diff --git a/test/conformance/program/urProgramCreateWithIL.cpp b/test/conformance/program/urProgramCreateWithIL.cpp
index 182d6ff34e..b439850bac 100644
--- a/test/conformance/program/urProgramCreateWithIL.cpp
+++ b/test/conformance/program/urProgramCreateWithIL.cpp
@@ -8,6 +8,15 @@
 struct urProgramCreateWithILTest : uur::urContextTest {
     void SetUp() override {
         UUR_RETURN_ON_FATAL_FAILURE(urContextTest::SetUp());
+        // TODO: This should use a query for urProgramCreateWithIL support or
+        // rely on UR_RESULT_ERROR_UNSUPPORTED_FEATURE being returned.
+        ur_platform_backend_t backend;
+        ASSERT_SUCCESS(urPlatformGetInfo(platform, UR_PLATFORM_INFO_BACKEND,
+                                         sizeof(ur_platform_backend_t),
+                                         &backend, nullptr));
+        if (backend == UR_PLATFORM_BACKEND_HIP) {
+            GTEST_SKIP();
+        }
         uur::KernelsEnvironment::instance->LoadSource("foo", 0, il_binary);
     }
 
diff --git a/test/conformance/program/urProgramLink.cpp b/test/conformance/program/urProgramLink.cpp
index 14bb9ef864..a97867dc53 100644
--- a/test/conformance/program/urProgramLink.cpp
+++ b/test/conformance/program/urProgramLink.cpp
@@ -8,6 +8,15 @@
 struct urProgramLinkTest : uur::urProgramTest {
     void SetUp() override {
         UUR_RETURN_ON_FATAL_FAILURE(urProgramTest::SetUp());
+        // TODO: This should use a query for urProgramCreateWithIL support or
+        // rely on UR_RESULT_ERROR_UNSUPPORTED_FEATURE being returned.
+        ur_platform_backend_t backend;
+        ASSERT_SUCCESS(urPlatformGetInfo(platform, UR_PLATFORM_INFO_BACKEND,
+                                         sizeof(ur_platform_backend_t),
+                                         &backend, nullptr));
+        if (backend == UR_PLATFORM_BACKEND_HIP) {
+            GTEST_SKIP();
+        }
         ASSERT_SUCCESS(urProgramCompile(context, program, nullptr));
         programs.push_back(program);
 
diff --git a/test/conformance/source/environment.cpp b/test/conformance/source/environment.cpp
index 6c917914ed..ef3ecce27c 100644
--- a/test/conformance/source/environment.cpp
+++ b/test/conformance/source/environment.cpp
@@ -477,6 +477,35 @@ void KernelsEnvironment::LoadSource(
     binary_out = binary_ptr;
 }
 
+ur_result_t KernelsEnvironment::CreateProgram(ur_platform_handle_t hPlatform,
+                                              ur_context_handle_t hContext,
+                                              ur_device_handle_t hDevice,
+                                              const std::vector<char> &binary,
+                                              ur_program_handle_t *phProgram) {
+    ur_platform_backend_t backend;
+    if (auto error = urPlatformGetInfo(hPlatform, UR_PLATFORM_INFO_BACKEND,
+                                       sizeof(ur_platform_backend_t), &backend,
+                                       nullptr)) {
+        return error;
+    }
+    if (backend == UR_PLATFORM_BACKEND_HIP) {
+        // The HIP adapter does not support urProgramCreateWithIL so we need to
+        // use urProgramCreateWithBinary instead.
+        if (auto error = urProgramCreateWithBinary(
+                hContext, hDevice, binary.size(),
+                reinterpret_cast<const uint8_t *>(binary.data()), nullptr,
+                phProgram)) {
+            return error;
+        }
+    } else {
+        if (auto error = urProgramCreateWithIL(
+                hContext, binary.data(), binary.size(), nullptr, phProgram)) {
+            return error;
+        }
+    }
+    return UR_RESULT_SUCCESS;
+}
+
 std::vector<std::string> KernelsEnvironment::GetEntryPointNames(
     [[maybe_unused]] std::string program_name) {
     std::vector<std::string> entry_points;
diff --git a/test/conformance/testing/include/uur/environment.h b/test/conformance/testing/include/uur/environment.h
index 551be76e17..cd2d72cfe4 100644
--- a/test/conformance/testing/include/uur/environment.h
+++ b/test/conformance/testing/include/uur/environment.h
@@ -75,6 +75,12 @@ struct KernelsEnvironment : DevicesEnvironment {
     void LoadSource(const std::string &kernel_name, uint32_t device_index,
                     std::shared_ptr<std::vector<char>> &binary_out);
 
+    ur_result_t CreateProgram(ur_platform_handle_t hPlatform,
+                              ur_context_handle_t hContext,
+                              ur_device_handle_t hDevice,
+                              const std::vector<char> &binary,
+                              ur_program_handle_t *phProgram);
+
     std::vector<std::string> GetEntryPointNames(std::string program);
 
     static KernelsEnvironment *instance;
diff --git a/test/conformance/testing/include/uur/fixtures.h b/test/conformance/testing/include/uur/fixtures.h
index 2ede84d135..a3eb90cde9 100644
--- a/test/conformance/testing/include/uur/fixtures.h
+++ b/test/conformance/testing/include/uur/fixtures.h
@@ -324,8 +324,8 @@ struct urHostPipeTest : urQueueTest {
     void SetUp() override {
         UUR_RETURN_ON_FATAL_FAILURE(urQueueTest::SetUp());
         uur::KernelsEnvironment::instance->LoadSource("foo", 0, il_binary);
-        ASSERT_SUCCESS(urProgramCreateWithIL(
-            context, il_binary->data(), il_binary->size(), nullptr, &program));
+        ASSERT_SUCCESS(uur::KernelsEnvironment::instance->CreateProgram(
+            platform, context, device, *il_binary, &program));
 
         size_t size = 0;
         ASSERT_SUCCESS(urDeviceGetInfo(
@@ -1052,8 +1052,8 @@ struct urProgramTest : urQueueTest {
         UUR_RETURN_ON_FATAL_FAILURE(urQueueTest::SetUp());
         uur::KernelsEnvironment::instance->LoadSource(program_name, 0,
                                                       il_binary);
-        ASSERT_SUCCESS(urProgramCreateWithIL(
-            context, il_binary->data(), il_binary->size(), nullptr, &program));
+        ASSERT_SUCCESS(uur::KernelsEnvironment::instance->CreateProgram(
+            platform, context, device, *il_binary, &program));
     }
 
     void TearDown() override {
@@ -1072,9 +1072,8 @@ template <class T> struct urProgramTestWithParam : urContextTestWithParam<T> {
     void SetUp() override {
         UUR_RETURN_ON_FATAL_FAILURE(urContextTestWithParam<T>::SetUp());
         uur::KernelsEnvironment::instance->LoadSource("foo", 0, il_binary);
-        ASSERT_SUCCESS(urProgramCreateWithIL(this->context, il_binary->data(),
-                                             il_binary->size(), nullptr,
-                                             &program));
+        ASSERT_SUCCESS(uur::KernelsEnvironment::instance->CreateProgram(
+            this->platform, this->context, this->device, *il_binary, &program));
     }
 
     void TearDown() override {