diff --git a/homeassistant/components/lamarzocco/__init__.py b/homeassistant/components/lamarzocco/__init__.py
index ba37a7f90d7..0adfc4bebfe 100644
--- a/homeassistant/components/lamarzocco/__init__.py
+++ b/homeassistant/components/lamarzocco/__init__.py
@@ -9,6 +9,7 @@ from .coordinator import LaMarzoccoUpdateCoordinator
 
 PLATFORMS = [
     Platform.BINARY_SENSOR,
+    Platform.BUTTON,
     Platform.NUMBER,
     Platform.SELECT,
     Platform.SENSOR,
diff --git a/homeassistant/components/lamarzocco/button.py b/homeassistant/components/lamarzocco/button.py
new file mode 100644
index 00000000000..689250fa37b
--- /dev/null
+++ b/homeassistant/components/lamarzocco/button.py
@@ -0,0 +1,60 @@
+"""Button platform for La Marzocco espresso machines."""
+
+from collections.abc import Callable, Coroutine
+from dataclasses import dataclass
+from typing import Any
+
+from lmcloud import LMCloud as LaMarzoccoClient
+
+from homeassistant.components.button import ButtonEntity, ButtonEntityDescription
+from homeassistant.config_entries import ConfigEntry
+from homeassistant.core import HomeAssistant
+from homeassistant.helpers.entity_platform import AddEntitiesCallback
+
+from .const import DOMAIN
+from .entity import LaMarzoccoEntity, LaMarzoccoEntityDescription
+
+
+@dataclass(frozen=True, kw_only=True)
+class LaMarzoccoButtonEntityDescription(
+    LaMarzoccoEntityDescription,
+    ButtonEntityDescription,
+):
+    """Description of a La Marzocco button."""
+
+    press_fn: Callable[[LaMarzoccoClient], Coroutine[Any, Any, None]]
+
+
+ENTITIES: tuple[LaMarzoccoButtonEntityDescription, ...] = (
+    LaMarzoccoButtonEntityDescription(
+        key="start_backflush",
+        translation_key="start_backflush",
+        icon="mdi:water-sync",
+        press_fn=lambda lm: lm.start_backflush(),
+    ),
+)
+
+
+async def async_setup_entry(
+    hass: HomeAssistant,
+    config_entry: ConfigEntry,
+    async_add_entities: AddEntitiesCallback,
+) -> None:
+    """Set up button entities."""
+
+    coordinator = hass.data[DOMAIN][config_entry.entry_id]
+    async_add_entities(
+        LaMarzoccoButtonEntity(coordinator, description)
+        for description in ENTITIES
+        if description.supported_fn(coordinator)
+    )
+
+
+class LaMarzoccoButtonEntity(LaMarzoccoEntity, ButtonEntity):
+    """La Marzocco Button Entity."""
+
+    entity_description: LaMarzoccoButtonEntityDescription
+
+    async def async_press(self) -> None:
+        """Press button."""
+        await self.entity_description.press_fn(self.coordinator.lm)
diff --git a/homeassistant/components/lamarzocco/strings.json b/homeassistant/components/lamarzocco/strings.json
index fc326b41666..7537405c6cd 100644
--- a/homeassistant/components/lamarzocco/strings.json
+++ b/homeassistant/components/lamarzocco/strings.json
@@ -51,6 +51,11 @@
         "name": "Water tank empty"
       }
     },
+    "button": {
+      "start_backflush": {
+        "name": "Start backflush"
+      }
+    },
     "number": {
       "coffee_temp": {
         "name": "Coffee target temperature"
diff --git a/tests/components/lamarzocco/snapshots/test_button.ambr b/tests/components/lamarzocco/snapshots/test_button.ambr
new file mode 100644
index 00000000000..e092032e8f5
--- /dev/null
+++ b/tests/components/lamarzocco/snapshots/test_button.ambr
@@ -0,0 +1,45 @@
+# serializer version: 1
+# name: test_start_backflush
+  StateSnapshot({
+    'attributes': ReadOnlyDict({
+      'friendly_name': 'GS01234 Start backflush',
+      'icon': 'mdi:water-sync',
+    }),
+    'context': <ANY>,
+    'entity_id': 'button.gs01234_start_backflush',
+    'last_changed': <ANY>,
+    'last_updated': <ANY>,
+    'state': 'unknown',
+  })
+# ---
+# name: test_start_backflush.1
+  EntityRegistryEntrySnapshot({
+    'aliases': set({
+    }),
+    'area_id': None,
+    'capabilities': None,
+    'config_entry_id': <ANY>,
+    'device_class': None,
+    'device_id': <ANY>,
+    'disabled_by': None,
+    'domain': 'button',
+    'entity_category': None,
+    'entity_id': 'button.gs01234_start_backflush',
+    'has_entity_name': True,
+    'hidden_by': None,
+    'icon': None,
+    'id': <ANY>,
+    'name': None,
+    'options': dict({
+    }),
+    'original_device_class': None,
+    'original_icon': 'mdi:water-sync',
+    'original_name': 'Start backflush',
+    'platform': 'lamarzocco',
+    'previous_unique_id': None,
+    'supported_features': 0,
+    'translation_key': 'start_backflush',
+    'unique_id': 'GS01234_start_backflush',
+    'unit_of_measurement': None,
+  })
+# ---
diff --git a/tests/components/lamarzocco/test_button.py b/tests/components/lamarzocco/test_button.py
new file mode 100644
index 00000000000..7d910a57561
--- /dev/null
+++ b/tests/components/lamarzocco/test_button.py
@@ -0,0 +1,45 @@
+"""Tests for the La Marzocco Buttons."""
+
+
+from unittest.mock import MagicMock
+
+import pytest
+from syrupy import SnapshotAssertion
+
+from homeassistant.components.button import DOMAIN as BUTTON_DOMAIN, SERVICE_PRESS
+from homeassistant.const import ATTR_ENTITY_ID
+from homeassistant.core import HomeAssistant
+from homeassistant.helpers import entity_registry as er
+
+pytestmark = pytest.mark.usefixtures("init_integration")
+
+
+async def test_start_backflush(
+    hass: HomeAssistant,
+    mock_lamarzocco: MagicMock,
+    entity_registry: er.EntityRegistry,
+    snapshot: SnapshotAssertion,
+) -> None:
+    """Test the La Marzocco backflush button."""
+
+    serial_number = mock_lamarzocco.serial_number
+
+    state = hass.states.get(f"button.{serial_number}_start_backflush")
+    assert state
+    assert state == snapshot
+
+    entry = entity_registry.async_get(state.entity_id)
+    assert entry
+    assert entry == snapshot
+
+    await hass.services.async_call(
+        BUTTON_DOMAIN,
+        SERVICE_PRESS,
+        {
+            ATTR_ENTITY_ID: f"button.{serial_number}_start_backflush",
+        },
+        blocking=True,
+    )
+
+    assert len(mock_lamarzocco.start_backflush.mock_calls) == 1
+    mock_lamarzocco.start_backflush.assert_called_once()