diff --git a/homeassistant/components/radarr/__init__.py b/homeassistant/components/radarr/__init__.py
index c4845f1ba30..a36929d7435 100644
--- a/homeassistant/components/radarr/__init__.py
+++ b/homeassistant/components/radarr/__init__.py
@@ -17,7 +17,7 @@ from homeassistant.const import (
 from homeassistant.core import HomeAssistant
 from homeassistant.helpers.aiohttp_client import async_get_clientsession
 from homeassistant.helpers.device_registry import DeviceEntryType
-from homeassistant.helpers.entity import DeviceInfo
+from homeassistant.helpers.entity import DeviceInfo, EntityDescription
 from homeassistant.helpers.issue_registry import IssueSeverity, async_create_issue
 from homeassistant.helpers.typing import ConfigType
 from homeassistant.helpers.update_coordinator import CoordinatorEntity
@@ -25,12 +25,13 @@ from homeassistant.helpers.update_coordinator import CoordinatorEntity
 from .const import DEFAULT_NAME, DOMAIN
 from .coordinator import (
     DiskSpaceDataUpdateCoordinator,
+    HealthDataUpdateCoordinator,
     MoviesDataUpdateCoordinator,
     RadarrDataUpdateCoordinator,
     StatusDataUpdateCoordinator,
 )
 
-PLATFORMS = [Platform.SENSOR]
+PLATFORMS = [Platform.BINARY_SENSOR, Platform.SENSOR]
 
 
 async def async_setup(hass: HomeAssistant, config: ConfigType) -> bool:
@@ -76,6 +77,7 @@ async def async_setup_entry(hass: HomeAssistant, entry: ConfigEntry) -> bool:
     coordinators: dict[str, RadarrDataUpdateCoordinator] = {
         "status": StatusDataUpdateCoordinator(hass, host_configuration, radarr),
         "disk_space": DiskSpaceDataUpdateCoordinator(hass, host_configuration, radarr),
+        "health": HealthDataUpdateCoordinator(hass, host_configuration, radarr),
         "movie": MoviesDataUpdateCoordinator(hass, host_configuration, radarr),
     }
     for coordinator in coordinators.values():
@@ -98,6 +100,17 @@ class RadarrEntity(CoordinatorEntity[RadarrDataUpdateCoordinator]):
 
     coordinator: RadarrDataUpdateCoordinator
 
+    def __init__(
+        self,
+        coordinator: RadarrDataUpdateCoordinator,
+        description: EntityDescription,
+    ) -> None:
+        """Create Radarr entity."""
+        super().__init__(coordinator)
+        self.entity_description = description
+        self._attr_name = f"{DEFAULT_NAME} {description.name}"
+        self._attr_unique_id = f"{coordinator.config_entry.entry_id}_{description.key}"
+
     @property
     def device_info(self) -> DeviceInfo:
         """Return device information about the Radarr instance."""
diff --git a/homeassistant/components/radarr/binary_sensor.py b/homeassistant/components/radarr/binary_sensor.py
new file mode 100644
index 00000000000..2a1a729e6f4
--- /dev/null
+++ b/homeassistant/components/radarr/binary_sensor.py
@@ -0,0 +1,41 @@
+"""Support for Radarr binary sensors."""
+from __future__ import annotations
+
+from homeassistant.components.binary_sensor import (
+    BinarySensorDeviceClass,
+    BinarySensorEntity,
+    BinarySensorEntityDescription,
+)
+from homeassistant.config_entries import ConfigEntry
+from homeassistant.core import HomeAssistant
+from homeassistant.helpers.entity import EntityCategory
+from homeassistant.helpers.entity_platform import AddEntitiesCallback
+
+from . import RadarrEntity
+from .const import DOMAIN, HEALTH_ISSUES
+
+BINARY_SENSOR_TYPE = BinarySensorEntityDescription(
+    key="health",
+    name="Health",
+    entity_category=EntityCategory.DIAGNOSTIC,
+    device_class=BinarySensorDeviceClass.PROBLEM,
+)
+
+
+async def async_setup_entry(
+    hass: HomeAssistant,
+    entry: ConfigEntry,
+    async_add_entities: AddEntitiesCallback,
+) -> None:
+    """Set up Radarr sensors based on a config entry."""
+    coordinator = hass.data[DOMAIN][entry.entry_id]["health"]
+    async_add_entities([RadarrBinarySensor(coordinator, BINARY_SENSOR_TYPE)])
+
+
+class RadarrBinarySensor(RadarrEntity, BinarySensorEntity):
+    """Implementation of a Radarr binary sensor."""
+
+    @property
+    def is_on(self) -> bool:
+        """Return True if the entity is on."""
+        return any(report.source in HEALTH_ISSUES for report in self.coordinator.data)
diff --git a/homeassistant/components/radarr/const.py b/homeassistant/components/radarr/const.py
index b3320cf63a4..b77e134ca34 100644
--- a/homeassistant/components/radarr/const.py
+++ b/homeassistant/components/radarr/const.py
@@ -8,4 +8,11 @@ DOMAIN: Final = "radarr"
 DEFAULT_NAME = "Radarr"
 DEFAULT_URL = "http://127.0.0.1:7878"
 
+HEALTH_ISSUES = (
+    "DownloadClientCheck",
+    "DownloadClientStatusCheck",
+    "IndexerRssCheck",
+    "IndexerSearchCheck",
+)
+
 LOGGER = logging.getLogger(__package__)
diff --git a/homeassistant/components/radarr/coordinator.py b/homeassistant/components/radarr/coordinator.py
index a13637f84b1..06ea32e790f 100644
--- a/homeassistant/components/radarr/coordinator.py
+++ b/homeassistant/components/radarr/coordinator.py
@@ -5,7 +5,7 @@ from abc import abstractmethod
 from datetime import timedelta
 from typing import Generic, TypeVar, cast
 
-from aiopyarr import RootFolder, SystemStatus, exceptions
+from aiopyarr import Health, RootFolder, SystemStatus, exceptions
 from aiopyarr.models.host_configuration import PyArrHostConfiguration
 from aiopyarr.radarr_client import RadarrClient
 
@@ -16,7 +16,7 @@ from homeassistant.helpers.update_coordinator import DataUpdateCoordinator, Upda
 
 from .const import DOMAIN, LOGGER
 
-T = TypeVar("T", SystemStatus, list[RootFolder], int)
+T = TypeVar("T", SystemStatus, list[RootFolder], list[Health], int)
 
 
 class RadarrDataUpdateCoordinator(DataUpdateCoordinator, Generic[T]):
@@ -74,6 +74,14 @@ class DiskSpaceDataUpdateCoordinator(RadarrDataUpdateCoordinator):
         return cast(list, await self.api_client.async_get_root_folders())
 
 
+class HealthDataUpdateCoordinator(RadarrDataUpdateCoordinator):
+    """Health update coordinator."""
+
+    async def _fetch_data(self) -> list[Health]:
+        """Fetch the health data."""
+        return await self.api_client.async_get_failed_health_checks()
+
+
 class MoviesDataUpdateCoordinator(RadarrDataUpdateCoordinator):
     """Movies update coordinator."""
 
diff --git a/homeassistant/components/radarr/sensor.py b/homeassistant/components/radarr/sensor.py
index 5a716c9d263..e424844c602 100644
--- a/homeassistant/components/radarr/sensor.py
+++ b/homeassistant/components/radarr/sensor.py
@@ -35,7 +35,7 @@ from homeassistant.helpers.entity_platform import AddEntitiesCallback
 from homeassistant.helpers.typing import ConfigType, DiscoveryInfoType, StateType
 
 from . import RadarrEntity
-from .const import DEFAULT_NAME, DOMAIN
+from .const import DOMAIN
 from .coordinator import RadarrDataUpdateCoordinator, T
 
 
@@ -182,10 +182,7 @@ class RadarrSensor(RadarrEntity, SensorEntity):
         folder_name: str = "",
     ) -> None:
         """Create Radarr entity."""
-        super().__init__(coordinator)
-        self.entity_description = description
-        self._attr_name = f"{DEFAULT_NAME} {description.name}"
-        self._attr_unique_id = f"{coordinator.config_entry.entry_id}_{description.key}"
+        super().__init__(coordinator, description)
         self.folder_name = folder_name
 
     @property
diff --git a/tests/components/radarr/__init__.py b/tests/components/radarr/__init__.py
index c631291b37b..639d548e4be 100644
--- a/tests/components/radarr/__init__.py
+++ b/tests/components/radarr/__init__.py
@@ -82,6 +82,12 @@ def mock_connection(
         headers={"Content-Type": CONTENT_TYPE_JSON},
     )
 
+    aioclient_mock.get(
+        f"{url}/api/v3/health",
+        text=load_fixture("radarr/health.json"),
+        headers={"Content-Type": CONTENT_TYPE_JSON},
+    )
+
     if windows:
         aioclient_mock.get(
             f"{url}/api/v3/rootfolder",
diff --git a/tests/components/radarr/fixtures/health.json b/tests/components/radarr/fixtures/health.json
new file mode 100644
index 00000000000..6cb6adbab1a
--- /dev/null
+++ b/tests/components/radarr/fixtures/health.json
@@ -0,0 +1,8 @@
+[
+  {
+    "source": "DownloadClientStatusCheck",
+    "type": "error",
+    "message": "All download clients are unavailable due to failures",
+    "wikiUrl": "https://wiki.servarr.com/radarr/system#completed-failed-download-handling"
+  }
+]
diff --git a/tests/components/radarr/test_binary_sensor.py b/tests/components/radarr/test_binary_sensor.py
new file mode 100644
index 00000000000..e53f7c33163
--- /dev/null
+++ b/tests/components/radarr/test_binary_sensor.py
@@ -0,0 +1,17 @@
+"""The tests for Radarr binary sensor platform."""
+from homeassistant.components.binary_sensor import BinarySensorDeviceClass
+from homeassistant.const import ATTR_DEVICE_CLASS, STATE_ON
+from homeassistant.core import HomeAssistant
+
+from . import setup_integration
+
+from tests.test_util.aiohttp import AiohttpClientMocker
+
+
+async def test_binary_sensors(hass: HomeAssistant, aioclient_mock: AiohttpClientMocker):
+    """Test for binary sensor values."""
+    await setup_integration(hass, aioclient_mock)
+
+    state = hass.states.get("binary_sensor.radarr_health")
+    assert state.state == STATE_ON
+    assert state.attributes.get(ATTR_DEVICE_CLASS) == BinarySensorDeviceClass.PROBLEM