Dialog management with multiple modalities

Features are disclosed for performing functions in response to user requests. Natural Language Understanding ("NLU") processing may be performed to generate command data that represents a subject of an utterance. The command data may be sent to an application that causes presentation of first output content in a first modality at a first time in response to receiving the command data, and generates second output content in a second modality different from the first modality, wherein the second output content is associated with the first output content. The second output content may be presented in the second modality at a second time subsequent to the first time.