diff --git a/packages/nuxt/src/module.ts b/packages/nuxt/src/module.ts
index 077bda66745b..ffe35a311e99 100644
--- a/packages/nuxt/src/module.ts
+++ b/packages/nuxt/src/module.ts
@@ -18,6 +18,7 @@ import { addStorageInstrumentation } from './vite/storageConfig';
 import { addOTelCommonJSImportAlias, findDefaultSdkInitFile, getNitroMajorVersion } from './vite/utils';
 
 export type ModuleOptions = SentryNuxtModuleOptions;
+type NuxtPageSubset = { file?: string; path: string };
 
 export default defineNuxtModule<ModuleOptions>({
   meta: {
@@ -79,6 +80,8 @@ export default defineNuxtModule<ModuleOptions>({
 
     const serverConfigFile = findDefaultSdkInitFile('server', nuxt);
     const isNitroV3 = (await getNitroMajorVersion()) >= 3;
+    const nuxtMajor = parseInt((nuxt as unknown as { _version: string })._version?.split('.')[0] ?? '3', 10);
+    const isMinNuxtV4 = nuxtMajor >= 4;
 
     if (serverConfigFile) {
       if (isNitroV3) {
@@ -91,10 +94,11 @@ export default defineNuxtModule<ModuleOptions>({
 
       addServerPlugin(moduleDirResolver.resolve('./runtime/plugins/sentry.server'));
 
-      addPlugin({
-        src: moduleDirResolver.resolve('./runtime/plugins/route-detector.server'),
-        mode: 'server',
-      });
+      if (isMinNuxtV4) {
+        addPlugin({ src: moduleDirResolver.resolve('./runtime/plugins/route-detector.server'), mode: 'server' });
+      } else {
+        addPlugin({ src: moduleDirResolver.resolve('./runtime/plugins/route-detector-legacy.server'), mode: 'server' });
+      }
 
       // Preps the middleware instrumentation module.
       addMiddlewareImports();
@@ -108,26 +112,35 @@ export default defineNuxtModule<ModuleOptions>({
 
     addOTelCommonJSImportAlias(nuxt, isNitroV3);
 
-    const pagesDataTemplate = addTemplate({
-      filename: 'sentry--nuxt-pages-data.mjs',
-      // Initial empty array (later filled in pages:extend hook)
-      // Template needs to be created in the root-level of the module to work
-      getContents: () => 'export default [];',
-    });
+    let pagesData: NuxtPageSubset[] = [];
 
     nuxt.hooks.hook('pages:extend', pages => {
-      pagesDataTemplate.getContents = () => {
-        const pagesSubset = pages
-          .map(page => ({ file: page.file, path: page.path }))
-          .filter(page => {
-            // Check for dynamic parameter (e.g., :userId or [userId])
-            return page.path.includes(':') || page?.file?.includes('[');
-          });
-
-        return `export default ${JSON.stringify(pagesSubset, null, 2)};`;
-      };
+      pagesData = pages
+        .map(page => ({ file: page.file, path: page.path }))
+        .filter(page => {
+          // Check for dynamic parameter (e.g., :userId or [userId])
+          return page.path.includes(':') || page?.file?.includes('[');
+        });
     });
 
+    if (isMinNuxtV4) {
+      const pagesDataVirtualModuleId = '#sentry/nuxt-pages-data.mjs';
+
+      // Vite virtual plugin (for the Vite SSR build, where addPlugin mode:'server' plugins are bundled)
+      addVitePlugin({
+        name: 'sentry-nuxt-pages-data-virtual',
+        resolveId: id => (id === pagesDataVirtualModuleId ? `\0${pagesDataVirtualModuleId}` : null),
+        load: id =>
+          id === `\0${pagesDataVirtualModuleId}` ? `export default ${JSON.stringify(pagesData, null, 2)};` : undefined,
+      });
+    } else {
+      // Nuxt v3: register as a build template (accessible via #build/)
+      addTemplate({
+        filename: 'sentry--nuxt-pages-data.mjs',
+        getContents: () => `export default ${JSON.stringify(pagesData, null, 2)};`,
+      });
+    }
+
     // Add the sentry config file to the include array
     nuxt.hook('prepare:types', options => {
       const tsConfig = options.tsConfig as { include?: string[] };
diff --git a/packages/nuxt/src/runtime/plugins/route-detector-legacy.server.ts b/packages/nuxt/src/runtime/plugins/route-detector-legacy.server.ts
new file mode 100644
index 000000000000..d67102576158
--- /dev/null
+++ b/packages/nuxt/src/runtime/plugins/route-detector-legacy.server.ts
@@ -0,0 +1,49 @@
+import { debug, getActiveSpan, getRootSpan, SEMANTIC_ATTRIBUTE_SENTRY_SOURCE } from '@sentry/core';
+import { defineNuxtPlugin } from 'nuxt/app';
+import type { NuxtPageSubset } from '../utils/route-extraction';
+import { extractParametrizedRouteFromContext } from '../utils/route-extraction';
+
+export default defineNuxtPlugin(nuxtApp => {
+  nuxtApp.hooks.hook('app:rendered', async renderContext => {
+    let buildTimePagesData: NuxtPageSubset[];
+    try {
+      // This is a common Nuxt pattern to import build-time generated data (until Nuxt v3): https://nuxt.com/docs/4.x/api/kit/templates#creating-a-virtual-file-for-runtime-plugin
+      // @ts-expect-error This import is dynamically resolved at build time (`addTemplate` in module.ts)
+      const { default: importedPagesData } = await import('#build/sentry--nuxt-pages-data.mjs');
+      buildTimePagesData = importedPagesData || [];
+      debug.log('Imported build-time pages data:', buildTimePagesData);
+    } catch (error) {
+      buildTimePagesData = [];
+      debug.warn('Failed to import build-time pages data:', error);
+    }
+
+    const ssrContext = renderContext.ssrContext;
+
+    const routeInfo = extractParametrizedRouteFromContext(
+      ssrContext?.modules,
+      ssrContext?.url || ssrContext?.event._path,
+      buildTimePagesData,
+    );
+
+    if (routeInfo === null) {
+      return;
+    }
+
+    const activeSpan = getActiveSpan(); // In development mode, getActiveSpan() is always undefined
+
+    if (activeSpan && routeInfo.parametrizedRoute) {
+      const rootSpan = getRootSpan(activeSpan);
+
+      if (!rootSpan) {
+        return;
+      }
+
+      debug.log('Matched parametrized server route:', routeInfo.parametrizedRoute);
+
+      rootSpan.setAttributes({
+        [SEMANTIC_ATTRIBUTE_SENTRY_SOURCE]: 'route',
+        'http.route': routeInfo.parametrizedRoute,
+      });
+    }
+  });
+});
diff --git a/packages/nuxt/src/runtime/plugins/route-detector.server.ts b/packages/nuxt/src/runtime/plugins/route-detector.server.ts
index 37c6bc17a4b5..1ed3a2f1d36b 100644
--- a/packages/nuxt/src/runtime/plugins/route-detector.server.ts
+++ b/packages/nuxt/src/runtime/plugins/route-detector.server.ts
@@ -7,9 +7,9 @@ export default defineNuxtPlugin(nuxtApp => {
   nuxtApp.hooks.hook('app:rendered', async renderContext => {
     let buildTimePagesData: NuxtPageSubset[];
     try {
-      // This is a common Nuxt pattern to import build-time generated data: https://nuxt.com/docs/4.x/api/kit/templates#creating-a-virtual-file-for-runtime-plugin
-      // @ts-expect-error This import is dynamically resolved at build time (`addTemplate` in module.ts)
-      const { default: importedPagesData } = await import('#build/sentry--nuxt-pages-data.mjs');
+      // Virtual module registered via addServerTemplate in module.ts (Nuxt v4+)
+      // @ts-expect-error - This is a virtual module
+      const { default: importedPagesData } = await import('#sentry/nuxt-pages-data.mjs');
       buildTimePagesData = importedPagesData || [];
       debug.log('Imported build-time pages data:', buildTimePagesData);
     } catch (error) {