diff --git a/packages/react/__tests__/__snapshots__/PublicAPI-test.js.snap b/packages/react/__tests__/__snapshots__/PublicAPI-test.js.snap
index f1bdb3ef2dcc..5ce824302da6 100644
--- a/packages/react/__tests__/__snapshots__/PublicAPI-test.js.snap
+++ b/packages/react/__tests__/__snapshots__/PublicAPI-test.js.snap
@@ -7960,6 +7960,31 @@ Map {
     },
     "render": [Function],
   },
+  "unstable_IconTab" => Object {
+    "$$typeof": Symbol(react.forward_ref),
+    "propTypes": Object {
+      "children": Object {
+        "type": "node",
+      },
+      "className": Object {
+        "type": "string",
+      },
+      "defaultOpen": Object {
+        "type": "bool",
+      },
+      "enterDelayMs": Object {
+        "type": "number",
+      },
+      "label": Object {
+        "isRequired": true,
+        "type": "node",
+      },
+      "leaveDelayMs": Object {
+        "type": "number",
+      },
+    },
+    "render": [Function],
+  },
   "unstable_Layer" => Object {
     "propTypes": Object {
       "as": Object {
@@ -8526,6 +8551,15 @@ Map {
       "contained": Object {
         "type": "bool",
       },
+      "iconSize": Object {
+        "args": Array [
+          Array [
+            "default",
+            "lg",
+          ],
+        ],
+        "type": "oneOf",
+      },
       "light": Object {
         "type": "bool",
       },
diff --git a/packages/react/src/__tests__/index-test.js b/packages/react/src/__tests__/index-test.js
index 5dd2afd0ca51..c09fae710b74 100644
--- a/packages/react/src/__tests__/index-test.js
+++ b/packages/react/src/__tests__/index-test.js
@@ -203,6 +203,7 @@ Array [
   "unstable_HStack",
   "unstable_Heading",
   "unstable_IconButton",
+  "unstable_IconTab",
   "unstable_Layer",
   "unstable_Menu",
   "unstable_MenuDivider",
diff --git a/packages/react/src/components/Tabs/index.js b/packages/react/src/components/Tabs/index.js
index b362256537d6..6c8ba98ddf3d 100644
--- a/packages/react/src/components/Tabs/index.js
+++ b/packages/react/src/components/Tabs/index.js
@@ -6,7 +6,13 @@
  */
 
 import * as FeatureFlags from '@carbon/feature-flags';
-import { Tabs as TabsNext, TabPanel, TabPanels, TabList } from './next/Tabs';
+import {
+  Tabs as TabsNext,
+  TabPanel,
+  TabPanels,
+  TabList,
+  IconTab,
+} from './next/Tabs';
 import { default as TabsClassic } from './Tabs';
 import { default as TabsSkeletonClassic } from './Tabs.Skeleton';
 import { default as TabsSkeletonNext } from './next/Tabs.Skeleton';
@@ -19,6 +25,6 @@ const TabsSkeleton = FeatureFlags.enabled('enable-v11-release')
   ? TabsSkeletonNext
   : TabsSkeletonClassic;
 
-export { TabsSkeleton, TabPanels, TabPanel, TabList };
+export { TabsSkeleton, TabPanels, TabPanel, TabList, IconTab };
 
 export default Tabs;
diff --git a/packages/react/src/components/Tabs/next/Tabs.js b/packages/react/src/components/Tabs/next/Tabs.js
index b7bc48d452a6..11175ce1eac6 100644
--- a/packages/react/src/components/Tabs/next/Tabs.js
+++ b/packages/react/src/components/Tabs/next/Tabs.js
@@ -8,6 +8,7 @@
 import PropTypes from 'prop-types';
 import React, { useState, useRef, useEffect } from 'react';
 import cx from 'classnames';
+import { Tooltip } from '../../Tooltip/next';
 import { keys, match, matches } from '../../../internal/keyboard';
 import { usePrefix } from '../../../internal/usePrefix';
 import { useId } from '../../../internal/useId';
@@ -125,6 +126,7 @@ function TabList({
   light,
   scrollIntoView,
   contained = false,
+  iconSize,
   ...rest
 }) {
   const {
@@ -138,6 +140,8 @@ function TabList({
   const className = cx(`${prefix}--tabs`, customClassName, {
     [`${prefix}--tabs--contained`]: contained,
     [`${prefix}--tabs--light`]: light,
+    [`${prefix}--tabs__icon--default`]: iconSize === 'default',
+    [`${prefix}--tabs__icon--lg`]: iconSize === 'lg',
   });
 
   const tabs = [];
@@ -242,6 +246,10 @@ TabList.propTypes = {
    */
 
   contained: PropTypes.bool,
+  /**
+   * If using `IconTab`, specify the size of the icon being used.
+   */
+  iconSize: PropTypes.oneOf(['default', 'lg']),
   /**
    * Specify whether or not to use the light component variant
    */
@@ -343,6 +351,71 @@ Tab.propTypes = {
   renderButton: PropTypes.func,
 };
 
+const IconTab = React.forwardRef(function IconTab(
+  {
+    children,
+    className: customClassName,
+    defaultOpen = false,
+    enterDelayMs,
+    leaveDelayMs,
+    label,
+    ...rest
+  },
+  ref
+) {
+  const prefix = usePrefix();
+
+  const classNames = cx(`${prefix}--tabs__nav-item--icon`, customClassName);
+  return (
+    <Tooltip
+      align="bottom"
+      defaultOpen={defaultOpen}
+      className={`${prefix}--icon-tooltip`}
+      enterDelayMs={enterDelayMs}
+      label={label}
+      leaveDelayMs={leaveDelayMs}>
+      <Tab className={classNames} ref={ref} {...rest}>
+        {children}
+      </Tab>
+    </Tooltip>
+  );
+});
+
+IconTab.propTypes = {
+  /**
+   * Provide an icon to be rendered inside of `IconTab` as the visual label for Tab.
+   */
+  children: PropTypes.node,
+
+  /**
+   * Specify an optional className to be added to your Tab
+   */
+  className: PropTypes.string,
+
+  /**
+   * Specify whether the tooltip for the icon should be open when it first renders
+   */
+  defaultOpen: PropTypes.bool,
+
+  /**
+   * Specify the duration in milliseconds to delay before displaying the tooltip for the icon.
+   */
+  enterDelayMs: PropTypes.number,
+
+  /**
+   * Provide the label to be rendered inside of the Tooltip. The label will use
+   * `aria-labelledby` and will fully describe the child node that is provided.
+   * This means that if you have text in the child node it will not be
+   * announced to the screen reader.
+   */
+  label: PropTypes.node.isRequired,
+
+  /**
+   * Specify the duration in milliseconds to delay before hiding the tooltip
+   */
+  leaveDelayMs: PropTypes.number,
+};
+
 const TabPanel = React.forwardRef(function TabPanel(
   { children, className: customClassName, ...rest },
   forwardRef
@@ -407,7 +480,7 @@ TabPanels.propTypes = {
   children: PropTypes.node,
 };
 
-export { Tabs, Tab, TabPanel, TabPanels, TabList };
+export { Tabs, Tab, IconTab, TabPanel, TabPanels, TabList };
 
 // TO DO: implement horizontal scroll and the following props:
 // leftOverflowButtonProps
diff --git a/packages/react/src/components/Tabs/next/Tabs.stories.js b/packages/react/src/components/Tabs/next/Tabs.stories.js
index a5ec931fc9e6..afbc1f9c8344 100644
--- a/packages/react/src/components/Tabs/next/Tabs.stories.js
+++ b/packages/react/src/components/Tabs/next/Tabs.stories.js
@@ -6,11 +6,18 @@
  */
 
 import React from 'react';
-import { Tabs, TabList, Tab, TabPanels, TabPanel } from './Tabs';
+import { Tabs, TabList, Tab, TabPanels, TabPanel, IconTab } from './Tabs';
 import Button from '../../Button';
 
 import TabsSkeleton from './Tabs.Skeleton';
-import { Monster20, Corn20, Bat20 } from '@carbon/icons-react';
+import {
+  Monster20,
+  Corn20,
+  Bat20,
+  Monster16,
+  Corn16,
+  Bat16,
+} from '@carbon/icons-react';
 
 import { unstable_FeatureFlags as FeatureFlags } from 'carbon-components-react';
 
@@ -55,18 +62,39 @@ export const Default = () => (
   </Tabs>
 );
 
+export const Icon20Only = () => (
+  <Tabs>
+    <TabList iconSize="lg" aria-label="List of tabs">
+      <IconTab label="Monster" disabled>
+        <Monster20 aria-label="Monster" />
+      </IconTab>
+      <IconTab label="Corn">
+        <Corn20 aria-label="Corn" />
+      </IconTab>
+      <IconTab label="Bat">
+        <Bat20 aria-label="Bat" />
+      </IconTab>
+    </TabList>
+    <TabPanels>
+      <TabPanel>Tab Panel 1</TabPanel>
+      <TabPanel>Tab Panel 2</TabPanel>
+      <TabPanel>Tab Panel 3</TabPanel>
+    </TabPanels>
+  </Tabs>
+);
+
 export const IconOnly = () => (
   <Tabs>
-    <TabList aria-label="List of tabs">
-      <Tab disabled>
-        <Monster20 />
-      </Tab>
-      <Tab>
-        <Corn20 />
-      </Tab>
-      <Tab>
-        <Bat20 />
-      </Tab>
+    <TabList iconSize="default" aria-label="List of tabs">
+      <IconTab label="Monster" disabled>
+        <Monster16 aria-label="Monster" />
+      </IconTab>
+      <IconTab label="Corn">
+        <Corn16 aria-label="Corn" />
+      </IconTab>
+      <IconTab label="Bat">
+        <Bat16 aria-label="Bat" />
+      </IconTab>
     </TabList>
     <TabPanels>
       <TabPanel>Tab Panel 1</TabPanel>
diff --git a/packages/react/src/index.js b/packages/react/src/index.js
index c6e9f18638cd..8ad409cec51b 100644
--- a/packages/react/src/index.js
+++ b/packages/react/src/index.js
@@ -247,6 +247,7 @@ export {
   TabPanel as unstable_TabPanel,
   TabPanels as unstable_TabPanels,
   TabList as unstable_TabList,
+  IconTab as unstable_IconTab,
 } from './components/Tabs';
 export { usePrefix as unstable_usePrefix } from './internal/usePrefix';
 export {
diff --git a/packages/styles/scss/components/tabs/_tabs.scss b/packages/styles/scss/components/tabs/_tabs.scss
index 74df93d2f43f..b57a1555c3d4 100644
--- a/packages/styles/scss/components/tabs/_tabs.scss
+++ b/packages/styles/scss/components/tabs/_tabs.scss
@@ -23,12 +23,15 @@
 @use '../../utilities/rotate' as *;
 @use '../../utilities/box-shadow' as *;
 @use '../../utilities/component-tokens' as *;
+@use '../../utilities/custom-property';
 @use '../../utilities/skeleton' as *;
 @use '../../utilities/visually-hidden' as *;
 @use '../../utilities/button-reset';
 @use '../../utilities/high-contrast-mode' as *;
 @use '../../utilities/convert' as *;
 
+$icon-tab-size: custom-property.get-var('icon-tab-size', rem(40px));
+
 /// Tabs styles
 /// @access public
 /// @group tabs
@@ -244,6 +247,24 @@
       text-align: left;
     }
 
+    //-----------------------------
+    // Icon Item
+    //-----------------------------
+
+    .#{$prefix}--tabs__nav-item--icon,
+    &.#{$prefix}--tabs--contained .#{$prefix}--tabs__nav-item--icon {
+      display: flex;
+      width: $icon-tab-size;
+      height: $icon-tab-size;
+      align-items: center;
+      justify-content: center;
+      padding: 0;
+    }
+
+    &.#{$prefix}--tabs__icon--lg {
+      @include custom-property.declaration('icon-tab-size', rem(48px));
+    }
+
     //-----------------------------
     // Item Hover
     //-----------------------------