diff --git a/homeassistant/components/hassio/binary_sensor.py b/homeassistant/components/hassio/binary_sensor.py
index dfd13adbde6..8953bd47942 100644
--- a/homeassistant/components/hassio/binary_sensor.py
+++ b/homeassistant/components/hassio/binary_sensor.py
@@ -1,7 +1,10 @@
 """Binary sensor platform for Hass.io addons."""
 from __future__ import annotations
 
+from dataclasses import dataclass
+
 from homeassistant.components.binary_sensor import (
+    DEVICE_CLASS_RUNNING,
     DEVICE_CLASS_UPDATE,
     BinarySensorEntity,
     BinarySensorEntityDescription,
@@ -11,16 +14,31 @@ from homeassistant.core import HomeAssistant
 from homeassistant.helpers.entity_platform import AddEntitiesCallback
 
 from . import ADDONS_COORDINATOR
-from .const import ATTR_UPDATE_AVAILABLE, DATA_KEY_ADDONS, DATA_KEY_OS
+from .const import ATTR_STATE, ATTR_UPDATE_AVAILABLE, DATA_KEY_ADDONS, DATA_KEY_OS
 from .entity import HassioAddonEntity, HassioOSEntity
 
+
+@dataclass
+class HassioBinarySensorEntityDescription(BinarySensorEntityDescription):
+    """Hassio binary sensor entity description."""
+
+    target: str | None = None
+
+
 ENTITY_DESCRIPTIONS = (
-    BinarySensorEntityDescription(
+    HassioBinarySensorEntityDescription(
         device_class=DEVICE_CLASS_UPDATE,
         entity_registry_enabled_default=False,
         key=ATTR_UPDATE_AVAILABLE,
         name="Update Available",
     ),
+    HassioBinarySensorEntityDescription(
+        device_class=DEVICE_CLASS_RUNNING,
+        entity_registry_enabled_default=False,
+        key=ATTR_STATE,
+        name="Running",
+        target="started",
+    ),
 )
 
 
@@ -56,14 +74,19 @@ async def async_setup_entry(
 
 
 class HassioAddonBinarySensor(HassioAddonEntity, BinarySensorEntity):
-    """Binary sensor to track whether an update is available for a Hass.io add-on."""
+    """Binary sensor for Hass.io add-ons."""
+
+    entity_description: HassioBinarySensorEntityDescription
 
     @property
     def is_on(self) -> bool:
         """Return true if the binary sensor is on."""
-        return self.coordinator.data[DATA_KEY_ADDONS][self._addon_slug][
+        value = self.coordinator.data[DATA_KEY_ADDONS][self._addon_slug][
             self.entity_description.key
         ]
+        if self.entity_description.target is None:
+            return value
+        return value == self.entity_description.target
 
 
 class HassioOSBinarySensor(HassioOSEntity, BinarySensorEntity):
diff --git a/homeassistant/components/hassio/const.py b/homeassistant/components/hassio/const.py
index 1b24013163f..540d00b4906 100644
--- a/homeassistant/components/hassio/const.py
+++ b/homeassistant/components/hassio/const.py
@@ -45,6 +45,7 @@ ATTR_UPDATE_AVAILABLE = "update_available"
 ATTR_CPU_PERCENT = "cpu_percent"
 ATTR_MEMORY_PERCENT = "memory_percent"
 ATTR_SLUG = "slug"
+ATTR_STATE = "state"
 ATTR_URL = "url"
 ATTR_REPOSITORY = "repository"