diff --git a/dev-packages/e2e-tests/test-applications/node-exports-test-app/scripts/consistentExports.ts b/dev-packages/e2e-tests/test-applications/node-exports-test-app/scripts/consistentExports.ts
index 8c3e51b14024..f9ac90e48e13 100644
--- a/dev-packages/e2e-tests/test-applications/node-exports-test-app/scripts/consistentExports.ts
+++ b/dev-packages/e2e-tests/test-applications/node-exports-test-app/scripts/consistentExports.ts
@@ -50,6 +50,8 @@ const DEPENDENTS: Dependent[] = [
     ignoreExports: [
       // not supported in bun:
       'NodeClient',
+      // Doesn't have these events
+      'fetchBreadcrumbsIntegration',
       'childProcessIntegration',
     ],
   },
diff --git a/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled-legacy.ts b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled-legacy.ts
new file mode 100644
index 000000000000..c98db3561d04
--- /dev/null
+++ b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled-legacy.ts
@@ -0,0 +1,27 @@
+import { loggingTransport } from '@sentry-internal/node-integration-tests';
+import * as Sentry from '@sentry/node';
+
+Sentry.init({
+  dsn: 'https://public@dsn.ingest.sentry.io/1337',
+  release: '1.0',
+  tracePropagationTargets: [/\/v0/, 'v1'],
+  integrations: [Sentry.nativeNodeFetchIntegration({ breadcrumbs: false })],
+  transport: loggingTransport,
+  tracesSampleRate: 0.0,
+});
+
+async function run(): Promise<void> {
+  Sentry.addBreadcrumb({ message: 'manual breadcrumb' });
+
+  // Since fetch is lazy loaded, we need to wait a bit until it's fully instrumented
+  await new Promise(resolve => setTimeout(resolve, 100));
+  await fetch(`${process.env.SERVER_URL}/api/v0`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v1`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v2`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v3`).then(res => res.text());
+
+  Sentry.captureException(new Error('foo'));
+}
+
+// eslint-disable-next-line @typescript-eslint/no-floating-promises
+run();
diff --git a/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled.ts b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled.ts
new file mode 100644
index 000000000000..1f16b59a654b
--- /dev/null
+++ b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/scenario-disabled.ts
@@ -0,0 +1,28 @@
+import { loggingTransport } from '@sentry-internal/node-integration-tests';
+import * as Sentry from '@sentry/node';
+
+Sentry.init({
+  dsn: 'https://public@dsn.ingest.sentry.io/1337',
+  release: '1.0',
+  tracePropagationTargets: [/\/v0/, 'v1'],
+  integrations: [],
+  transport: loggingTransport,
+  tracesSampleRate: 0.0,
+  fetchBreadcrumbs: false,
+});
+
+async function run(): Promise<void> {
+  Sentry.addBreadcrumb({ message: 'manual breadcrumb' });
+
+  // Since fetch is lazy loaded, we need to wait a bit until it's fully instrumented
+  await new Promise(resolve => setTimeout(resolve, 100));
+  await fetch(`${process.env.SERVER_URL}/api/v0`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v1`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v2`).then(res => res.text());
+  await fetch(`${process.env.SERVER_URL}/api/v3`).then(res => res.text());
+
+  Sentry.captureException(new Error('foo'));
+}
+
+// eslint-disable-next-line @typescript-eslint/no-floating-promises
+run();
diff --git a/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/test.ts b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/test.ts
index c14a6ab528ac..ff8865e367ff 100644
--- a/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/test.ts
+++ b/dev-packages/node-integration-tests/suites/tracing/requests/fetch-breadcrumbs/test.ts
@@ -75,4 +75,62 @@ describe('outgoing fetch', () => {
       .completed();
     closeTestServer();
   });
+
+  test('outgoing fetch requests should not create breadcrumbs when disabled', done => {
+    createTestServer(done)
+      .start()
+      .then(([SERVER_URL, closeTestServer]) => {
+        createRunner(__dirname, 'scenario-disabled.ts')
+          .withEnv({ SERVER_URL })
+          .ensureNoErrorOutput()
+          .expect({
+            event: {
+              breadcrumbs: [
+                {
+                  message: 'manual breadcrumb',
+                  timestamp: expect.any(Number),
+                },
+              ],
+              exception: {
+                values: [
+                  {
+                    type: 'Error',
+                    value: 'foo',
+                  },
+                ],
+              },
+            },
+          })
+          .start(closeTestServer);
+      });
+  });
+
+  test('outgoing fetch requests should not create breadcrumbs when legacy disabled', done => {
+    createTestServer(done)
+      .start()
+      .then(([SERVER_URL, closeTestServer]) => {
+        createRunner(__dirname, 'scenario-disabled-legacy.ts')
+          .withEnv({ SERVER_URL })
+          .ensureNoErrorOutput()
+          .expect({
+            event: {
+              breadcrumbs: [
+                {
+                  message: 'manual breadcrumb',
+                  timestamp: expect.any(Number),
+                },
+              ],
+              exception: {
+                values: [
+                  {
+                    type: 'Error',
+                    value: 'foo',
+                  },
+                ],
+              },
+            },
+          })
+          .start(closeTestServer);
+      });
+  });
 });
diff --git a/packages/astro/src/index.server.ts b/packages/astro/src/index.server.ts
index d89503eb9dfb..6c22a8c63c9b 100644
--- a/packages/astro/src/index.server.ts
+++ b/packages/astro/src/index.server.ts
@@ -77,6 +77,7 @@ export {
   mysql2Integration,
   mysqlIntegration,
   nativeNodeFetchIntegration,
+  fetchBreadcrumbsIntegration,
   NodeClient,
   nodeContextIntegration,
   onUncaughtExceptionIntegration,
diff --git a/packages/aws-serverless/src/index.ts b/packages/aws-serverless/src/index.ts
index 59465831a734..852b73aa781f 100644
--- a/packages/aws-serverless/src/index.ts
+++ b/packages/aws-serverless/src/index.ts
@@ -46,6 +46,7 @@ export {
   consoleIntegration,
   httpIntegration,
   nativeNodeFetchIntegration,
+  fetchBreadcrumbsIntegration,
   onUncaughtExceptionIntegration,
   onUnhandledRejectionIntegration,
   modulesIntegration,
diff --git a/packages/google-cloud-serverless/src/index.ts b/packages/google-cloud-serverless/src/index.ts
index 54ae30fb5c8c..6baba7c1a3ce 100644
--- a/packages/google-cloud-serverless/src/index.ts
+++ b/packages/google-cloud-serverless/src/index.ts
@@ -46,6 +46,7 @@ export {
   consoleIntegration,
   httpIntegration,
   nativeNodeFetchIntegration,
+  fetchBreadcrumbsIntegration,
   onUncaughtExceptionIntegration,
   onUnhandledRejectionIntegration,
   modulesIntegration,
diff --git a/packages/node/src/index.ts b/packages/node/src/index.ts
index 8467f3e3727d..c87c190ea51b 100644
--- a/packages/node/src/index.ts
+++ b/packages/node/src/index.ts
@@ -33,6 +33,7 @@ export { dataloaderIntegration } from './integrations/tracing/dataloader';
 export { amqplibIntegration } from './integrations/tracing/amqplib';
 export { vercelAIIntegration } from './integrations/tracing/vercelai';
 export { childProcessIntegration } from './integrations/childProcess';
+export { fetchBreadcrumbsIntegration } from './integrations/fetch-breadcrumbs';
 
 export { SentryContextManager } from './otel/contextManager';
 export { generateInstrumentOnce } from './otel/instrument';
diff --git a/packages/node/src/integrations/fetch-breadcrumbs.ts b/packages/node/src/integrations/fetch-breadcrumbs.ts
new file mode 100644
index 000000000000..7c1fa762f3ed
--- /dev/null
+++ b/packages/node/src/integrations/fetch-breadcrumbs.ts
@@ -0,0 +1,121 @@
+import type { UndiciRequest, UndiciResponse } from '@opentelemetry/instrumentation-undici';
+import type { Integration, IntegrationFn, SanitizedRequestData } from '@sentry/core';
+import {
+  addBreadcrumb,
+  defineIntegration,
+  getBreadcrumbLogLevelFromHttpStatusCode,
+  getSanitizedUrlString,
+  parseUrl,
+} from '@sentry/core';
+
+import * as diagnosticsChannel from 'diagnostics_channel';
+import type { NodeClient } from '../sdk/client';
+
+type OldIntegration = Integration & { breadcrumbsDisabled: boolean };
+
+interface NodeFetchOptions {
+  /**
+   * Do not capture breadcrumbs for outgoing fetch requests to URLs where the given callback returns `true`.
+   */
+  ignore?: (url: string) => boolean;
+}
+
+const _fetchBreadcrumbsIntegration = ((options: NodeFetchOptions = {}) => {
+  function onRequestHeaders({ request, response }: { request: UndiciRequest; response: UndiciResponse }): void {
+    if (options.ignore) {
+      const url = getAbsoluteUrl(request.origin, request.path);
+      const shouldIgnore = options.ignore(url);
+
+      if (shouldIgnore) {
+        return;
+      }
+    }
+
+    addRequestBreadcrumb(request, response);
+  }
+
+  return {
+    name: 'FetchBreadcrumbs',
+    setup: (client: NodeClient) => {
+      if (client.getOptions().fetchBreadcrumbs === false) {
+        return;
+      }
+
+      // We need to ensure all other integrations have been setup first
+      setImmediate(() => {
+        const oldIntegration = client.getIntegrationByName<OldIntegration>('NodeFetch');
+        if (oldIntegration?.breadcrumbsDisabled) {
+          return;
+        }
+
+        diagnosticsChannel
+          .channel('undici:request:headers')
+          .subscribe(onRequestHeaders as diagnosticsChannel.ChannelListener);
+      });
+    },
+  };
+}) satisfies IntegrationFn;
+
+export const fetchBreadcrumbsIntegration = defineIntegration(_fetchBreadcrumbsIntegration);
+
+/** Add a breadcrumb for outgoing requests. */
+function addRequestBreadcrumb(request: UndiciRequest, response: UndiciResponse): void {
+  const data = getBreadcrumbData(request);
+  const statusCode = response.statusCode;
+  const level = getBreadcrumbLogLevelFromHttpStatusCode(statusCode);
+
+  addBreadcrumb(
+    {
+      category: 'http',
+      data: {
+        status_code: statusCode,
+        ...data,
+      },
+      type: 'http',
+      level,
+    },
+    {
+      event: 'response',
+      request,
+      response,
+    },
+  );
+}
+
+function getBreadcrumbData(request: UndiciRequest): Partial<SanitizedRequestData> {
+  try {
+    const url = new URL(request.path, request.origin);
+    const parsedUrl = parseUrl(url.toString());
+
+    const data: Partial<SanitizedRequestData> = {
+      url: getSanitizedUrlString(parsedUrl),
+      'http.method': request.method || 'GET',
+    };
+
+    if (parsedUrl.search) {
+      data['http.query'] = parsedUrl.search;
+    }
+    if (parsedUrl.hash) {
+      data['http.fragment'] = parsedUrl.hash;
+    }
+
+    return data;
+  } catch {
+    return {};
+  }
+}
+
+// Matching the behavior of the base instrumentation
+function getAbsoluteUrl(origin: string, path: string = '/'): string {
+  const url = `${origin}`;
+
+  if (url.endsWith('/') && path.startsWith('/')) {
+    return `${url}${path.slice(1)}`;
+  }
+
+  if (!url.endsWith('/') && !path.startsWith('/')) {
+    return `${url}/${path.slice(1)}`;
+  }
+
+  return `${url}${path}`;
+}
diff --git a/packages/node/src/integrations/node-fetch.ts b/packages/node/src/integrations/node-fetch.ts
new file mode 100644
index 000000000000..8bcb8434442d
--- /dev/null
+++ b/packages/node/src/integrations/node-fetch.ts
@@ -0,0 +1,107 @@
+import { registerInstrumentations } from '@opentelemetry/instrumentation';
+import { UndiciInstrumentation } from '@opentelemetry/instrumentation-undici';
+import type { IntegrationFn } from '@sentry/core';
+import {
+  LRUMap,
+  SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN,
+  defineIntegration,
+  getClient,
+  getTraceData,
+  hasSpansEnabled
+} from '@sentry/core';
+import { shouldPropagateTraceForUrl } from '@sentry/opentelemetry';
+
+interface NodeFetchOptions {
+  /**
+   * @deprecated Use `fetchBreadcrumbs` init option instead.
+   * ```js
+   * Sentry.init({
+   *   dsn: '__DSN__',
+   *   fetchBreadcrumbs: false,
+   * })
+   * ```
+   *
+   * Whether breadcrumbs should be recorded for requests.
+   *
+   * Defaults to `true`
+   */
+  breadcrumbs?: boolean;
+
+  /**
+   * Do not capture spans or breadcrumbs for outgoing fetch requests to URLs where the given callback returns `true`.
+   * This controls both span & breadcrumb creation - spans will be non recording if tracing is disabled.
+   */
+  ignoreOutgoingRequests?: (url: string) => boolean;
+}
+
+const _nativeNodeFetchIntegration = ((options: NodeFetchOptions = {}) => {
+  const _ignoreOutgoingRequests = options.ignoreOutgoingRequests;
+
+  return {
+    name: 'NodeFetch',
+    setupOnce() {
+      const propagationDecisionMap = new LRUMap<string, boolean>(100);
+
+      const instrumentation = new UndiciInstrumentation({
+        requireParentforSpans: false,
+        ignoreRequestHook: request => {
+          const url = getAbsoluteUrl(request.origin, request.path);
+          const shouldIgnore = _ignoreOutgoingRequests && url && _ignoreOutgoingRequests(url);
+
+          if (shouldIgnore) {
+            return true;
+          }
+
+          // If tracing is disabled, we still want to propagate traces
+          // So we do that manually here, matching what the instrumentation does otherwise
+          if (!hasSpansEnabled()) {
+            const tracePropagationTargets = getClient()?.getOptions().tracePropagationTargets;
+            const addedHeaders = shouldPropagateTraceForUrl(url, tracePropagationTargets, propagationDecisionMap)
+              ? getTraceData()
+              : {};
+
+            const requestHeaders = request.headers;
+            if (Array.isArray(requestHeaders)) {
+              Object.entries(addedHeaders).forEach(headers => requestHeaders.push(...headers));
+            } else {
+              request.headers += Object.entries(addedHeaders)
+                .map(([k, v]) => `${k}: ${v}\r\n`)
+                .join('');
+            }
+
+            // Prevent starting a span for this request
+            return true;
+          }
+
+          return false;
+        },
+        startSpanHook: () => {
+          return {
+            [SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN]: 'auto.http.otel.node_fetch',
+          };
+        },
+      });
+
+      registerInstrumentations({ instrumentations: [instrumentation] });
+    },
+    // eslint-disable-next-line deprecation/deprecation
+    breadcrumbsDisabled: options.breadcrumbs === false,
+  };
+}) satisfies IntegrationFn;
+
+export const nativeNodeFetchIntegration = defineIntegration(_nativeNodeFetchIntegration);
+
+// Matching the behavior of the base instrumentation
+function getAbsoluteUrl(origin: string, path: string = '/'): string {
+  const url = `${origin}`;
+
+  if (url.endsWith('/') && path.startsWith('/')) {
+    return `${url}${path.slice(1)}`;
+  }
+
+  if (!url.endsWith('/') && !path.startsWith('/')) {
+    return `${url}/${path.slice(1)}`;
+  }
+
+  return `${url}${path}`;
+}
diff --git a/packages/node/src/sdk/index.ts b/packages/node/src/sdk/index.ts
index 7df3696c3d58..e45ad28808bb 100644
--- a/packages/node/src/sdk/index.ts
+++ b/packages/node/src/sdk/index.ts
@@ -23,6 +23,7 @@ import { DEBUG_BUILD } from '../debug-build';
 import { childProcessIntegration } from '../integrations/childProcess';
 import { nodeContextIntegration } from '../integrations/context';
 import { contextLinesIntegration } from '../integrations/contextlines';
+import { fetchBreadcrumbsIntegration } from '../integrations/fetch-breadcrumbs';
 import { httpIntegration } from '../integrations/http';
 import { localVariablesIntegration } from '../integrations/local-variables';
 import { modulesIntegration } from '../integrations/modules';
@@ -68,6 +69,7 @@ export function getDefaultIntegrationsWithoutPerformance(): Integration[] {
     localVariablesIntegration(),
     nodeContextIntegration(),
     childProcessIntegration(),
+    fetchBreadcrumbsIntegration(),
     processSessionIntegration(),
     ...getCjsOnlyIntegrations(),
   ];
diff --git a/packages/node/src/types.ts b/packages/node/src/types.ts
index 9223619522e6..79a7f6f805c7 100644
--- a/packages/node/src/types.ts
+++ b/packages/node/src/types.ts
@@ -65,6 +65,13 @@ export interface BaseNodeOptions {
   /** Sets an optional server name (device name) */
   serverName?: string;
 
+  /**
+   * Whether breadcrumbs should be recorded for fetch and undici requests.
+   *
+   * Defaults to `true`.
+   */
+  fetchBreadcrumbs?: boolean;
+
   /**
    * Include local variables with stack traces.
    *
diff --git a/packages/solidstart/src/server/index.ts b/packages/solidstart/src/server/index.ts
index da00b43a4fde..e2a1e7a27c1e 100644
--- a/packages/solidstart/src/server/index.ts
+++ b/packages/solidstart/src/server/index.ts
@@ -68,6 +68,7 @@ export {
   mysql2Integration,
   mysqlIntegration,
   nativeNodeFetchIntegration,
+  fetchBreadcrumbsIntegration,
   NodeClient,
   nodeContextIntegration,
   onUncaughtExceptionIntegration,
diff --git a/packages/sveltekit/src/server/index.ts b/packages/sveltekit/src/server/index.ts
index f50420fd2937..d16e90d241d4 100644
--- a/packages/sveltekit/src/server/index.ts
+++ b/packages/sveltekit/src/server/index.ts
@@ -70,6 +70,7 @@ export {
   mysql2Integration,
   mysqlIntegration,
   nativeNodeFetchIntegration,
+  fetchBreadcrumbsIntegration,
   NodeClient,
   nodeContextIntegration,
   onUncaughtExceptionIntegration,