diff --git a/packages/core/src/tracing/openai/index.ts b/packages/core/src/tracing/openai/index.ts
index b0d26f92c36c..ba1472c34980 100644
--- a/packages/core/src/tracing/openai/index.ts
+++ b/packages/core/src/tracing/openai/index.ts
@@ -162,8 +162,103 @@ function addRequestAttributes(span: Span, params: Record<string, unknown>, opera
 }
 
 /**
- * Instrument a method with Sentry spans
- * Following Sentry AI Agents Manual Instrumentation conventions
+ * Wrap the original return value so span logic runs on settle while preserving
+ * API surface (e.g. .withResponse()). Callers can await the wrapper or call .withResponse().
+ */
+function wrapReturnValue<R>(
+  result: R & { then?: (onFulfilled?: (value: unknown) => unknown, onRejected?: (reason?: unknown) => unknown) => unknown; withResponse?: () => unknown },
+  span: Span,
+  options: { recordOutputs?: boolean; recordInputs?: boolean },
+  methodPath: InstrumentedMethod,
+  params: Record<string, unknown> | undefined,
+  operationName: string,
+  isStreamRequested: boolean,
+): R {
+  const thenable =
+    result !== null &&
+    typeof result === 'object' &&
+    typeof (result as { then?: unknown }).then === 'function'
+      ? (result as unknown as Promise<unknown>)
+      : Promise.resolve(result);
+
+  const chained = isStreamRequested
+    ? thenable.then(
+        (stream: unknown) =>
+          instrumentStream(
+            stream as OpenAIStream<ChatCompletionChunk | ResponseStreamingEvent>,
+            span,
+            options.recordOutputs ?? false,
+          ),
+        (error: unknown) => {
+          span.setStatus({ code: SPAN_STATUS_ERROR, message: 'internal_error' });
+          captureException(error, {
+            mechanism: { handled: false, type: 'auto.ai.openai.stream', data: { function: methodPath } },
+          });
+          span.end();
+          throw error;
+        },
+      )
+    : thenable.then(
+        (data: unknown) => {
+          addResponseAttributes(span, data, options.recordOutputs);
+          span.end();
+          return data;
+        },
+        (error: unknown) => {
+          captureException(error, {
+            mechanism: { handled: false, type: 'auto.ai.openai', data: { function: methodPath } },
+          });
+          span.end();
+          throw error;
+        },
+      );
+
+  const wrapper = {
+    then(onFulfilled?: (value: unknown) => unknown, onRejected?: (reason?: unknown) => unknown) {
+      return chained.then(onFulfilled, onRejected);
+    },
+    catch(onRejected?: (reason?: unknown) => unknown) {
+      return chained.catch(onRejected);
+    },
+    finally(onFinally?: () => void) {
+      return chained.finally(onFinally);
+    },
+  } as unknown as R & { withResponse?: () => unknown };
+
+  if (typeof result === 'object' && result !== null && typeof (result as { withResponse?: () => unknown }).withResponse === 'function') {
+    const withResponseOriginal = (result as { withResponse: () => unknown }).withResponse;
+    wrapper.withResponse = function withResponse() {
+      const withResponseResult = withResponseOriginal.call(result);
+      const withResponseThenable =
+        withResponseResult !== null &&
+        typeof withResponseResult === 'object' &&
+        typeof (withResponseResult as { then?: unknown }).then === 'function'
+          ? (withResponseResult as Promise<{ data: AsyncIterable<unknown>; response: unknown }>)
+          : Promise.resolve(withResponseResult);
+
+      if (isStreamRequested) {
+        return withResponseThenable.then((payload: { data: AsyncIterable<unknown>; response: unknown }) => ({
+          data: instrumentStream(
+            payload.data as OpenAIStream<ChatCompletionChunk | ResponseStreamingEvent>,
+            span,
+            options.recordOutputs ?? false,
+          ),
+          response: payload.response,
+        }));
+      }
+      return withResponseThenable.then((payload: { data: unknown; response: unknown }) => {
+        addResponseAttributes(span, payload.data, options.recordOutputs);
+        return payload;
+      });
+    };
+  }
+
+  return wrapper as R;
+}
+
+/**
+ * Instrument a method with Sentry spans. Returns the same shape as the original
+ * (including .withResponse() when present) and runs span logic when the promise settles.
  * @see https://docs.sentry.io/platforms/javascript/guides/node/tracing/instrumentation/ai-agents-module/#manual-instrumentation
  */
 function instrumentMethod<T extends unknown[], R>(
@@ -171,86 +266,48 @@ function instrumentMethod<T extends unknown[], R>(
   methodPath: InstrumentedMethod,
   context: unknown,
   options: OpenAiOptions,
-): (...args: T) => Promise<R> {
-  return async function instrumentedMethod(...args: T): Promise<R> {
+): (...args: T) => R {
+  return function instrumentedMethod(...args: T): R {
     const requestAttributes = extractRequestAttributes(args, methodPath);
     const model = (requestAttributes[GEN_AI_REQUEST_MODEL_ATTRIBUTE] as string) || 'unknown';
     const operationName = getOperationName(methodPath);
-
     const params = args[0] as Record<string, unknown> | undefined;
-    const isStreamRequested = params && typeof params === 'object' && params.stream === true;
-
-    if (isStreamRequested) {
-      // For streaming responses, use manual span management to properly handle the async generator lifecycle
-      return startSpanManual(
-        {
-          name: `${operationName} ${model} stream-response`,
-          op: getSpanOperation(methodPath),
-          attributes: requestAttributes as Record<string, SpanAttributeValue>,
-        },
-        async (span: Span) => {
-          try {
-            if (options.recordInputs && params) {
-              addRequestAttributes(span, params, operationName);
-            }
-
-            const result = await originalMethod.apply(context, args);
-
-            return instrumentStream(
-              result as OpenAIStream<ChatCompletionChunk | ResponseStreamingEvent>,
-              span,
-              options.recordOutputs ?? false,
-            ) as unknown as R;
-          } catch (error) {
-            // For streaming requests that fail before stream creation, we still want to record
-            // them as streaming requests but end the span gracefully
-            span.setStatus({ code: SPAN_STATUS_ERROR, message: 'internal_error' });
-            captureException(error, {
-              mechanism: {
-                handled: false,
-                type: 'auto.ai.openai.stream',
-                data: {
-                  function: methodPath,
-                },
-              },
-            });
-            span.end();
-            throw error;
-          }
-        },
-      );
-    } else {
-      //  Non-streaming responses
-      return startSpan(
-        {
-          name: `${operationName} ${model}`,
-          op: getSpanOperation(methodPath),
-          attributes: requestAttributes as Record<string, SpanAttributeValue>,
-        },
-        async (span: Span) => {
-          try {
-            if (options.recordInputs && params) {
-              addRequestAttributes(span, params, operationName);
-            }
-
-            const result = await originalMethod.apply(context, args);
-            addResponseAttributes(span, result, options.recordOutputs);
-            return result;
-          } catch (error) {
-            captureException(error, {
-              mechanism: {
-                handled: false,
-                type: 'auto.ai.openai',
-                data: {
-                  function: methodPath,
-                },
-              },
-            });
-            throw error;
-          }
-        },
-      );
-    }
+    const isStreamRequested = !!(params && typeof params === 'object' && params.stream === true);
+
+    const spanOptions = {
+      name: isStreamRequested ? `${operationName} ${model} stream-response` : `${operationName} ${model}`,
+      op: getSpanOperation(methodPath),
+      attributes: requestAttributes as Record<string, SpanAttributeValue>,
+    };
+
+    return startSpanManual(spanOptions, (span: Span) => {
+      if (options.recordInputs && params) {
+        addRequestAttributes(span, params, operationName);
+      }
+      let result: R & {
+        then?: (onFulfilled?: (value: unknown) => unknown, onRejected?: (reason?: unknown) => unknown) => unknown;
+        withResponse?: () => unknown;
+      };
+      try {
+        result = originalMethod.apply(context, args) as typeof result;
+      } catch (error) {
+        span.setStatus({ code: SPAN_STATUS_ERROR, message: 'internal_error' });
+        captureException(error, {
+          mechanism: { handled: false, type: 'auto.ai.openai', data: { function: methodPath } },
+        });
+        span.end();
+        throw error;
+      }
+      return wrapReturnValue(
+        result,
+        span,
+        options,
+        methodPath,
+        params,
+        operationName,
+        isStreamRequested,
+      ) as R;
+    });
   };
 }