)) {
+          return this._readNext();
+        }
+
+        this._readInProgress = false;
+      }
+    });
+  }
+}