Integrated multimedia voicemail systems and methods allow the creation of voicemail with associated multimedia content. A user can compose a voicemail and select or create multimedia content to be associated with the voicemail. A user can associate files, webpage addresses, applications, and user-created content with a voicemail. A user may operate an interface on a user device to select content and instruct a voicemail system to associate such content with a voicemail. The voicemail with integrated multimedia content may be an originating voicemail or a voicemail in response to another voicemail.