diff --git a/vllm/v1/engine/async_llm.py b/vllm/v1/engine/async_llm.py
index 072d2a164729..9250eb17ed4a 100644
--- a/vllm/v1/engine/async_llm.py
+++ b/vllm/v1/engine/async_llm.py
@@ -790,7 +790,7 @@ async def pause_generation(
 
         # Clear cache
         if clear_cache:
-            await self.reset_prefix_cache()
+            await self.reset_prefix_cache(reset_running_requests=True)
             await self.reset_mm_cache()
             await self.reset_encoder_cache()