The 32-year-old man allegedly confronted officers called to Chisholm Street in Darlinghurst for a welfare check about 4.40pm on Sunday.
"The man allegedly approached officers and NSW Ambulance paramedics whilst armed, before a constable discharged their firearm," NSW Police said in a statement.
"The man was treated at the scene before being taken to St Vincent's Hospital in a stable condition."
Several streets have been closed as police probe the crime scene.
Police said a critical incident team from a different police area command would investigate the incident, which would be subject to an independent review.
Residents told 9News they were shocked by the incident.
"I just heard like a loud bang and a few shouts and that was about it," one said.
"… I thought it was a loud car engine."
https://news.google.com/rss/articles/CBMijgFodHRwczovL3d3dy45bmV3cy5jb20uYXUvbmF0aW9uYWwvc3lkbmV5LW5ld3MtcG9saWNlLXNob290LW1hbi1hbGxlZ2VkbHktYXJtZWQtd2l0aC1rbmlmZS1pbi1kYXJsaW5naHVyc3kvMTQ4ZDhkMGItZDY5ZC00NDZhLWJiMzEtOTRiMzExZjAzYTY50gEA?oc=5
2023-09-17 09:49:57Z
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