diff --git a/packages/nuxt/src/runtime/hooks/captureErrorHook.ts b/packages/nuxt/src/runtime/hooks/captureErrorHook.ts
index 9c2bc1011277..b8e53f0ca0c3 100644
--- a/packages/nuxt/src/runtime/hooks/captureErrorHook.ts
+++ b/packages/nuxt/src/runtime/hooks/captureErrorHook.ts
@@ -25,6 +25,17 @@ export async function sentryCaptureErrorHook(error: Error, errorContext: Capture
     if (error.statusCode >= 300 && error.statusCode < 500) {
       return;
     }
+
+    // Check if the cause (original error) was already captured by middleware instrumentation
+    // H3 wraps errors, so we need to check the cause property
+    if (
+      'cause' in error &&
+      typeof error.cause === 'object' &&
+      error.cause !== null &&
+      '__sentry_captured__' in error.cause
+    ) {
+      return;
+    }
   }
 
   const { method, path } = {
diff --git a/packages/nuxt/test/runtime/hooks/captureErrorHook.test.ts b/packages/nuxt/test/runtime/hooks/captureErrorHook.test.ts
new file mode 100644
index 000000000000..30776c4d932c
--- /dev/null
+++ b/packages/nuxt/test/runtime/hooks/captureErrorHook.test.ts
@@ -0,0 +1,155 @@
+import * as SentryCore from '@sentry/core';
+import { H3Error } from 'h3';
+import type { CapturedErrorContext } from 'nitropack/types';
+import { beforeEach, describe, expect, it, vi } from 'vitest';
+import { sentryCaptureErrorHook } from '../../../src/runtime/hooks/captureErrorHook';
+
+vi.mock('@sentry/core', async importOriginal => {
+  const mod = await importOriginal();
+  return {
+    ...(mod as any),
+    captureException: vi.fn(),
+    flushIfServerless: vi.fn(),
+    getClient: vi.fn(),
+    getCurrentScope: vi.fn(() => ({
+      setTransactionName: vi.fn(),
+    })),
+  };
+});
+
+vi.mock('../../../src/runtime/utils', () => ({
+  extractErrorContext: vi.fn(() => ({ test: 'context' })),
+}));
+
+describe('sentryCaptureErrorHook', () => {
+  const mockErrorContext: CapturedErrorContext = {
+    event: {
+      _method: 'GET',
+      _path: '/test-path',
+    } as any,
+  };
+
+  beforeEach(() => {
+    vi.clearAllMocks();
+    (SentryCore.getClient as any).mockReturnValue({
+      getOptions: () => ({}),
+    });
+    (SentryCore.flushIfServerless as any).mockResolvedValue(undefined);
+  });
+
+  it('should capture regular errors', async () => {
+    const error = new Error('Test error');
+
+    await sentryCaptureErrorHook(error, mockErrorContext);
+
+    expect(SentryCore.captureException).toHaveBeenCalledWith(
+      error,
+      expect.objectContaining({
+        mechanism: { handled: false, type: 'auto.function.nuxt.nitro' },
+      }),
+    );
+  });
+
+  it('should skip H3Error with 4xx status codes', async () => {
+    const error = new H3Error('Not found');
+    error.statusCode = 404;
+
+    await sentryCaptureErrorHook(error, mockErrorContext);
+
+    expect(SentryCore.captureException).not.toHaveBeenCalled();
+  });
+
+  it('should skip H3Error with 3xx status codes', async () => {
+    const error = new H3Error('Redirect');
+    error.statusCode = 302;
+
+    await sentryCaptureErrorHook(error, mockErrorContext);
+
+    expect(SentryCore.captureException).not.toHaveBeenCalled();
+  });
+
+  it('should capture H3Error with 5xx status codes', async () => {
+    const error = new H3Error('Server error');
+    error.statusCode = 500;
+
+    await sentryCaptureErrorHook(error, mockErrorContext);
+
+    expect(SentryCore.captureException).toHaveBeenCalledWith(
+      error,
+      expect.objectContaining({
+        mechanism: { handled: false, type: 'auto.function.nuxt.nitro' },
+      }),
+    );
+  });
+
+  it('should skip H3Error when cause has __sentry_captured__ flag', async () => {
+    const originalError = new Error('Original error');
+    // Mark the original error as already captured by middleware
+    Object.defineProperty(originalError, '__sentry_captured__', {
+      value: true,
+      enumerable: false,
+    });
+
+    const h3Error = new H3Error('Wrapped error', { cause: originalError });
+    h3Error.statusCode = 500;
+
+    await sentryCaptureErrorHook(h3Error, mockErrorContext);
+
+    expect(SentryCore.captureException).not.toHaveBeenCalled();
+  });
+
+  it('should capture H3Error when cause does not have __sentry_captured__ flag', async () => {
+    const originalError = new Error('Original error');
+    const h3Error = new H3Error('Wrapped error', { cause: originalError });
+    h3Error.statusCode = 500;
+
+    await sentryCaptureErrorHook(h3Error, mockErrorContext);
+
+    expect(SentryCore.captureException).toHaveBeenCalledWith(
+      h3Error,
+      expect.objectContaining({
+        mechanism: { handled: false, type: 'auto.function.nuxt.nitro' },
+      }),
+    );
+  });
+
+  it('should capture H3Error when cause is not an object', async () => {
+    const h3Error = new H3Error('Error with string cause', { cause: 'string cause' });
+    h3Error.statusCode = 500;
+
+    await sentryCaptureErrorHook(h3Error, mockErrorContext);
+
+    expect(SentryCore.captureException).toHaveBeenCalledWith(
+      h3Error,
+      expect.objectContaining({
+        mechanism: { handled: false, type: 'auto.function.nuxt.nitro' },
+      }),
+    );
+  });
+
+  it('should capture H3Error when there is no cause', async () => {
+    const h3Error = new H3Error('Error without cause');
+    h3Error.statusCode = 500;
+
+    await sentryCaptureErrorHook(h3Error, mockErrorContext);
+
+    expect(SentryCore.captureException).toHaveBeenCalledWith(
+      h3Error,
+      expect.objectContaining({
+        mechanism: { handled: false, type: 'auto.function.nuxt.nitro' },
+      }),
+    );
+  });
+
+  it('should skip when enableNitroErrorHandler is false', async () => {
+    (SentryCore.getClient as any).mockReturnValue({
+      getOptions: () => ({ enableNitroErrorHandler: false }),
+    });
+
+    const error = new Error('Test error');
+
+    await sentryCaptureErrorHook(error, mockErrorContext);
+
+    expect(SentryCore.captureException).not.toHaveBeenCalled();
+  });
+});