diff --git a/src/app/components/VoiceCallAudioSettingsDialog.svelte b/src/app/components/VoiceCallAudioSettingsDialog.svelte
new file mode 100644
index 00000000..7c8c25f0
--- /dev/null
+++ b/src/app/components/VoiceCallAudioSettingsDialog.svelte
@@ -0,0 +1,161 @@
+<script lang="ts">
+  import Button from "@lib/components/Button.svelte"
+  import FieldInline from "@lib/components/FieldInline.svelte"
+  import Modal from "@lib/components/Modal.svelte"
+  import ModalBody from "@lib/components/ModalBody.svelte"
+  import ModalFooter from "@lib/components/ModalFooter.svelte"
+  import ModalHeader from "@lib/components/ModalHeader.svelte"
+  import ModalTitle from "@lib/components/ModalTitle.svelte"
+  import {
+    currentVoiceSession,
+    DeviceKind,
+    supportsAudioOutputSelection,
+    switchVoiceActiveDevice,
+    type VoiceSession,
+  } from "@app/voice"
+  import {popModal} from "@app/util/modal"
+
+  const selectValueForActiveDevice = (session: VoiceSession, kind: DeviceKind): string => {
+    const livekitDeviceId = session.room.getActiveDevice(kind)
+    if (livekitDeviceId === undefined || livekitDeviceId === "" || livekitDeviceId === "default") {
+      return ""
+    }
+    return livekitDeviceId
+  }
+
+  let audioInputs = $state<MediaDeviceInfo[]>([])
+  let audioOutputs = $state<MediaDeviceInfo[]>([])
+  let videoInputs = $state<MediaDeviceInfo[]>([])
+  let selectedInput = $state("")
+  let selectedOutput = $state("")
+  let selectedVideo = $state("")
+
+  const loadDevices = async () => {
+    if (!navigator.mediaDevices?.enumerateDevices) return
+    try {
+      const devices = await navigator.mediaDevices.enumerateDevices()
+      audioInputs = devices.filter(d => d.kind === "audioinput")
+      audioOutputs = devices.filter(d => d.kind === "audiooutput")
+      videoInputs = devices.filter(d => d.kind === "videoinput")
+    } catch {
+      audioInputs = []
+      audioOutputs = []
+      videoInputs = []
+    }
+  }
+
+  $effect(() => {
+    void loadDevices()
+    const md = navigator.mediaDevices
+    if (!md?.addEventListener) return
+    const onDeviceChange = () => {
+      void loadDevices()
+    }
+    md.addEventListener("devicechange", onDeviceChange)
+    return () => {
+      md.removeEventListener("devicechange", onDeviceChange)
+    }
+  })
+
+  $effect(() => {
+    const session = $currentVoiceSession
+    if (!session) {
+      popModal()
+      return
+    }
+    selectedInput = selectValueForActiveDevice(session, DeviceKind.AudioInput)
+    selectedOutput = selectValueForActiveDevice(session, DeviceKind.AudioOutput)
+    selectedVideo = selectValueForActiveDevice(session, DeviceKind.VideoInput)
+  })
+
+  const onInputChange = () => {
+    void switchVoiceActiveDevice(DeviceKind.AudioInput, selectedInput)
+  }
+
+  const onOutputChange = () => {
+    void switchVoiceActiveDevice(DeviceKind.AudioOutput, selectedOutput)
+  }
+
+  const onVideoChange = () => {
+    void switchVoiceActiveDevice(DeviceKind.VideoInput, selectedVideo)
+  }
+
+  const onDone = () => {
+    popModal()
+  }
+
+  const canPickOutput = supportsAudioOutputSelection()
+</script>
+
+<Modal>
+  <ModalBody>
+    <ModalHeader>
+      <ModalTitle>Call settings</ModalTitle>
+    </ModalHeader>
+    <p class="text-sm opacity-80">Microphone, speaker, and camera for this call.</p>
+    <div class="flex flex-col gap-4 pt-2">
+      <FieldInline>
+        {#snippet label()}
+          <p>Microphone</p>
+        {/snippet}
+        {#snippet input()}
+          <select
+            class="select select-bordered w-full"
+            bind:value={selectedInput}
+            onchange={onInputChange}
+            aria-label="Microphone">
+            <option value="">Default microphone</option>
+            {#each audioInputs as d (d.deviceId)}
+              <option value={d.deviceId}>
+                {d.label || `Microphone ${d.deviceId.slice(0, 8)}…`}
+              </option>
+            {/each}
+          </select>
+        {/snippet}
+      </FieldInline>
+      {#if canPickOutput}
+        <FieldInline>
+          {#snippet label()}
+            <p>Speaker</p>
+          {/snippet}
+          {#snippet input()}
+            <select
+              class="select select-bordered w-full"
+              bind:value={selectedOutput}
+              onchange={onOutputChange}
+              aria-label="Speaker">
+              <option value="">Default speaker</option>
+              {#each audioOutputs as d (d.deviceId)}
+                <option value={d.deviceId}>
+                  {d.label || `Speaker ${d.deviceId.slice(0, 8)}…`}
+                </option>
+              {/each}
+            </select>
+          {/snippet}
+        </FieldInline>
+      {/if}
+      <FieldInline>
+        {#snippet label()}
+          <p>Camera</p>
+        {/snippet}
+        {#snippet input()}
+          <select
+            class="select select-bordered w-full"
+            bind:value={selectedVideo}
+            onchange={onVideoChange}
+            aria-label="Camera">
+            <option value="">Default camera</option>
+            {#each videoInputs as d (d.deviceId)}
+              <option value={d.deviceId}>
+                {d.label || `Camera ${d.deviceId.slice(0, 8)}…`}
+              </option>
+            {/each}
+          </select>
+        {/snippet}
+      </FieldInline>
+    </div>
+  </ModalBody>
+  <ModalFooter>
+    <Button class="btn btn-primary" onclick={onDone}>Done</Button>
+  </ModalFooter>
+</Modal>
diff --git a/src/app/components/VoiceRoomJoinDialog.svelte b/src/app/components/VoiceRoomJoinDialog.svelte
index 044fcd64..61bb8ee2 100644
--- a/src/app/components/VoiceRoomJoinDialog.svelte
+++ b/src/app/components/VoiceRoomJoinDialog.svelte
@@ -26,16 +26,21 @@
   const spaceLabel = $derived(displayRelayUrl(url))
 
   let audioInputs = $state<MediaDeviceInfo[]>([])
+  let videoInputs = $state<MediaDeviceInfo[]>([])
   let selectedDeviceId = $state("")
+  let selectedVideoDeviceId = $state("")
   let startWithoutMic = $state(false)
+  let joinWithCamera = $state(false)
 
   const loadDevices = async () => {
     if (!navigator.mediaDevices?.enumerateDevices) return
     try {
       const devices = await navigator.mediaDevices.enumerateDevices()
       audioInputs = devices.filter(d => d.kind === "audioinput")
+      videoInputs = devices.filter(d => d.kind === "videoinput")
     } catch {
       audioInputs = []
+      videoInputs = []
     }
   }
 
@@ -52,6 +57,8 @@
       h,
       startWithoutMic,
       startWithoutMic ? undefined : selectedDeviceId || undefined,
+      joinWithCamera,
+      joinWithCamera ? selectedVideoDeviceId || undefined : undefined,
     )
   }
 </script>
@@ -69,7 +76,7 @@
         </span>
       </ModalSubtitle>
     </ModalHeader>
-    <p class="text-sm opacity-80">Select a microphone to join the call:</p>
+    <p class="text-sm opacity-80">Choose devices for the call:</p>
     <div class="flex flex-col gap-4 pt-2">
       <div class="flex items-center gap-2">
         <input
@@ -77,7 +84,7 @@
           type="checkbox"
           class="checkbox"
           bind:checked={startWithoutMic} />
-        <label for="voice-start-without-mic" class="text-sm cursor-pointer">
+        <label for="voice-start-without-mic" class="cursor-pointer text-sm">
           Join without microphone (you can unmute later)
         </label>
       </div>
@@ -100,6 +107,34 @@
           </select>
         {/snippet}
       </FieldInline>
+      <div class="flex items-center gap-2">
+        <input
+          id="voice-join-with-camera"
+          type="checkbox"
+          class="checkbox"
+          bind:checked={joinWithCamera} />
+        <label for="voice-join-with-camera" class="cursor-pointer text-sm"
+          >Turn camera on when joining</label>
+      </div>
+      <FieldInline>
+        {#snippet label()}
+          <p>Camera</p>
+        {/snippet}
+        {#snippet input()}
+          <select
+            class="select select-bordered w-full"
+            bind:value={selectedVideoDeviceId}
+            disabled={!joinWithCamera}
+            aria-label="Camera">
+            <option value="">Default camera</option>
+            {#each videoInputs as d (d.deviceId)}
+              <option value={d.deviceId}>
+                {d.label || `Camera ${d.deviceId.slice(0, 8)}…`}
+              </option>
+            {/each}
+          </select>
+        {/snippet}
+      </FieldInline>
     </div>
   </ModalBody>
   <ModalFooter>
diff --git a/src/app/components/VoiceWidget.svelte b/src/app/components/VoiceWidget.svelte
index f5ea6c3e..1702753d 100644
--- a/src/app/components/VoiceWidget.svelte
+++ b/src/app/components/VoiceWidget.svelte
@@ -12,8 +12,10 @@
   import PhoneRounded from "@assets/icons/phone-rounded.svg?dataurl"
   import PhoneCallingRounded from "@assets/icons/phone-calling-rounded.svg?dataurl"
   import CloseCircle from "@assets/icons/close-circle.svg?dataurl"
+  import Settings from "@assets/icons/settings.svg?dataurl"
   import Icon from "@lib/components/Icon.svelte"
   import Button from "@lib/components/Button.svelte"
+  import VoiceCallAudioSettingsDialog from "@app/components/VoiceCallAudioSettingsDialog.svelte"
   import VoiceRoomJoinDialog from "@app/components/VoiceRoomJoinDialog.svelte"
   import {
     decodeRelay,
@@ -68,6 +70,10 @@
     await goto(makeRoomPath(targetRoom.url, targetRoom.h))
     pushModal(VoiceRoomJoinDialog, {url: targetRoom.url, h: targetRoom.h})
   }
+
+  const openAudioSettings = () => {
+    pushModal(VoiceCallAudioSettingsDialog)
+  }
 </script>
 
 {#if targetRoom}
@@ -121,6 +127,12 @@
           onclick={toggleScreenShare}>
           <Icon icon={Monitor} size={4} />
         </Button>
+        <Button
+          data-tip="Call settings"
+          class="center tooltip tooltip-top btn btn-sm btn-square btn-ghost"
+          onclick={openAudioSettings}>
+          <Icon icon={Settings} size={4} />
+        </Button>
         <Button
           data-tip="Leave room"
           class="center tooltip tooltip-top btn btn-sm btn-square btn-error"
diff --git a/src/app/voice.ts b/src/app/voice.ts
index 17a357b5..4a70b83d 100644
--- a/src/app/voice.ts
+++ b/src/app/voice.ts
@@ -9,7 +9,9 @@ import {
   Room as LiveKitRoom,
   RoomEvent,
   Track,
+  supportsAudioOutputSelection,
   type AudioCaptureOptions,
+  type VideoCaptureOptions,
 } from "livekit-client"
 import {derived, get, writable} from "svelte/store"
 import {map, removeUndefined, uniqBy} from "@welshman/lib"
@@ -25,6 +27,8 @@ export const LIVEKIT_PARTICIPANTS = 39004
 
 export {checkRelayHasLivekit} from "$lib/livekit"
 
+export {supportsAudioOutputSelection}
+
 export type VoiceSession = {
   url: string
   h: string
@@ -46,6 +50,40 @@ export enum VoiceState {
 
 export const currentVoiceSession = writable<VoiceSession | undefined>(undefined)
 
+const LIVEKIT_DEFAULT_DEVICE_ID = "default"
+
+export enum DeviceKind {
+  AudioInput = "audioinput",
+  AudioOutput = "audiooutput",
+  VideoInput = "videoinput",
+}
+
+export const switchVoiceActiveDevice = async (
+  kind: DeviceKind,
+  targetDeviceId: string,
+): Promise<void> => {
+  const session = get(currentVoiceSession)
+  if (!session) return
+  const id = targetDeviceId === "" ? LIVEKIT_DEFAULT_DEVICE_ID : targetDeviceId
+  try {
+    await session.room.switchActiveDevice(kind, id)
+  } catch {
+    let label: string
+    switch (kind) {
+      case DeviceKind.AudioInput:
+        label = "microphone"
+        break
+      case DeviceKind.AudioOutput:
+        label = "speaker"
+        break
+      case DeviceKind.VideoInput:
+        label = "camera"
+        break
+    }
+    pushToast({theme: "error", message: `Error changing ${label}`})
+  }
+}
+
 export const voiceState = writable<VoiceState>(VoiceState.Disconnected)
 
 export const currentVoiceRoom = writable<Room | undefined>(undefined)
@@ -253,6 +291,8 @@ export const joinVoiceRoom = async (
   h: string,
   startMuted = true,
   preferredMicId?: string,
+  joinWithCamera = false,
+  preferredCameraId?: string,
 ): Promise<void> => {
   cancelJoinVoiceRoom()
 
@@ -303,12 +343,26 @@ export const joinVoiceRoom = async (
 
     const muted = await setUpMicrophone(startMuted, preferredMicId, liveKitRoom.localParticipant)
 
+    let cameraOn = false
+    if (joinWithCamera) {
+      const videoCapture: VideoCaptureOptions | undefined = preferredCameraId
+        ? {deviceId: preferredCameraId}
+        : undefined
+      try {
+        await liveKitRoom.localParticipant.setCameraEnabled(true, videoCapture)
+        cameraOn = true
+        bumpVideoCallLayoutRevision()
+      } catch (e) {
+        pushToast({theme: "error", message: "Could not access camera"})
+      }
+    }
+
     currentVoiceSession.set({
       url,
       h,
       room: liveKitRoom,
       muted,
-      cameraOn: false,
+      cameraOn,
       screenShareOn: false,
     })
     voiceState.set(VoiceState.Connected)