diff --git a/packages/server-utils/src/ai/vercel-ai/index.ts b/packages/server-utils/src/ai/vercel-ai/index.ts
index fe7b63c6a64b..3633c40699ce 100644
--- a/packages/server-utils/src/ai/vercel-ai/index.ts
+++ b/packages/server-utils/src/ai/vercel-ai/index.ts
@@ -574,6 +574,21 @@ export function getProviderMetadataAttributes(providerMetadata: unknown): Record
     setAttributeIfDefined(attributes, 'gen_ai.usage.input_tokens.cache_miss', metadata.deepseek.promptCacheMissTokens);
   }
 
+  // Google (v5 uses 'google', v6 Vertex AI uses 'vertex'). Gemini reports its reasoning ("thoughts")
+  // tokens separately from the candidate output count, so the SDK's `outputTokens` covers only the
+  // visible answer. `gen_ai.usage.output_tokens` must include reasoning tokens, so recompute it (and
+  // the total) from the raw usageMetadata. Deriving output from `candidatesTokenCount + thoughtsTokenCount`
+  // rather than adding onto the existing value keeps this correct even if a future SDK version already
+  // folds reasoning into `outputTokens`.
+  const googleUsage = (metadata.google ?? metadata.vertex)?.usageMetadata;
+  if (googleUsage && typeof googleUsage.thoughtsTokenCount === 'number' && googleUsage.thoughtsTokenCount > 0) {
+    setAttributeIfDefined(attributes, GEN_AI_USAGE_REASONING_OUTPUT_TOKENS, googleUsage.thoughtsTokenCount);
+    if (typeof googleUsage.candidatesTokenCount === 'number') {
+      attributes[GEN_AI_USAGE_OUTPUT_TOKENS] = googleUsage.candidatesTokenCount + googleUsage.thoughtsTokenCount;
+    }
+    setAttributeIfDefined(attributes, GEN_AI_USAGE_TOTAL_TOKENS, googleUsage.totalTokenCount);
+  }
+
   return attributes;
 }
 
diff --git a/packages/server-utils/src/ai/vercel-ai/vercel-ai-attributes.ts b/packages/server-utils/src/ai/vercel-ai/vercel-ai-attributes.ts
index 62d89f50c17c..63547b1f058c 100644
--- a/packages/server-utils/src/ai/vercel-ai/vercel-ai-attributes.ts
+++ b/packages/server-utils/src/ai/vercel-ai/vercel-ai-attributes.ts
@@ -446,6 +446,20 @@ export interface GoogleGenerativeAIProviderMetadata {
    * @see https://cloud.google.com/vertex-ai/generative-ai/docs/multimodal/configure-safety-filters
    */
   safetyRatings?: null | unknown;
+
+  /**
+   * Raw token usage returned by the Gemini API. Reasoning ("thoughts") tokens are reported here in
+   * `thoughtsTokenCount`, separately from the candidate output count, so they have to be added back
+   * into `gen_ai.usage.output_tokens`.
+   * @see https://ai.google.dev/api/generate-content#UsageMetadata
+   * @see https://github.com/vercel/ai/blob/main/packages/google/src/google-language-model.ts
+   */
+  usageMetadata?: null | {
+    promptTokenCount?: number;
+    candidatesTokenCount?: number;
+    thoughtsTokenCount?: number;
+    totalTokenCount?: number;
+  };
 }
 
 /**
diff --git a/packages/server-utils/test/ai/lib/tracing/vercel-ai-reasoning-tokens.test.ts b/packages/server-utils/test/ai/lib/tracing/vercel-ai-reasoning-tokens.test.ts
new file mode 100644
index 000000000000..7f9666da607b
--- /dev/null
+++ b/packages/server-utils/test/ai/lib/tracing/vercel-ai-reasoning-tokens.test.ts
@@ -0,0 +1,110 @@
+import { describe, expect, it } from 'vitest';
+import type { SpanJSON } from '@sentry/core';
+import { addVercelAiProcessors, getProviderMetadataAttributes } from '../../../../src/ai/vercel-ai';
+import { getDefaultTestClientOptions, TestClient } from '../../../mocks/client';
+
+function processSpan(data: SpanJSON['data']): SpanJSON {
+  const options = getDefaultTestClientOptions({ tracesSampleRate: 1.0 });
+  const client = new TestClient(options);
+  client.init();
+  addVercelAiProcessors(client);
+
+  const mockSpan: SpanJSON = {
+    description: 'ai.generateText.doGenerate',
+    span_id: 'test-span-id',
+    trace_id: 'test-trace-id',
+    start_timestamp: 1000,
+    timestamp: 2000,
+    origin: 'auto.vercelai.otel',
+    data,
+  };
+
+  const event = {
+    type: 'transaction' as const,
+    spans: [mockSpan],
+  };
+
+  const eventProcessor = client['_eventProcessors'].find(processor => processor.id === 'VercelAiEventProcessor');
+  expect(eventProcessor).toBeDefined();
+
+  return eventProcessor!(event, {})!.spans![0]!;
+}
+
+// Real usage seen from a Gemini reasoning model: the candidate output is small but the model spent
+// most of its budget on hidden reasoning ("thoughts"). The AI SDK reports the candidate count as
+// `outputTokens` and exposes the reasoning count only through `providerMetadata.google.usageMetadata`.
+const GEMINI_REASONING_METADATA = {
+  google: {
+    groundingMetadata: null,
+    safetyRatings: null,
+    usageMetadata: {
+      promptTokenCount: 14,
+      candidatesTokenCount: 1,
+      thoughtsTokenCount: 100,
+      totalTokenCount: 115,
+    },
+  },
+};
+
+describe('vercel-ai Gemini reasoning tokens', () => {
+  it('includes reasoning (thoughts) tokens in output and total for a Gemini doGenerate span', () => {
+    const span = processSpan({
+      'ai.usage.promptTokens': 14,
+      'ai.usage.completionTokens': 1,
+      'ai.response.providerMetadata': JSON.stringify(GEMINI_REASONING_METADATA),
+    });
+
+    expect(span.data?.['gen_ai.usage.input_tokens']).toBe(14);
+    // output must include the 100 reasoning tokens, not just the single candidate token
+    expect(span.data?.['gen_ai.usage.output_tokens']).toBe(101);
+    expect(span.data?.['gen_ai.usage.reasoning.output_tokens']).toBe(100);
+    // total is the real Gemini total, not input + candidate-only output (which would be 15)
+    expect(span.data?.['gen_ai.usage.total_tokens']).toBe(115);
+  });
+
+  it('derives reasoning-inclusive output/total from google usageMetadata', () => {
+    const attributes = getProviderMetadataAttributes(GEMINI_REASONING_METADATA);
+
+    expect(attributes['gen_ai.usage.output_tokens']).toBe(101);
+    expect(attributes['gen_ai.usage.reasoning.output_tokens']).toBe(100);
+    expect(attributes['gen_ai.usage.total_tokens']).toBe(115);
+  });
+
+  it('reads the v6 vertex provider metadata key too', () => {
+    const attributes = getProviderMetadataAttributes({
+      vertex: {
+        usageMetadata: {
+          promptTokenCount: 20,
+          candidatesTokenCount: 5,
+          thoughtsTokenCount: 40,
+          totalTokenCount: 65,
+        },
+      },
+    });
+
+    expect(attributes['gen_ai.usage.output_tokens']).toBe(45);
+    expect(attributes['gen_ai.usage.reasoning.output_tokens']).toBe(40);
+    expect(attributes['gen_ai.usage.total_tokens']).toBe(65);
+  });
+
+  it('leaves non-reasoning Gemini responses untouched', () => {
+    const span = processSpan({
+      'ai.usage.promptTokens': 30,
+      'ai.usage.completionTokens': 12,
+      'ai.response.providerMetadata': JSON.stringify({
+        google: {
+          usageMetadata: {
+            promptTokenCount: 30,
+            candidatesTokenCount: 12,
+            totalTokenCount: 42,
+          },
+        },
+      }),
+    });
+
+    expect(span.data?.['gen_ai.usage.input_tokens']).toBe(30);
+    expect(span.data?.['gen_ai.usage.output_tokens']).toBe(12);
+    expect(span.data?.['gen_ai.usage.total_tokens']).toBe(42);
+    expect(span.data?.['gen_ai.usage.reasoning.output_tokens']).toBeUndefined();
+  });
+});