cell-matrix. These unique characteristics render spheroids the optimal candidate for numerous fundamental studies and biomedical applications including the development of pre-clinical models for drug discovery, regenerative medicine, and tissue engineering. [1,2] Spheroids of cancer cells, also known as tumoroids, are emerging as preferred models for the investigation of anticancer therapeutics' response, as they provide analogous spatial architecture, diffusion gradient, tumor dynamics, metabolic activity, and drug resistance behavior of solid tumors. [3][4][5] In a similar vein, spheroids of stem cells are also largely investigated owing to their higher cell viability, proliferation, stemness, and regenerative characteristic compared to 2D culture. [2,6] Cell spheroids have also been trending as tissue engineering building blocks to replace single-cell printing, [7] where their complex composition, prolonged survival and fusion capacity are used to reconstruct various tissues, from branched blood vessel [8] to thyroid gland [9] and osteochondral interface. [10] The scalable application of spheroids in the above-mentioned studies necessitates a high-throughput production method with consistent physiological and morphological characteristics. The standard spheroid formation methods include hanging droplets, agitation-based systems, culture on non-adherent surfaces, and scaffold-based fabrication. [11,12] These methods are generally labor-intensive, low-yield, time-consuming, and show heterogeneous spheroids in shape and size due to poor control of the process which limits their scaled-up application. [13,14] Microfluidics has shown the capacity to overcome some of the technical hurdles in spheroid formation by offering controlled physical conditions, minimized cells and reagent consumption, high sensitivity in drug screening, precise manipulation of cells, continuous perfusion, and regulation of the nutrients and oxygen supply. [15][16][17] These advantages coupled with decreasing user-device interaction, compatibility for automation, low fabrication and operation costs make microfluidics an attractive tool for producing high throughput and uniform spheroids desirable for clinical translation. [18,19] Generally, spheroid formation starts with the physical agglomeration of cells. Next, cell-membrane integrins bind to long-chain extracellular matrix (ECM) fibers of adjoining cells 3D cell spheroid culture has emerged as a more faithful recreation of cell growth environment compared to conventional 2D culture, as it can maintain tissue structures, physicochemical characteristics, and cell phenotypes. The majority of current spheroid formation methods are limited to a physical agglomeration of the desired cell type, and then relying on cell capacity to secrete extracellular matrix to form coherent spheroids. Hence, apart from being time-consuming, their success in leading to functional spheroid formation is also cell-type dependent. In this study, a boundarydriven acoustic microstreaming tool is presented that can si...