diff --git a/ts/services/calling.ts b/ts/services/calling.ts
index 1e3bc83a85..0680adee37 100644
--- a/ts/services/calling.ts
+++ b/ts/services/calling.ts
@@ -351,7 +351,8 @@ export class CallingClass {
       reduxInterface.setPresenting();
     });
 
-    void this.cleanExpiredGroupCallRingsAndLoop();
+    drop(this.cleanExpiredGroupCallRingsAndLoop());
+    drop(this.cleanupStaleRingingCalls());
 
     if (process.platform === 'darwin') {
       drop(this.enumerateMediaDevices());
@@ -593,6 +594,27 @@ export class CallingClass {
     );
   }
 
+  public async cleanupStaleRingingCalls(): Promise<void> {
+    const calls = await dataInterface.getRecentStaleRingsAndMarkOlderMissed();
+
+    const results = await Promise.all(
+      calls.map(async call => {
+        const peekInfo = await this.peekGroupCall(call.peerId);
+        return { callId: call.callId, peekInfo };
+      })
+    );
+
+    const staleCallIds = results
+      .filter(result => {
+        return result.peekInfo == null;
+      })
+      .map(result => {
+        return result.callId;
+      });
+
+    await dataInterface.markCallHistoryMissed(staleCallIds);
+  }
+
   public async peekGroupCall(conversationId: string): Promise<PeekInfo> {
     // This can be undefined in two cases:
     //
diff --git a/ts/sql/Interface.ts b/ts/sql/Interface.ts
index c6834eb7d8..61506122b7 100644
--- a/ts/sql/Interface.ts
+++ b/ts/sql/Interface.ts
@@ -19,7 +19,10 @@ import type { BadgeType } from '../badges/types';
 import type { LoggerType } from '../types/Logging';
 import type { ReadStatus } from '../messages/MessageReadStatus';
 import type { RawBodyRange } from '../types/BodyRange';
-import type { GetMessagesBetweenOptions } from './Server';
+import type {
+  GetMessagesBetweenOptions,
+  MaybeStaleCallHistory,
+} from './Server';
 import type { MessageTimestamps } from '../state/ducks/conversations';
 import type {
   CallHistoryDetails,
@@ -665,6 +668,10 @@ export type DataInterface = {
     conversationId: string,
     eraId: string
   ) => Promise<boolean>;
+  markCallHistoryMissed(callIds: ReadonlyArray<string>): Promise<void>;
+  getRecentStaleRingsAndMarkOlderMissed(): Promise<
+    ReadonlyArray<MaybeStaleCallHistory>
+  >;
   migrateConversationMessages: (
     obsoleteId: string,
     currentId: string
diff --git a/ts/sql/Server.ts b/ts/sql/Server.ts
index 16a047fb5c..928dfb2b1b 100644
--- a/ts/sql/Server.ts
+++ b/ts/sql/Server.ts
@@ -26,6 +26,7 @@ import {
   map,
   mapValues,
   omit,
+  partition,
   pick,
 } from 'lodash';
 
@@ -157,6 +158,8 @@ import {
   CallHistoryFilterStatus,
   callHistoryDetailsSchema,
   CallDirection,
+  GroupCallStatus,
+  CallType,
 } from '../types/CallDisposition';
 
 type ConversationRow = Readonly<{
@@ -316,6 +319,8 @@ const dataInterface: ServerInterface = {
   getCallHistoryGroups,
   saveCallHistory,
   hasGroupCallHistoryMessage,
+  markCallHistoryMissed,
+  getRecentStaleRingsAndMarkOlderMissed,
   migrateConversationMessages,
   getMessagesBetween,
   getNearbyMessageFromDeletedSet,
@@ -3802,6 +3807,65 @@ async function hasGroupCallHistoryMessage(
   return exists !== 0;
 }
 
+function _markCallHistoryMissed(db: Database, callIds: ReadonlyArray<string>) {
+  batchMultiVarQuery(db, callIds, batch => {
+    const [updateQuery, updateParams] = sql`
+      UPDATE callsHistory
+      SET status = ${sqlConstant(GroupCallStatus.Missed)}
+      WHERE callId IN (${sqlJoin(batch)})
+    `;
+    return db.prepare(updateQuery).run(updateParams);
+  });
+}
+
+async function markCallHistoryMissed(
+  callIds: ReadonlyArray<string>
+): Promise<void> {
+  const db = await getWritableInstance();
+  return db.transaction(() => _markCallHistoryMissed(db, callIds))();
+}
+
+export type MaybeStaleCallHistory = Readonly<
+  Pick<CallHistoryDetails, 'callId' | 'peerId'>
+>;
+
+async function getRecentStaleRingsAndMarkOlderMissed(): Promise<
+  ReadonlyArray<MaybeStaleCallHistory>
+> {
+  const db = await getWritableInstance();
+  return db.transaction(() => {
+    const [selectQuery, selectParams] = sql`
+      SELECT callId, peerId FROM callsHistory
+      WHERE
+        type = ${sqlConstant(CallType.Group)} AND
+        status = ${sqlConstant(GroupCallStatus.Ringing)}
+      ORDER BY timestamp DESC
+    `;
+
+    const ringingCalls = db.prepare(selectQuery).all(selectParams);
+
+    const seen = new Set<string>();
+    const [latestCalls, pastCalls] = partition(ringingCalls, result => {
+      if (seen.size >= 10) {
+        return false;
+      }
+      if (seen.has(result.peerId)) {
+        return false;
+      }
+      seen.add(result.peerId);
+      return true;
+    });
+
+    _markCallHistoryMissed(
+      db,
+      pastCalls.map(result => result.callId)
+    );
+
+    // These are returned so we can peek them.
+    return latestCalls;
+  })();
+}
+
 async function migrateConversationMessages(
   obsoleteId: string,
   currentId: string
diff --git a/ts/test-electron/sql/getRecentStaleRingsAndMarkOlderMissed_test.ts b/ts/test-electron/sql/getRecentStaleRingsAndMarkOlderMissed_test.ts
new file mode 100644
index 0000000000..389b2d6e16
--- /dev/null
+++ b/ts/test-electron/sql/getRecentStaleRingsAndMarkOlderMissed_test.ts
@@ -0,0 +1,105 @@
+// Copyright 2024 Signal Messenger, LLC
+// SPDX-License-Identifier: AGPL-3.0-only
+
+import { assert } from 'chai';
+import { v4 as generateUuid } from 'uuid';
+
+import { times } from 'lodash';
+import dataInterface from '../../sql/Client';
+
+import { CallMode } from '../../types/Calling';
+import { generateAci } from '../../types/ServiceId';
+import type { CallHistoryDetails } from '../../types/CallDisposition';
+import {
+  CallDirection,
+  CallType,
+  GroupCallStatus,
+} from '../../types/CallDisposition';
+import type { MaybeStaleCallHistory } from '../../sql/Server';
+
+const {
+  removeAll,
+  getRecentStaleRingsAndMarkOlderMissed,
+  saveCallHistory,
+  getAllCallHistory,
+} = dataInterface;
+
+describe('sql/getRecentStaleRingsAndMarkOlderMissed', () => {
+  beforeEach(async () => {
+    await removeAll();
+  });
+
+  const now = Date.now();
+  let offset = 0;
+
+  async function makeCall(
+    peerId: string,
+    callId: string,
+    status: GroupCallStatus
+  ) {
+    const timestamp = now + offset;
+    offset += 1;
+    const call: CallHistoryDetails = {
+      callId,
+      peerId,
+      ringerId: generateAci(),
+      mode: CallMode.Group,
+      type: CallType.Group,
+      direction: CallDirection.Incoming,
+      timestamp,
+      status,
+    };
+    await saveCallHistory(call);
+    return call;
+  }
+
+  function toMissed(call: CallHistoryDetails) {
+    return { ...call, status: GroupCallStatus.Missed };
+  }
+
+  function toMaybeStale(call: CallHistoryDetails): MaybeStaleCallHistory {
+    return { callId: call.callId, peerId: call.peerId };
+  }
+
+  it('should mark every call but the latest with the same peer as missed', async () => {
+    const peer1 = generateUuid();
+    const peer2 = generateUuid();
+    const call1 = await makeCall(peer1, '1', GroupCallStatus.Ringing);
+    const call2 = await makeCall(peer1, '2', GroupCallStatus.Ringing);
+    const call3 = await makeCall(peer2, '3', GroupCallStatus.Ringing);
+    const call4 = await makeCall(peer2, '4', GroupCallStatus.Ringing);
+    const callsToCheck = await getRecentStaleRingsAndMarkOlderMissed();
+    const callHistory = await getAllCallHistory();
+    assert.deepEqual(callHistory, [
+      toMissed(call1),
+      call2, // latest peer1
+      toMissed(call3),
+      call4, // latest peer2
+    ]);
+    assert.deepEqual(callsToCheck, [
+      // in order of timestamp
+      toMaybeStale(call4),
+      toMaybeStale(call2),
+    ]);
+  });
+
+  it('should mark every ringing call after the first 10 as missed', async () => {
+    const calls = await Promise.all(
+      times(15, async i => {
+        return makeCall(generateUuid(), String(i), GroupCallStatus.Ringing);
+      })
+    );
+
+    const callsToCheck = await getRecentStaleRingsAndMarkOlderMissed();
+    const callHistory = await getAllCallHistory();
+    assert.deepEqual(callHistory, [
+      // first 10 are not missed
+      ...calls.slice(0, -10).map(toMissed),
+      ...calls.slice(-10),
+    ]);
+    assert.deepEqual(
+      callsToCheck,
+      calls.slice(-10).map(toMaybeStale).reverse()
+    );
+  });
+});