diff --git a/tests/test_device.py b/tests/test_device.py
index b653ea89b..93d0cae93 100644
--- a/tests/test_device.py
+++ b/tests/test_device.py
@@ -16,13 +16,13 @@
     ExposesFeatureMetadata,
     QuirkBuilder,
 )
-from zigpy.quirks.v2.homeassistant import EntityType
+from zigpy.quirks.v2.homeassistant import PERCENTAGE, EntityType
 from zigpy.quirks.v2.homeassistant.sensor import SensorDeviceClass, SensorStateClass
 import zigpy.types
 from zigpy.typing import UNDEFINED
 from zigpy.zcl import ClusterType
 from zigpy.zcl.clusters import general
-from zigpy.zcl.clusters.general import Ota, PowerConfiguration
+from zigpy.zcl.clusters.general import AnalogInput, Ota, PowerConfiguration
 from zigpy.zcl.clusters.lighting import Color
 from zigpy.zcl.clusters.measurement import CarbonDioxideConcentration
 from zigpy.zcl.foundation import Status, WriteAttributesResponse
@@ -1031,6 +1031,66 @@ async def test_quirks_v2_prevent_default_entities(zha_gateway: Gateway) -> None:
     assert len(zha_device.platform_entities) == 7
 
 
+async def test_quirks_v2_prevent_default_entities_does_not_remove_v2_entities(
+    zha_gateway: Gateway,
+) -> None:
+    """Test prevent_default_entity_creation does not remove quirks v2 entities.
+
+    `prevent_default_entity_creation` is meant to suppress default ZHA entities
+    only; quirks-v2-defined entities (via `.sensor(...)` etc.) must survive
+    even when the predicate would otherwise match them — e.g. when the v2
+    entity deliberately reuses the same `unique_id_suffix` as the default
+    entity in order to preserve the existing HA entity registry entry.
+    """
+    registry = DeviceRegistry()
+
+    (
+        QuirkBuilder("Espressif", "ZigbeeAnalogDevice", registry=registry)
+        # Both the prevent rule and the v2 sensor target the same suffix —
+        # without the fix this rule would remove the v2 sensor as well.
+        .prevent_default_entity_creation(
+            endpoint_id=1,
+            cluster_id=AnalogInput.cluster_id,
+            unique_id_suffix="analog_input",
+        )
+        .sensor(
+            attribute_name=AnalogInput.AttributeDefs.present_value.name,
+            cluster_id=AnalogInput.cluster_id,
+            # Match the default ZHA `AnalogInputSensor._unique_id_suffix` so
+            # the new entity inherits the existing HA entity registry entry.
+            unique_id_suffix="analog_input",
+            device_class=SensorDeviceClass.AQI,
+            state_class=SensorStateClass.MEASUREMENT,
+            unit=PERCENTAGE,
+            translation_key="dirty_level",
+            fallback_name="Dirty Level",
+        )
+        .add_to_registry()
+    )
+
+    zigpy_dev = registry.get_device(
+        await zigpy_device_from_json(
+            zha_gateway.application_controller,
+            "tests/data/devices/espressif-zigbeeanalogdevice.json",
+        )
+    )
+
+    zha_device = await join_zigpy_device(zha_gateway, zigpy_dev)
+
+    # The v2 sensor survived even though the prevent predicate (matched by
+    # `unique_id_suffix="analog_input"`) also matches it.
+    sensors = [
+        e
+        for e in zha_device.platform_entities.values()
+        if e.PLATFORM == Platform.SENSOR and "analog_input" in e.unique_id
+    ]
+    assert len(sensors) == 1
+    (sensor,) = sensors
+    assert sensor._from_quirks_v2 is True
+    assert sensor.translation_key == "dirty_level"
+    assert sensor._attr_device_class == SensorDeviceClass.AQI
+
+
 async def test_quirks_v2_change_entity_metadata(zha_gateway: Gateway) -> None:
     """Test quirks v2 can change entity metadata."""
     registry = DeviceRegistry()
diff --git a/zha/application/platforms/__init__.py b/zha/application/platforms/__init__.py
index 9da3fc16c..18e730172 100644
--- a/zha/application/platforms/__init__.py
+++ b/zha/application/platforms/__init__.py
@@ -449,6 +449,11 @@ class PlatformEntity(BaseEntity):
     # entities using the same cluster handler/cluster id for the entity.
     _unique_id_suffix: str | None = None
 
+    # True when this entity was constructed from quirks v2 EntityMetadata.
+    # Used to scope filters like `prevent_default_entity_creation` to default
+    # ZHA entities only.
+    _from_quirks_v2: bool = False
+
     _migrate_platform_unique_ids: tuple[tuple[UniqueIdMigration, str]] | None = None
 
     # Auto-discovery for the entity
@@ -491,6 +496,8 @@ def __init__(
 
     def _init_from_quirks_metadata(self, entity_metadata: EntityMetadata) -> None:
         """Init this entity from the quirks metadata."""
+        self._from_quirks_v2 = True
+
         if entity_metadata.initially_disabled:
             self._attr_entity_registry_enabled_default = False
 
diff --git a/zha/zigbee/device.py b/zha/zigbee/device.py
index 14884e1da..7b8fc3cf6 100644
--- a/zha/zigbee/device.py
+++ b/zha/zigbee/device.py
@@ -963,6 +963,13 @@ def _is_entity_removed_by_quirk(self, entity: PlatformEntity) -> bool:
         if self.quirk_metadata is None:
             return False
 
+        # `prevent_default_entity_creation` only targets default ZHA entities.
+        # Entities defined by the quirk itself (via quirks v2 EntityMetadata,
+        # e.g. `.sensor(...)`) are not removed here, even when the predicate
+        # would otherwise match them.
+        if entity._from_quirks_v2:
+            return False
+
         for meta in self.quirk_metadata.disabled_default_entities:
             _LOGGER.debug("Checking if entity %s is removed by %s", entity, meta)