State-of-the-art sparse attention methods for reducing decoding latency fall into two main categories: approximate top-$k$ (and its extension, top-$p$) and recently introduced sampling-based estimation. However, these approaches are fundamentally limited in their ability to approximate full attention: they fail to provide consistent approximations across heads and query vectors and, most critically, lack guarantees on approximation quality, limiting their practical deployment. We observe that top-$k$ and random sampling are complementary: top-$k$ performs well when attention scores are dominated by a few tokens, whereas random sampling provides better estimates when attention scores are relatively uniform. Building on this insight and leveraging the statistical guarantees of sampling, we introduce vAttention, the first practical sparse attention mechanism with user-specified $(ε, δ)$ guarantees on approximation accuracy (thus, "verified"). These guarantees make vAttention a compelling step toward practical, reliable deployment of sparse attention at scale. By unifying top-$k$ and sampling, vAttention outperforms both individually, delivering a superior quality-efficiency trade-off. Our experiments show that vAttention significantly improves the quality of sparse attention (e.g., $\sim$4.5 percentage points for Llama 3.1 8B Instruct and DeepSeek-R1-Distill-Llama-8B on RULER-HARD), and effectively bridges the gap between full and sparse attention (e.g., across datasets, it matches full model quality with up to 20x sparsity). We also demonstrate that it can be deployed in reasoning scenarios to achieve fast decoding without compromising model quality (e.g., vAttention achieves full model quality on AIME2024 at 10x sparsity with up to 32K token generations). Code: https://github.com/skylight-org/sparse-attention-hub. Webpage: https://sky-light.eecs.berkeley.edu.