A voiced retroflex trill is not a single consonant quality, but a sliding cluster sound within the time of a single segment. It has been reported in Toda and confirmed with laboratory measurements. Peter Ladefoged transcribes it with the IPA symbol that is normally associated with the retroflex flap, . Although the tongue starts out in a subapical retroflex position, trilling involves the tip of the tongue and causes it to move forward to the alveolar ridge. Thus, the retroflex trill gives a preceding vowel retroflex coloration, like other retroflex consonants, but the vibration itself is not much different from an alveolar trill. Thus, the narrower transcription is also appropriate.
Wintu and Lardil are other languages with a reported (apico-)retroflex trill where the tongue apex "approaches" the hard palate, but it is not subapical, unlike in Toda. The trill has a retroflex flap allophone that occurs between vowels.
Several languages have been reported to have trilled retroflex affricates such as and , including Mapudungun, Malagasy, Fijian, and Baima. However, the exact articulation is rarely clear from descriptions.
In Fijian, for example, further investigation has revealed that the sound (written ) is rarely trilled, but is usually realized as a postalveolar stop instead. In Mapudungun, the sound (written tr) is strongly retroflex, causing and following the subsequent vowel to become retroflex as well. The southern dialect varies between and , but it is not clear whether the letter represents a trill or a non-sibilant fricative.