diff --git a/docs/release-notes/breaking-changes.md b/docs/release-notes/breaking-changes.md
index 5ec35abf..a35c8ce1 100644
--- a/docs/release-notes/breaking-changes.md
+++ b/docs/release-notes/breaking-changes.md
@@ -42,6 +42,15 @@ Breaking changes can impact your Elastic applications, potentially disrupting no
 % 4. You can then call the link from any Kibana code. For example: `href: docLinks.links.upgradeAssistant.id`
 % Check https://docs.elastic.dev/docs/kibana-doc-links (internal) for more details about the Doc links service.
 
+## version.next [edot-node-X.X.X-breaking-changes]
+
+::::{dropdown} `OTEL_NODE_ENABLED_INSTRUMENTATIONS=fastify,...` will no longer enable Fastify instrumentation
+
+OpenTelemetry JS has stopped maintaining `@opentelemetry/instrumentation-fastify`, in favor of the separate `@fastify/otel` instrumentation maintained by the Fastify authors. As a result, `@opentelemetry/instrumentation-fastify` has been removed from EDOT Node.js. There is no change in *default* behavior, because the instrumentation had previously been deprecated and required opting-in to enable it.
+
+If you are using the `OTEL_NODE_ENABLED_INSTRUMENTATIONS=fastify,...` environment variable to enable Fastify instrumentation, this will no longer work. You must manually use the [`@fastify/otel` package](https://github.com/fastify/otel#readme). This [bootstrap script](https://github.com/elastic/elastic-otel-node/blob/main/packages/opentelemetry-node/test/fixtures/telemetry-with-fastify-otel.mjs) shows how EDOT Node.js and `@fastify/otel` can be used together to achieve the similar behavior.
+::::
+
 ## 1.2.0 [edot-node-1.2.0-breaking-changes]
 
 ::::{dropdown} Change usage of "redis-4" to "redis" in `OTEL_NODE_ENABLED_INSTRUMENTATIONS` and `OTEL_NODE_DISABLED_INSTRUMENTATIONS`
diff --git a/docs/release-notes/index.md b/docs/release-notes/index.md
index 3eb0cd4a..c436199b 100644
--- a/docs/release-notes/index.md
+++ b/docs/release-notes/index.md
@@ -41,7 +41,9 @@ To check for security updates, go to [Security announcements for the Elastic sta
     - [`v2.6.1` release](https://github.com/open-telemetry/opentelemetry-js/releases/tag/v2.6.1) from opentelemetry-js
     - [`experimental/v0.214.0` release](https://github.com/open-telemetry/opentelemetry-js/releases/tag/experimental%2Fv0.214.0) from opentelemetry-js
     - [opentelemetry-js-contrib release](https://github.com/open-telemetry/opentelemetry-js-contrib/pull/3415)
-      - Notably, [`@opentelemetry/instrumentation-fastify` has been removed](https://github.com/open-telemetry/opentelemetry-js-contrib/pull/3409).
+      - Notably, [`@opentelemetry/instrumentation-fastify` is no longer being updated](https://github.com/open-telemetry/opentelemetry-js-contrib/pull/3409), in favor of `@fastify/otel`.
+
+* Because `@opentelemetry/instrumentation-fastify` is no longer being maintained, it has been removed from EDOT Node.js. This matches the removal from `@opentelemetry/auto-instrumentations-node`. See the [breaking changes note for this release](./breaking-changes.md) for details on how to switch to `@fastify/otel` instrumentation.
 
 
 ## 1.9.0 [edot-node-1.9.0-release-notes]
diff --git a/packages/opentelemetry-node/lib/instrumentations.js b/packages/opentelemetry-node/lib/instrumentations.js
index 36ac60cb..6f1549d2 100644
--- a/packages/opentelemetry-node/lib/instrumentations.js
+++ b/packages/opentelemetry-node/lib/instrumentations.js
@@ -22,7 +22,6 @@ const {log} = require('./logging');
  *  "@opentelemetry/instrumentation-dataloader": import('@opentelemetry/instrumentation-dataloader').DataloaderInstrumentationConfig,
  *  "@opentelemetry/instrumentation-dns": import('@opentelemetry/instrumentation-dns').DnsInstrumentationConfig,
  *  "@opentelemetry/instrumentation-express": import('@opentelemetry/instrumentation-express').ExpressInstrumentationConfig,
- *  "@opentelemetry/instrumentation-fastify": import('@opentelemetry/instrumentation-fastify').FastifyInstrumentationConfig,
  *  "@opentelemetry/instrumentation-fs": import('@opentelemetry/instrumentation-fs').FsInstrumentationConfig,
  *  "@opentelemetry/instrumentation-generic-pool": import('@opentelemetry/instrumentation').InstrumentationConfig,
  *  "@opentelemetry/instrumentation-graphql": import('@opentelemetry/instrumentation-graphql').GraphQLInstrumentation,
@@ -80,9 +79,6 @@ const {
     ExpressInstrumentation,
 } = require('@opentelemetry/instrumentation-express');
 const {FsInstrumentation} = require('@opentelemetry/instrumentation-fs');
-const {
-    FastifyInstrumentation,
-} = require('@opentelemetry/instrumentation-fastify');
 const {
     GenericPoolInstrumentation,
 } = require('@opentelemetry/instrumentation-generic-pool');
@@ -177,8 +173,6 @@ const instrumentationsMap = {
     '@opentelemetry/instrumentation-dns': (cfg) => new DnsInstrumentation(cfg),
     '@opentelemetry/instrumentation-express': (cfg) =>
         new ExpressInstrumentation(cfg),
-    '@opentelemetry/instrumentation-fastify': (cfg) =>
-        new FastifyInstrumentation(cfg),
     '@opentelemetry/instrumentation-fs': (cfg) => new FsInstrumentation(cfg),
     '@opentelemetry/instrumentation-generic-pool': (cfg) =>
         new GenericPoolInstrumentation(cfg),
@@ -237,10 +231,7 @@ const instrumentationsMap = {
         new WinstonInstrumentation(cfg),
 };
 
-const excludedInstrumentations = new Set([
-    '@opentelemetry/instrumentation-fastify',
-    '@opentelemetry/instrumentation-fs',
-]);
+const excludedInstrumentations = new Set(['@opentelemetry/instrumentation-fs']);
 
 const otelInstrPrefix = '@opentelemetry/instrumentation-';
 const otelInstrShortNames = new Set();
diff --git a/packages/opentelemetry-node/package-lock.json b/packages/opentelemetry-node/package-lock.json
index 4b79017e..7d885837 100644
--- a/packages/opentelemetry-node/package-lock.json
+++ b/packages/opentelemetry-node/package-lock.json
@@ -27,7 +27,6 @@
         "@opentelemetry/instrumentation-dataloader": "^0.31.0",
         "@opentelemetry/instrumentation-dns": "^0.57.0",
         "@opentelemetry/instrumentation-express": "^0.62.0",
-        "@opentelemetry/instrumentation-fastify": "^0.57.0",
         "@opentelemetry/instrumentation-fs": "^0.33.0",
         "@opentelemetry/instrumentation-generic-pool": "^0.57.0",
         "@opentelemetry/instrumentation-graphql": "^0.62.0",
@@ -81,10 +80,12 @@
         "@elastic/elasticsearch": "^9.0.0",
         "@elastic/mockopampserver": ">=0.5.0 <1",
         "@elastic/mockotlpserver": ">=0.8.0 <1",
+        "@fastify/otel": "^0.18.0",
         "@grpc/grpc-js": "^1.11.1",
         "@grpc/proto-loader": "^0.8.0",
         "@hapi/hapi": "^21.3.10",
         "@opentelemetry/api": ">=1.3.0 <1.10.0",
+        "@opentelemetry/instrumentation": "^0.214.0",
         "@types/tape": "^5.6.4",
         "amqplib": "^0.10.5",
         "bunyan": "^1.8.15",
@@ -1776,6 +1777,115 @@
         "fast-deep-equal": "^3.1.3"
       }
     },
+    "node_modules/@fastify/otel": {
+      "version": "0.18.0",
+      "resolved": "https://registry.npmjs.org/@fastify/otel/-/otel-0.18.0.tgz",
+      "integrity": "sha512-3TASCATfw+ctICSb4ymrv7iCm0qJ0N9CarB+CZ7zIJ7KqNbwI5JjyDL1/sxoC0ccTO1Zyd1iQ+oqncPg5FJXaA==",
+      "dev": true,
+      "funding": [
+        {
+          "type": "github",
+          "url": "https://github.com/sponsors/fastify"
+        },
+        {
+          "type": "opencollective",
+          "url": "https://opencollective.com/fastify"
+        }
+      ],
+      "license": "MIT",
+      "dependencies": {
+        "@opentelemetry/core": "^2.0.0",
+        "@opentelemetry/instrumentation": "^0.212.0",
+        "@opentelemetry/semantic-conventions": "^1.28.0",
+        "minimatch": "^10.2.4"
+      },
+      "peerDependencies": {
+        "@opentelemetry/api": "^1.9.0"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/@opentelemetry/api-logs": {
+      "version": "0.212.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.212.0.tgz",
+      "integrity": "sha512-TEEVrLbNROUkYY51sBJGk7lO/OLjuepch8+hmpM6ffMJQ2z/KVCjdHuCFX6fJj8OkJP2zckPjrJzQtXU3IAsFg==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "dependencies": {
+        "@opentelemetry/api": "^1.3.0"
+      },
+      "engines": {
+        "node": ">=8.0.0"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/@opentelemetry/instrumentation": {
+      "version": "0.212.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation/-/instrumentation-0.212.0.tgz",
+      "integrity": "sha512-IyXmpNnifNouMOe0I/gX7ENfv2ZCNdYTF0FpCsoBcpbIHzk81Ww9rQTYTnvghszCg7qGrIhNvWC8dhEifgX9Jg==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "dependencies": {
+        "@opentelemetry/api-logs": "0.212.0",
+        "import-in-the-middle": "^2.0.6",
+        "require-in-the-middle": "^8.0.0"
+      },
+      "engines": {
+        "node": "^18.19.0 || >=20.6.0"
+      },
+      "peerDependencies": {
+        "@opentelemetry/api": "^1.3.0"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/balanced-match": {
+      "version": "4.0.4",
+      "resolved": "https://registry.npmjs.org/balanced-match/-/balanced-match-4.0.4.tgz",
+      "integrity": "sha512-BLrgEcRTwX2o6gGxGOCNyMvGSp35YofuYzw9h1IMTRmKqttAZZVU67bdb9Pr2vUHA8+j3i2tJfjO6C6+4myGTA==",
+      "dev": true,
+      "license": "MIT",
+      "engines": {
+        "node": "18 || 20 || >=22"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/brace-expansion": {
+      "version": "5.0.5",
+      "resolved": "https://registry.npmjs.org/brace-expansion/-/brace-expansion-5.0.5.tgz",
+      "integrity": "sha512-VZznLgtwhn+Mact9tfiwx64fA9erHH/MCXEUfB/0bX/6Fz6ny5EGTXYltMocqg4xFAQZtnO3DHWWXi8RiuN7cQ==",
+      "dev": true,
+      "license": "MIT",
+      "dependencies": {
+        "balanced-match": "^4.0.2"
+      },
+      "engines": {
+        "node": "18 || 20 || >=22"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/import-in-the-middle": {
+      "version": "2.0.6",
+      "resolved": "https://registry.npmjs.org/import-in-the-middle/-/import-in-the-middle-2.0.6.tgz",
+      "integrity": "sha512-3vZV3jX0XRFW3EJDTwzWoZa+RH1b8eTTx6YOCjglrLyPuepwoBti1k3L2dKwdCUrnVEfc5CuRuGstaC/uQJJaw==",
+      "dev": true,
+      "license": "Apache-2.0",
+      "dependencies": {
+        "acorn": "^8.15.0",
+        "acorn-import-attributes": "^1.9.5",
+        "cjs-module-lexer": "^2.2.0",
+        "module-details-from-path": "^1.0.4"
+      }
+    },
+    "node_modules/@fastify/otel/node_modules/minimatch": {
+      "version": "10.2.4",
+      "resolved": "https://registry.npmjs.org/minimatch/-/minimatch-10.2.4.tgz",
+      "integrity": "sha512-oRjTw/97aTBN0RHbYCdtF1MQfvusSIBQM0IZEgzl6426+8jSC0nF1a/GmnVLpfB9yyr6g6FTqWqiZVbxrtaCIg==",
+      "dev": true,
+      "license": "BlueOak-1.0.0",
+      "dependencies": {
+        "brace-expansion": "^5.0.2"
+      },
+      "engines": {
+        "node": "18 || 20 || >=22"
+      },
+      "funding": {
+        "url": "https://github.com/sponsors/isaacs"
+      }
+    },
     "node_modules/@fastify/proxy-addr": {
       "version": "5.0.0",
       "resolved": "https://registry.npmjs.org/@fastify/proxy-addr/-/proxy-addr-5.0.0.tgz",
@@ -2321,9 +2431,9 @@
       }
     },
     "node_modules/@opentelemetry/api-logs": {
-      "version": "0.213.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.213.0.tgz",
-      "integrity": "sha512-zRM5/Qj6G84Ej3F1yt33xBVY/3tnMxtL1fiDIxYbDWYaZ/eudVw3/PBiZ8G7JwUxXxjW8gU4g6LnOyfGKYHYgw==",
+      "version": "0.214.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.214.0.tgz",
+      "integrity": "sha512-40lSJeqYO8Uz2Yj7u94/SJWE/wONa7rmMKjI1ZcIjgf3MHNHv1OZUCrCETGuaRF62d5pQD1wKIW+L4lmSMTzZA==",
       "license": "Apache-2.0",
       "dependencies": {
         "@opentelemetry/api": "^1.3.0"
@@ -2414,18 +2524,6 @@
         "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/exporter-logs-otlp-http/node_modules/@opentelemetry/api-logs": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.214.0.tgz",
-      "integrity": "sha512-40lSJeqYO8Uz2Yj7u94/SJWE/wONa7rmMKjI1ZcIjgf3MHNHv1OZUCrCETGuaRF62d5pQD1wKIW+L4lmSMTzZA==",
-      "license": "Apache-2.0",
-      "dependencies": {
-        "@opentelemetry/api": "^1.3.0"
-      },
-      "engines": {
-        "node": ">=8.0.0"
-      }
-    },
     "node_modules/@opentelemetry/exporter-logs-otlp-proto": {
       "version": "0.214.0",
       "resolved": "https://registry.npmjs.org/@opentelemetry/exporter-logs-otlp-proto/-/exporter-logs-otlp-proto-0.214.0.tgz",
@@ -2447,18 +2545,6 @@
         "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/exporter-logs-otlp-proto/node_modules/@opentelemetry/api-logs": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.214.0.tgz",
-      "integrity": "sha512-40lSJeqYO8Uz2Yj7u94/SJWE/wONa7rmMKjI1ZcIjgf3MHNHv1OZUCrCETGuaRF62d5pQD1wKIW+L4lmSMTzZA==",
-      "license": "Apache-2.0",
-      "dependencies": {
-        "@opentelemetry/api": "^1.3.0"
-      },
-      "engines": {
-        "node": ">=8.0.0"
-      }
-    },
     "node_modules/@opentelemetry/exporter-metrics-otlp-grpc": {
       "version": "0.214.0",
       "resolved": "https://registry.npmjs.org/@opentelemetry/exporter-metrics-otlp-grpc/-/exporter-metrics-otlp-grpc-0.214.0.tgz",
@@ -2631,12 +2717,12 @@
       }
     },
     "node_modules/@opentelemetry/instrumentation": {
-      "version": "0.213.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation/-/instrumentation-0.213.0.tgz",
-      "integrity": "sha512-3i9NdkET/KvQomeh7UaR/F4r9P25Rx6ooALlWXPIjypcEOUxksCmVu0zA70NBJWlrMW1rPr/LRidFAflLI+s/w==",
+      "version": "0.214.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation/-/instrumentation-0.214.0.tgz",
+      "integrity": "sha512-MHqEX5Dk59cqVah5LiARMACku7jXSVk9iVDWOea4x3cr7VfdByeDCURK6o1lntT1JS/Tsovw01UJrBhN3/uC5w==",
       "license": "Apache-2.0",
       "dependencies": {
-        "@opentelemetry/api-logs": "0.213.0",
+        "@opentelemetry/api-logs": "0.214.0",
         "import-in-the-middle": "^3.0.0",
         "require-in-the-middle": "^8.0.0"
       },
@@ -2664,35 +2750,6 @@
         "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/instrumentation-amqplib/node_modules/@opentelemetry/api-logs": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.214.0.tgz",
-      "integrity": "sha512-40lSJeqYO8Uz2Yj7u94/SJWE/wONa7rmMKjI1ZcIjgf3MHNHv1OZUCrCETGuaRF62d5pQD1wKIW+L4lmSMTzZA==",
-      "license": "Apache-2.0",
-      "dependencies": {
-        "@opentelemetry/api": "^1.3.0"
-      },
-      "engines": {
-        "node": ">=8.0.0"
-      }
-    },
-    "node_modules/@opentelemetry/instrumentation-amqplib/node_modules/@opentelemetry/instrumentation": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation/-/instrumentation-0.214.0.tgz",
-      "integrity": "sha512-MHqEX5Dk59cqVah5LiARMACku7jXSVk9iVDWOea4x3cr7VfdByeDCURK6o1lntT1JS/Tsovw01UJrBhN3/uC5w==",
-      "license": "Apache-2.0",
-      "dependencies": {
-        "@opentelemetry/api-logs": "0.214.0",
-        "import-in-the-middle": "^3.0.0",
-        "require-in-the-middle": "^8.0.0"
-      },
-      "engines": {
-        "node": "^18.19.0 || >=20.6.0"
-      },
-      "peerDependencies": {
-        "@opentelemetry/api": "^1.3.0"
-      }
-    },
     "node_modules/@opentelemetry/instrumentation-aws-sdk": {
       "version": "0.69.0",
       "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-aws-sdk/-/instrumentation-aws-sdk-0.69.0.tgz",
@@ -2710,27 +2767,31 @@
         "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/instrumentation-aws-sdk/node_modules/@opentelemetry/api-logs": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/api-logs/-/api-logs-0.214.0.tgz",
-      "integrity": "sha512-40lSJeqYO8Uz2Yj7u94/SJWE/wONa7rmMKjI1ZcIjgf3MHNHv1OZUCrCETGuaRF62d5pQD1wKIW+L4lmSMTzZA==",
+    "node_modules/@opentelemetry/instrumentation-bunyan": {
+      "version": "0.59.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-bunyan/-/instrumentation-bunyan-0.59.0.tgz",
+      "integrity": "sha512-XaZoIpc2U/WxE//kEyQsGuke9JezPOeeWJUkbHkZt+ojzPbYcAXZR4m9KmxSNbHu++bx1Zy3oBQ3erEXHGoDqA==",
       "license": "Apache-2.0",
       "dependencies": {
-        "@opentelemetry/api": "^1.3.0"
+        "@opentelemetry/api-logs": "^0.214.0",
+        "@opentelemetry/instrumentation": "^0.214.0",
+        "@types/bunyan": "1.8.11"
       },
       "engines": {
-        "node": ">=8.0.0"
+        "node": "^18.19.0 || >=20.6.0"
+      },
+      "peerDependencies": {
+        "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/instrumentation-aws-sdk/node_modules/@opentelemetry/instrumentation": {
-      "version": "0.214.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation/-/instrumentation-0.214.0.tgz",
-      "integrity": "sha512-MHqEX5Dk59cqVah5LiARMACku7jXSVk9iVDWOea4x3cr7VfdByeDCURK6o1lntT1JS/Tsovw01UJrBhN3/uC5w==",
+    "node_modules/@opentelemetry/instrumentation-cassandra-driver": {
+      "version": "0.59.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-cassandra-driver/-/instrumentation-cassandra-driver-0.59.0.tgz",
+      "integrity": "sha512-WtbENFKo4HRBwyffUEN+LSTdjDrBMyfaEYO362VVEhLoFWsFbGGXVApL7rIOhM2LjL04Oel6uJyJC6E4nvCgAA==",
       "license": "Apache-2.0",
       "dependencies": {
-        "@opentelemetry/api-logs": "0.214.0",
-        "import-in-the-middle": "^3.0.0",
-        "require-in-the-middle": "^8.0.0"
+        "@opentelemetry/instrumentation": "^0.214.0",
+        "@opentelemetry/semantic-conventions": "^1.37.0"
       },
       "engines": {
         "node": "^18.19.0 || >=20.6.0"
@@ -2739,15 +2800,16 @@
         "@opentelemetry/api": "^1.3.0"
       }
     },
-    "node_modules/@opentelemetry/instrumentation-bunyan": {
-      "version": "0.59.0",
-      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-bunyan/-/instrumentation-bunyan-0.59.0.tgz",
-      "integrity": "sha512-XaZoIpc2U/WxE//kEyQsGuke9JezPOeeWJUkbHkZt+ojzPbYcAXZR4m9KmxSNbHu++bx1Zy3oBQ3erEXHGoDqA==",
+    "node_modules/@opentelemetry/instrumentation-connect": {
+      "version": "0.57.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-connect/-/instrumentation-connect-0.57.0.tgz",
+      "integrity": "sha512-FMEBChnI4FLN5TE9DHwfH7QpNir1JzXno1uz/TAucVdLCyrG0jTrKIcNHt/i30A0M2AunNBCkcd8Ei26dIPKdg==",
       "license": "Apache-2.0",
       "dependencies": {
-        "@opentelemetry/api-logs": "^0.214.0",
+        "@opentelemetry/core": "^2.0.0",
         "@opentelemetry/instrumentation": "^0.214.0",
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@@ -4213,12 +3229,14 @@
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@@ -4228,27 +3246,32 @@
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       "license": "Apache-2.0",
       "dependencies": {
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+    "node_modules/@opentelemetry/instrumentation-restify": {
+      "version": "0.59.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-restify/-/instrumentation-restify-0.59.0.tgz",
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@@ -4257,13 +3280,14 @@
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+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-router/-/instrumentation-router-0.58.0.tgz",
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@@ -4272,27 +3296,28 @@
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+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-runtime-node/-/instrumentation-runtime-node-0.27.0.tgz",
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       "license": "Apache-2.0",
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+    "node_modules/@opentelemetry/instrumentation-socket.io": {
+      "version": "0.61.0",
+      "resolved": "https://registry.npmjs.org/@opentelemetry/instrumentation-socket.io/-/instrumentation-socket.io-0.61.0.tgz",
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@@ -4318,35 +3343,6 @@
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@@ -4364,35 +3360,6 @@
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@@ -4409,35 +3376,6 @@
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@@ -4493,18 +3431,6 @@
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@@ -4784,18 +3710,6 @@
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@@ -4851,35 +3765,6 @@
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@@ -4951,18 +3836,6 @@
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diff --git a/packages/opentelemetry-node/package.json b/packages/opentelemetry-node/package.json
index 837a656b..3b490b5c 100644
--- a/packages/opentelemetry-node/package.json
+++ b/packages/opentelemetry-node/package.json
@@ -48,7 +48,7 @@
     "lint:eslint": "eslint .",
     "lint:prettier": "(cd ../../; prettier --check $npm_config_local_prefix)",
     "lint:types": "rm -rf build/lint-types && tsc --outDir build/lint-types && diff -ur types build/lint-types",
-    "lint:deps": "dependency-check require.js import.mjs 'lib/**/*.js' 'test/**/*.js' '!test/fixtures/a-ts-proj' '!test/fixtures/an-esm-pkg' -e mjs:../../scripts/parse-mjs-source -i @types/tape -i dotenv -i @opentelemetry/winston-transport -i @opentelemetry/exporter-logs-* -i @opentelemetry/exporter-metrics-*",
+    "lint:deps": "dependency-check require.js import.mjs 'lib/**/*.js' 'test/**/*.js' '!test/fixtures/a-ts-proj' '!test/fixtures/an-esm-pkg' -e mjs:../../scripts/parse-mjs-source -i @types/tape -i dotenv -i @opentelemetry/winston-transport -i @opentelemetry/exporter-logs-* -i @opentelemetry/exporter-metrics-* -i @fastify/otel -i @opentelemetry/instrumentation",
     "lint:license-files": "../../scripts/gen-notice.sh --lint .  # requires node >=16",
     "lint:changelog": "../../scripts/extract-release-notes.js .",
     "lint:fix": "eslint --fix . && (cd ../../; prettier --list-different --write $npm_config_local_prefix)",
@@ -93,7 +93,6 @@
     "@opentelemetry/instrumentation-dataloader": "^0.31.0",
     "@opentelemetry/instrumentation-dns": "^0.57.0",
     "@opentelemetry/instrumentation-express": "^0.62.0",
-    "@opentelemetry/instrumentation-fastify": "^0.57.0",
     "@opentelemetry/instrumentation-fs": "^0.33.0",
     "@opentelemetry/instrumentation-generic-pool": "^0.57.0",
     "@opentelemetry/instrumentation-graphql": "^0.62.0",
@@ -147,10 +146,12 @@
     "@elastic/elasticsearch": "^9.0.0",
     "@elastic/mockopampserver": ">=0.5.0 <1",
     "@elastic/mockotlpserver": ">=0.8.0 <1",
+    "@fastify/otel": "^0.18.0",
     "@grpc/grpc-js": "^1.11.1",
     "@grpc/proto-loader": "^0.8.0",
     "@hapi/hapi": "^21.3.10",
     "@opentelemetry/api": ">=1.3.0 <1.10.0",
+    "@opentelemetry/instrumentation": "^0.214.0",
     "@types/tape": "^5.6.4",
     "amqplib": "^0.10.5",
     "bunyan": "^1.8.15",
diff --git a/packages/opentelemetry-node/test/OTEL_NODE_DISABLED_INSTRUMENTATIONS.test.js b/packages/opentelemetry-node/test/OTEL_NODE_DISABLED_INSTRUMENTATIONS.test.js
index dfdf7edf..99bfacca 100644
--- a/packages/opentelemetry-node/test/OTEL_NODE_DISABLED_INSTRUMENTATIONS.test.js
+++ b/packages/opentelemetry-node/test/OTEL_NODE_DISABLED_INSTRUMENTATIONS.test.js
@@ -69,7 +69,7 @@ const testFixtures = [
             );
             t.notOk(
                 getLine(
-                    'Enabling instrumentation \\"@opentelemetry/instrumentation-fastify\\"'
+                    'Enabling instrumentation \\"@opentelemetry/instrumentation-fs\\"'
                 ),
                 'should not enable instrumentations not in the list'
             );
@@ -82,7 +82,7 @@ const testFixtures = [
         env: {
             NODE_OPTIONS: '--require=@elastic/opentelemetry-node',
             OTEL_LOG_LEVEL: 'debug',
-            OTEL_NODE_DISABLED_INSTRUMENTATIONS: 'fastify, express  , bogus',
+            OTEL_NODE_DISABLED_INSTRUMENTATIONS: 'net, express  , bogus',
         },
         // verbose: true,
         checkResult: (t, err, stdout, stderr) => {
@@ -92,7 +92,7 @@ const testFixtures = [
 
             t.notOk(
                 getLine(
-                    'Enabling instrumentation \\"@opentelemetry/instrumentation-fastify\\"'
+                    'Enabling instrumentation \\"@opentelemetry/instrumentation-net\\"'
                 ),
                 'should disable instrumentation passed in env var'
             );
@@ -100,7 +100,7 @@ const testFixtures = [
                 getLine(
                     'Enabling instrumentation \\"@opentelemetry/instrumentation-express\\"'
                 ),
-                'should disable instrumentation passed with surroinding spaces in env var'
+                'should disable instrumentation passed with surrounding spaces in env var'
             );
             t.ok(
                 getLine(
diff --git a/packages/opentelemetry-node/test/fixtures/telemetry-with-fastify-otel.mjs b/packages/opentelemetry-node/test/fixtures/telemetry-with-fastify-otel.mjs
new file mode 100644
index 00000000..2bff8a53
--- /dev/null
+++ b/packages/opentelemetry-node/test/fixtures/telemetry-with-fastify-otel.mjs
@@ -0,0 +1,27 @@
+/*
+ * Copyright Elasticsearch B.V. and contributors
+ * SPDX-License-Identifier: Apache-2.0
+ */
+
+/**
+ * An example EDOT Node.js bootstrap script that adds `@fastify/otel`
+ * instrumentation.
+ *
+ * Usage:
+ *  node --import ./telemetry-with-fastify-otel.mjs app.js
+ */
+
+import {register} from 'node:module';
+import {
+    startNodeSDK,
+    getInstrumentations,
+} from '@elastic/opentelemetry-node/sdk';
+import FastifyOtelInstrumentation from '@fastify/otel';
+
+register('@elastic/opentelemetry-node/hook.mjs', import.meta.url);
+startNodeSDK({
+    instrumentations: [
+        new FastifyOtelInstrumentation({registerOnInitialization: true}),
+        ...getInstrumentations(),
+    ],
+});
diff --git a/packages/opentelemetry-node/test/fixtures/use-fastify.js b/packages/opentelemetry-node/test/fixtures/use-fastify.js
index 69f18623..a7253d4c 100644
--- a/packages/opentelemetry-node/test/fixtures/use-fastify.js
+++ b/packages/opentelemetry-node/test/fixtures/use-fastify.js
@@ -3,7 +3,7 @@
  * SPDX-License-Identifier: Apache-2.0
  */
 
-// Usage: node -r @elastic/opentelemetry-node use-fastify.js
+// Usage: node -r ./telemetry-with-fastify-otel.mjs use-fastify.js
 
 const http = require('http');
 
diff --git a/packages/opentelemetry-node/test/instr-fastify.test.js b/packages/opentelemetry-node/test/instr-fastify.test.js
index 5ba4dc1f..d65fa675 100644
--- a/packages/opentelemetry-node/test/instr-fastify.test.js
+++ b/packages/opentelemetry-node/test/instr-fastify.test.js
@@ -15,63 +15,34 @@ const {
 /** @type {import('./testutils').TestFixture[]} */
 const testFixtures = [
     {
-        name: 'use-fastify (default disabled)',
+        name: 'use-fastify (with 3rd-party @fastify/otel instrumentation)',
         args: ['./fixtures/use-fastify.js'],
         cwd: __dirname,
         env: {
-            NODE_OPTIONS: '--require=@elastic/opentelemetry-node',
+            NODE_OPTIONS: '--import ./fixtures/telemetry-with-fastify-otel.mjs',
+            // Exclude uninteresting 'dns' and 'net' spans.
+            OTEL_NODE_DISABLED_INSTRUMENTATIONS: 'dns,net',
         },
         versionRanges: {
             // Ref: https://fastify.dev/docs/latest/Guides/Migration-Guide-V5/#long-term-support-cycle
             node: '>=20.0.0',
         },
-        // verbose: true,
-        checkTelemetry: (t, col) => {
-            const spans = filterOutDnsNetSpans(col.sortedSpans);
-
-            t.equal(spans.length, 4);
-            t.ok(
-                spans.every(
-                    (s) =>
-                        s.scope.name === '@opentelemetry/instrumentation-http'
-                )
-            );
-            t.ok(spans.every((s) => s.name === 'GET'));
-            t.equal(
-                spans.filter((s) => s.kind === 'SPAN_KIND_CLIENT').length,
-                2
-            );
-            t.equal(
-                spans.filter((s) => s.kind === 'SPAN_KIND_SERVER').length,
-                2
-            );
-        },
-    },
-    {
-        name: 'use-fastify (enabled via env var)',
-        args: ['./fixtures/use-fastify.js'],
-        cwd: __dirname,
-        env: {
-            NODE_OPTIONS: '--require=@elastic/opentelemetry-node',
-            OTEL_NODE_ENABLED_INSTRUMENTATIONS: 'http,fastify',
-        },
-        versionRanges: {
-            // Ref: https://fastify.dev/docs/latest/Guides/Migration-Guide-V5/#long-term-support-cycle
-            node: '>=20.0.0',
-        },
-        // verbose: true,
+        verbose: true,
         checkTelemetry: (t, col) => {
             // We expect spans like this
-            // ------ trace 9042af (3 spans) ------
-            //         span 5894e1 "GET" (6.8ms, SPAN_KIND_CLIENT, GET http://localhost:3000/ping -> 200)
-            //     +3ms `- span c793a1 "GET /ping" (2.7ms, SPAN_KIND_SERVER, GET http://localhost:3000/ping -> 200)
-            //     +1ms   `- span f16000 "request handler - fastify" (1.0ms, SPAN_KIND_INTERNAL)
-            // ------ trace 8f3ed8 (3 spans) ------
-            //         span 6e0fc9 "GET" (1.6ms, SPAN_KIND_CLIENT, GET http://localhost:3000/hi/Bob -> 200)
-            //     +1ms `- span 40c4a8 "GET /hi/:name" (0.3ms, SPAN_KIND_SERVER, GET http://localhost:3000/hi/Bob -> 200)
-            //     +0ms   `- span 74a68a "request handler - fastify" (0.1ms, SPAN_KIND_INTERNAL)
+            //
+            // ------ trace b524ea (4 spans) ------
+            //        span eac092 "GET" (9.5ms, SPAN_KIND_CLIENT, GET http://localhost:3000/ping -> 200, scope=http)
+            //   +5ms `- span 289989 "GET /ping" (2.6ms, SPAN_KIND_SERVER, GET -> 200, scope=http)
+            //   +1ms   `- span 0f16e8 "request" (0.5ms, SPAN_KIND_INTERNAL, GET -> 200, scope=@fastify/otel)
+            //   +0ms     `- span 4aec20 "handler - fastify -> @fastify/otel" (0.7ms, SPAN_KIND_INTERNAL, scope=@fastify/otel)
+            // ------ trace a3736c (4 spans) ------
+            //        span 3a1b8c "GET" (1.1ms, SPAN_KIND_CLIENT, GET http://localhost:3000/hi/Bob -> 200, scope=http)
+            //   +1ms `- span 29085f "GET /hi/:name" (0.4ms, SPAN_KIND_SERVER, GET -> 200, scope=http)
+            //   +0ms   `- span a519ca "request" (0.1ms, SPAN_KIND_INTERNAL, GET -> 200, scope=@fastify/otel)
+            //   +0ms     `- span fe9105 "handler - fastify -> @fastify/otel" (0.1ms, SPAN_KIND_INTERNAL, scope=@fastify/otel)
             const spans = filterOutDnsNetSpans(col.sortedSpans);
-            t.equal(spans.length, 6);
+            t.equal(spans.length, 8);
 
             t.equal(spans[0].scope.name, '@opentelemetry/instrumentation-http');
             t.equal(spans[0].name, 'GET');
@@ -82,13 +53,14 @@ const testFixtures = [
             t.equal(spans[1].traceId, spans[0].traceId, 'same trace');
             t.equal(spans[1].parentSpanId, spans[0].spanId);
 
-            t.equal(
-                spans[2].scope.name,
-                '@opentelemetry/instrumentation-fastify'
-            );
-            t.equal(spans[2].name, 'request handler - fastify');
+            t.equal(spans[2].scope.name, '@fastify/otel');
+            t.equal(spans[2].name, 'request');
             t.equal(spans[2].kind, 'SPAN_KIND_INTERNAL');
 
+            t.equal(spans[3].scope.name, '@fastify/otel');
+            t.equal(spans[3].name, 'handler - fastify -> @fastify/otel');
+            t.equal(spans[3].kind, 'SPAN_KIND_INTERNAL');
+
             const span = findObjInArray(spans, 'name', 'GET /hi/:name');
             t.ok(span); // route with param
         },
diff --git a/packages/opentelemetry-node/types/instrumentations.d.ts b/packages/opentelemetry-node/types/instrumentations.d.ts
index 0731af7f..f353876c 100644
--- a/packages/opentelemetry-node/types/instrumentations.d.ts
+++ b/packages/opentelemetry-node/types/instrumentations.d.ts
@@ -9,7 +9,6 @@ export type InstrumentaionsMap = {
     "@opentelemetry/instrumentation-dataloader": import('@opentelemetry/instrumentation-dataloader').DataloaderInstrumentationConfig;
     "@opentelemetry/instrumentation-dns": import('@opentelemetry/instrumentation-dns').DnsInstrumentationConfig;
     "@opentelemetry/instrumentation-express": import('@opentelemetry/instrumentation-express').ExpressInstrumentationConfig;
-    "@opentelemetry/instrumentation-fastify": import('@opentelemetry/instrumentation-fastify').FastifyInstrumentationConfig;
     "@opentelemetry/instrumentation-fs": import('@opentelemetry/instrumentation-fs').FsInstrumentationConfig;
     "@opentelemetry/instrumentation-generic-pool": import('@opentelemetry/instrumentation').InstrumentationConfig;
     "@opentelemetry/instrumentation-graphql": import('@opentelemetry/instrumentation-graphql').GraphQLInstrumentation;