diff --git a/lib/otel/segment-synthesis.js b/lib/otel/segment-synthesis.js
index bebc9ba287..6619ef37b6 100644
--- a/lib/otel/segment-synthesis.js
+++ b/lib/otel/segment-synthesis.js
@@ -7,6 +7,7 @@
 const { RulesEngine } = require('./rules')
 const defaultLogger = require('../logger').child({ component: 'segment-synthesizer' })
 const { DatabaseSegment, HttpExternalSegment, ServerSegment } = require('./segments')
+const createConsumerSegment = require('./segments/consumer')
 
 class SegmentSynthesizer {
   constructor(agent, { logger = defaultLogger } = {}) {
@@ -27,14 +28,24 @@ class SegmentSynthesizer {
     }
 
     switch (rule.type) {
-      case 'external':
+      case 'external': {
         return new HttpExternalSegment(this.agent, otelSpan)
-      case 'db':
+      }
+
+      case 'db': {
         return new DatabaseSegment(this.agent, otelSpan)
-      case 'server':
+      }
+
+      case 'server': {
+        if (rule.isConsumer === true) {
+          return createConsumerSegment({ agent: this.agent, otelSpan })
+        }
         return new ServerSegment(this.agent, otelSpan)
-      default:
+      }
+
+      default: {
         this.logger.debug('Found type: %s, no synthesis rule currently built', rule.type)
+      }
     }
   }
 }
diff --git a/lib/otel/segments/consumer.js b/lib/otel/segments/consumer.js
new file mode 100644
index 0000000000..23fb03b422
--- /dev/null
+++ b/lib/otel/segments/consumer.js
@@ -0,0 +1,47 @@
+/*
+ * Copyright 2024 New Relic Corporation. All rights reserved.
+ * SPDX-License-Identifier: Apache-2.0
+ */
+
+'use strict'
+
+module.exports = createConsumerSegment
+
+// Notes:
+// + https://github.com/open-telemetry/semantic-conventions/blob/v1.24.0/docs/messaging/messaging-spans.md
+// + We probably want to inspect `messaging.system` so that we can generate
+// attributes according to our own internal specs.
+
+const Transaction = require('../../transaction/')
+const { DESTINATIONS, TYPES } = Transaction
+
+const {
+  // SEMATTRS_MESSAGING_SYSTEM,
+  SEMATTRS_MESSAGING_DESTINATION,
+  SEMATTRS_MESSAGING_OPERATION
+} = require('@opentelemetry/semantic-conventions')
+
+function createConsumerSegment({ agent, otelSpan }) {
+  const transaction = new Transaction(agent)
+  transaction.type = TYPES.BG
+
+  const operation = otelSpan.attributes[SEMATTRS_MESSAGING_OPERATION]
+  const destination = otelSpan.attributes[SEMATTRS_MESSAGING_DESTINATION] ?? 'unknown'
+  const segmentName = `OtherTransaction/consumer/${operation}/${destination}`
+
+  transaction.trace.attributes.addAttribute(
+    DESTINATIONS.TRANS_SCOPE,
+    'message.queueName',
+    destination
+  )
+  transaction.name = segmentName
+
+  const segment = agent.tracer.createSegment({
+    name: segmentName,
+    parent: transaction.trace.root,
+    transaction
+  })
+  transaction.baseSegment = segment
+
+  return { segment, transaction }
+}
diff --git a/lib/transaction/index.js b/lib/transaction/index.js
index 7d9f20c7c5..fc89a25298 100644
--- a/lib/transaction/index.js
+++ b/lib/transaction/index.js
@@ -157,6 +157,7 @@ function Transaction(agent) {
   agent.emit('transactionStarted', this)
 }
 
+Transaction.DESTINATIONS = DESTS
 Transaction.TYPES = TYPES
 Transaction.TYPES_SET = TYPES_SET
 Transaction.TRANSPORT_TYPES = TRANSPORT_TYPES
diff --git a/test/unit/lib/otel/consumer.test.js b/test/unit/lib/otel/consumer.test.js
new file mode 100644
index 0000000000..acf84d09c3
--- /dev/null
+++ b/test/unit/lib/otel/consumer.test.js
@@ -0,0 +1,63 @@
+/*
+ * Copyright 2024 New Relic Corporation. All rights reserved.
+ * SPDX-License-Identifier: Apache-2.0
+ */
+
+'use strict'
+
+// Tests to verify that we can map OTEL "consumer" spans to NR segments.
+
+const test = require('node:test')
+const assert = require('node:assert')
+
+const { BasicTracerProvider } = require('@opentelemetry/sdk-trace-base')
+const { SpanKind } = require('@opentelemetry/api')
+
+const { DESTINATIONS } = require('../../../../lib/transaction')
+const helper = require('../../../lib/agent_helper')
+const createSpan = require('./fixtures/span')
+const SegmentSynthesizer = require('../../../../lib/otel/segment-synthesis')
+
+test.beforeEach((ctx) => {
+  const logs = []
+  const logger = {
+    debug(...args) {
+      logs.push(args)
+    }
+  }
+  const agent = helper.loadMockedAgent()
+  const synth = new SegmentSynthesizer(agent, { logger })
+  const tracer = new BasicTracerProvider().getTracer('default')
+
+  ctx.nr = {
+    agent,
+    logger,
+    logs,
+    synth,
+    tracer
+  }
+})
+
+test.afterEach((ctx) => {
+  helper.unloadAgent(ctx.nr.agent)
+})
+
+test('should create consumer segment from otel span', (t) => {
+  const { synth, tracer } = t.nr
+  const span = createSpan({ tracer, kind: SpanKind.CONSUMER })
+  span.setAttribute('messaging.operation', 'receive')
+
+  const expectedName = 'OtherTransaction/consumer/receive/unknown'
+  const { segment, transaction } = synth.synthesize(span)
+  assert.equal(segment.name, expectedName)
+  assert.equal(segment.parentId, segment.root.id)
+  assert.equal(transaction.name, expectedName)
+  assert.equal(transaction.type, 'bg')
+  assert.equal(transaction.baseSegment, segment)
+  assert.equal(
+    transaction.trace.attributes.get(DESTINATIONS.TRANS_SCOPE)['message.queueName'],
+    'unknown'
+  )
+
+  transaction.end()
+})