diff --git a/ChangeLog.d/MBEDTLS_PSA_HMAC_DRBG_MD_TYPE.txt b/ChangeLog.d/MBEDTLS_PSA_HMAC_DRBG_MD_TYPE.txt
new file mode 100644
index 0000000000..079cd741dc
--- /dev/null
+++ b/ChangeLog.d/MBEDTLS_PSA_HMAC_DRBG_MD_TYPE.txt
@@ -0,0 +1,4 @@
+Security
+   * Unlike previously documented, enabling MBEDTLS_PSA_HMAC_DRBG_MD_TYPE does
+     not cause the PSA subsystem to use HMAC_DRBG: it uses HMAC_DRBG only when
+     MBEDTLS_PSA_CRYPTO_EXTERNAL_RNG and MBEDTLS_CTR_DRBG_C are disabled.
diff --git a/include/mbedtls/mbedtls_config.h b/include/mbedtls/mbedtls_config.h
index 35921412c6..871d54e48b 100644
--- a/include/mbedtls/mbedtls_config.h
+++ b/include/mbedtls/mbedtls_config.h
@@ -4016,11 +4016,18 @@
  * Use HMAC_DRBG with the specified hash algorithm for HMAC_DRBG for the
  * PSA crypto subsystem.
  *
- * If this option is unset:
- * - If CTR_DRBG is available, the PSA subsystem uses it rather than HMAC_DRBG.
- * - Otherwise, the PSA subsystem uses HMAC_DRBG with either
- *   #MBEDTLS_MD_SHA512 or #MBEDTLS_MD_SHA256 based on availability and
- *   on unspecified heuristics.
+ * If this option is unset, the library chooses a hash (currently between
+ * #MBEDTLS_MD_SHA512 and #MBEDTLS_MD_SHA256) based on availability and
+ * unspecified heuristics.
+ *
+ * \note The PSA crypto subsystem uses the first available mechanism amongst
+ *       the following:
+ *       - #MBEDTLS_PSA_CRYPTO_EXTERNAL_RNG if enabled;
+ *       - Entropy from #MBEDTLS_ENTROPY_C plus CTR_DRBG with AES
+ *         if #MBEDTLS_CTR_DRBG_C is enabled;
+ *       - Entropy from #MBEDTLS_ENTROPY_C plus HMAC_DRBG.
+ *
+ *       A future version may reevaluate the prioritization of DRBG mechanisms.
  */
 //#define MBEDTLS_PSA_HMAC_DRBG_MD_TYPE MBEDTLS_MD_SHA256
 
diff --git a/library/psa_crypto_random_impl.h b/library/psa_crypto_random_impl.h
index 533fb2e940..5b5163111b 100644
--- a/library/psa_crypto_random_impl.h
+++ b/library/psa_crypto_random_impl.h
@@ -21,13 +21,10 @@ typedef mbedtls_psa_external_random_context_t mbedtls_psa_random_context_t;
 #include "mbedtls/entropy.h"
 
 /* Choose a DRBG based on configuration and availability */
-#if defined(MBEDTLS_PSA_HMAC_DRBG_MD_TYPE)
-
-#include "mbedtls/hmac_drbg.h"
-
-#elif defined(MBEDTLS_CTR_DRBG_C)
+#if defined(MBEDTLS_CTR_DRBG_C)
 
 #include "mbedtls/ctr_drbg.h"
+#undef MBEDTLS_PSA_HMAC_DRBG_MD_TYPE
 
 #elif defined(MBEDTLS_HMAC_DRBG_C)
 
@@ -49,17 +46,11 @@ typedef mbedtls_psa_external_random_context_t mbedtls_psa_random_context_t;
 #error "No hash algorithm available for HMAC_DBRG."
 #endif
 
-#else /* !MBEDTLS_PSA_HMAC_DRBG_MD_TYPE && !MBEDTLS_CTR_DRBG_C && !MBEDTLS_HMAC_DRBG_C*/
+#else /* !MBEDTLS_CTR_DRBG_C && !MBEDTLS_HMAC_DRBG_C*/
 
 #error "No DRBG module available for the psa_crypto module."
 
-#endif /* !MBEDTLS_PSA_HMAC_DRBG_MD_TYPE && !MBEDTLS_CTR_DRBG_C && !MBEDTLS_HMAC_DRBG_C*/
-
-#if defined(MBEDTLS_CTR_DRBG_C)
-#include "mbedtls/ctr_drbg.h"
-#elif defined(MBEDTLS_HMAC_DRBG_C)
-#include "mbedtls/hmac_drbg.h"
-#endif /* !MBEDTLS_CTR_DRBG_C && !MBEDTLS_HMAC_DRBG_C */
+#endif /* !MBEDTLS_CTR_DRBG_C && !MBEDTLS_HMAC_DRBG_C*/
 
 /* The maximum number of bytes that mbedtls_psa_get_random() is expected to return. */
 #if defined(MBEDTLS_CTR_DRBG_C)