diff --git a/.github/workflows/build.yml b/.github/workflows/build.yml
index 843e8e764207..ec44bc343fc1 100644
--- a/.github/workflows/build.yml
+++ b/.github/workflows/build.yml
@@ -1021,7 +1021,7 @@ jobs:
             'sveltekit',
             'sveltekit-2',
             'generic-ts3.8',
-            'node-experimental-fastify-app',
+            'node-fastify-app',
             # TODO(v8): Re-enable hapi tests
             # 'node-hapi-app',
             'node-exports-test-app',
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 f376a67bdc68..0635b129442b 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
@@ -46,6 +46,10 @@ const DEPENDENTS: Dependent[] = [
     package: '@sentry/astro',
     compareWith: nodeExports,
     exports: Object.keys(SentryAstro),
+    ignoreExports: [
+      // Not needed for Astro
+      'setupFastifyErrorHandler',
+    ],
   },
   {
     package: '@sentry/bun',
@@ -82,13 +86,23 @@ const DEPENDENTS: Dependent[] = [
     package: '@sentry/aws-serverless',
     compareWith: nodeExports,
     exports: Object.keys(SentryAWS),
-    ignoreExports: ['makeMain'],
+    ignoreExports: [
+      // legacy, to be removed...
+      'makeMain',
+      // Not needed for Serverless
+      'setupFastifyErrorHandler',
+    ],
   },
   {
     package: '@sentry/google-cloud-serverless',
     compareWith: nodeExports,
     exports: Object.keys(SentryGoogleCloud),
-    ignoreExports: ['makeMain'],
+    ignoreExports: [
+      // legacy, to be removed...
+      'makeMain',
+      // Not needed for Serverless
+      'setupFastifyErrorHandler',
+    ],
   },
   {
     package: '@sentry/sveltekit',
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/.gitignore b/dev-packages/e2e-tests/test-applications/node-fastify-app/.gitignore
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/.gitignore
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/.gitignore
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/.npmrc b/dev-packages/e2e-tests/test-applications/node-fastify-app/.npmrc
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/.npmrc
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/.npmrc
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/event-proxy-server.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/event-proxy-server.ts
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/event-proxy-server.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/event-proxy-server.ts
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/package.json b/dev-packages/e2e-tests/test-applications/node-fastify-app/package.json
similarity index 90%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/package.json
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/package.json
index cfa2c8be0f61..c7ea9cac71ad 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/package.json
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/package.json
@@ -1,5 +1,5 @@
 {
-  "name": "node-experimental-fastify-app",
+  "name": "node-fastify-app",
   "version": "1.0.0",
   "private": true,
   "scripts": {
@@ -17,7 +17,6 @@
     "@sentry/opentelemetry": "latest || *",
     "@types/node": "18.15.1",
     "fastify": "4.23.2",
-    "fastify-plugin": "4.5.1",
     "typescript": "4.9.5",
     "ts-node": "10.9.1"
   },
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/playwright.config.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/playwright.config.ts
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/playwright.config.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/playwright.config.ts
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/src/app.js b/dev-packages/e2e-tests/test-applications/node-fastify-app/src/app.js
similarity index 84%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/src/app.js
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/src/app.js
index 22f17ca4695c..7135fb33d91a 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/src/app.js
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/src/app.js
@@ -2,21 +2,12 @@ require('./tracing');
 
 const Sentry = require('@sentry/node');
 const { fastify } = require('fastify');
-const fastifyPlugin = require('fastify-plugin');
 const http = require('http');
 
-const FastifySentry = fastifyPlugin(async (fastify, options) => {
-  fastify.decorateRequest('_sentryContext', null);
-
-  fastify.addHook('onError', async (_request, _reply, error) => {
-    Sentry.captureException(error);
-  });
-});
-
 const app = fastify();
 const port = 3030;
 
-app.register(FastifySentry);
+Sentry.setupFastifyErrorHandler(app);
 
 app.get('/test-success', function (req, res) {
   res.send({ version: 'v1' });
@@ -61,6 +52,10 @@ app.get('/test-error', async function (req, res) {
   res.send({ exceptionId });
 });
 
+app.get('/test-exception', async function (req, res) {
+  throw new Error('This is an exception');
+});
+
 app.listen({ port: port });
 
 function makeHttpRequest(url) {
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/src/tracing.js b/dev-packages/e2e-tests/test-applications/node-fastify-app/src/tracing.js
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/src/tracing.js
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/src/tracing.js
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/start-event-proxy.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/start-event-proxy.ts
similarity index 66%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/start-event-proxy.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/start-event-proxy.ts
index 7ae352993f3c..2ab9be450dcd 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/start-event-proxy.ts
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/start-event-proxy.ts
@@ -2,5 +2,5 @@ import { startEventProxyServer } from './event-proxy-server';
 
 startEventProxyServer({
   port: 3031,
-  proxyServerName: 'node-experimental-fastify-app',
+  proxyServerName: 'node-fastify-app',
 });
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/errors.test.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/errors.test.ts
similarity index 54%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/errors.test.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/tests/errors.test.ts
index 60bef3fb0607..b2ef0649472f 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/errors.test.ts
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/errors.test.ts
@@ -1,5 +1,6 @@
 import { expect, test } from '@playwright/test';
 import axios, { AxiosError } from 'axios';
+import { waitForError } from '../event-proxy-server';
 
 const authToken = process.env.E2E_TEST_AUTH_TOKEN;
 const sentryTestOrgSlug = process.env.E2E_TEST_SENTRY_ORG_SLUG;
@@ -37,3 +38,35 @@ test('Sends exception to Sentry', async ({ baseURL }) => {
     )
     .toBe(200);
 });
+
+test('Sends correct error event', async ({ baseURL }) => {
+  const errorEventPromise = waitForError('node-fastify-app', event => {
+    return !event.type && event.exception?.values?.[0]?.value === 'This is an exception';
+  });
+
+  try {
+    await axios.get(`${baseURL}/test-exception`);
+  } catch {
+    // this results in an error, but we don't care - we want to check the error event
+  }
+
+  const errorEvent = await errorEventPromise;
+
+  expect(errorEvent.exception?.values).toHaveLength(1);
+  expect(errorEvent.exception?.values?.[0]?.value).toBe('This is an exception');
+
+  expect(errorEvent.request).toEqual({
+    method: 'GET',
+    cookies: {},
+    headers: expect.any(Object),
+    url: 'http://localhost:3030/test-exception',
+  });
+
+  expect(errorEvent.transaction).toEqual('GET /test-exception');
+
+  expect(errorEvent.contexts?.trace).toEqual({
+    trace_id: expect.any(String),
+    span_id: expect.any(String),
+    parent_span_id: expect.any(String),
+  });
+});
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/propagation.test.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/propagation.test.ts
similarity index 94%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/propagation.test.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/tests/propagation.test.ts
index 0afc4ff09b06..89a6320f725a 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/propagation.test.ts
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/propagation.test.ts
@@ -4,14 +4,14 @@ import axios from 'axios';
 import { waitForTransaction } from '../event-proxy-server';
 
 test('Propagates trace for outgoing http requests', async ({ baseURL }) => {
-  const inboundTransactionPromise = waitForTransaction('node-experimental-fastify-app', transactionEvent => {
+  const inboundTransactionPromise = waitForTransaction('node-fastify-app', transactionEvent => {
     return (
       transactionEvent?.contexts?.trace?.op === 'http.server' &&
       transactionEvent?.transaction === 'GET /test-inbound-headers'
     );
   });
 
-  const outboundTransactionPromise = waitForTransaction('node-experimental-fastify-app', transactionEvent => {
+  const outboundTransactionPromise = waitForTransaction('node-fastify-app', transactionEvent => {
     return (
       transactionEvent?.contexts?.trace?.op === 'http.server' &&
       transactionEvent?.transaction === 'GET /test-outgoing-http'
@@ -118,14 +118,14 @@ test('Propagates trace for outgoing http requests', async ({ baseURL }) => {
 });
 
 test('Propagates trace for outgoing fetch requests', async ({ baseURL }) => {
-  const inboundTransactionPromise = waitForTransaction('node-experimental-fastify-app', transactionEvent => {
+  const inboundTransactionPromise = waitForTransaction('node-fastify-app', transactionEvent => {
     return (
       transactionEvent?.contexts?.trace?.op === 'http.server' &&
       transactionEvent?.transaction === 'GET /test-inbound-headers'
     );
   });
 
-  const outboundTransactionPromise = waitForTransaction('node-experimental-fastify-app', transactionEvent => {
+  const outboundTransactionPromise = waitForTransaction('node-fastify-app', transactionEvent => {
     return (
       transactionEvent?.contexts?.trace?.op === 'http.server' &&
       transactionEvent?.transaction === 'GET /test-outgoing-fetch'
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/transactions.test.ts b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/transactions.test.ts
similarity index 95%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/transactions.test.ts
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/tests/transactions.test.ts
index 4ff9b5df632c..54f6916de36c 100644
--- a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tests/transactions.test.ts
+++ b/dev-packages/e2e-tests/test-applications/node-fastify-app/tests/transactions.test.ts
@@ -8,7 +8,7 @@ const sentryTestProject = process.env.E2E_TEST_SENTRY_TEST_PROJECT;
 const EVENT_POLLING_TIMEOUT = 90_000;
 
 test('Sends an API route transaction', async ({ baseURL }) => {
-  const pageloadTransactionEventPromise = waitForTransaction('node-experimental-fastify-app', transactionEvent => {
+  const pageloadTransactionEventPromise = waitForTransaction('node-fastify-app', transactionEvent => {
     return (
       transactionEvent?.contexts?.trace?.op === 'http.server' &&
       transactionEvent?.transaction === 'GET /test-transaction'
@@ -58,13 +58,13 @@ test('Sends an API route transaction', async ({ baseURL }) => {
       spans: [
         {
           data: {
-            'plugin.name': 'fastify -> app-auto-0',
+            'plugin.name': 'fastify -> sentry-fastify-error-handler',
             'fastify.type': 'request_handler',
             'http.route': '/test-transaction',
             'otel.kind': 'INTERNAL',
             'sentry.origin': 'auto.http.otel.fastify',
           },
-          description: 'request handler - fastify -> app-auto-0',
+          description: 'request handler - fastify -> sentry-fastify-error-handler',
           parent_span_id: expect.any(String),
           span_id: expect.any(String),
           start_timestamp: expect.any(Number),
diff --git a/dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tsconfig.json b/dev-packages/e2e-tests/test-applications/node-fastify-app/tsconfig.json
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/node-experimental-fastify-app/tsconfig.json
rename to dev-packages/e2e-tests/test-applications/node-fastify-app/tsconfig.json
diff --git a/docs/v8-node.md b/docs/v8-node.md
index 960541889c3e..858acbd94bed 100644
--- a/docs/v8-node.md
+++ b/docs/v8-node.md
@@ -15,7 +15,7 @@ If you want, you can use OpenTelemetry-native APIs to start spans, and Sentry wi
 We support the following Node Frameworks out of the box:
 
 - [Express](#express)
-- Fastify
+- [Fastify](#fastify)
 - Koa
 - Nest.js
 - Hapi
@@ -101,3 +101,25 @@ Sentry.setupExpressErrorHandler(app);
 
 app.listen(3000);
 ```
+
+## Fastify
+
+The following shows how you can setup Fastify instrumentation in v8. This will capture performance data & errors for
+your Fastify app.
+
+```js
+const Sentry = require('@sentry/node');
+
+Sentry.init({
+  dsn: '__DSN__',
+  tracesSampleRate: 1,
+});
+
+const { fastify } = require('fastify');
+const app = fastify();
+Sentry.setupFastifyErrorHandler(app);
+
+// add routes etc. here
+
+app.listen();
+```
diff --git a/packages/node-experimental/src/index.ts b/packages/node-experimental/src/index.ts
index 0db75fa312a3..68f663e42a60 100644
--- a/packages/node-experimental/src/index.ts
+++ b/packages/node-experimental/src/index.ts
@@ -11,7 +11,7 @@ export { onUnhandledRejectionIntegration } from './integrations/onunhandledrejec
 export { anrIntegration } from './integrations/anr';
 
 export { expressIntegration, expressErrorHandler, setupExpressErrorHandler } from './integrations/tracing/express';
-export { fastifyIntegration } from './integrations/tracing/fastify';
+export { fastifyIntegration, setupFastifyErrorHandler } from './integrations/tracing/fastify';
 export { graphqlIntegration } from './integrations/tracing/graphql';
 export { mongoIntegration } from './integrations/tracing/mongo';
 export { mongooseIntegration } from './integrations/tracing/mongoose';
diff --git a/packages/node-experimental/src/integrations/tracing/fastify.ts b/packages/node-experimental/src/integrations/tracing/fastify.ts
index 11742d960dff..3da89599401a 100644
--- a/packages/node-experimental/src/integrations/tracing/fastify.ts
+++ b/packages/node-experimental/src/integrations/tracing/fastify.ts
@@ -1,6 +1,6 @@
 import { registerInstrumentations } from '@opentelemetry/instrumentation';
 import { FastifyInstrumentation } from '@opentelemetry/instrumentation-fastify';
-import { defineIntegration } from '@sentry/core';
+import { captureException, defineIntegration } from '@sentry/core';
 import type { IntegrationFn } from '@sentry/types';
 
 import { addOriginToSpan } from '../../utils/addOriginToSpan';
@@ -28,3 +28,30 @@ const _fastifyIntegration = (() => {
  * Capture tracing data for fastify.
  */
 export const fastifyIntegration = defineIntegration(_fastifyIntegration);
+
+// We inline the types we care about here
+interface Fastify {
+  register: (plugin: unknown) => void;
+  addHook: (hook: string, handler: (request: unknown, reply: unknown, error: Error) => void) => void;
+}
+
+/**
+ * Setup an error handler for Fastify.
+ */
+export function setupFastifyErrorHandler(fastify: Fastify): void {
+  const plugin = Object.assign(
+    function (fastify: Fastify, options: unknown, done: () => void): void {
+      fastify.addHook('onError', async (_request, _reply, error) => {
+        captureException(error);
+      });
+
+      done();
+    },
+    {
+      [Symbol.for('skip-override')]: true,
+      [Symbol.for('fastify.display-name')]: 'sentry-fastify-error-handler',
+    },
+  );
+
+  fastify.register(plugin);
+}