diff --git a/packages/typespec-ts/src/modular/helpers/operationHelpers.ts b/packages/typespec-ts/src/modular/helpers/operationHelpers.ts
index cef645c5ca..06e4b9bd2c 100644
--- a/packages/typespec-ts/src/modular/helpers/operationHelpers.ts
+++ b/packages/typespec-ts/src/modular/helpers/operationHelpers.ts
@@ -232,30 +232,42 @@ export function getDeserializePrivateFunction(
 
   if (deserializedType) {
     const contentTypes = operation.operation.responses[0]?.contentTypes;
-    const deserializeFunctionName = buildModelDeserializer(
-      context,
-      deserializedType,
-      {
-        nameOnly: true,
-        skipDiscriminatedUnionSuffix: false
-      }
-    );
-    if (deserializeFunctionName) {
-      statements.push(`return ${deserializeFunctionName}(${deserializedRoot})`);
-    } else if (isAzureCoreErrorType(context.program, deserializedType.__raw)) {
+    // For File type responses, directly return the body
+    if (
+      deserializedType.kind === "model" &&
+      deserializedType.crossLanguageDefinitionId === "TypeSpec.Http.File"
+    ) {
       statements.push(`return ${deserializedRoot}`);
     } else {
-      statements.push(
-        `return ${deserializeResponseValue(
-          context,
-          deserializedType,
-          deserializedRoot,
-          true,
-          isBinaryPayload(context, response.type!.__raw!, contentTypes!)
-            ? "binary"
-            : getEncodeForType(deserializedType)
-        )}`
+      const deserializeFunctionName = buildModelDeserializer(
+        context,
+        deserializedType,
+        {
+          nameOnly: true,
+          skipDiscriminatedUnionSuffix: false
+        }
       );
+      if (deserializeFunctionName) {
+        statements.push(
+          `return ${deserializeFunctionName}(${deserializedRoot})`
+        );
+      } else if (
+        isAzureCoreErrorType(context.program, deserializedType.__raw)
+      ) {
+        statements.push(`return ${deserializedRoot}`);
+      } else {
+        statements.push(
+          `return ${deserializeResponseValue(
+            context,
+            deserializedType,
+            deserializedRoot,
+            true,
+            isBinaryPayload(context, response.type!.__raw!, contentTypes!)
+              ? "binary"
+              : getEncodeForType(deserializedType)
+          )}`
+        );
+      }
     }
   } else if (returnType.type === "void") {
     statements.push("return;");
@@ -501,7 +513,11 @@ export function getOperationFunction(
   const parameterList = parameters.map((p) => p.name).join(", ");
   // Special case for binary-only bodies: use helper to call streaming methods so that Core doesn't poison the response body by
   // doing a UTF-8 decode on the raw bytes.
-  if (response?.type?.kind === "bytes" && response.type.encode === "bytes") {
+  const isBinaryResponse =
+    (response?.type?.kind === "bytes" && response.type.encode === "bytes") ||
+    (response?.type?.kind === "model" &&
+      response.type.crossLanguageDefinitionId === "TypeSpec.Http.File");
+  if (isBinaryResponse) {
     statements.push(`const streamableMethod = _${name}Send(${parameterList});`);
     statements.push(
       `const result = await ${resolveReference(SerializationHelpers.getBinaryResponse)}(streamableMethod);`
@@ -1685,6 +1701,10 @@ export function deserializeResponseValue(
         return `${restValue} as any`;
       }
     case "model": // generate deserialize logic for spread model types
+      // Special handling for TypeSpec.Http.File - it's already a Uint8Array
+      if (type.crossLanguageDefinitionId === "TypeSpec.Http.File") {
+        return restValue;
+      }
       return `{${getResponseMapping(context, type, "").join(",")}}`;
     case "nullable":
       return deserializeResponseValue(
diff --git a/packages/typespec-ts/src/modular/serialization/buildDeserializerFunction.ts b/packages/typespec-ts/src/modular/serialization/buildDeserializerFunction.ts
index f78ccebd84..0bf6d94915 100644
--- a/packages/typespec-ts/src/modular/serialization/buildDeserializerFunction.ts
+++ b/packages/typespec-ts/src/modular/serialization/buildDeserializerFunction.ts
@@ -80,6 +80,13 @@ export function buildModelDeserializer(
   }
 ): FunctionDeclarationStructure | undefined | string {
   // const modelTcgcType = getTcgcType(type) as SdkModelType;
+  // TypeSpec.Http.File doesn't need deserialization - it's already a Uint8Array
+  if (
+    type.kind === "model" &&
+    type.crossLanguageDefinitionId === "TypeSpec.Http.File"
+  ) {
+    return undefined;
+  }
   if (!isSupportedSerializeType(type)) {
     return undefined;
   }
diff --git a/packages/typespec-ts/src/modular/type-expressions/get-type-expression.ts b/packages/typespec-ts/src/modular/type-expressions/get-type-expression.ts
index ca8c409611..6ce27ffa71 100644
--- a/packages/typespec-ts/src/modular/type-expressions/get-type-expression.ts
+++ b/packages/typespec-ts/src/modular/type-expressions/get-type-expression.ts
@@ -89,6 +89,10 @@ export function getTypeExpression(
       return `Record<string, ${valueType}>`;
     }
     case "model":
+      // Special handling for TypeSpec.Http.File
+      if (type.crossLanguageDefinitionId === "TypeSpec.Http.File") {
+        return "Uint8Array";
+      }
       return getModelExpression(context, type);
     case "nullable":
       return getNullableExpression(context, type, options);
diff --git a/packages/typespec-ts/test/modularUnit/scenarios/models/fileModel.md b/packages/typespec-ts/test/modularUnit/scenarios/models/fileModel.md
new file mode 100644
index 0000000000..2aa0253d62
--- /dev/null
+++ b/packages/typespec-ts/test/modularUnit/scenarios/models/fileModel.md
@@ -0,0 +1,78 @@
+# Should generate file model
+
+## TypeSpec
+
+```tsp
+model Site {
+    name: string;
+}
+op test(@body site:Site): File<"application/octet-stream">;
+```
+
+## Model
+
+```ts models
+/**
+ * This file contains only generated model types and their (de)serializers.
+ * Disable the following rules for internal models with '_' prefix and deserializers which require 'any' for raw JSON input.
+ */
+/* eslint-disable @typescript-eslint/naming-convention */
+/* eslint-disable @typescript-eslint/explicit-module-boundary-types */
+/** model interface Site */
+export interface Site {
+  name: string;
+}
+
+export function siteSerializer(item: Site): any {
+  return { name: item["name"] };
+}
+```
+
+## Operations
+
+```ts operations
+import { TestingContext as Client } from "./index.js";
+import { Site, siteSerializer } from "../models/models.js";
+import { getBinaryResponse } from "../static-helpers/serialization/get-binary-response.js";
+import { TestOptionalParams } from "./options.js";
+import {
+  StreamableMethod,
+  PathUncheckedResponse,
+  createRestError,
+  operationOptionsToRequestParameters,
+} from "@azure-rest/core-client";
+
+export function _testSend(
+  context: Client,
+  site: Site,
+  options: TestOptionalParams = { requestOptions: {} },
+): StreamableMethod {
+  return context
+    .path("/")
+    .post({
+      ...operationOptionsToRequestParameters(options),
+      contentType: "application/json",
+      headers: { accept: "application/octet-stream", ...options.requestOptions?.headers },
+      body: siteSerializer(site),
+    });
+}
+
+export async function _testDeserialize(result: PathUncheckedResponse): Promise<Uint8Array> {
+  const expectedStatuses = ["200"];
+  if (!expectedStatuses.includes(result.status)) {
+    throw createRestError(result);
+  }
+
+  return result.body;
+}
+
+export async function test(
+  context: Client,
+  site: Site,
+  options: TestOptionalParams = { requestOptions: {} },
+): Promise<Uint8Array> {
+  const streamableMethod = _testSend(context, site, options);
+  const result = await getBinaryResponse(streamableMethod);
+  return _testDeserialize(result);
+}
+```
\ No newline at end of file