diff --git a/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/scenario.ts b/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/scenario.ts
new file mode 100644
index 000000000000..0843830321c4
--- /dev/null
+++ b/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/scenario.ts
@@ -0,0 +1,26 @@
+import * as Sentry from '@sentry/node';
+import { loggingTransport } from '@sentry-internal/node-integration-tests';
+
+Sentry.init({
+  dsn: 'https://public@dsn.ingest.sentry.io/1337',
+  release: '1.0',
+  tracesSampleRate: 1.0,
+  transport: loggingTransport,
+  integrations: [
+    Sentry.nativeNodeFetchIntegration({
+      requestHook: (span, req) => {
+        span.setAttribute('sentry.request.hook', req.path);
+      },
+      responseHook: (span, { response, request }) => {
+        span.setAttribute('sentry.response.hook.path', request.path);
+        span.setAttribute('sentry.response.hook.status_code', response.statusCode);
+      },
+    }),
+  ],
+});
+
+// eslint-disable-next-line @typescript-eslint/no-floating-promises
+Sentry.startSpan({ name: 'test_transaction' }, async () => {
+  await fetch(`${process.env.SERVER_URL}/api/v0`);
+  await fetch(`${process.env.SERVER_URL}/api/v1`);
+});
diff --git a/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/test.ts b/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/test.ts
new file mode 100644
index 000000000000..8d0a35a43d05
--- /dev/null
+++ b/dev-packages/node-integration-tests/suites/tracing/http-client-spans/fetch-forward-request-hook/test.ts
@@ -0,0 +1,58 @@
+import { expect, test } from 'vitest';
+import { createRunner } from '../../../../utils/runner';
+import { createTestServer } from '../../../../utils/server';
+
+test('adds requestHook and responseHook attributes to spans of outgoing fetch requests', async () => {
+  expect.assertions(3);
+
+  const [SERVER_URL, closeTestServer] = await createTestServer()
+    .get('/api/v0', () => {
+      // Just ensure we're called
+      expect(true).toBe(true);
+    })
+    .get(
+      '/api/v1',
+      () => {
+        // Just ensure we're called
+        expect(true).toBe(true);
+      },
+      404,
+    )
+    .start();
+
+  await createRunner(__dirname, 'scenario.ts')
+    .withEnv({ SERVER_URL })
+    .expect({
+      transaction: {
+        transaction: 'test_transaction',
+        spans: [
+          expect.objectContaining({
+            description: expect.stringMatching(/GET .*\/api\/v0/),
+            op: 'http.client',
+            origin: 'auto.http.otel.node_fetch',
+            status: 'ok',
+            data: expect.objectContaining({
+              'sentry.request.hook': '/api/v0',
+              'sentry.response.hook.path': '/api/v0',
+              'sentry.response.hook.status_code': 200,
+            }),
+          }),
+          expect.objectContaining({
+            description: expect.stringMatching(/GET .*\/api\/v1/),
+            op: 'http.client',
+            origin: 'auto.http.otel.node_fetch',
+            status: 'not_found',
+            data: expect.objectContaining({
+              'sentry.request.hook': '/api/v1',
+              'sentry.response.hook.path': '/api/v1',
+              'sentry.response.hook.status_code': 404,
+              'http.response.status_code': 404,
+            }),
+          }),
+        ],
+      },
+    })
+    .start()
+    .completed();
+  closeTestServer();
+});
diff --git a/packages/node/src/integrations/node-fetch.ts b/packages/node/src/integrations/node-fetch.ts
index 437806e16dbc..6da9fd628bac 100644
--- a/packages/node/src/integrations/node-fetch.ts
+++ b/packages/node/src/integrations/node-fetch.ts
@@ -8,7 +8,7 @@ import type { NodeClientOptions } from '../types';
 
 const INTEGRATION_NAME = 'NodeFetch';
 
-interface NodeFetchOptions {
+interface NodeFetchOptions extends Pick<UndiciInstrumentationConfig, 'requestHook' | 'responseHook'> {
   /**
    * Whether breadcrumbs should be recorded for requests.
    * Defaults to true
@@ -106,6 +106,8 @@ function getConfigWithDefaults(options: Partial<NodeFetchOptions> = {}): UndiciI
         [SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN]: 'auto.http.otel.node_fetch',
       };
     },
+    requestHook: options.requestHook,
+    responseHook: options.responseHook,
   } satisfies UndiciInstrumentationConfig;
 
   return instrumentationConfig;