diff --git a/examples/app-vitest-browser/components/CustomRandom.vue b/examples/app-vitest-browser/components/CustomRandom.vue
new file mode 100644
index 000000000..983cb00d3
--- /dev/null
+++ b/examples/app-vitest-browser/components/CustomRandom.vue
@@ -0,0 +1,45 @@
+<script setup lang="ts">
+const input = ref(0)
+
+function getRandom() {
+  return Math.trunc(Math.random() * 101)
+}
+
+function random(rand: number) {
+  input.value = rand * 2
+}
+
+function getRandom2() {
+  return Math.trunc(Math.random() * 101)
+}
+
+function random2(rand: number) {
+  input.value = rand * 2
+}
+
+defineExpose({
+  getRandom2,
+  random2,
+})
+</script>
+
+<template>
+  <div>
+    <input
+      v-model="input"
+      type="number"
+    >
+    <button
+      id="random"
+      @click="random(getRandom())"
+    >
+      Random
+    </button>
+    <button
+      id="random2"
+      @click="random2(getRandom2())"
+    >
+      Random2
+    </button>
+  </div>
+</template>
diff --git a/examples/app-vitest-browser/test/mount-suspended.spec.ts b/examples/app-vitest-browser/test/mount-suspended.spec.ts
index cb8c77fea..c14be668c 100644
--- a/examples/app-vitest-browser/test/mount-suspended.spec.ts
+++ b/examples/app-vitest-browser/test/mount-suspended.spec.ts
@@ -1,8 +1,8 @@
-import { describe, it, expect } from 'vitest'
+import { describe, it, expect, vi } from 'vitest'
 
 import { mountSuspended } from '@nuxt/test-utils/runtime'
 
-import { MyCounter } from '#components'
+import { MyCounter, CustomRandom } from '#components'
 
 describe('Component (MyCounter)', () => {
   it('renders', async () => {
@@ -12,7 +12,7 @@ describe('Component (MyCounter)', () => {
 
   it('can be interacted with (increment)', async () => {
     const component = await mountSuspended(MyCounter)
-    const incrementButton = component.findAll('button').filter(btn => btn.text().includes('Increment'))[0]
+    const incrementButton = component.findAll('button').filter(btn => btn.text().includes('Increment'))[0]!
     incrementButton.element.click()
     await nextTick()
     expect(component.text()).toContain('Count: 1')
@@ -20,7 +20,7 @@ describe('Component (MyCounter)', () => {
 
   it('can be interacted with (decrement)', async () => {
     const component = await mountSuspended(MyCounter)
-    const decrementButton = component.findAll('button').filter(btn => btn.text().includes('Decrement'))[0]
+    const decrementButton = component.findAll('button').filter(btn => btn.text().includes('Decrement'))[0]!
     decrementButton.element.click()
     await nextTick()
     expect(component.text()).toContain('Count: -1')
@@ -30,4 +30,32 @@ describe('Component (MyCounter)', () => {
     const component = await mountSuspended(MyCounter)
     expect(component.text()).toContain('"buildAssetsDir": "/_nuxt/"')
   })
+
+  it('can spy component setup state', async () => {
+    const wrapper = await mountSuspended(CustomRandom, {
+      spy: true,
+    })
+
+    vi.mocked(wrapper.setupState.getRandom).mockImplementation(() => 200)
+
+    await wrapper.find('#random').trigger('click')
+
+    expect(wrapper.setupState.getRandom).toHaveBeenCalled()
+    expect(wrapper.setupState.random).toHaveBeenCalledWith(200)
+    expect(wrapper.setupState.input.value).toBe(400)
+  })
+
+  it('can spy component exposed via setupState', async () => {
+    const wrapper = await mountSuspended(CustomRandom, {
+      spy: true,
+    })
+
+    vi.mocked(wrapper.setupState.getRandom2).mockImplementation(() => 200)
+
+    await wrapper.find('#random2').trigger('click')
+
+    expect(wrapper.setupState.getRandom2).toHaveBeenCalled()
+    expect(wrapper.setupState.random2).toHaveBeenCalledWith(200)
+    expect(wrapper.setupState.input.value).toBe(400)
+  })
 })
diff --git a/examples/app-vitest-full/components/CustomRandom.vue b/examples/app-vitest-full/components/CustomRandom.vue
new file mode 100644
index 000000000..983cb00d3
--- /dev/null
+++ b/examples/app-vitest-full/components/CustomRandom.vue
@@ -0,0 +1,45 @@
+<script setup lang="ts">
+const input = ref(0)
+
+function getRandom() {
+  return Math.trunc(Math.random() * 101)
+}
+
+function random(rand: number) {
+  input.value = rand * 2
+}
+
+function getRandom2() {
+  return Math.trunc(Math.random() * 101)
+}
+
+function random2(rand: number) {
+  input.value = rand * 2
+}
+
+defineExpose({
+  getRandom2,
+  random2,
+})
+</script>
+
+<template>
+  <div>
+    <input
+      v-model="input"
+      type="number"
+    >
+    <button
+      id="random"
+      @click="random(getRandom())"
+    >
+      Random
+    </button>
+    <button
+      id="random2"
+      @click="random2(getRandom2())"
+    >
+      Random2
+    </button>
+  </div>
+</template>
diff --git a/examples/app-vitest-full/tests/nuxt/mount-suspended.spec.ts b/examples/app-vitest-full/tests/nuxt/mount-suspended.spec.ts
index fc6e92f90..62c80a3ef 100644
--- a/examples/app-vitest-full/tests/nuxt/mount-suspended.spec.ts
+++ b/examples/app-vitest-full/tests/nuxt/mount-suspended.spec.ts
@@ -30,7 +30,7 @@ import ComponentWithCssVar from '~/components/ComponentWithCssVar.vue'
 import ComponentWithPluginProvidedValue from '~/components/ComponentWithPluginProvidedValue.vue'
 import GenericStateComponent from '~/components/GenericStateComponent.vue'
 
-import { BoundAttrs, TestTeleport } from '#components'
+import { BoundAttrs, TestTeleport, CustomRandom } from '#components'
 import DirectiveComponent from '~/components/DirectiveComponent.vue'
 import CustomComponent from '~/components/CustomComponent.vue'
 import WrapperElement from '~/components/WrapperElement.vue'
@@ -676,4 +676,32 @@ describe('watcher cleanup validation', () => {
 
     expect(watcherCallCount).toBe(1)
   })
+
+  it('can spy component setup state via setupState', async () => {
+    const wrapper = await mountSuspended(CustomRandom, {
+      spy: true,
+    })
+
+    vi.mocked(wrapper.setupState.getRandom).mockImplementation(() => 200)
+
+    await wrapper.find('#random').trigger('click')
+
+    expect(wrapper.setupState.getRandom).toHaveBeenCalled()
+    expect(wrapper.setupState.random).toHaveBeenCalledWith(200)
+    expect(wrapper.setupState.input.value).toBe(400)
+  })
+
+  it('can spy component exposed via setupState', async () => {
+    const wrapper = await mountSuspended(CustomRandom, {
+      spy: true,
+    })
+
+    vi.mocked(wrapper.setupState.getRandom2).mockImplementation(() => 200)
+
+    await wrapper.find('#random2').trigger('click')
+
+    expect(wrapper.setupState.getRandom2).toHaveBeenCalled()
+    expect(wrapper.setupState.random2).toHaveBeenCalledWith(200)
+    expect(wrapper.setupState.input.value).toBe(400)
+  })
 })
diff --git a/examples/app-vitest-full/tests/nuxt/render-suspended.spec.ts b/examples/app-vitest-full/tests/nuxt/render-suspended.spec.ts
index 0a1bc1f66..2dbbb2179 100644
--- a/examples/app-vitest-full/tests/nuxt/render-suspended.spec.ts
+++ b/examples/app-vitest-full/tests/nuxt/render-suspended.spec.ts
@@ -23,7 +23,16 @@ import CompostionApi from '~/components/TestComponentWithCompostionApi.vue'
 import OptionsApiWithData from '~/components/TestComponentWithOptionsApiWithData.vue'
 import OptionsApiWithSetup from '~/components/TestComponentWithOptionsApiWithSetup.vue'
 
-import { BoundAttrs, OptionsApiComputed, OptionsApiEmits, OptionsApiWatch, ScriptSetupEmits, ScriptSetupWatch, TestTeleport } from '#components'
+import {
+  BoundAttrs,
+  CustomRandom,
+  OptionsApiComputed,
+  OptionsApiEmits,
+  OptionsApiWatch,
+  ScriptSetupEmits,
+  ScriptSetupWatch,
+  TestTeleport,
+} from '#components'
 
 const formats = {
   ExportDefaultComponent,
@@ -408,3 +417,31 @@ it('teleport should work', async () => {
   wrapper.unmount()
   expect(document.getElementById('teleport-title')).toBeFalsy()
 })
+
+it('can spy component setup state via setupState', async () => {
+  const wrapper = await renderSuspended(CustomRandom, {
+    spy: true,
+  })
+
+  vi.mocked(wrapper.setupState.getRandom).mockImplementation(() => 200)
+
+  await fireEvent.click(wrapper.getByRole('button', { name: 'Random' }))
+
+  expect(wrapper.setupState.getRandom).toHaveBeenCalled()
+  expect(wrapper.setupState.random).toHaveBeenCalledWith(200)
+  expect(wrapper.setupState.input.value).toBe(400)
+})
+
+it('can spy component exposed via setupState', async () => {
+  const wrapper = await renderSuspended(CustomRandom, {
+    spy: true,
+  })
+
+  vi.mocked(wrapper.setupState.getRandom2).mockImplementation(() => 200)
+
+  await fireEvent.click(wrapper.getByRole('button', { name: 'Random2' }))
+
+  expect(wrapper.setupState.getRandom2).toHaveBeenCalled()
+  expect(wrapper.setupState.random2).toHaveBeenCalledWith(200)
+  expect(wrapper.setupState.input.value).toBe(400)
+})
diff --git a/src/runtime-utils/utils/suspended.ts b/src/runtime-utils/utils/suspended.ts
index d6eb3bc4f..271dfec52 100644
--- a/src/runtime-utils/utils/suspended.ts
+++ b/src/runtime-utils/utils/suspended.ts
@@ -1,3 +1,4 @@
+import { vi } from 'vitest'
 import { Suspense, effectScope, h, nextTick, reactive, getCurrentInstance, onErrorCaptured } from 'vue'
 import type { App, ComponentInternalInstance, DefineComponent, SetupContext, VNode } from 'vue'
 import type { RouteLocationRaw } from 'vue-router'
@@ -20,11 +21,30 @@ type WrapperFnOption<Fn> = Fn extends (c: WrapperFnComponent<Fn>, o: infer O) =>
 type WrapperFnResult<Fn> = Fn extends (c: WrapperFnComponent<Fn>, o: WrapperFnOption<Fn>) => infer R ? R : never
 
 export type WrapperSuspendedOptions<Fn> = WrapperFnOption<Fn> & {
+  /**
+   * The initial route, or false to skip the initial route change.
+   * @default '/'
+   */
   route?: RouteLocationRaw | false
+  /**
+   * Enable spy component setup state.
+   * @default false
+   * @example
+   * ```ts
+   * const wrapper = await mountSuspended(CustomRandom, { spy: true })
+   * vi.mocked(wrapper.setupState.getRandom).mockImplementation(() => 200)
+   * await wrapper.find('#random').trigger('click')
+   * expect(wrapper.setupState.getRandom).toHaveBeenCalled()
+   * ```
+   */
+  spy?: boolean
   scoped?: boolean
 }
 
 export type WrapperSuspendedResult<Fn> = WrapperFnResult<Fn> & {
+  /**
+   * The return value of the component setup.
+   */
   setupState: SetupState
 }
 
@@ -64,7 +84,7 @@ export function wrapperSuspended<C, Fn extends WrapperFn<C>>(
   setProps: (props: object) => void
 }> {
   const { props = {}, attrs = {} } = options as ComponentMountingOptions<C>
-  const { route = '/', scoped = false, ...wrapperFnOptions } = options as ComponentMountingOptions<C>
+  const { route = '/', scoped = false, spy = false, ...wrapperFnOptions } = options as ComponentMountingOptions<C>
 
   const vueApp: App<Element> & Record<string, unknown> = tryUseNuxtApp()?.vueApp
     // @ts-expect-error untyped global __unctx__
@@ -105,7 +125,7 @@ export function wrapperSuspended<C, Fn extends WrapperFn<C>>(
 
       if (!componentSetup) return
 
-      const result = scoped
+      let result = scoped
         ? await runEffectScope(() => componentSetup(props, setupContext))
         : await componentSetup(props, setupContext)
 
@@ -113,7 +133,15 @@ export function wrapperSuspended<C, Fn extends WrapperFn<C>>(
         instanceContext.expose(wrappedInstance.exposed)
       }
 
-      setupState = result && typeof result === 'object' ? result : {}
+      if (result && typeof result === 'object') {
+        if (spy) {
+          result = vi.mockObject(result, { spy: true })
+        }
+        setupState = result
+      }
+      else {
+        setupState = {}
+      }
 
       return result
     },