diff --git a/core/src/components/textarea/test/a11y/index.html b/core/src/components/textarea/test/a11y/index.html
index f210a9e08c6..e794127e249 100644
--- a/core/src/components/textarea/test/a11y/index.html
+++ b/core/src/components/textarea/test/a11y/index.html
@@ -21,7 +21,15 @@ <h1>Textarea - a11y</h1>
       <ion-textarea label="Email" label-placement="stacked" value="hi@ionic.io"></ion-textarea>
       <ion-textarea label="Email" label-placement="floating"></ion-textarea>
       <ion-textarea label="Email" label-placement="floating" fill="outline" value="hi@ionic.io"></ion-textarea> <br />
-      <ion-textarea label="Email" label-placement="floating" fill="solid" value="hi@ionic.io"></ion-textarea>
+      <ion-textarea label="Email" label-placement="floating" fill="solid" value="hi@ionic.io"></ion-textarea><br />
+      <ion-textarea label="Email" label-placement="floating" fill="solid" value="hi@ionic.io">
+        <ion-button slot="start" aria-label="button">
+          <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+        </ion-button>
+        <ion-button slot="end" aria-label="button">
+          <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+        </ion-button>
+      </ion-textarea>
     </main>
   </body>
 </html>
diff --git a/core/src/components/textarea/test/slot/index.html b/core/src/components/textarea/test/slot/index.html
index 23fe260c7c7..2babac8f6b2 100644
--- a/core/src/components/textarea/test/slot/index.html
+++ b/core/src/components/textarea/test/slot/index.html
@@ -51,51 +51,184 @@
       <ion-content id="content" class="ion-padding">
         <div class="grid">
           <div class="grid-item">
-            <h2>No Fill / Start</h2>
+            <h2>No Fill / Start Label</h2>
             <ion-textarea label-placement="start" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>Solid / Start</h2>
+            <h2>Solid / Start Label</h2>
             <ion-textarea label-placement="start" fill="solid" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>Outline / Start</h2>
+            <h2>Outline / Start Label</h2>
             <ion-textarea label-placement="start" fill="outline" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>No Fill / Floating</h2>
+            <h2>No Fill / Floating Label</h2>
             <ion-textarea label-placement="floating" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>Solid / Floating</h2>
+            <h2>Solid / Floating Label</h2>
             <ion-textarea label-placement="floating" fill="solid" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>Outline / Floating</h2>
+            <h2>Outline / Floating Label</h2>
             <ion-textarea label-placement="floating" fill="outline" value="hi@ionic.io">
               <div slot="label">Email <span class="required">*</span></div>
             </ion-textarea>
           </div>
 
           <div class="grid-item">
-            <h2>Outline / Floating / Async</h2>
+            <h2>No Fill / Start Label / Buttons</h2>
+            <ion-textarea label-placement="start" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Solid / Start Label / Buttons</h2>
+            <ion-textarea label-placement="start" fill="solid" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Start Label / Buttons</h2>
+            <ion-textarea label-placement="start" fill="outline" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>No Fill / Floating Label / Buttons</h2>
+            <ion-textarea label-placement="floating" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Solid / Floating Label / Buttons</h2>
+            <ion-textarea label-placement="floating" fill="solid" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Floating Label / Buttons</h2>
+            <ion-textarea label-placement="floating" fill="outline" value="hi@ionic.io" label="Email">
+              <ion-button fill="clear" slot="start" aria-label="Lock">
+                <ion-icon slot="icon-only" name="lock-closed" aria-hidden="true"></ion-icon>
+              </ion-button>
+              <ion-button fill="clear" slot="end" aria-label="Show/hide password">
+                <ion-icon slot="icon-only" name="eye" aria-hidden="true"></ion-icon>
+              </ion-button>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>No Fill / Start Label / Decorations</h2>
+            <ion-textarea label-placement="start" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Solid / Start Label / Decorations</h2>
+            <ion-textarea label-placement="start" fill="solid" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Start Label / Decorations</h2>
+            <ion-textarea label-placement="start" fill="outline" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>No Fill / Floating Label / Decorations</h2>
+            <ion-textarea label-placement="floating" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Solid / Floating Label / Decorations</h2>
+            <ion-textarea label-placement="floating" fill="solid" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Floating Label / Decorations</h2>
+            <ion-textarea label-placement="floating" fill="outline" value="100" label="Weight">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Async Label</h2>
             <ion-textarea id="solid-async" label-placement="floating" fill="outline" value="hi@ionic.io"></ion-textarea>
           </div>
+
+          <div class="grid-item">
+            <h2>Outline / Async Decorations</h2>
+            <ion-textarea id="async-decorations" label-placement="floating" fill="outline" label="Email"></ion-textarea>
+          </div>
+
+          <div class="grid-item">
+            <h2>Outline / Autogrow / Decorations</h2>
+            <ion-textarea label-placement="start" fill="outline" label="Email" auto-grow="true" value="hi@ionic.io">
+              <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+              <ion-label slot="end">lbs</ion-label>
+            </ion-textarea>
+          </div>
         </div>
 
         <ion-button onclick="addSlot()">Add Slotted Content</ion-button>
@@ -106,29 +239,65 @@ <h2>Outline / Floating / Async</h2>
 
     <script>
       const solidAsync = document.querySelector('#solid-async');
+      const asyncDecos = document.querySelector('#async-decorations');
 
-      const getSlottedContent = () => {
+      const getSlottedLabel = () => {
         return solidAsync.querySelector('[slot="label"]');
       };
 
+      const getSlottedStartDeco = () => {
+        return asyncDecos.querySelector('[slot="start"]');
+      };
+
+      const getSlottedEndDeco = () => {
+        return asyncDecos.querySelector('[slot="end"]');
+      };
+
       const addSlot = () => {
-        if (getSlottedContent() === null) {
+        if (getSlottedLabel() === null) {
           const labelEl = document.createElement('div');
           labelEl.slot = 'label';
           labelEl.innerHTML = 'Comments <span class="required">*</span>';
 
           solidAsync.appendChild(labelEl);
         }
+
+        if (getSlottedStartDeco() === null) {
+          const startEl = document.createElement('div');
+          startEl.slot = 'start';
+          startEl.innerHTML = 'Start';
+
+          asyncDecos.insertAdjacentElement('afterbegin', startEl);
+        }
+
+        if (getSlottedEndDeco() === null) {
+          const endEl = document.createElement('div');
+          endEl.slot = 'end';
+          endEl.innerHTML = 'End';
+
+          asyncDecos.insertAdjacentElement('beforeend', endEl);
+        }
       };
 
       const removeSlot = () => {
-        if (getSlottedContent() !== null) {
-          solidAsync.querySelector('[slot="label"]').remove();
+        const slottedLabel = getSlottedLabel();
+        if (slottedLabel !== null) {
+          slottedLabel.remove();
+        }
+
+        const slottedStartDeco = getSlottedStartDeco();
+        if (slottedStartDeco !== null) {
+          slottedStartDeco.remove();
+        }
+
+        const slottedEndDeco = getSlottedEndDeco();
+        if (slottedEndDeco !== null) {
+          slottedEndDeco.remove();
         }
       };
 
       const updateSlot = () => {
-        const slottedContent = getSlottedContent();
+        const slottedContent = getSlottedLabel();
 
         if (slottedContent !== null) {
           slottedContent.textContent = 'This is my really really really long text';
diff --git a/core/src/components/textarea/test/slot/textarea.e2e.ts b/core/src/components/textarea/test/slot/textarea.e2e.ts
new file mode 100644
index 00000000000..969fd2ebe74
--- /dev/null
+++ b/core/src/components/textarea/test/slot/textarea.e2e.ts
@@ -0,0 +1,68 @@
+import { expect } from '@playwright/test';
+import { configs, test } from '@utils/test/playwright';
+
+configs().forEach(({ title, screenshot, config }) => {
+  test.describe(title('textarea: start and end slots (visual checks)'), () => {
+    test('should not have visual regressions with a start-positioned label', async ({ page }) => {
+      await page.setContent(
+        `
+          <ion-textarea label-placement="start" fill="solid" value="100" label="Weight">
+            <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+            <ion-label slot="end">lbs</ion-label>
+          </ion-textarea>
+        `,
+        config
+      );
+
+      const textarea = page.locator('ion-textarea');
+      await expect(textarea).toHaveScreenshot(screenshot(`textarea-slots-label-start`));
+    });
+
+    test('should not have visual regressions with a floating label', async ({ page }) => {
+      await page.setContent(
+        `
+          <ion-textarea label-placement="floating" fill="solid" value="100" label="Weight">
+            <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+            <ion-label slot="end">lbs</ion-label>
+          </ion-textarea>
+        `,
+        config
+      );
+
+      const textarea = page.locator('ion-textarea');
+      await expect(textarea).toHaveScreenshot(screenshot(`textarea-slots-label-floating`));
+    });
+  });
+});
+
+configs({ modes: ['md'], directions: ['ltr'] }).forEach(({ title, config }) => {
+  test.describe(title('textarea: start and end slots (functionality checks)'), () => {
+    test('should raise floating label when there is content in the start slot', async ({ page }) => {
+      await page.setContent(
+        `
+          <ion-textarea label-placement="floating" fill="solid" label="Weight">
+            <ion-icon slot="start" name="barbell" aria-hidden="true"></ion-icon>
+          </ion-textarea>
+        `,
+        config
+      );
+
+      const textarea = page.locator('ion-textarea');
+      await expect(textarea).toHaveClass(/label-floating/);
+    });
+
+    test('should raise floating label when there is content in the end slot', async ({ page }) => {
+      await page.setContent(
+        `
+          <ion-textarea label-placement="floating" fill="solid" label="Weight">
+            <ion-icon slot="end" name="barbell" aria-hidden="true"></ion-icon>
+          </ion-textarea>
+        `,
+        config
+      );
+
+      const textarea = page.locator('ion-textarea');
+      await expect(textarea).toHaveClass(/label-floating/);
+    });
+  });
+});
diff --git a/core/src/components/textarea/test/slot/textarea.e2e.ts-snapshots/textarea-slots-label-floating-ios-ltr-Mobile-Chrome-linux.png b/core/src/components/textarea/test/slot/textarea.e2e.ts-snapshots/textarea-slots-label-floating-ios-ltr-Mobile-Chrome-linux.png
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diff --git a/core/src/components/textarea/textarea.md.outline.scss b/core/src/components/textarea/textarea.md.outline.scss
index aa84d431e7f..1e91bb02cb2 100644
--- a/core/src/components/textarea/textarea.md.outline.scss
+++ b/core/src/components/textarea/textarea.md.outline.scss
@@ -89,9 +89,7 @@
 /**
  * This makes the label sit above the textarea.
  */
-:host(.has-focus.textarea-fill-outline.textarea-label-placement-floating) .label-text-wrapper,
-:host(.has-value.textarea-fill-outline.textarea-label-placement-floating) .label-text-wrapper,
-:host(.textarea-fill-outline.textarea-label-placement-stacked) .label-text-wrapper {
+:host(.label-floating.textarea-fill-outline) .label-text-wrapper {
   @include transform(translateY(-32%), scale(#{$form-control-label-stacked-scale}));
   @include margin(0);
 
@@ -116,6 +114,13 @@
   @include margin(12px, 0px, 0px, 0px);
 }
 
+:host(.textarea-fill-outline.textarea-label-placement-stacked) ::slotted([slot="start"]),
+:host(.textarea-fill-outline.textarea-label-placement-stacked) ::slotted([slot="end"]),
+:host(.textarea-fill-outline.textarea-label-placement-floating) ::slotted([slot="start"]),
+:host(.textarea-fill-outline.textarea-label-placement-floating) ::slotted([slot="end"]) {
+  margin-top: 12px;
+}
+
 // Textarea Fill: Outline Outline Container
 // ----------------------------------------------------------------
 
@@ -220,8 +225,6 @@
  * the floating/stacked label. We simulate this "cut out"
  * by removing the top border from the notch fragment.
  */
-:host(.has-focus.textarea-fill-outline.textarea-label-placement-floating) .textarea-outline-notch,
-:host(.has-value.textarea-fill-outline.textarea-label-placement-floating) .textarea-outline-notch,
-:host(.textarea-fill-outline.textarea-label-placement-stacked) .textarea-outline-notch {
+:host(.label-floating.textarea-fill-outline) .textarea-outline-notch {
   border-top: none;
 }
diff --git a/core/src/components/textarea/textarea.md.solid.scss b/core/src/components/textarea/textarea.md.solid.scss
index 45b44997be3..2dabbeb4e73 100644
--- a/core/src/components/textarea/textarea.md.solid.scss
+++ b/core/src/components/textarea/textarea.md.solid.scss
@@ -67,9 +67,7 @@
 // Textarea Label
 // ----------------------------------------------------------------
 
-:host(.textarea-fill-solid.textarea-label-placement-stacked) .label-text-wrapper,
-:host(.has-focus.textarea-fill-solid.textarea-label-placement-floating) .label-text-wrapper,
-:host(.has-value.textarea-fill-solid.textarea-label-placement-floating) .label-text-wrapper {
+:host(.label-floating.textarea-fill-solid) .label-text-wrapper {
   /**
    * Label text should not extend
    * beyond the bounds of the textarea.
diff --git a/core/src/components/textarea/textarea.scss b/core/src/components/textarea/textarea.scss
index a22bf03c4d1..d75895d5936 100644
--- a/core/src/components/textarea/textarea.scss
+++ b/core/src/components/textarea/textarea.scss
@@ -330,12 +330,8 @@
 // ----------------------------------------------------------------
 
 .native-wrapper {
-  display: flex;
-
   position: relative;
 
-  flex-grow: 1;
-
   width: 100%;
 
   height: 100%;
@@ -414,6 +410,13 @@
   word-break: break-word;
 }
 
+.textarea-wrapper-inner {
+  display: flex;
+
+  width: 100%;
+  min-height: inherit;
+}
+
 // Textarea Highlight
 // ----------------------------------------------------------------
 
@@ -688,6 +691,13 @@
   @include margin(8px, 0px, 0px, 0px);
 }
 
+:host(.textarea-label-placement-stacked) ::slotted([slot="start"]),
+:host(.textarea-label-placement-stacked) ::slotted([slot="end"]),
+:host(.textarea-label-placement-floating) ::slotted([slot="start"]),
+:host(.textarea-label-placement-floating) ::slotted([slot="end"]) {
+  margin-top: 8px;
+}
+
 /**
  * This makes the label sit over the textarea
  * when the textarea is blurred and has no value.
@@ -713,9 +723,7 @@
 /**
  * This makes the label sit above the textarea.
  */
-:host(.textarea-label-placement-stacked) .label-text-wrapper,
-:host(.has-focus.textarea-label-placement-floating) .label-text-wrapper,
-:host(.has-value.textarea-label-placement-floating) .label-text-wrapper {
+:host(.label-floating) .label-text-wrapper {
   @include transform(translateY(50%), scale(#{$form-control-label-stacked-scale}));
 
   /**
@@ -724,3 +732,29 @@
    */
   max-width: calc(100% / #{$form-control-label-stacked-scale});
 }
+
+// Start/End Slots
+// ----------------------------------------------------------------
+
+.start-slot-wrapper, .end-slot-wrapper {
+  @include padding(var(--padding-top), 0, var(--padding-bottom), 0);
+
+  display: flex;
+
+  flex-shrink: 0;
+
+  align-self: start;
+}
+
+::slotted([slot="start"]),
+::slotted([slot="end"]) {
+  margin-top: 0; // ensure slot content is vertically aligned with label
+}
+
+::slotted([slot="start"]) {
+  margin-inline-end: $form-control-label-margin;
+}
+
+::slotted([slot="end"]) {
+  margin-inline-start: $form-control-label-margin;
+}
diff --git a/core/src/components/textarea/textarea.tsx b/core/src/components/textarea/textarea.tsx
index 70799487735..1cb263fb8d5 100644
--- a/core/src/components/textarea/textarea.tsx
+++ b/core/src/components/textarea/textarea.tsx
@@ -38,6 +38,8 @@ import type { TextareaChangeEventDetail, TextareaInputEventDetail } from './text
  * @virtualProp {"ios" | "md"} mode - The mode determines which platform styles to use.
  *
  * @slot label - The label text to associate with the textarea. Use the `labelPlacement` property to control where the label is placed relative to the textarea. Use this if you need to render a label with custom HTML. (EXPERIMENTAL)
+ * @slot start - Content to display at the leading edge of the textarea. (EXPERIMENTAL)
+ * @slot end - Content to display at the trailing edge of the textarea. (EXPERIMENTAL)
  */
 @Component({
   tag: 'ion-textarea',
@@ -316,7 +318,7 @@ export class Textarea implements ComponentInterface {
   connectedCallback() {
     const { el } = this;
     this.legacyFormController = createLegacyFormController(el);
-    this.slotMutationController = createSlotMutationController(el, 'label', () => forceUpdate(this));
+    this.slotMutationController = createSlotMutationController(el, ['label', 'start', 'end'], () => forceUpdate(this));
     this.notchController = createNotchController(
       el,
       () => this.notchSpacerEl,
@@ -705,55 +707,100 @@ Developers can use the "legacy" property to continue using the legacy form marku
   }
 
   private renderTextarea() {
-    const { inputId, disabled, fill, shape, labelPlacement } = this;
+    const { inputId, disabled, fill, shape, labelPlacement, el, hasFocus } = this;
     const mode = getIonMode(this);
     const value = this.getValue();
     const inItem = hostContext('ion-item', this.el);
     const shouldRenderHighlight = mode === 'md' && fill !== 'outline' && !inItem;
 
+    const hasValue = this.hasValue();
+    const hasStartEndSlots = el.querySelector('[slot="start"], [slot="end"]') !== null;
+
+    /**
+     * If the label is stacked, it should always sit above the textarea.
+     * For floating labels, the label should move above the textarea if
+     * the textarea has a value, is focused, or has anything in either
+     * the start or end slot.
+     *
+     * If there is content in the start slot, the label would overlap
+     * it if not forced to float. This is also applied to the end slot
+     * because with the default or solid fills, the textarea is not
+     * vertically centered in the container, but the label is. This
+     * causes the slots and label to appear vertically offset from each
+     * other when the label isn't floating above the input. This doesn't
+     * apply to the outline fill, but this was not accounted for to keep
+     * things consistent.
+     *
+     * TODO(FW-5592): Remove hasStartEndSlots condition
+     */
+    const labelShouldFloat =
+      labelPlacement === 'stacked' || (labelPlacement === 'floating' && (hasValue || hasFocus || hasStartEndSlots));
+
     return (
       <Host
         class={createColorClasses(this.color, {
           [mode]: true,
-          'has-value': this.hasValue(),
-          'has-focus': this.hasFocus,
+          'has-value': hasValue,
+          'has-focus': hasFocus,
+          'label-floating': labelShouldFloat,
           [`textarea-fill-${fill}`]: fill !== undefined,
           [`textarea-shape-${shape}`]: shape !== undefined,
           [`textarea-label-placement-${labelPlacement}`]: true,
           'textarea-disabled': disabled,
         })}
       >
-        <label class="textarea-wrapper">
+        {/**
+         * htmlFor is needed so that clicking the label always focuses
+         * the textarea. Otherwise, if the start slot has something
+         * interactable, clicking the label would focus that instead
+         * since it comes before the textarea in the DOM.
+         */}
+        <label class="textarea-wrapper" htmlFor={inputId}>
           {this.renderLabelContainer()}
-          <div class="native-wrapper" ref={(el) => (this.textareaWrapper = el)}>
-            <textarea
-              class="native-textarea"
-              ref={(el) => (this.nativeInput = el)}
-              id={inputId}
-              disabled={disabled}
-              autoCapitalize={this.autocapitalize}
-              autoFocus={this.autofocus}
-              enterKeyHint={this.enterkeyhint}
-              inputMode={this.inputmode}
-              minLength={this.minlength}
-              maxLength={this.maxlength}
-              name={this.name}
-              placeholder={this.placeholder || ''}
-              readOnly={this.readonly}
-              required={this.required}
-              spellcheck={this.spellcheck}
-              cols={this.cols}
-              rows={this.rows}
-              wrap={this.wrap}
-              onInput={this.onInput}
-              onChange={this.onChange}
-              onBlur={this.onBlur}
-              onFocus={this.onFocus}
-              onKeyDown={this.onKeyDown}
-              {...this.inheritedAttributes}
-            >
-              {value}
-            </textarea>
+          <div class="textarea-wrapper-inner">
+            {/**
+             * Some elements have their own padding styles which may
+             * interfere with slot content alignment (such as icon-
+             * only buttons setting --padding-top=0). To avoid this,
+             * we wrap both the start and end slots in separate
+             * elements and apply our padding styles to that instead.
+             */}
+            <div class="start-slot-wrapper">
+              <slot name="start"></slot>
+            </div>
+            <div class="native-wrapper" ref={(el) => (this.textareaWrapper = el)}>
+              <textarea
+                class="native-textarea"
+                ref={(el) => (this.nativeInput = el)}
+                id={inputId}
+                disabled={disabled}
+                autoCapitalize={this.autocapitalize}
+                autoFocus={this.autofocus}
+                enterKeyHint={this.enterkeyhint}
+                inputMode={this.inputmode}
+                minLength={this.minlength}
+                maxLength={this.maxlength}
+                name={this.name}
+                placeholder={this.placeholder || ''}
+                readOnly={this.readonly}
+                required={this.required}
+                spellcheck={this.spellcheck}
+                cols={this.cols}
+                rows={this.rows}
+                wrap={this.wrap}
+                onInput={this.onInput}
+                onChange={this.onChange}
+                onBlur={this.onBlur}
+                onFocus={this.onFocus}
+                onKeyDown={this.onKeyDown}
+                {...this.inheritedAttributes}
+              >
+                {value}
+              </textarea>
+            </div>
+            <div class="end-slot-wrapper">
+              <slot name="end"></slot>
+            </div>
           </div>
           {shouldRenderHighlight && <div class="textarea-highlight"></div>}
         </label>
diff --git a/core/src/utils/slot-mutation-controller.ts b/core/src/utils/slot-mutation-controller.ts
index 663b781a367..3827c28f9fa 100644
--- a/core/src/utils/slot-mutation-controller.ts
+++ b/core/src/utils/slot-mutation-controller.ts
@@ -6,18 +6,20 @@ import { raf } from '@utils/helpers';
  * This is not needed for components using native slots in the Shadow DOM.
  * @internal
  * @param el The host element to observe
- * @param slotName mutationCallback will fire when nodes on this slot change
+ * @param slotName mutationCallback will fire when nodes on these slot(s) change
  * @param mutationCallback The callback to fire whenever the slotted content changes
  */
 export const createSlotMutationController = (
   el: HTMLElement,
-  slotName: string,
+  slotName: string | string[],
   mutationCallback: () => void
 ): SlotMutationController => {
   let hostMutationObserver: MutationObserver | undefined;
   let slottedContentMutationObserver: MutationObserver | undefined;
 
   if (win !== undefined && 'MutationObserver' in win) {
+    const slots = Array.isArray(slotName) ? slotName : [slotName];
+
     hostMutationObserver = new MutationObserver((entries) => {
       for (const entry of entries) {
         for (const node of entry.addedNodes) {
@@ -25,7 +27,7 @@ export const createSlotMutationController = (
            * Check to see if the added node
            *  is our slotted content.
            */
-          if (node.nodeType === Node.ELEMENT_NODE && (node as HTMLElement).slot === slotName) {
+          if (node.nodeType === Node.ELEMENT_NODE && slots.includes((node as HTMLElement).slot)) {
             /**
              * If so, we want to watch the slotted
              * content itself for changes. This lets us