diff --git a/litellm/llms/anthropic/experimental_pass_through/adapters/streaming_iterator.py b/litellm/llms/anthropic/experimental_pass_through/adapters/streaming_iterator.py
index bacb9f8ddf..8c20f4c430 100644
--- a/litellm/llms/anthropic/experimental_pass_through/adapters/streaming_iterator.py
+++ b/litellm/llms/anthropic/experimental_pass_through/adapters/streaming_iterator.py
@@ -1,5 +1,6 @@
 # What is this?
 ## Translates OpenAI call to Anthropic `/v1/messages` format
+import copy
 import json
 import traceback
 from collections import deque
@@ -29,6 +30,98 @@ if TYPE_CHECKING:
     from litellm.types.utils import ModelResponseStream
 
 
+class _CombinedChunkSplitter:
+    """
+    Splits a streaming chunk that carries BOTH response content and a
+    ``finish_reason`` into two chunks: a content-only chunk followed by a
+    finish-only chunk.
+
+    ``AnthropicStreamWrapper`` (via ``translate_streaming_openai_response_to_anthropic``)
+    assumes content and ``finish_reason`` never arrive in the same chunk — true for
+    real provider streams, but false for fake-streamed providers (e.g. Vertex AI
+    Gemma ``:predict``) where ``MockResponseIterator`` collapses the entire response
+    into a single chunk. Without this split the assumption causes all content to be
+    silently dropped (only the ``message_delta`` stop event is emitted).
+
+    Supports both sync and async iteration, since ``AnthropicStreamWrapper`` exposes
+    both ``__next__`` and ``__anext__``. An instance is single-mode: callers must
+    iterate it either synchronously or asynchronously, never both — the two modes
+    hold independent iterator references on the upstream stream and mixing them
+    would advance them out of sync.
+    """
+
+    def __init__(self, completion_stream: Any):
+        self._stream = completion_stream
+        self._sync_iter: Optional[Iterator[Any]] = None
+        self._async_iter: Optional[AsyncIterator[Any]] = None
+        self._buffer: deque = deque()
+
+    @staticmethod
+    def _is_combined(chunk: Any) -> bool:
+        """True if ``chunk`` carries response content AND a finish_reason."""
+        choices = getattr(chunk, "choices", None)
+        if not choices:
+            return False
+        choice = choices[0]
+        if getattr(choice, "finish_reason", None) is None:
+            return False
+        delta = getattr(choice, "delta", None)
+        if delta is None:
+            return False
+        return bool(
+            getattr(delta, "content", None)
+            or getattr(delta, "tool_calls", None)
+            or getattr(delta, "reasoning_content", None)
+            or getattr(delta, "thinking_blocks", None)
+        )
+
+    @staticmethod
+    def _split(chunk: Any) -> List[Any]:
+        """Return ``[chunk]``, or ``[content_chunk, finish_chunk]`` if combined."""
+        if not _CombinedChunkSplitter._is_combined(chunk):
+            return [chunk]
+
+        # Content chunk: keep the delta payload, clear the finish_reason.
+        content_chunk = copy.deepcopy(chunk)
+        content_chunk.choices[0].finish_reason = None
+
+        # Finish chunk: keep finish_reason (and usage), clear the delta payload.
+        finish_chunk = copy.deepcopy(chunk)
+        finish_delta = finish_chunk.choices[0].delta
+        finish_delta.content = None
+        if hasattr(finish_delta, "tool_calls"):
+            finish_delta.tool_calls = None
+        if hasattr(finish_delta, "reasoning_content"):
+            finish_delta.reasoning_content = None
+        if hasattr(finish_delta, "thinking_blocks"):
+            finish_delta.thinking_blocks = None
+        return [content_chunk, finish_chunk]
+
+    def __iter__(self) -> "Iterator[Any]":
+        return self
+
+    def __next__(self) -> Any:
+        if self._buffer:
+            return self._buffer.popleft()
+        if self._sync_iter is None:
+            self._sync_iter = iter(self._stream)
+        chunk = next(self._sync_iter)  # propagates StopIteration when exhausted
+        self._buffer.extend(self._split(chunk))
+        return self._buffer.popleft()
+
+    def __aiter__(self) -> "AsyncIterator[Any]":
+        return self
+
+    async def __anext__(self) -> Any:
+        if self._buffer:
+            return self._buffer.popleft()
+        if self._async_iter is None:
+            self._async_iter = self._stream.__aiter__()
+        chunk = await self._async_iter.__anext__()  # propagates StopAsyncIteration
+        self._buffer.extend(self._split(chunk))
+        return self._buffer.popleft()
+
+
 class AnthropicStreamWrapper(AdapterCompletionStreamWrapper):
     """
     - first chunk return 'message_start'
@@ -62,7 +155,10 @@ class AnthropicStreamWrapper(AdapterCompletionStreamWrapper):
         compaction_block: Optional[CompactionBlock] = None,
         iterations_usage: Optional[List[UsageIteration]] = None,
     ):
-        super().__init__(completion_stream)
+        # Wrap the upstream stream so chunks that carry both content and a
+        # finish_reason (fake-streamed providers) are split into two — see
+        # _CombinedChunkSplitter.
+        super().__init__(_CombinedChunkSplitter(completion_stream))
         self.model = model
         # Mapping of truncated tool names to original names (for OpenAI's 64-char limit)
         self.tool_name_mapping = tool_name_mapping or {}
diff --git a/litellm/llms/base_llm/base_model_iterator.py b/litellm/llms/base_llm/base_model_iterator.py
index cf1fd6f786..bf1bfd0653 100644
--- a/litellm/llms/base_llm/base_model_iterator.py
+++ b/litellm/llms/base_llm/base_model_iterator.py
@@ -50,6 +50,11 @@ def convert_model_response_to_streaming(
             model=model_response.model,
             choices=streaming_choices,
         )
+        # Carry usage onto the streaming chunk so fake-streamed responses
+        # (e.g. Vertex AI Gemma :predict) still report token counts.
+        usage = getattr(model_response, "usage", None)
+        if usage is not None:
+            setattr(processed_chunk, "usage", usage)
         return processed_chunk
     except Exception as e:
         raise ValueError(
diff --git a/litellm/llms/databricks/streaming_utils.py b/litellm/llms/databricks/streaming_utils.py
index eebe318288..7a7330227d 100644
--- a/litellm/llms/databricks/streaming_utils.py
+++ b/litellm/llms/databricks/streaming_utils.py
@@ -25,6 +25,28 @@ class ModelResponseIterator:
             finish_reason = ""
             usage: Optional[ChatCompletionUsageBlock] = None
 
+            # Usage-only final chunk (OpenAI ``stream_options.include_usage``)
+            # arrives with an empty ``choices`` list — return usage without
+            # indexing ``choices[0]``.
+            if len(processed_chunk.choices) == 0:
+                final_usage = getattr(processed_chunk, "usage", None)
+                return GenericStreamingChunk(
+                    text="",
+                    tool_use=None,
+                    is_finished=False,
+                    finish_reason="",
+                    usage=(
+                        ChatCompletionUsageBlock(
+                            prompt_tokens=final_usage.prompt_tokens or 0,
+                            completion_tokens=final_usage.completion_tokens or 0,
+                            total_tokens=final_usage.total_tokens or 0,
+                        )
+                        if final_usage is not None
+                        else None
+                    ),
+                    index=0,
+                )
+
             if processed_chunk.choices[0].delta.content is not None:  # type: ignore
                 text = processed_chunk.choices[0].delta.content  # type: ignore
 
diff --git a/tests/test_litellm/llms/anthropic/experimental_pass_through/adapters/test_streaming_iterator_combined_chunk.py b/tests/test_litellm/llms/anthropic/experimental_pass_through/adapters/test_streaming_iterator_combined_chunk.py
new file mode 100644
index 0000000000..f74c5b6130
--- /dev/null
+++ b/tests/test_litellm/llms/anthropic/experimental_pass_through/adapters/test_streaming_iterator_combined_chunk.py
@@ -0,0 +1,150 @@
+"""
+Regression tests for fake-streamed providers routed through `/v1/messages`.
+
+A fake-streaming provider (e.g. Vertex AI Gemma `:predict`) collapses its whole
+response into a single `MockResponseIterator` chunk that carries content text AND a
+`finish_reason` together. `AnthropicStreamWrapper` previously dropped all content in
+this case — `translate_streaming_openai_response_to_anthropic` sees the finish_reason
+and emits only a `message_delta`. `_CombinedChunkSplitter` splits such chunks so the
+content survives.
+"""
+
+import asyncio
+import json
+from types import SimpleNamespace
+
+from litellm.llms.anthropic.experimental_pass_through.adapters.streaming_iterator import (
+    AnthropicStreamWrapper,
+    _CombinedChunkSplitter,
+)
+from litellm.llms.base_llm.base_model_iterator import MockResponseIterator
+from litellm.types.utils import (
+    Choices,
+    Delta,
+    Message,
+    ModelResponse,
+    ModelResponseStream,
+    StreamingChoices,
+    Usage,
+)
+
+
+def _build_fake_stream(
+    content: str, finish_reason: str = "stop"
+) -> MockResponseIterator:
+    """Mimic a Vertex Gemma `:predict` fake stream: one collapsed chunk."""
+    model_response = ModelResponse()
+    model_response.choices = [
+        Choices(
+            index=0,
+            message=Message(role="assistant", content=content),
+            finish_reason=finish_reason,
+        )
+    ]
+    model_response.usage = Usage(prompt_tokens=10, completion_tokens=5, total_tokens=15)
+    model_response.model = "gemma4"
+    return MockResponseIterator(model_response=model_response)
+
+
+def _collect_async(wrapper: AnthropicStreamWrapper) -> str:
+    async def _run() -> str:
+        out = []
+        async for raw in wrapper.async_anthropic_sse_wrapper():
+            out.append(raw.decode() if isinstance(raw, bytes) else raw)
+        return "".join(out)
+
+    return asyncio.run(_run())
+
+
+def test_fake_stream_content_reaches_anthropic_sse():
+    """Content from a collapsed fake-stream chunk must be emitted as a delta."""
+    wrapper = AnthropicStreamWrapper(
+        completion_stream=_build_fake_stream("Hello, the answer is 2."),
+        model="gemma4",
+    )
+    sse = _collect_async(wrapper)
+
+    assert "content_block_delta" in sse
+    assert "Hello, the answer is 2." in sse
+    assert "message_delta" in sse
+    assert "message_stop" in sse
+
+
+def test_fake_stream_usage_preserved():
+    """The finish chunk keeps usage so output_tokens is non-zero."""
+    wrapper = AnthropicStreamWrapper(
+        completion_stream=_build_fake_stream("Two."),
+        model="gemma4",
+    )
+    sse = _collect_async(wrapper)
+
+    message_delta = next(
+        json.loads(line[len("data: ") :])
+        for block in sse.split("\n\n")
+        for line in block.splitlines()
+        if line.startswith("data: ") and '"message_delta"' in line
+    )
+    assert message_delta["usage"]["output_tokens"] == 5
+    assert message_delta["usage"]["input_tokens"] == 10
+
+
+def test_splitter_passes_through_non_combined_chunks():
+    """A chunk with content but no finish_reason is not split."""
+    chunk = ModelResponseStream(
+        choices=[
+            StreamingChoices(
+                index=0, delta=Delta(content="partial"), finish_reason=None
+            )
+        ]
+    )
+    chunks = list(_CombinedChunkSplitter(iter([chunk])))
+    assert len(chunks) == 1
+    assert chunks[0].choices[0].delta.content == "partial"
+
+
+def test_splitter_splits_combined_chunk_into_content_then_finish():
+    """A chunk with both content and finish_reason becomes two chunks."""
+    chunk = ModelResponseStream(
+        choices=[
+            StreamingChoices(index=0, delta=Delta(content="done"), finish_reason="stop")
+        ]
+    )
+    content_chunk, finish_chunk = list(_CombinedChunkSplitter(iter([chunk])))
+
+    assert content_chunk.choices[0].delta.content == "done"
+    assert content_chunk.choices[0].finish_reason is None
+
+    assert finish_chunk.choices[0].finish_reason == "stop"
+    assert finish_chunk.choices[0].delta.content is None
+
+
+def test_is_combined_false_when_choices_empty():
+    """A metadata-only chunk with no choices is never treated as combined."""
+    assert _CombinedChunkSplitter._is_combined(SimpleNamespace(choices=[])) is False
+
+
+def test_is_combined_false_when_delta_missing():
+    """A finish chunk whose choice has no delta is not combined."""
+    chunk = SimpleNamespace(choices=[SimpleNamespace(finish_reason="stop", delta=None)])
+    assert _CombinedChunkSplitter._is_combined(chunk) is False
+
+
+def test_split_clears_reasoning_and_thinking_on_finish_chunk():
+    """When the combined delta carries reasoning/thinking, only the content
+    chunk keeps them — the finish chunk is cleared."""
+    delta = SimpleNamespace(
+        content="hi",
+        tool_calls=None,
+        reasoning_content="some reasoning",
+        thinking_blocks=[{"type": "thinking"}],
+    )
+    chunk = SimpleNamespace(
+        choices=[SimpleNamespace(finish_reason="stop", delta=delta)]
+    )
+
+    content_chunk, finish_chunk = _CombinedChunkSplitter._split(chunk)
+
+    assert content_chunk.choices[0].delta.reasoning_content == "some reasoning"
+    assert content_chunk.choices[0].delta.thinking_blocks == [{"type": "thinking"}]
+    assert finish_chunk.choices[0].delta.reasoning_content is None
+    assert finish_chunk.choices[0].delta.thinking_blocks is None
diff --git a/tests/test_litellm/llms/databricks/test_databricks_streaming_utils.py b/tests/test_litellm/llms/databricks/test_databricks_streaming_utils.py
new file mode 100644
index 0000000000..5612864a84
--- /dev/null
+++ b/tests/test_litellm/llms/databricks/test_databricks_streaming_utils.py
@@ -0,0 +1,64 @@
+"""
+Regression test for the databricks streaming chunk parser.
+
+OpenAI-compatible servers (e.g. Vertex AI Model Garden vLLM endpoints) send a final
+usage-only chunk with an empty `choices` list when `stream_options.include_usage` is
+set. `chunk_parser` previously did `choices[0]` unconditionally, raising
+`IndexError` -> `MidStreamFallbackError` and crashing the stream.
+"""
+
+from litellm.llms.databricks.streaming_utils import ModelResponseIterator
+
+
+def test_chunk_parser_handles_empty_choices_usage_chunk():
+    """A usage-only final chunk (empty choices) must not raise IndexError."""
+    iterator = ModelResponseIterator(streaming_response=None, sync_stream=True)
+    usage_only_chunk = {
+        "id": "chatcmpl-x",
+        "object": "chat.completion.chunk",
+        "created": 1,
+        "model": "m",
+        "choices": [],
+        "usage": {"prompt_tokens": 20, "completion_tokens": 8, "total_tokens": 28},
+    }
+
+    result = iterator.chunk_parser(chunk=usage_only_chunk)
+
+    assert result["text"] == ""
+    assert result["is_finished"] is False
+    assert result["usage"] is not None
+    assert result["usage"]["prompt_tokens"] == 20
+    assert result["usage"]["completion_tokens"] == 8
+
+
+def test_chunk_parser_empty_choices_without_usage():
+    """An empty-choices chunk with no usage block returns usage=None, no error."""
+    iterator = ModelResponseIterator(streaming_response=None, sync_stream=True)
+    chunk = {
+        "id": "chatcmpl-x",
+        "object": "chat.completion.chunk",
+        "created": 1,
+        "model": "m",
+        "choices": [],
+    }
+
+    result = iterator.chunk_parser(chunk=chunk)
+
+    assert result["text"] == ""
+    assert result["usage"] is None
+
+
+def test_chunk_parser_normal_content_chunk_still_works():
+    """A regular content chunk is unaffected by the empty-choices guard."""
+    iterator = ModelResponseIterator(streaming_response=None, sync_stream=True)
+    chunk = {
+        "id": "chatcmpl-x",
+        "object": "chat.completion.chunk",
+        "created": 1,
+        "model": "m",
+        "choices": [{"index": 0, "delta": {"content": "hi"}, "finish_reason": None}],
+    }
+
+    result = iterator.chunk_parser(chunk=chunk)
+
+    assert result["text"] == "hi"