diff --git a/esphome/components/lvgl/binary_sensor/__init__.py b/esphome/components/lvgl/binary_sensor/__init__.py
index f9df7d23fa3..aa68e764211 100644
--- a/esphome/components/lvgl/binary_sensor/__init__.py
+++ b/esphome/components/lvgl/binary_sensor/__init__.py
@@ -4,15 +4,25 @@ from esphome.components.binary_sensor import (
     new_binary_sensor,
 )
 import esphome.config_validation as cv
+from esphome.const import CONF_STATE
 
-from ..defines import CONF_WIDGET
-from ..lvcode import EVENT_ARG, LambdaContext, LvContext, lvgl_static
-from ..types import LV_EVENT, lv_pseudo_button_t
+from ..defines import CONF_WIDGET, LV_OBJ_FLAG, LvConstant
+from ..lvcode import EVENT_ARG, UPDATE_EVENT, LambdaContext, LvContext, lvgl_static
+from ..types import LV_EVENT, LV_STATE, lv_pseudo_button_t
 from ..widgets import Widget, get_widgets, wait_for_widgets
 
+STATE_PRESSED = "PRESSED"
+STATE_CHECKED = "CHECKED"
+
+BS_STATE = LvConstant(
+    "LV_STATE_",
+    STATE_PRESSED,
+    STATE_CHECKED,
+)
 CONFIG_SCHEMA = binary_sensor_schema(BinarySensor).extend(
     {
         cv.Required(CONF_WIDGET): cv.use_id(lv_pseudo_button_t),
+        cv.Optional(CONF_STATE, default=STATE_PRESSED): BS_STATE.one_of,
     }
 )
 
@@ -22,16 +32,23 @@ async def to_code(config):
     widget = await get_widgets(config, CONF_WIDGET)
     widget = widget[0]
     assert isinstance(widget, Widget)
+    state = await BS_STATE.process(config[CONF_STATE])
     await wait_for_widgets()
-    async with LambdaContext(EVENT_ARG) as pressed_ctx:
-        pressed_ctx.add(sensor.publish_state(widget.is_pressed()))
+    is_pressed = str(state) == str(LV_STATE.PRESSED)
+    test_expr = widget.is_pressed() if is_pressed else widget.is_checked()
+    async with LambdaContext(EVENT_ARG) as test_ctx:
+        test_ctx.add(sensor.publish_state(test_expr))
     async with LvContext() as ctx:
-        ctx.add(sensor.publish_initial_state(widget.is_pressed()))
+        ctx.add(sensor.publish_initial_state(test_expr))
+        if is_pressed:
+            events = [LV_EVENT.PRESSED, LV_EVENT.RELEASED]
+            widget.add_flag(LV_OBJ_FLAG.CLICKABLE)
+        else:
+            events = [LV_EVENT.VALUE_CHANGED, UPDATE_EVENT]
         ctx.add(
             lvgl_static.add_event_cb(
                 widget.obj,
-                await pressed_ctx.get_lambda(),
-                LV_EVENT.PRESSED,
-                LV_EVENT.RELEASED,
+                await test_ctx.get_lambda(),
+                *events,
             )
         )
diff --git a/tests/components/lvgl/lvgl-package.yaml b/tests/components/lvgl/lvgl-package.yaml
index d3565c6c59a..d6e237199ae 100644
--- a/tests/components/lvgl/lvgl-package.yaml
+++ b/tests/components/lvgl/lvgl-package.yaml
@@ -16,10 +16,19 @@ binary_sensor:
     platform: template
   - id: left_sensor
     platform: template
+  - platform: lvgl
+    name: Button A pressed
+    widget: button_a
+    state: pressed
+  - platform: lvgl
+    name: Button A checked
+    widget: button_a
+    state: checked
   - platform: lvgl
     id: button_checker
     name: LVGL button
     widget: button_button
+    state: checked
     on_state:
       then:
         - lvgl.checkbox.update:
@@ -29,6 +38,12 @@ binary_sensor:
                   auto y = x; // block inlining of one line return
                   return y;
 
+  - platform: lvgl
+    id: button_presser
+    name: Button pressed
+    widget: button_button
+    state: pressed
+
 lvgl:
   id: lvgl_id
   rotation: 90