diff --git a/dev-packages/e2e-tests/test-applications/nuxt-3/package.json b/dev-packages/e2e-tests/test-applications/nuxt-3/package.json
index 93471fff7aab..9da11f778a6b 100644
--- a/dev-packages/e2e-tests/test-applications/nuxt-3/package.json
+++ b/dev-packages/e2e-tests/test-applications/nuxt-3/package.json
@@ -6,7 +6,7 @@
     "build": "nuxt build",
     "dev": "nuxt dev",
     "generate": "nuxt generate",
-    "preview": "NODE_OPTIONS='--import ./public/instrument.server.mjs' nuxt preview",
+    "preview": "NODE_OPTIONS='--import ./server/instrument-sentry.mjs' nuxt preview",
     "clean": "npx nuxi cleanup",
     "test": "playwright test",
     "test:build": "pnpm install && npx playwright install && pnpm build",
diff --git a/dev-packages/e2e-tests/test-applications/nuxt-3/public/instrument.server.mjs b/dev-packages/e2e-tests/test-applications/nuxt-3/sentry.server.config.ts
similarity index 100%
rename from dev-packages/e2e-tests/test-applications/nuxt-3/public/instrument.server.mjs
rename to dev-packages/e2e-tests/test-applications/nuxt-3/sentry.server.config.ts
diff --git a/packages/nuxt/src/module.ts b/packages/nuxt/src/module.ts
index 5d529c99330c..9ded800c3c54 100644
--- a/packages/nuxt/src/module.ts
+++ b/packages/nuxt/src/module.ts
@@ -2,6 +2,7 @@ import * as fs from 'fs';
 import * as path from 'path';
 import { addPlugin, addPluginTemplate, addServerPlugin, createResolver, defineNuxtModule } from '@nuxt/kit';
 import type { SentryNuxtModuleOptions } from './common/types';
+import { addServerConfig } from './vite/addServerConfig';
 import { setupSourceMaps } from './vite/sourceMaps';
 
 export type ModuleOptions = SentryNuxtModuleOptions;
@@ -62,6 +63,9 @@ export default defineNuxtModule<ModuleOptions>({
     if (clientConfigFile || serverConfigFile) {
       setupSourceMaps(moduleOptions, nuxt);
     }
+    if (serverConfigFile) {
+      addServerConfig(moduleOptions, nuxt, serverConfigFile);
+    }
   },
 });
 
diff --git a/packages/nuxt/src/vite/addServerConfig.ts b/packages/nuxt/src/vite/addServerConfig.ts
new file mode 100644
index 000000000000..6e670ada3fd1
--- /dev/null
+++ b/packages/nuxt/src/vite/addServerConfig.ts
@@ -0,0 +1,50 @@
+import * as fs from 'fs';
+import * as path from 'path';
+import { createResolver } from '@nuxt/kit';
+import type { Nuxt } from '@nuxt/schema';
+import type { SentryNuxtModuleOptions } from '../common/types';
+
+/**
+ *  Adds the `server.config.ts` file to the `.output` directory to be able to reference this file in the node --import option.
+ *  1. Adding the file as a rollup import, so it is included in the build (automatically transpiles the file).
+ *  2. Copying the file to the `.output` directory after the build process is finished.
+ */
+export function addServerConfig(moduleOptions: SentryNuxtModuleOptions, nuxt: Nuxt, serverConfigFile: string): void {
+  nuxt.hook('vite:extendConfig', async (viteInlineConfig, _env) => {
+    if (
+      typeof viteInlineConfig?.build?.rollupOptions?.input === 'object' &&
+      'server' in viteInlineConfig.build.rollupOptions.input
+    ) {
+      // Create a rollup entry for the server config to add it to the build
+      (viteInlineConfig.build.rollupOptions.input as { [entryName: string]: string })['instrument-sentry'] =
+        createResolver(nuxt.options.srcDir).resolve(`/${serverConfigFile}`);
+    }
+
+    /**
+     * When the build process is finished, copy the `sentry.server.config` file to the `.output` directory.
+     * This is necessary because we need to reference this file path in the node --import option.
+     */
+    nuxt.hook('close', async () => {
+      const source = path.resolve('.nuxt/dist/server/instrument-sentry.mjs');
+      const destination = path.resolve('.output/server/instrument-sentry.mjs');
+
+      try {
+        await fs.promises.access(source, fs.constants.F_OK);
+        await fs.promises.copyFile(source, destination);
+
+        if (moduleOptions.debug) {
+          // eslint-disable-next-line no-console
+          console.log('[Sentry] Successfully added the `sentry.server.config` file to the `.output` directory');
+        }
+      } catch (error) {
+        if (moduleOptions.debug) {
+          // eslint-disable-next-line no-console
+          console.warn(
+            '[Sentry] An error occurred when trying to add the `sentry.server.config` file to the `.output` directory',
+            error,
+          );
+        }
+      }
+    });
+  });
+}