diff --git a/docs/specs/otel-genai-alignment.md b/docs/specs/otel-genai-alignment.md
index 5827bf4ee8ff..c4127dbe6e7a 100644
--- a/docs/specs/otel-genai-alignment.md
+++ b/docs/specs/otel-genai-alignment.md
@@ -11,7 +11,7 @@
 Enrich the existing `diagnostics-otel` plugin to emit spans, metrics, and events
 that follow the [OTel GenAI semantic conventions](https://opentelemetry.io/docs/specs/semconv/gen-ai/)
 so that OpenClaw telemetry works out-of-the-box with GenAI-aware backends
-(Datadog, Grafana, Langfuse, Arize, etc.) while keeping the existing
+(Datadog, Grafana, Orq, LangWatch, Langfuse, Arize, etc.) while keeping the existing
 `openclaw.*` operational telemetry intact.
 
 ---
diff --git a/extensions/diagnostics-otel/src/service.test.ts b/extensions/diagnostics-otel/src/service.test.ts
index 747999a2879a..54c97a6e6fc6 100644
--- a/extensions/diagnostics-otel/src/service.test.ts
+++ b/extensions/diagnostics-otel/src/service.test.ts
@@ -299,7 +299,14 @@ describe("diagnostics-otel service", () => {
       finishReasons: ["stop"],
       sessionKey: "agent:main:main",
       sessionId: "sess-001",
-      usage: { input: 100, output: 50, cacheRead: 80, cacheWrite: 0, total: 230 },
+      usage: {
+        input: 100,
+        output: 50,
+        cacheRead: 80,
+        cacheWrite: 0,
+        promptTokens: 180,
+        total: 230,
+      },
       durationMs: 1500,
     });
 
@@ -323,6 +330,12 @@ describe("diagnostics-otel service", () => {
     expect(attrs["openclaw.tokens.input"]).toBe(100);
     expect(attrs["openclaw.tokens.output"]).toBe(50);
     expect(attrs["openclaw.tokens.cache_read"]).toBe(80);
+    expect(attrs["gen_ai.usage.cache_read.input_tokens"]).toBe(80);
+    expect(attrs["gen_ai.usage.cache_creation.input_tokens"]).toBe(0);
+    // gen_ai.usage.input_tokens should be promptTokens (input + cacheRead + cacheWrite)
+    // per OTEL semconv, not raw input which excludes cached tokens
+    expect(attrs["gen_ai.usage.input_tokens"]).toBe(180);
+    expect(attrs["gen_ai.usage.output_tokens"]).toBe(50);
 
     await service.stop?.();
   });
diff --git a/extensions/diagnostics-otel/src/service.ts b/extensions/diagnostics-otel/src/service.ts
index 4e5f2c3964bf..d9dfc1e516c8 100644
--- a/extensions/diagnostics-otel/src/service.ts
+++ b/extensions/diagnostics-otel/src/service.ts
@@ -720,16 +720,26 @@ export function createDiagnosticsOtelService(): OpenClawPluginService {
         }
         if (typeof usage.output === "number") {
           spanAttrs["openclaw.tokens.output"] = usage.output;
+          spanAttrs["gen_ai.usage.output_tokens"] = usage.output;
         }
         if (typeof usage.cacheRead === "number") {
           spanAttrs["openclaw.tokens.cache_read"] = usage.cacheRead;
+          spanAttrs["gen_ai.usage.cache_read.input_tokens"] = usage.cacheRead;
         }
         if (typeof usage.cacheWrite === "number") {
           spanAttrs["openclaw.tokens.cache_write"] = usage.cacheWrite;
+          spanAttrs["gen_ai.usage.cache_creation.input_tokens"] = usage.cacheWrite;
         }
         if (typeof usage.total === "number") {
           spanAttrs["openclaw.tokens.total"] = usage.total;
         }
+        // OTEL GenAI semconv: gen_ai.usage.input_tokens SHOULD include all input
+        // tokens including cached tokens. Use promptTokens (input + cacheRead +
+        // cacheWrite) when available, fall back to raw input.
+        const inputTokensForOtel = usage.promptTokens ?? usage.input;
+        if (typeof inputTokensForOtel === "number") {
+          spanAttrs["gen_ai.usage.input_tokens"] = inputTokensForOtel;
+        }
         if (evt.responseModel) {
           spanAttrs["gen_ai.response.model"] = evt.responseModel;
         }
@@ -923,7 +933,6 @@ export function createDiagnosticsOtelService(): OpenClawPluginService {
         };
         if (typeof usage.input === "number") {
           spanAttrs["openclaw.tokens.input"] = usage.input;
-          spanAttrs["gen_ai.usage.input_tokens"] = usage.input;
         }
         if (typeof usage.output === "number") {
           spanAttrs["openclaw.tokens.output"] = usage.output;
@@ -931,13 +940,22 @@ export function createDiagnosticsOtelService(): OpenClawPluginService {
         }
         if (typeof usage.cacheRead === "number") {
           spanAttrs["openclaw.tokens.cache_read"] = usage.cacheRead;
+          spanAttrs["gen_ai.usage.cache_read.input_tokens"] = usage.cacheRead;
         }
         if (typeof usage.cacheWrite === "number") {
           spanAttrs["openclaw.tokens.cache_write"] = usage.cacheWrite;
+          spanAttrs["gen_ai.usage.cache_creation.input_tokens"] = usage.cacheWrite;
         }
         if (typeof usage.total === "number") {
           spanAttrs["openclaw.tokens.total"] = usage.total;
         }
+        // OTEL GenAI semconv: gen_ai.usage.input_tokens SHOULD include all input
+        // tokens including cached tokens. Use promptTokens (input + cacheRead +
+        // cacheWrite) when available, fall back to raw input.
+        const inputTokensForOtel = usage.promptTokens ?? usage.input;
+        if (typeof inputTokensForOtel === "number") {
+          spanAttrs["gen_ai.usage.input_tokens"] = inputTokensForOtel;
+        }
         if (evt.responseModel) {
           spanAttrs["gen_ai.response.model"] = evt.responseModel;
         }