diff --git a/newsfragments/6209.changed.md b/newsfragments/6209.changed.md
new file mode 100644
index 00000000000..bce8ccdfcf2
--- /dev/null
+++ b/newsfragments/6209.changed.md
@@ -0,0 +1 @@
+Improved introspection for `create_exception!` types, and stub generation now works for them.
diff --git a/pyo3-macros-backend/src/exception.rs b/pyo3-macros-backend/src/exception.rs
new file mode 100644
index 00000000000..ec567ec40c6
--- /dev/null
+++ b/pyo3-macros-backend/src/exception.rs
@@ -0,0 +1,65 @@
+use proc_macro2::TokenStream;
+use syn::parse::Parse;
+use syn::{Expr, Ident, Path, Token};
+
+use crate::introspection::class_introspection_code;
+use crate::py_expr::PyExpr;
+use crate::utils::{PyO3CratePath, PythonDoc, StrOrExpr};
+
+pub struct ExceptionIntrospectionArgs {
+    crate_path: Path,
+    name: Ident,
+    base: Path, // the super class of this exception
+    doc: Option<Expr>,
+}
+
+impl Parse for ExceptionIntrospectionArgs {
+    fn parse(input: syn::parse::ParseStream<'_>) -> syn::Result<Self> {
+        let crate_path = input.parse()?;
+        input.parse::<Token![,]>()?;
+        let name = input.parse()?;
+        input.parse::<Token![,]>()?;
+        let base = input.parse()?;
+        let doc = if input.parse::<Option<Token![,]>>()?.is_some() {
+            Some(input.parse()?)
+        } else {
+            None
+        };
+
+        Ok(Self {
+            crate_path,
+            name,
+            base,
+            doc,
+        })
+    }
+}
+
+pub fn build_exception_introspection(
+    ExceptionIntrospectionArgs {
+        crate_path,
+        name,
+        base,
+        doc,
+    }: ExceptionIntrospectionArgs,
+) -> TokenStream {
+    let doc = doc.map(|doc| PythonDoc {
+        parts: vec![StrOrExpr::Expr(doc)],
+    });
+    class_introspection_code(
+        &PyO3CratePath::Given(crate_path),
+        &name,
+        &name.to_string(),
+        Some(PyExpr::from_type(
+            syn::TypePath {
+                qself: None,
+                path: base,
+            }
+            .into(),
+            None,
+        )),
+        false,
+        None,
+        doc.as_ref(),
+    )
+}
diff --git a/pyo3-macros-backend/src/lib.rs b/pyo3-macros-backend/src/lib.rs
index a90fa73678e..1f192abcf13 100644
--- a/pyo3-macros-backend/src/lib.rs
+++ b/pyo3-macros-backend/src/lib.rs
@@ -11,6 +11,8 @@ mod utils;
 mod attributes;
 mod combine_errors;
 mod derive_attributes;
+#[cfg(feature = "experimental-inspect")]
+mod exception;
 mod frompyobject;
 mod intopyobject;
 #[cfg(feature = "experimental-inspect")]
@@ -27,6 +29,8 @@ mod pyimpl;
 mod pymethod;
 mod quotes;
 
+#[cfg(feature = "experimental-inspect")]
+pub use exception::{build_exception_introspection, ExceptionIntrospectionArgs};
 pub use frompyobject::build_derive_from_pyobject;
 pub use intopyobject::build_derive_into_pyobject;
 pub use module::{pymodule_function_impl, pymodule_module_impl, PyModuleOptions};
diff --git a/pyo3-macros/src/lib.rs b/pyo3-macros/src/lib.rs
index bba07366b3c..12ca55c0fe6 100644
--- a/pyo3-macros/src/lib.rs
+++ b/pyo3-macros/src/lib.rs
@@ -123,6 +123,14 @@ pub fn pymethods(attr: TokenStream, input: TokenStream) -> TokenStream {
     pymethods_impl(attr, input, methods_type)
 }
 
+#[doc(hidden)]
+#[proc_macro]
+#[cfg(feature = "experimental-inspect")]
+pub fn exception_introspection_impl(input: TokenStream) -> TokenStream {
+    let args = parse_macro_input!(input as pyo3_macros_backend::ExceptionIntrospectionArgs);
+    pyo3_macros_backend::build_exception_introspection(args).into()
+}
+
 /// A proc macro used to expose Rust functions to Python.
 ///
 /// Functions annotated with `#[pyfunction]` can also be annotated with the following `#[pyo3]`
diff --git a/pytests/stubs/exception.pyi b/pytests/stubs/exception.pyi
index 47e86d914c5..dbd975d07a8 100644
--- a/pytests/stubs/exception.pyi
+++ b/pytests/stubs/exception.pyi
@@ -1,8 +1,6 @@
-from _typeshed import Incomplete
-from typing import Any
+class MyValueError(ValueError): ...
 
 def raise_my_value_error() -> None: ...
-def return_my_value_error() -> Any: ...
+def return_my_value_error() -> MyValueError: ...
 def return_pyerr() -> BaseException: ...
 def return_value_error() -> ValueError: ...
-def __getattr__(name: str) -> Incomplete: ...
diff --git a/src/exceptions.rs b/src/exceptions.rs
index 060c8132176..fa0a81553f6 100644
--- a/src/exceptions.rs
+++ b/src/exceptions.rs
@@ -171,6 +171,8 @@ macro_rules! create_exception {
         $crate::impl_exception_boilerplate!($name);
 
         $crate::create_exception_type_object!($module, $name, $base, None);
+
+        $crate::create_exception_introspection!($name, $base);
     };
     ($module: expr, $name: ident, $base: ty, $doc: expr) => {
         #[repr(transparent)]
@@ -180,6 +182,8 @@ macro_rules! create_exception {
         $crate::impl_exception_boilerplate!($name);
 
         $crate::create_exception_type_object!($module, $name, $base, Some($doc));
+
+        $crate::create_exception_introspection!($name, $base, $doc);
     };
 }
 
@@ -249,6 +253,22 @@ macro_rules! create_exception_type_object {
     };
 }
 
+#[cfg(not(all(feature = "experimental-inspect", feature = "macros")))]
+#[doc(hidden)]
+#[macro_export]
+macro_rules! create_exception_introspection(
+    ($name: ident, $base: ty $(, $doc: expr)?) => {};
+);
+
+#[cfg(all(feature = "experimental-inspect", feature = "macros"))]
+#[doc(hidden)]
+#[macro_export]
+macro_rules! create_exception_introspection(
+    ($name: ident, $base: ty $(, $doc: expr)?) => {
+        $crate::exception_introspection_impl!($crate, $name, $base $(, $doc)?);
+    };
+);
+
 /// Adds a TYPE_HINT constant if the `experimental-inspect`  feature is enabled.
 #[cfg(not(feature = "experimental-inspect"))]
 #[doc(hidden)]
diff --git a/src/lib.rs b/src/lib.rs
index b9fce6cf463..13b47b74722 100644
--- a/src/lib.rs
+++ b/src/lib.rs
@@ -469,6 +469,10 @@ pub use pyo3_macros::{
 #[cfg(feature = "macros")]
 pub use pyo3_macros::pyclass;
 
+#[doc(hidden)]
+#[cfg(all(feature = "macros", feature = "experimental-inspect"))]
+pub use pyo3_macros::exception_introspection_impl;
+
 #[cfg(feature = "macros")]
 #[macro_use]
 mod macros;