diff --git a/src/components/views/audio_messages/PlayPauseButton.tsx b/src/components/views/audio_messages/PlayPauseButton.tsx
index 63f266fbf7..c49fd2e74c 100644
--- a/src/components/views/audio_messages/PlayPauseButton.tsx
+++ b/src/components/views/audio_messages/PlayPauseButton.tsx
@@ -17,14 +17,11 @@ limitations under the License.
 import React, { ComponentProps, ReactNode } from "react";
 import classNames from "classnames";
 
-import AccessibleTooltipButton from "../elements/AccessibleTooltipButton";
 import { _t } from "../../../languageHandler";
 import { Playback, PlaybackState } from "../../../audio/Playback";
+import AccessibleButton from "../elements/AccessibleButton";
 
-type Props = Omit<
-    ComponentProps<typeof AccessibleTooltipButton>,
-    "title" | "onClick" | "disabled" | "element" | "ref"
-> & {
+type Props = Omit<ComponentProps<typeof AccessibleButton>, "title" | "onClick" | "disabled" | "element" | "ref"> & {
     // Playback instance to manipulate. Cannot change during the component lifecycle.
     playback: Playback;
 
@@ -61,7 +58,7 @@ export default class PlayPauseButton extends React.PureComponent<Props> {
         });
 
         return (
-            <AccessibleTooltipButton
+            <AccessibleButton
                 data-testid="play-pause-button"
                 className={classes}
                 title={isPlaying ? _t("action|pause") : _t("action|play")}
diff --git a/src/components/views/voip/LegacyCallView/LegacyCallViewButtons.tsx b/src/components/views/voip/LegacyCallView/LegacyCallViewButtons.tsx
index fd8c85874e..055c3fe49e 100644
--- a/src/components/views/voip/LegacyCallView/LegacyCallViewButtons.tsx
+++ b/src/components/views/voip/LegacyCallView/LegacyCallViewButtons.tsx
@@ -20,10 +20,8 @@ import React, { ComponentProps, createRef, useState, forwardRef } from "react";
 import classNames from "classnames";
 import { MatrixCall } from "matrix-js-sdk/src/webrtc/call";
 
-import AccessibleTooltipButton from "../../elements/AccessibleTooltipButton";
 import LegacyCallContextMenu from "../../context_menus/LegacyCallContextMenu";
 import DialpadContextMenu from "../../context_menus/DialpadContextMenu";
-import { Alignment } from "../../elements/Tooltip";
 import {
     alwaysMenuProps,
     alwaysAboveRightOf,
@@ -34,7 +32,7 @@ import {
 import { _t } from "../../../../languageHandler";
 import DeviceContextMenu from "../../context_menus/DeviceContextMenu";
 import { MediaDeviceKindEnum } from "../../../../MediaDeviceHandler";
-import { ButtonEvent } from "../../elements/AccessibleButton";
+import AccessibleButton, { ButtonEvent } from "../../elements/AccessibleButton";
 
 // Height of the header duplicated from CSS because we need to subtract it from our max
 // height to get the max height of the video
@@ -42,29 +40,34 @@ const CONTEXT_MENU_VPADDING = 8; // How far the context menu sits above the butt
 
 const CONTROLS_HIDE_DELAY = 2000;
 
-type ButtonProps = Omit<ComponentProps<typeof AccessibleTooltipButton>, "title" | "element"> & {
+type ButtonProps = Omit<ComponentProps<typeof AccessibleButton>, "title" | "element"> & {
     state: boolean;
     onLabel?: string;
     offLabel?: string;
+    forceHide?: boolean;
+    onHover?: (hovering: boolean) => void;
 };
 
 const LegacyCallViewToggleButton = forwardRef<HTMLElement, ButtonProps>(
-    ({ children, state: isOn, className, onLabel, offLabel, ...props }, ref) => {
+    ({ children, state: isOn, className, onLabel, offLabel, forceHide, onHover, ...props }, ref) => {
         const classes = classNames("mx_LegacyCallViewButtons_button", className, {
             mx_LegacyCallViewButtons_button_on: isOn,
             mx_LegacyCallViewButtons_button_off: !isOn,
         });
 
+        const title = forceHide ? undefined : isOn ? onLabel : offLabel;
+
         return (
-            <AccessibleTooltipButton
+            <AccessibleButton
                 ref={ref}
                 className={classes}
-                title={isOn ? onLabel : offLabel}
-                alignment={Alignment.Top}
+                title={title}
+                placement="top"
+                onTooltipOpenChange={onHover}
                 {...props}
             >
                 {children}
-            </AccessibleTooltipButton>
+            </AccessibleButton>
         );
     },
 );
@@ -265,7 +268,7 @@ export default class LegacyCallViewButtons extends React.Component<IProps, IStat
                         onClick={this.onDialpadClick}
                         isExpanded={this.state.showDialpad}
                         title={_t("voip|dialpad")}
-                        alignment={Alignment.Top}
+                        placement="top"
                     />
                 )}
                 <LegacyCallViewDropdownButton
@@ -311,14 +314,14 @@ export default class LegacyCallViewButtons extends React.Component<IProps, IStat
                         ref={this.contextMenuButton}
                         isExpanded={this.state.showMoreMenu}
                         title={_t("voip|more_button")}
-                        alignment={Alignment.Top}
+                        placement="top"
                     />
                 )}
-                <AccessibleTooltipButton
+                <AccessibleButton
                     className="mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_hangup"
                     onClick={this.props.handlers.onHangupClick}
                     title={_t("voip|hangup")}
-                    alignment={Alignment.Top}
+                    placement="top"
                 />
             </div>
         );
diff --git a/src/components/views/voip/LegacyCallView/LegacyCallViewHeader.tsx b/src/components/views/voip/LegacyCallView/LegacyCallViewHeader.tsx
index 33484eb3ce..c60b70c932 100644
--- a/src/components/views/voip/LegacyCallView/LegacyCallViewHeader.tsx
+++ b/src/components/views/voip/LegacyCallView/LegacyCallViewHeader.tsx
@@ -19,7 +19,7 @@ import React from "react";
 
 import { _t } from "../../../../languageHandler";
 import RoomAvatar from "../../avatars/RoomAvatar";
-import AccessibleTooltipButton from "../../elements/AccessibleTooltipButton";
+import AccessibleButton from "../../elements/AccessibleButton";
 
 interface LegacyCallControlsProps {
     onExpand?: () => void;
@@ -31,21 +31,21 @@ const LegacyCallViewHeaderControls: React.FC<LegacyCallControlsProps> = ({ onExp
     return (
         <div className="mx_LegacyCallViewHeader_controls">
             {onMaximize && (
-                <AccessibleTooltipButton
+                <AccessibleButton
                     className="mx_LegacyCallViewHeader_button mx_LegacyCallViewHeader_button_fullscreen"
                     onClick={onMaximize}
                     title={_t("voip|maximise")}
                 />
             )}
             {onPin && (
-                <AccessibleTooltipButton
+                <AccessibleButton
                     className="mx_LegacyCallViewHeader_button mx_LegacyCallViewHeader_button_pin"
                     onClick={onPin}
                     title={_t("action|pin")}
                 />
             )}
             {onExpand && (
-                <AccessibleTooltipButton
+                <AccessibleButton
                     className="mx_LegacyCallViewHeader_button mx_LegacyCallViewHeader_button_expand"
                     onClick={onExpand}
                     title={_t("voip|expand")}
diff --git a/src/toasts/IncomingCallToast.tsx b/src/toasts/IncomingCallToast.tsx
index e9064e58aa..dfdf25efe6 100644
--- a/src/toasts/IncomingCallToast.tsx
+++ b/src/toasts/IncomingCallToast.tsx
@@ -36,13 +36,12 @@ import {
     LiveContentType,
 } from "../components/views/rooms/LiveContentSummary";
 import { useCall, useJoinCallButtonDisabledTooltip } from "../hooks/useCall";
-import { ButtonEvent } from "../components/views/elements/AccessibleButton";
+import AccessibleButton, { ButtonEvent } from "../components/views/elements/AccessibleButton";
 import { useDispatcher } from "../hooks/useDispatcher";
 import { ActionPayload } from "../dispatcher/payloads";
 import { Call } from "../models/Call";
 import { AudioID } from "../LegacyCallHandler";
 import { useEventEmitter, useTypedEventEmitter } from "../hooks/useEventEmitter";
-import AccessibleTooltipButton from "../components/views/elements/AccessibleTooltipButton";
 import { CallStore, CallStoreEvent } from "../stores/CallStore";
 
 export const getIncomingCallToastKey = (callId: string, roomId: string): string => `call_${callId}_${roomId}`;
@@ -195,7 +194,7 @@ export function IncomingCallToast({ notifyEvent }: Props): JSX.Element {
                     disabledTooltip={otherCallIsOngoing ? "Ongoing call" : undefined}
                 />
             </div>
-            <AccessibleTooltipButton
+            <AccessibleButton
                 className="mx_IncomingCallToast_closeButton"
                 onClick={onCloseClick}
                 title={_t("action|close")}
diff --git a/src/toasts/IncomingLegacyCallToast.tsx b/src/toasts/IncomingLegacyCallToast.tsx
index fbe806e543..8b51096264 100644
--- a/src/toasts/IncomingLegacyCallToast.tsx
+++ b/src/toasts/IncomingLegacyCallToast.tsx
@@ -25,7 +25,6 @@ import LegacyCallHandler, { LegacyCallHandlerEvent } from "../LegacyCallHandler"
 import { MatrixClientPeg } from "../MatrixClientPeg";
 import { _t } from "../languageHandler";
 import RoomAvatar from "../components/views/avatars/RoomAvatar";
-import AccessibleTooltipButton from "../components/views/elements/AccessibleTooltipButton";
 import AccessibleButton, { ButtonEvent } from "../components/views/elements/AccessibleButton";
 
 export const getIncomingLegacyCallToastKey = (callId: string): string => `call_${callId}`;
@@ -136,7 +135,7 @@ export default class IncomingLegacyCallToast extends React.Component<IProps, ISt
                         </AccessibleButton>
                     </div>
                 </div>
-                <AccessibleTooltipButton
+                <AccessibleButton
                     className={silenceClass}
                     disabled={callForcedSilent}
                     onClick={this.onSilenceClick}
diff --git a/src/voice-broadcast/components/atoms/VoiceBroadcastHeader.tsx b/src/voice-broadcast/components/atoms/VoiceBroadcastHeader.tsx
index 1fe579bfbe..34a2a81a20 100644
--- a/src/voice-broadcast/components/atoms/VoiceBroadcastHeader.tsx
+++ b/src/voice-broadcast/components/atoms/VoiceBroadcastHeader.tsx
@@ -29,7 +29,6 @@ import Spinner from "../../../components/views/elements/Spinner";
 import { ViewRoomPayload } from "../../../dispatcher/payloads/ViewRoomPayload";
 import { Action } from "../../../dispatcher/actions";
 import dis from "../../../dispatcher/dispatcher";
-import AccessibleTooltipButton from "../../../components/views/elements/AccessibleTooltipButton";
 
 interface VoiceBroadcastHeaderProps {
     linkToRoom?: boolean;
@@ -95,14 +94,14 @@ export const VoiceBroadcastHeader: React.FC<VoiceBroadcastHeaderProps> = ({
     });
 
     const microphoneLine = microphoneLabel && (
-        <AccessibleTooltipButton
+        <AccessibleButton
             className={microphoneLineClasses}
             onClick={onMicrophoneLineClick}
             title={_t("voip|change_input_device")}
         >
             <MicrophoneIcon className="mx_Icon mx_Icon_16" />
             <span>{microphoneLabel}</span>
-        </AccessibleTooltipButton>
+        </AccessibleButton>
     );
 
     const onRoomAvatarOrNameClick = (): void => {
diff --git a/src/voice-broadcast/components/molecules/VoiceBroadcastRecordingPip.tsx b/src/voice-broadcast/components/molecules/VoiceBroadcastRecordingPip.tsx
index 026cf40ce1..46ca3f9319 100644
--- a/src/voice-broadcast/components/molecules/VoiceBroadcastRecordingPip.tsx
+++ b/src/voice-broadcast/components/molecules/VoiceBroadcastRecordingPip.tsx
@@ -32,7 +32,7 @@ import { Icon as MicrophoneIcon } from "../../../../res/img/compound/mic-16px.sv
 import { _t } from "../../../languageHandler";
 import { useAudioDeviceSelection } from "../../../hooks/useAudioDeviceSelection";
 import { DevicesContextMenu } from "../../../components/views/audio_messages/DevicesContextMenu";
-import AccessibleTooltipButton from "../../../components/views/elements/AccessibleTooltipButton";
+import AccessibleButton from "../../../components/views/elements/AccessibleButton";
 
 interface VoiceBroadcastRecordingPipProps {
     recording: VoiceBroadcastRecording;
@@ -92,12 +92,12 @@ export const VoiceBroadcastRecordingPip: React.FC<VoiceBroadcastRecordingPipProp
         ) : (
             <div className="mx_VoiceBroadcastBody_controls">
                 {toggleControl}
-                <AccessibleTooltipButton
+                <AccessibleButton
                     onClick={(): void => setShowDeviceSelect(true)}
                     title={_t("voip|change_input_device")}
                 >
                     <MicrophoneIcon className="mx_Icon mx_Icon_16 mx_Icon_alert" />
-                </AccessibleTooltipButton>
+                </AccessibleButton>
                 <VoiceBroadcastControl
                     icon={<StopIcon className="mx_Icon mx_Icon_16" />}
                     label="Stop Recording"
diff --git a/test/components/views/voip/LegacyCallView/LegacyCallViewButtons-test.tsx b/test/components/views/voip/LegacyCallView/LegacyCallViewButtons-test.tsx
new file mode 100644
index 0000000000..5f0541fccf
--- /dev/null
+++ b/test/components/views/voip/LegacyCallView/LegacyCallViewButtons-test.tsx
@@ -0,0 +1,67 @@
+/*
+ *
+ * Copyright 2024 The Matrix.org Foundation C.I.C.
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *     http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * /
+ */
+
+import React from "react";
+import { render } from "@testing-library/react";
+import { MatrixCall } from "matrix-js-sdk/src/webrtc/call";
+
+import LegacyCallViewButtons from "../../../../../src/components/views/voip/LegacyCallView/LegacyCallViewButtons";
+import { createTestClient } from "../../../../test-utils";
+
+describe("LegacyCallViewButtons", () => {
+    const matrixClient = createTestClient();
+    const roomId = "test-room-id";
+
+    const renderButtons = () => {
+        const call = new MatrixCall({
+            client: matrixClient,
+            roomId,
+        });
+
+        return render(
+            <LegacyCallViewButtons
+                call={call}
+                handlers={{
+                    onScreenshareClick: jest.fn(),
+                    onToggleSidebarClick: jest.fn(),
+                    onHangupClick: jest.fn(),
+                    onMicMuteClick: jest.fn(),
+                    onVidMuteClick: jest.fn(),
+                }}
+                buttonsVisibility={{
+                    vidMute: true,
+                    screensharing: true,
+                    sidebar: true,
+                    contextMenu: true,
+                    dialpad: true,
+                }}
+                buttonsState={{
+                    micMuted: false,
+                    vidMuted: false,
+                    sidebarShown: false,
+                    screensharing: false,
+                }}
+            />,
+        );
+    };
+
+    it("should render the buttons", () => {
+        const { container } = renderButtons();
+        expect(container).toMatchSnapshot();
+    });
+});
diff --git a/test/components/views/voip/LegacyCallView/__snapshots__/LegacyCallViewButtons-test.tsx.snap b/test/components/views/voip/LegacyCallView/__snapshots__/LegacyCallViewButtons-test.tsx.snap
new file mode 100644
index 0000000000..c773177bd2
--- /dev/null
+++ b/test/components/views/voip/LegacyCallView/__snapshots__/LegacyCallViewButtons-test.tsx.snap
@@ -0,0 +1,68 @@
+// Jest Snapshot v1, https://goo.gl/fbAQLP
+
+exports[`LegacyCallViewButtons should render the buttons 1`] = `
+<div>
+  <div
+    class="mx_LegacyCallViewButtons"
+  >
+    <div
+      aria-expanded="false"
+      aria-haspopup="true"
+      aria-label="Dialpad"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_dialpad"
+      role="button"
+      tabindex="0"
+    />
+    <div
+      aria-label="Mute microphone"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_mic mx_LegacyCallViewButtons_button_on"
+      role="button"
+      tabindex="0"
+    >
+      <div
+        class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_dropdownButton mx_LegacyCallViewButtons_dropdownButton_collapsed mx_LegacyCallViewButtons_button_on"
+        role="button"
+        tabindex="0"
+      />
+    </div>
+    <div
+      aria-label="Turn off camera"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_vid mx_LegacyCallViewButtons_button_on"
+      role="button"
+      tabindex="0"
+    >
+      <div
+        class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_dropdownButton mx_LegacyCallViewButtons_dropdownButton_collapsed mx_LegacyCallViewButtons_button_on"
+        role="button"
+        tabindex="0"
+      />
+    </div>
+    <div
+      aria-label="Start sharing your screen"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_screensharing mx_LegacyCallViewButtons_button_off"
+      role="button"
+      tabindex="0"
+    />
+    <div
+      aria-label="Show sidebar"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_sidebar mx_LegacyCallViewButtons_button_off"
+      role="button"
+      tabindex="0"
+    />
+    <div
+      aria-expanded="false"
+      aria-haspopup="true"
+      aria-label="More"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_more"
+      role="button"
+      tabindex="0"
+    />
+    <div
+      aria-label="Hangup"
+      class="mx_AccessibleButton mx_LegacyCallViewButtons_button mx_LegacyCallViewButtons_button_hangup"
+      role="button"
+      tabindex="0"
+    />
+  </div>
+</div>
+`;
diff --git a/test/test-utils/test-utils.ts b/test/test-utils/test-utils.ts
index 48a6f7e7dc..41bb04759c 100644
--- a/test/test-utils/test-utils.ts
+++ b/test/test-utils/test-utils.ts
@@ -271,6 +271,7 @@ export function createTestClient(): MatrixClient {
         getMediaConfig: jest.fn(),
         baseUrl: "https://matrix-client.matrix.org",
         matrixRTC: createStubMatrixRTC(),
+        isFallbackICEServerAllowed: jest.fn().mockReturnValue(false),
     } as unknown as MatrixClient;
 
     client.reEmitter = new ReEmitter(client);