diff --git a/doc/api/quic.md b/doc/api/quic.md
index f23078dbc588bd..64b5f7ff087437 100644
--- a/doc/api/quic.md
+++ b/doc/api/quic.md
@@ -1047,8 +1047,9 @@ added: REPLACEME
 
 Returns a `Promise` that resolves a new `QuicStream`.
 
-The `Promise` will be rejected if the `QuicSession` has been destroyed or is in
-the process of a graceful shutdown.
+The `Promise` will be rejected if the `QuicSession` has been destroyed, is in
+the process of a graceful shutdown, or the `QuicSession` is otherwise blocked
+from opening a new stream.
 
 #### `quicsession.ping()`
 <!--YAML
diff --git a/lib/internal/quic/core.js b/lib/internal/quic/core.js
index 2ad5f0cb97a5a7..14da5d28bb4fc0 100644
--- a/lib/internal/quic/core.js
+++ b/lib/internal/quic/core.js
@@ -48,7 +48,7 @@ const {
   QLogStream,
 } = require('internal/quic/util');
 const assert = require('internal/assert');
-const EventEmitter = require('events');
+const { EventEmitter, once } = require('events');
 const fs = require('fs');
 const fsPromisesInternal = require('internal/fs/promises');
 const { Duplex } = require('stream');
@@ -226,6 +226,7 @@ const kMaybeBind = Symbol('kMaybeBind');
 const kOnFileOpened = Symbol('kOnFileOpened');
 const kOnFileUnpipe = Symbol('kOnFileUnpipe');
 const kOnPipedFileHandleRead = Symbol('kOnPipedFileHandleRead');
+const kReady = Symbol('kReady');
 const kRemoveSession = Symbol('kRemove');
 const kRemoveStream = Symbol('kRemoveStream');
 const kServerBusy = Symbol('kServerBusy');
@@ -2167,30 +2168,15 @@ class QuicSession extends EventEmitter {
       defaultEncoding,
     } = validateQuicStreamOptions(options);
 
-    await this[kHandshakeComplete]();
-
-    if (this.destroyed) {
-      throw new ERR_INVALID_STATE(
-        `${this.constructor.name} is already destroyed`);
-    }
-    if (this.closing) {
-      throw new ERR_INVALID_STATE(
-        `${this.constructor.name} is closing`);
-    }
-
-    const handle =
-      halfOpen ?
-        _openUnidirectionalStream(this[kHandle]) :
-        _openBidirectionalStream(this[kHandle]);
-
-    if (handle === undefined)
-      throw new ERR_OPERATION_FAILED('Unable to create QuicStream');
-
-    return new QuicStream({
+    const stream = new QuicStream({
       highWaterMark,
       defaultEncoding,
       readable: !halfOpen
-    }, this, handle);
+    }, this);
+
+    await once(stream, kReady);
+
+    return stream;
   }
 
   get duration() {
@@ -2532,6 +2518,7 @@ function streamOnPause() {
     this[kHandle].readStop();
 }
 class QuicStream extends Duplex {
+  #count = 0;
   [kInternalState] = {
     closed: false,
     closePromise: undefined,
@@ -2547,6 +2534,7 @@ class QuicStream extends Duplex {
     dataRateHistogram: undefined,
     dataSizeHistogram: undefined,
     dataAckHistogram: undefined,
+    ready: false,
     sharedState: undefined,
     stats: undefined,
   };
@@ -2578,7 +2566,45 @@ class QuicStream extends Duplex {
     this._readableState.readingMore = true;
     this.on('pause', streamOnPause);
 
-    this[kSetHandle](handle);
+    if (handle !== undefined)
+      this[kSetHandle](handle);
+  }
+
+  async _construct(callback) {
+    try {
+      if (this[kInternalState].ready)
+        return callback();
+
+      // Handle is already initialized
+      const unidirectional = !this.readable;
+
+      await this.session[kHandshakeComplete]();
+
+      if (this.destroyed) {
+        throw new ERR_INVALID_STATE('QuicStream was destroyed');
+      }
+      if (this.session.destroyed) {
+        throw new ERR_INVALID_STATE(
+          `${this.session.constructor.name} was destroyed`);
+      }
+      if (this.session.closing) {
+        throw new ERR_INVALID_STATE(
+          `${this.session.constructor.name} is closing`);
+      }
+
+      const handle =
+        unidirectional ?
+          _openUnidirectionalStream(this.session[kHandle]) :
+          _openBidirectionalStream(this.session[kHandle]);
+
+      if (handle === undefined)
+        throw new ERR_OPERATION_FAILED('Unable to create QuicStream');
+
+      this[kSetHandle](handle);
+      callback();
+    } catch (error) {
+      callback(error);
+    }
   }
 
   // Set handle is called once the QuicSession has been able
@@ -2589,6 +2615,8 @@ class QuicStream extends Duplex {
   // written will be buffered until kSetHandle is called.
   [kSetHandle](handle) {
     const state = this[kInternalState];
+    const current = this[kHandle];
+    this[kHandle] = handle;
     if (handle !== undefined) {
       handle.onread = onStreamRead;
       handle[owner_symbol] = this;
@@ -2599,11 +2627,13 @@ class QuicStream extends Duplex {
       state.dataAckHistogram = new Histogram(handle.ack);
       state.sharedState = new QuicStreamSharedState(handle.state);
       state.session[kAddStream](state.id, this);
+      state.ready = true;
+      this.emit(kReady);
     } else {
-      if (this[kHandle] !== undefined) {
-        this[kHandle].stats[IDX_QUIC_STREAM_STATS_DESTROYED_AT] =
+      if (current !== undefined) {
+        current.stats[IDX_QUIC_STREAM_STATS_DESTROYED_AT] =
           process.hrtime.bigint();
-        state.stats = new BigInt64Array(this[kHandle].stats);
+        state.stats = new BigInt64Array(current.stats);
       }
       state.sharedState = undefined;
       if (state.dataRateHistogram)
@@ -2613,7 +2643,6 @@ class QuicStream extends Duplex {
       if (state.dataAckHistogram)
         state.dataAckHistogram[kDestroyHistogram]();
     }
-    this[kHandle] = handle;
   }
 
   [kStreamReset](code) {
@@ -2643,6 +2672,8 @@ class QuicStream extends Duplex {
       this.end();
     }
 
+    // TODO(@jasnell): Investigate later if a Promise version
+    // of finished() can work here instead.
     return promise;
   }
 
@@ -2663,6 +2694,7 @@ class QuicStream extends Duplex {
     else if (typeof state.closePromiseResolve === 'function')
       state.closePromiseResolve();
 
+    // TODO(@jasnell): Investigate how we can eliminate the nextTick here
     process.nextTick(() => callback(error));
   }
 
@@ -2754,7 +2786,7 @@ class QuicStream extends Duplex {
   }
 
   [kWriteGeneric](writev, data, encoding, cb) {
-    if (this.destroyed)
+    if (this.destroyed || this.detached)
       return;  // TODO(addaleax): Can this happen?
 
     this[kUpdateTimer]();
@@ -2829,6 +2861,8 @@ class QuicStream extends Duplex {
   }
 
   sendFile(path, options = {}) {
+    if (this.detached)
+      throw new ERR_INVALID_STATE('Unable to send file');
     fs.open(path, 'r', QuicStream[kOnFileOpened].bind(this, options));
   }
 
@@ -2856,6 +2890,9 @@ class QuicStream extends Duplex {
     if (this.destroyed || this[kInternalState].closed)
       return;
 
+    if (this.detached)
+      throw new ERR_INVALID_STATE('Unable to send file descriptor');
+
     validateInteger(offset, 'options.offset', /* min */ -1);
     validateInteger(length, 'options.length', /* min */ -1);
 
@@ -2947,6 +2984,12 @@ class QuicStream extends Duplex {
     if (this.destroyed)
       throw new ERR_INVALID_STATE('QuicStream is already destroyed');
 
+    if (this.detached) {
+      throw new ERR_INVALID_STATE(
+        'Push stream could not be opened on this QuicSession. ' +
+        'Push is either disabled or currently blocked.');
+    }
+
     const state = this[kInternalState];
     const {
       highWaterMark = state.highWaterMark,
@@ -2995,9 +3038,11 @@ class QuicStream extends Duplex {
   }
 
   submitInformationalHeaders(headers = {}) {
-    // TODO(@jasnell): Likely better to throw here instead of return false
     if (this.destroyed)
-      return false;
+      throw new ERR_INVALID_STATE('QuicStream is already destroyed');
+
+    if (this.detached)
+      throw new ERR_INVALID_STATE('Unable to submit headers');
 
     validateObject(headers, 'headers');
 
@@ -3025,9 +3070,11 @@ class QuicStream extends Duplex {
   }
 
   submitInitialHeaders(headers = {}, options = {}) {
-    // TODO(@jasnell): Likely better to throw here instead of return false
     if (this.destroyed)
-      return false;
+      throw new ERR_INVALID_STATE('QuicStream is already destroyed');
+
+    if (this.detached)
+      throw new ERR_INVALID_STATE('Unable to submit headers');
 
     const { terminal } = { ...options };
 
@@ -3062,9 +3109,11 @@ class QuicStream extends Duplex {
   }
 
   submitTrailingHeaders(headers = {}) {
-    // TODO(@jasnell): Likely better to throw here instead of return false
     if (this.destroyed)
-      return false;
+      throw new ERR_INVALID_STATE('QuicStream is already destroyed');
+
+    if (this.detached)
+      throw new ERR_INVALID_STATE('Unable to submit headers');
 
     validateObject(headers, 'headers');
 
diff --git a/src/quic/node_quic_buffer.cc b/src/quic/node_quic_buffer.cc
index 19514e75f663fe..ebe230271ac846 100644
--- a/src/quic/node_quic_buffer.cc
+++ b/src/quic/node_quic_buffer.cc
@@ -115,6 +115,7 @@ int QuicBuffer::DoPull(
   size_t len = 0;
   size_t numbytes = 0;
   int status = bob::Status::STATUS_CONTINUE;
+
   // There's no data to read.
   if (!remaining() || head_ == nullptr) {
     status = is_ended() ?
diff --git a/src/quic/node_quic_session.cc b/src/quic/node_quic_session.cc
index 1da8f7bfaab6bd..c8384509a6f46e 100644
--- a/src/quic/node_quic_session.cc
+++ b/src/quic/node_quic_session.cc
@@ -1998,7 +1998,7 @@ bool QuicSession::ReceiveStreamData(
     const uint8_t* data,
     size_t datalen,
     uint64_t offset) {
-  auto leave = OnScopeLeave([=]() {
+  auto leave = OnScopeLeave([&]() {
     // Unconditionally extend the flow control window for the entire
     // session but not for the individual Stream.
     ExtendOffset(datalen);
diff --git a/src/stream_base.cc b/src/stream_base.cc
index b4008a304a1217..b35df39afe9d8c 100644
--- a/src/stream_base.cc
+++ b/src/stream_base.cc
@@ -68,6 +68,7 @@ int StreamBase::UseUserBuffer(const FunctionCallbackInfo<Value>& args) {
 int StreamBase::Shutdown(const FunctionCallbackInfo<Value>& args) {
   CHECK(args[0]->IsObject());
   Local<Object> req_wrap_obj = args[0].As<Object>();
+
   return Shutdown(req_wrap_obj);
 }