diff --git a/package-lock.json b/package-lock.json
index 73a53ac..882efbe 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -6,7 +6,7 @@
   "packages": {
     "": {
       "name": "nuxt-multi-cache",
-      "version": "3.3.0",
+      "version": "3.3.1",
       "license": "MIT",
       "dependencies": {
         "@nuxt/kit": "^3.12.2",
diff --git a/package.json b/package.json
index d74484a..701510d 100644
--- a/package.json
+++ b/package.json
@@ -43,6 +43,7 @@
     "dev:build": "nuxi build playground",
     "dev:serve": "node playground/.output/server/index.mjs",
     "dev:prepare": "nuxt-module-build build --stub && nuxt-module-build prepare && nuxi prepare playground && nuxi prepare playground-disk",
+    "dev:inspect": "nuxi dev playground --inspect",
     "typecheck": "nuxi typecheck",
     "docs:dev": "vitepress dev docs --port 5000",
     "docs:build": "vitepress build docs",
diff --git a/playground/nuxt.config.ts b/playground/nuxt.config.ts
index 43521c7..3c48023 100644
--- a/playground/nuxt.config.ts
+++ b/playground/nuxt.config.ts
@@ -6,6 +6,16 @@ export default defineNuxtConfig({
     '/spaPageWithCachedComponent': { ssr: false },
     '/spaDataCache': { ssr: false },
     '/spaPageWithException': { ssr: false },
+    '/api/routeCacheWithRouteRules': {
+      headers: {
+        'x-route-rules-header': 'Set via routeRules',
+      },
+    },
+    '/api/testStaleIfError': {
+      headers: {
+        'x-route-rules-header': 'Set via routeRules',
+      },
+    },
   },
   modules: [NuxtMultiCache],
   imports: {
diff --git a/playground/server/api/routeCacheWithRouteRules.ts b/playground/server/api/routeCacheWithRouteRules.ts
new file mode 100644
index 0000000..1de6dc4
--- /dev/null
+++ b/playground/server/api/routeCacheWithRouteRules.ts
@@ -0,0 +1,11 @@
+import { defineEventHandler } from 'h3'
+import { useRouteCache } from '#nuxt-multi-cache/composables'
+
+export default defineEventHandler((event) => {
+  useRouteCache((helper) => {
+    helper.setCacheable().setMaxAge(234234)
+  }, event)
+  return {
+    data: 'There are route rules defined for this endpoint.',
+  }
+})
diff --git a/src/runtime/helpers/routeCache.ts b/src/runtime/helpers/routeCache.ts
index 29a9731..4ff6290 100644
--- a/src/runtime/helpers/routeCache.ts
+++ b/src/runtime/helpers/routeCache.ts
@@ -22,6 +22,12 @@ export async function serveCachedRoute(
     response.headers.set(name, value)
   })
 
-  // Respond with the cached response.
+  // We use this to tell our "fake" event handler that runs as the very first
+  // one in the stack to return a fake response (which is not actually returned
+  // to the client). It just tells H3 to stop executing any other event
+  // handlers.
+  event.__MULTI_CACHE_SERVED_FROM_CACHE = true
+  event._handled = true
+
   await event.respondWith(response)
 }
diff --git a/src/runtime/server/hooks/error.ts b/src/runtime/server/hooks/error.ts
index 4cccba4..9b20980 100644
--- a/src/runtime/server/hooks/error.ts
+++ b/src/runtime/server/hooks/error.ts
@@ -6,7 +6,7 @@ import { serveCachedRoute } from '../../helpers/routeCache'
  *
  * This is called after a valid response was built, but before it is sent.
  */
-export function onError(_error: Error, ctx: CapturedErrorContext) {
+export async function onError(_error: Error, ctx: CapturedErrorContext) {
   try {
     if (!ctx.event) {
       return
@@ -28,6 +28,6 @@ export function onError(_error: Error, ctx: CapturedErrorContext) {
       return
     }
 
-    serveCachedRoute(ctx.event, decoded)
+    await serveCachedRoute(ctx.event, decoded)
   } catch (_e) {}
 }
diff --git a/src/runtime/server/plugins/multiCache.ts b/src/runtime/server/plugins/multiCache.ts
index 8f04b6e..2e5384e 100644
--- a/src/runtime/server/plugins/multiCache.ts
+++ b/src/runtime/server/plugins/multiCache.ts
@@ -46,6 +46,26 @@ export default defineNitroPlugin((nitroApp) => {
     nitroApp.hooks.hook('beforeResponse', onBeforeResponse)
   }
 
+  // We have to add a "fake" event handler as the very first handler in the
+  // stack. Since we serve from cache inside the "request" hook (which runs
+  // before any event handlers), the response has already been sent at that
+  // point. However, H3 will still continue to execute the event handlers
+  // and one of them is the "route-rules" handler from Nitro which may set
+  // response headers, which will throw an "Cannot set headers after they are
+  // sent to the client" error.
+  nitroApp.h3App.stack.unshift({
+    route: '/',
+    handler: function (event) {
+      // This is set by our serveCachedRoute method.
+      if (event.__MULTI_CACHE_SERVED_FROM_CACHE) {
+        // This is never actually sent to the client. It's just a workaround
+        // (or more a hack) to tell H3 to stop executing any other event
+        // handlers.
+        return 'NOOP'
+      }
+    },
+  })
+
   // Only needed if route caching is enabled.
   if (multiCache.config.route) {
     // Hook into afterResponse to store cacheable responses in cache.
diff --git a/src/runtime/types.ts b/src/runtime/types.ts
index 0bc5a65..9b2c5f5 100644
--- a/src/runtime/types.ts
+++ b/src/runtime/types.ts
@@ -337,5 +337,10 @@ declare module 'h3' {
      * The route cache key that is currently being revalidated.
      */
     __MULTI_CACHE_REVALIDATION_KEY?: string
+
+    /**
+     * Whether the current request has already been served from cache.
+     */
+    __MULTI_CACHE_SERVED_FROM_CACHE?: boolean
   }
 }
diff --git a/test/routeRulesHeaders.e2e.spec.ts b/test/routeRulesHeaders.e2e.spec.ts
new file mode 100644
index 0000000..7ca04b9
--- /dev/null
+++ b/test/routeRulesHeaders.e2e.spec.ts
@@ -0,0 +1,90 @@
+import path from 'path'
+import { setup, fetch } from '@nuxt/test-utils/e2e'
+import { describe, expect, test } from 'vitest'
+import type { NuxtMultiCacheOptions } from '../src/runtime/types'
+import { decodeRouteCacheItem } from '../src/runtime/helpers/cacheItem'
+
+const multiCache: NuxtMultiCacheOptions = {
+  route: {
+    enabled: true,
+  },
+  api: {
+    enabled: true,
+    authorization: false,
+    cacheTagInvalidationDelay: 5000,
+  },
+}
+const nuxtConfig: any = {
+  multiCache,
+}
+await setup({
+  server: true,
+  logLevel: 0,
+  runner: 'vitest',
+  build: true,
+  rootDir: path.resolve(__dirname, './../playground'),
+  nuxtConfig,
+})
+
+/**
+ * This test checks that our "fake event handler" that prevents Nitro from
+ * applying route rules on cached routes works correctly.
+ */
+describe('Route cache in combination with routeRules', () => {
+  test('caches headers set by routeRules', async () => {
+    const HEADER = 'Set via routeRules'
+
+    // First request should put it in cache.
+    const responseA = await fetch('/api/routeCacheWithRouteRules')
+
+    // The route rules have been applied.
+    expect(responseA.headers.get('x-route-rules-header')).toEqual(HEADER)
+
+    // Get the cached item.
+    const stats = await fetch('/__nuxt_multi_cache/stats/route', {
+      method: 'get',
+      headers: {
+        'x-nuxt-multi-cache-token': 'hunter2',
+      },
+    }).then((v) => v.json())
+
+    const cacheItem = stats.rows[0].data
+    const decoded = decodeRouteCacheItem(cacheItem)
+
+    // The routeRules header should be stored in the cache.
+    expect(decoded?.headers['x-route-rules-header']).toEqual(HEADER)
+
+    // Second request comes from cache.
+    const responseB = await fetch('/api/routeCacheWithRouteRules')
+
+    // The headers are not applied from route rules anymore.
+    // Instead, because headers were cached originally, they are applied
+    // to the response.
+    expect(responseB.headers.get('x-route-rules-header')).toEqual(HEADER)
+  })
+
+  // During "stale if error", the event handlers are executed as normal,
+  // including the "route rules" handler by Nitro. In this scenario, the route
+  // cache serves the cached route from the "error" hook, which runs *after*
+  // the route rules handler. This is why we don't have the problem anymore
+  // with "Cannot set headers after they are sent to the client".
+  // This test makes sure that route rules are also applied in this scenario.
+  test('caches headers set by routeRules on "stale if error"', async () => {
+    const HEADER = 'Set via routeRules'
+
+    // First request should put it in cache.
+    const responseA = await fetch('/api/testStaleIfError')
+
+    // The route rules have been applied.
+    expect(responseA.headers.get('x-route-rules-header')).toEqual(HEADER)
+
+    // Second request will throw an error and then serve it from cache.
+    const responseB = await fetch('/api/testStaleIfError', {
+      headers: {
+        'x-nuxt-throw-error': 'true',
+      },
+    })
+
+    expect(responseB.headers.get('x-route-rules-header')).toEqual(HEADER)
+  })
+})