diff --git a/examples/realtime-twilio/README.md b/examples/realtime-twilio/README.md
index cb1de554..ae0054e7 100644
--- a/examples/realtime-twilio/README.md
+++ b/examples/realtime-twilio/README.md
@@ -5,6 +5,10 @@ The script in `index.ts` starts a Fastify server that serves TwiML for incoming
 endpoint for streaming audio. When a call connects, the audio stream is forwarded through a
 `TwilioRealtimeTransportLayer` to a `RealtimeSession` so the `RealtimeAgent` can respond in real time.
 
+The demo agent mirrors the [realtime-next](../realtime-next) example. It includes the same MCP integrations
+(`dnd` and `deepwiki`) as well as local sample tools for weather lookups and a secret number helper. Ask the
+agent to "look that up in Deep Wiki" or "roll a Dungeons and Dragons character" to try the hosted MCP tools.
+
 To try it out you must have a Twilio phone number.
 Expose your localhost with a tunneling service such as ngrok and set the phone number's incoming call URL to `https://<your-tunnel-url>/incoming-call`.
 
@@ -13,4 +17,3 @@ Start the server with:
 ```bash
 pnpm -F realtime-twilio start
 ```
-
diff --git a/examples/realtime-twilio/index.ts b/examples/realtime-twilio/index.ts
index e7898d96..0335806e 100644
--- a/examples/realtime-twilio/index.ts
+++ b/examples/realtime-twilio/index.ts
@@ -1,9 +1,18 @@
 import Fastify from 'fastify';
+import type { FastifyInstance, FastifyReply, FastifyRequest } from 'fastify';
 import dotenv from 'dotenv';
 import fastifyFormBody from '@fastify/formbody';
 import fastifyWs from '@fastify/websocket';
-import { RealtimeAgent, RealtimeSession } from '@openai/agents/realtime';
+import {
+  RealtimeAgent,
+  RealtimeSession,
+  backgroundResult,
+  tool,
+} from '@openai/agents/realtime';
 import { TwilioRealtimeTransportLayer } from '@openai/agents-extensions';
+import { hostedMcpTool } from '@openai/agents';
+import { z } from 'zod';
+import process from 'node:process';
 
 // Load environment variables from .env file
 dotenv.config();
@@ -21,21 +30,60 @@ const fastify = Fastify();
 fastify.register(fastifyFormBody);
 fastify.register(fastifyWs);
 
+const weatherTool = tool({
+  name: 'weather',
+  description: 'Get the weather in a given location.',
+  parameters: z.object({
+    location: z.string(),
+  }),
+  execute: async ({ location }: { location: string }) => {
+    return backgroundResult(`The weather in ${location} is sunny.`);
+  },
+});
+
+const secretTool = tool({
+  name: 'secret',
+  description: 'A secret tool to tell the special number.',
+  parameters: z.object({
+    question: z
+      .string()
+      .describe(
+        'The question to ask the secret tool; mainly about the special number.',
+      ),
+  }),
+  execute: async ({ question }: { question: string }) => {
+    return `The answer to ${question} is 42.`;
+  },
+  needsApproval: true,
+});
+
 const agent = new RealtimeAgent({
-  name: 'Triage Agent',
+  name: 'Greeter',
   instructions:
-    'You are a helpful assistant that starts every conversation with a creative greeting.',
+    'You are a friendly assistant. When you use a tool always first say what you are about to do.',
+  tools: [
+    hostedMcpTool({
+      serverLabel: 'dnd',
+    }),
+    hostedMcpTool({
+      serverLabel: 'deepwiki',
+    }),
+    secretTool,
+    weatherTool,
+  ],
 });
 
 // Root Route
-fastify.get('/', async (request, reply) => {
+fastify.get('/', async (_request: FastifyRequest, reply: FastifyReply) => {
   reply.send({ message: 'Twilio Media Stream Server is running!' });
 });
 
 // Route for Twilio to handle incoming and outgoing calls
 // <Say> punctuation to improve text-to-speech translation
-fastify.all('/incoming-call', async (request, reply) => {
-  const twimlResponse = `
+fastify.all(
+  '/incoming-call',
+  async (request: FastifyRequest, reply: FastifyReply) => {
+    const twimlResponse = `
 <?xml version="1.0" encoding="UTF-8"?>
 <Response>
     <Say>O.K. you can start talking!</Say>
@@ -43,28 +91,67 @@ fastify.all('/incoming-call', async (request, reply) => {
         <Stream url="wss://${request.headers.host}/media-stream" />
     </Connect>
 </Response>`.trim();
-  reply.type('text/xml').send(twimlResponse);
-});
+    reply.type('text/xml').send(twimlResponse);
+  },
+);
 
 // WebSocket route for media-stream
-fastify.register(async (fastify) => {
-  fastify.get('/media-stream', { websocket: true }, async (connection) => {
-    const twilioTransportLayer = new TwilioRealtimeTransportLayer({
-      twilioWebSocket: connection,
-    });
-
-    const session = new RealtimeSession(agent, {
-      transport: twilioTransportLayer,
-    });
-
-    await session.connect({
-      apiKey: OPENAI_API_KEY,
-    });
-    console.log('Connected to the OpenAI Realtime API');
-  });
+fastify.register(async (scopedFastify: FastifyInstance) => {
+  scopedFastify.get(
+    '/media-stream',
+    { websocket: true },
+    async (connection: any) => {
+      const twilioTransportLayer = new TwilioRealtimeTransportLayer({
+        twilioWebSocket: connection,
+      });
+
+      const session = new RealtimeSession(agent, {
+        transport: twilioTransportLayer,
+        model: 'gpt-realtime',
+        config: {
+          audio: {
+            output: {
+              voice: 'verse',
+            },
+          },
+        },
+      });
+
+      session.on('mcp_tools_changed', (tools: { name: string }[]) => {
+        const toolNames = tools.map((tool) => tool.name).join(', ');
+        console.log(`Available MCP tools: ${toolNames || 'None'}`);
+      });
+
+      session.on(
+        'tool_approval_requested',
+        (_context: unknown, _agent: unknown, approvalRequest: any) => {
+          console.log(
+            `Approving tool call for ${approvalRequest.approvalItem.rawItem.name}.`,
+          );
+          session
+            .approve(approvalRequest.approvalItem)
+            .catch((error: unknown) =>
+              console.error('Failed to approve tool call.', error),
+            );
+        },
+      );
+
+      session.on(
+        'mcp_tool_call_completed',
+        (_context: unknown, _agent: unknown, toolCall: unknown) => {
+          console.log('MCP tool call completed.', toolCall);
+        },
+      );
+
+      await session.connect({
+        apiKey: OPENAI_API_KEY,
+      });
+      console.log('Connected to the OpenAI Realtime API');
+    },
+  );
 });
 
-fastify.listen({ port: PORT }, (err) => {
+fastify.listen({ port: PORT }, (err: Error | null) => {
   if (err) {
     console.error(err);
     process.exit(1);