A system for psychoacoustic evaluation of tinnitus synthesizes a test sound that is customized for a patient using the patients audiogram, a model of the tinnitus related to the patients audiogram, a psychoacoustic loudness model, and various test-sound parameters. In various embodiments, the system automatically adjusts the intensity and spectral level of the test sound such that the intensity of the test sound as perceived by the patient remains approximately constant across various frequencies and/or sound types used in the psychoacoustic evaluation of tinnitus.