diff --git a/.sampo/changesets/responses-incomplete-stream-usage.md b/.sampo/changesets/responses-incomplete-stream-usage.md
new file mode 100644
index 000000000..4e9f5e71b
--- /dev/null
+++ b/.sampo/changesets/responses-incomplete-stream-usage.md
@@ -0,0 +1,5 @@
+---
+pypi/posthog: patch
+---
+
+Capture token usage and output for OpenAI Responses streams that end incomplete, such as when `max_output_tokens` is reached.
diff --git a/posthog/ai/openai/openai_converter.py b/posthog/ai/openai/openai_converter.py
index 3f3bc869c..0f391fb9f 100644
--- a/posthog/ai/openai/openai_converter.py
+++ b/posthog/ai/openai/openai_converter.py
@@ -520,6 +520,15 @@ def extract_openai_usage_from_response(response: Any) -> TokenUsage:
     return result
 
 
+# Stream events that carry the final Responses API response, with its usage and
+# output. Exactly one of them ends a stream.
+_RESPONSES_TERMINAL_EVENT_TYPES = (
+    "response.completed",
+    "response.incomplete",
+    "response.failed",
+)
+
+
 def extract_openai_usage_from_chunk(
     chunk: Any, provider_type: str = "chat"
 ) -> TokenUsage:
@@ -577,8 +586,10 @@ def extract_openai_usage_from_chunk(
             usage["raw_usage"] = serialized
 
     elif provider_type == "responses":
-        # For Responses API, usage is only in chunk.response.usage for completed events
-        if hasattr(chunk, "type") and chunk.type == "response.completed":
+        # For Responses API, usage is only in chunk.response.usage on the terminal
+        # event. A run cut short (e.g. by max_output_tokens) ends on
+        # response.incomplete instead of response.completed, and is still billed.
+        if getattr(chunk, "type", None) in _RESPONSES_TERMINAL_EVENT_TYPES:
             if (
                 hasattr(chunk, "response")
                 and hasattr(chunk.response, "usage")
@@ -634,7 +645,8 @@ def extract_openai_content_from_chunk(
     Returns:
         For "chat": text content (str), or an audio/refusal delta block (dict),
         if present. For "responses": the full `response.output` list on the
-        `response.completed` event. None otherwise.
+        terminal (`response.completed`, `response.incomplete` or
+        `response.failed`) event. None otherwise.
     """
 
     if provider_type == "chat":
@@ -663,7 +675,7 @@ def extract_openai_content_from_chunk(
 
     elif provider_type == "responses":
         # Responses API format
-        if hasattr(chunk, "type") and chunk.type == "response.completed":
+        if getattr(chunk, "type", None) in _RESPONSES_TERMINAL_EVENT_TYPES:
             if hasattr(chunk, "response") and chunk.response:
                 res = chunk.response
                 if res.output:
diff --git a/posthog/test/ai/openai/test_openai.py b/posthog/test/ai/openai/test_openai.py
index 1aee497dd..0d22f393a 100644
--- a/posthog/test/ai/openai/test_openai.py
+++ b/posthog/test/ai/openai/test_openai.py
@@ -1916,6 +1916,85 @@ def test_streaming_responses_api_extracts_model_from_response_object(mock_client
         assert props["$ai_model"] == "gpt-4o-mini-stored"
 
 
+def test_streaming_responses_api_captures_usage_and_output_when_incomplete(
+    mock_client,
+):
+    """A stream cut short by max_output_tokens ends on response.incomplete, not
+    response.completed. Its usage and partial output are still billed and must be
+    captured."""
+    from openai.types.responses import ResponseIncompleteEvent
+    from openai.types.responses.response import IncompleteDetails
+
+    incomplete_response = Response(
+        id="resp_incomplete",
+        model="gpt-4o-mini",
+        object="response",
+        created_at=1741476542,
+        status="incomplete",
+        error=None,
+        incomplete_details=IncompleteDetails(reason="max_output_tokens"),
+        instructions=None,
+        max_output_tokens=16,
+        tools=[],
+        tool_choice="auto",
+        output=[
+            ResponseOutputMessage(
+                id="msg_123",
+                type="message",
+                role="assistant",
+                status="incomplete",
+                content=[
+                    ResponseOutputText(
+                        type="output_text",
+                        text="Once upon a time",
+                        annotations=[],
+                    )
+                ],
+            )
+        ],
+        parallel_tool_calls=True,
+        previous_response_id=None,
+        usage=make_response_usage(
+            input_tokens=20,
+            output_tokens=16,
+            total_tokens=36,
+        ),
+        user=None,
+        metadata={},
+    )
+    chunks = [
+        ResponseIncompleteEvent(
+            type="response.incomplete",
+            sequence_number=1,
+            response=incomplete_response,
+        )
+    ]
+
+    with patch("openai.resources.responses.Responses.create") as mock_create:
+        mock_create.return_value = iter(chunks)
+
+        client = OpenAI(api_key="test-key", posthog_client=mock_client)
+        response_generator = client.responses.create(
+            model="gpt-4o-mini",
+            input=[{"role": "user", "content": "Tell me a story"}],
+            max_output_tokens=16,
+            stream=True,
+            posthog_distinct_id="test-id",
+        )
+        list(response_generator)
+
+    props = mock_client.capture.call_args[1]["properties"]
+    assert props["$ai_stop_reason"] == "max_output_tokens"
+    assert props["$ai_input_tokens"] == 20
+    assert props["$ai_output_tokens"] == 16
+    assert props["$ai_output_choices"] == [
+        {
+            "role": "assistant",
+            "content": [{"type": "text", "text": "Once upon a time"}],
+        }
+    ]
+
+
 def test_non_streaming_extracts_model_from_response(mock_client):
     """Test that non-streaming calls extract model from response when not in kwargs."""
     # Create a response with model but we won't pass model in kwargs