diff --git a/NAMESPACE b/NAMESPACE
index a4954f0ea4..f09604b8be 100644
--- a/NAMESPACE
+++ b/NAMESPACE
@@ -114,6 +114,7 @@ export(forest_viewport)
 export(format_auto)
 export(format_count_fraction)
 export(format_count_fraction_fixed_dp)
+export(format_count_fraction_lt10)
 export(format_extreme_values)
 export(format_extreme_values_ci)
 export(format_fraction)
diff --git a/NEWS.md b/NEWS.md
index 99ae050914..6c2c8410b9 100644
--- a/NEWS.md
+++ b/NEWS.md
@@ -1,6 +1,10 @@
 # tern 0.9.1.9000
 
+### Enhancements
+* Added formatting function `format_count_fraction_lt10` for formatting `count_fraction` with special consideration when count is less than 10.
+
 # tern 0.9.1
+
 ### New Features
 * Added `imputation_rule` function to apply imputation rule to data.
 * Added new format function `format_sigfig` to allow for numeric value formatting by a specified number of significant figures.
@@ -23,6 +27,7 @@
 * Removed `a_summary_internal()` in favor of only one main `a_summary()`.
 
 # tern 0.9.0
+
 ### New Features
 * Added `stat_propdiff_ci` function to calculate proportion/risk difference and CI.
 * Added risk difference column functionality via the `riskdiff` argument to functions `count_occurrences`, `count_occurrences_by_grade`, `count_patients_with_event`, `count_patients_with_flags`, `analyze_num_patients`, and `summarize_num_patients`.
diff --git a/R/formatting_functions.R b/R/formatting_functions.R
index 42753c65cf..37057a90e9 100644
--- a/R/formatting_functions.R
+++ b/R/formatting_functions.R
@@ -160,6 +160,43 @@ format_count_fraction_fixed_dp <- function(x, ...) {
   return(result)
 }
 
+#' Formatting Count and Fraction with Special Case for Count < 10
+#'
+#' @description `r lifecycle::badge("stable")`
+#'
+#' Formats a count together with fraction with special consideration when count is less than 10.
+#'
+#' @inheritParams format_count_fraction
+#'
+#' @return A string in the format `count (fraction %)`. If `count` is less than 10, only `count` is printed.
+#'
+#' @examples
+#' format_count_fraction_lt10(x = c(275, 0.9673))
+#' format_count_fraction_lt10(x = c(2, 0.6667))
+#' format_count_fraction_lt10(x = c(9, 1))
+#'
+#' @family formatting functions
+#' @export
+format_count_fraction_lt10 <- function(x, ...) {
+  attr(x, "label") <- NULL
+
+  if (any(is.na(x))) {
+    return("NA")
+  }
+
+  checkmate::assert_vector(x)
+  checkmate::assert_integerish(x[1])
+  assert_proportion_value(x[2], include_boundaries = TRUE)
+
+  result <- if (x[1] < 10) {
+    paste0(x[1])
+  } else {
+    paste0(x[1], " (", round(x[2] * 100, 1), "%)")
+  }
+
+  return(result)
+}
+
 #' Formatting: XX as Formatting Function
 #'
 #' Translate a string where x and dots are interpreted as number place
diff --git a/man/extreme_format.Rd b/man/extreme_format.Rd
index bb2fb05e3a..80d28c0fab 100644
--- a/man/extreme_format.Rd
+++ b/man/extreme_format.Rd
@@ -57,6 +57,7 @@ h_format_threshold(1000)
 Other formatting functions: 
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_auto.Rd b/man/format_auto.Rd
index 8f1323c13b..25b36cd3fd 100644
--- a/man/format_auto.Rd
+++ b/man/format_auto.Rd
@@ -46,6 +46,7 @@ format_auto(no_sc_x, "range")(x = no_sc_x)
 Other formatting functions: 
 \code{\link{extreme_format}},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_count_fraction.Rd b/man/format_count_fraction.Rd
index 3848647997..06520e7d60 100644
--- a/man/format_count_fraction.Rd
+++ b/man/format_count_fraction.Rd
@@ -29,6 +29,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
 \code{\link{format_fraction_fixed_dp}()},
diff --git a/man/format_count_fraction_fixed_dp.Rd b/man/format_count_fraction_fixed_dp.Rd
index 53b2db8ad1..0893f1aa9f 100644
--- a/man/format_count_fraction_fixed_dp.Rd
+++ b/man/format_count_fraction_fixed_dp.Rd
@@ -29,6 +29,7 @@ format_count_fraction_fixed_dp(x = c(0, 0))
 Other formatting functions: 
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_count_fraction_lt10.Rd b/man/format_count_fraction_lt10.Rd
new file mode 100644
index 0000000000..ae4ca68f34
--- /dev/null
+++ b/man/format_count_fraction_lt10.Rd
@@ -0,0 +1,43 @@
+% Generated by roxygen2: do not edit by hand
+% Please edit documentation in R/formatting_functions.R
+\name{format_count_fraction_lt10}
+\alias{format_count_fraction_lt10}
+\title{Formatting Count and Fraction with Special Case for Count < 10}
+\usage{
+format_count_fraction_lt10(x, ...)
+}
+\arguments{
+\item{x}{(\code{integer})\cr vector of length 2, count and fraction.}
+
+\item{...}{required for \code{rtables} interface.}
+}
+\value{
+A string in the format \verb{count (fraction \%)}. If \code{count} is less than 10, only \code{count} is printed.
+}
+\description{
+\ifelse{html}{\href{https://lifecycle.r-lib.org/articles/stages.html#stable}{\figure{lifecycle-stable.svg}{options: alt='[Stable]'}}}{\strong{[Stable]}}
+
+Formats a count together with fraction with special consideration when count is less than 10.
+}
+\examples{
+format_count_fraction_lt10(x = c(275, 0.9673))
+format_count_fraction_lt10(x = c(2, 0.6667))
+format_count_fraction_lt10(x = c(9, 1))
+
+}
+\seealso{
+Other formatting functions: 
+\code{\link{extreme_format}},
+\code{\link{format_auto}()},
+\code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction}()},
+\code{\link{format_extreme_values_ci}()},
+\code{\link{format_extreme_values}()},
+\code{\link{format_fraction_fixed_dp}()},
+\code{\link{format_fraction_threshold}()},
+\code{\link{format_fraction}()},
+\code{\link{format_sigfig}()},
+\code{\link{format_xx}()},
+\code{\link{formatting_functions}}
+}
+\concept{formatting functions}
diff --git a/man/format_extreme_values.Rd b/man/format_extreme_values.Rd
index 5bf237a813..e523e45e04 100644
--- a/man/format_extreme_values.Rd
+++ b/man/format_extreme_values.Rd
@@ -30,6 +30,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_fraction_fixed_dp}()},
diff --git a/man/format_extreme_values_ci.Rd b/man/format_extreme_values_ci.Rd
index 0e526c8fe2..f7b1d56988 100644
--- a/man/format_extreme_values_ci.Rd
+++ b/man/format_extreme_values_ci.Rd
@@ -30,6 +30,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values}()},
 \code{\link{format_fraction_fixed_dp}()},
diff --git a/man/format_fraction.Rd b/man/format_fraction.Rd
index dfd46accd9..452b5414d6 100644
--- a/man/format_fraction.Rd
+++ b/man/format_fraction.Rd
@@ -29,6 +29,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_fraction_fixed_dp.Rd b/man/format_fraction_fixed_dp.Rd
index 71f9d0d615..37686e7a9d 100644
--- a/man/format_fraction_fixed_dp.Rd
+++ b/man/format_fraction_fixed_dp.Rd
@@ -31,6 +31,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_fraction_threshold.Rd b/man/format_fraction_threshold.Rd
index 899eba757c..e586490dd0 100644
--- a/man/format_fraction_threshold.Rd
+++ b/man/format_fraction_threshold.Rd
@@ -33,6 +33,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_sigfig.Rd b/man/format_sigfig.Rd
index 2177142c96..f592939630 100644
--- a/man/format_sigfig.Rd
+++ b/man/format_sigfig.Rd
@@ -39,6 +39,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/format_xx.Rd b/man/format_xx.Rd
index 957d534023..ed08e9c382 100644
--- a/man/format_xx.Rd
+++ b/man/format_xx.Rd
@@ -34,6 +34,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/man/formatting_functions.Rd b/man/formatting_functions.Rd
index e9998ab398..d800e54664 100644
--- a/man/formatting_functions.Rd
+++ b/man/formatting_functions.Rd
@@ -16,6 +16,7 @@ Other formatting functions:
 \code{\link{extreme_format}},
 \code{\link{format_auto}()},
 \code{\link{format_count_fraction_fixed_dp}()},
+\code{\link{format_count_fraction_lt10}()},
 \code{\link{format_count_fraction}()},
 \code{\link{format_extreme_values_ci}()},
 \code{\link{format_extreme_values}()},
diff --git a/tests/testthat/_snaps/formats.md b/tests/testthat/_snaps/formats.md
index 78f507bca7..854ad6994f 100644
--- a/tests/testthat/_snaps/formats.md
+++ b/tests/testthat/_snaps/formats.md
@@ -68,6 +68,20 @@
     Output
       [1] "0"
 
+# format_count_fraction_lt10 works with healthy inputs
+
+    Code
+      res
+    Output
+      [1] "10 (100%)"  "19 (51.8%)" "76 (99.6%)"
+
+# format_count_fraction_lt10 works with count less than 10
+
+    Code
+      res
+    Output
+      [1] "9" "1" "7"
+
 # format_xx works with easy inputs
 
     Code
diff --git a/tests/testthat/test-formats.R b/tests/testthat/test-formats.R
index 80f66e621b..1ff90a747a 100644
--- a/tests/testthat/test-formats.R
+++ b/tests/testthat/test-formats.R
@@ -73,6 +73,30 @@ testthat::test_that("format_count_fraction_fixed_dp works with count of 0", {
   testthat::expect_snapshot(res)
 })
 
+testthat::test_that("format_count_fraction_lt10 works with healthy inputs", {
+  x <- list(c(10, 1), c(19, 0.5183), c(76, 0.996))
+
+  result <- sapply(x, format_count_fraction_lt10)
+
+  res <- testthat::expect_silent(result)
+  testthat::expect_snapshot(res)
+})
+
+testthat::test_that("format_count_fraction_lt10 works with count less than 10", {
+  x <- list(c(9, 1), c(1, 0.5), c(7, 0.99))
+
+  result <- sapply(x, format_count_fraction_lt10)
+
+  res <- testthat::expect_silent(result)
+  testthat::expect_snapshot(res)
+})
+
+testthat::test_that("format_count_fraction_lt10 works with NA input", {
+  result <- format_count_fraction_lt10(NA)
+  testthat::expect_identical(result, "NA")
+})
+
+
 testthat::test_that("format_fraction fails with bad inputs", {
   x <- list(
     c(num = c(1L, 2L, 3L), denom = 5L),