diff --git a/packages/node/src/integrations/tracing/prisma.ts b/packages/node/src/integrations/tracing/prisma.ts
index a139de3a78fb..33a51384f0ce 100644
--- a/packages/node/src/integrations/tracing/prisma.ts
+++ b/packages/node/src/integrations/tracing/prisma.ts
@@ -1,53 +1,33 @@
+import type { Instrumentation } from '@opentelemetry/instrumentation';
 // When importing CJS modules into an ESM module, we cannot import the named exports directly.
 import * as prismaInstrumentation from '@prisma/instrumentation';
 import { SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN, defineIntegration, spanToJSON } from '@sentry/core';
-import type { IntegrationFn } from '@sentry/core';
 import { generateInstrumentOnce } from '../../otel/instrument';
 
 const INTEGRATION_NAME = 'Prisma';
 
-export const instrumentPrisma = generateInstrumentOnce(INTEGRATION_NAME, () => {
-  const EsmInteropPrismaInstrumentation: typeof prismaInstrumentation.PrismaInstrumentation =
-    // @ts-expect-error We need to do the following for interop reasons
-    // eslint-disable-next-line @typescript-eslint/no-unsafe-member-access
-    prismaInstrumentation.default?.PrismaInstrumentation || prismaInstrumentation.PrismaInstrumentation;
+export const instrumentPrisma = generateInstrumentOnce<{ prismaInstrumentation?: Instrumentation }>(
+  INTEGRATION_NAME,
+  options => {
+    // Use a passed instrumentation instance to support older Prisma versions
+    if (options?.prismaInstrumentation) {
+      return options.prismaInstrumentation;
+    }
 
-  return new EsmInteropPrismaInstrumentation({});
-});
+    const EsmInteropPrismaInstrumentation: typeof prismaInstrumentation.PrismaInstrumentation =
+      // @ts-expect-error We need to do the following for interop reasons
+      // eslint-disable-next-line @typescript-eslint/no-unsafe-member-access
+      prismaInstrumentation.default?.PrismaInstrumentation || prismaInstrumentation.PrismaInstrumentation;
 
-const _prismaIntegration = (() => {
-  return {
-    name: INTEGRATION_NAME,
-    setupOnce() {
-      instrumentPrisma();
-    },
-
-    setup(client) {
-      client.on('spanStart', span => {
-        const spanJSON = spanToJSON(span);
-        if (spanJSON.description?.startsWith('prisma:')) {
-          span.setAttribute(SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN, 'auto.db.otel.prisma');
-        }
-
-        // In Prisma v5.22+, the `db.system` attribute is automatically set
-        // On older versions, this is missing, so we add it here
-        if (spanJSON.description === 'prisma:engine:db_query' && !spanJSON.data?.['db.system']) {
-          span.setAttribute('db.system', 'prisma');
-        }
-      });
-    },
-  };
-}) satisfies IntegrationFn;
+    return new EsmInteropPrismaInstrumentation({});
+  },
+);
 
 /**
- * Adds Sentry tracing instrumentation for the [prisma](https://www.npmjs.com/package/prisma) library.
- *
+ * Adds Sentry tracing instrumentation for the [Prisma](https://www.npmjs.com/package/prisma) ORM.
  * For more information, see the [`prismaIntegration` documentation](https://docs.sentry.io/platforms/javascript/guides/node/configuration/integrations/prisma/).
  *
- * @example
- *
- * Make sure `previewFeatures = ["tracing"]` is set in the prisma client generator block. See the
- * [prisma docs](https://www.prisma.io/docs/concepts/components/prisma-client/opentelemetry-tracing) for more details.
+ * Make sure `previewFeatures = ["tracing"]` is added to the generator block in of your Prisma schema.
  *
  * ```prisma
  * generator client {
@@ -56,14 +36,63 @@ const _prismaIntegration = (() => {
  * }
  * ```
  *
- * Then you can use the integration like this:
+ * NOTE: By default, this integration works with Prisma version 5.
+ * To get performance instrumentation for other Prisma versions,
+ * 1. Install the `@prisma/instrumentation` package with the desired version.
+ * 1. Pass a `new PrismaInstrumentation()` instance as exported from `@prisma/instrumentation` to the `prismaInstrumentation` option of this integration:
  *
- * ```javascript
- * const Sentry = require('@sentry/node');
+ *    ```js
+ *    import { PrismaInstrumentation } from '@prisma/instrumentation'
  *
- * Sentry.init({
- *  integrations: [Sentry.prismaIntegration()],
- * });
- * ```
+ *    Sentry.init({
+ *      integrations: [
+ *        prismaIntegration({
+ *          // Override the default instrumentation that Sentry uses
+ *          prismaInstrumentation: new PrismaInstrumentation()
+ *        })
+ *      ]
+ *    })
+ *    ```
+ *
+ *    The passed instrumentation instance will override the default instrumentation instance the integration would use, while the `prismaIntegration` will still ensure data compatibility for the various Prisma versions.
  */
-export const prismaIntegration = defineIntegration(_prismaIntegration);
+export const prismaIntegration = defineIntegration(
+  ({
+    prismaInstrumentation,
+  }: {
+    /**
+     * Overrides the instrumentation used by the Sentry SDK with the passed in instrumentation instance.
+     *
+     * NOTE: By default, the Sentry SDK uses the Prisma v5 instrumentation. Use this option if you need performance instrumentation different Prisma versions.
+     *
+     * For more information refer to the documentation of `prismaIntegration()` or see https://docs.sentry.io/platforms/javascript/guides/node/configuration/integrations/prisma/
+     */
+    prismaInstrumentation?: Instrumentation;
+  } = {}) => {
+    return {
+      name: INTEGRATION_NAME,
+      setupOnce() {
+        instrumentPrisma({ prismaInstrumentation });
+      },
+      setup(client) {
+        client.on('spanStart', span => {
+          const spanJSON = spanToJSON(span);
+          if (spanJSON.description?.startsWith('prisma:')) {
+            span.setAttribute(SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN, 'auto.db.otel.prisma');
+          }
+
+          // Make sure we use the query text as the span name, for ex. SELECT * FROM "User" WHERE "id" = $1
+          if (spanJSON.description === 'prisma:engine:db_query' && spanJSON.data?.['db.query.text']) {
+            span.updateName(spanJSON.data['db.query.text'] as string);
+          }
+
+          // In Prisma v5.22+, the `db.system` attribute is automatically set
+          // On older versions, this is missing, so we add it here
+          if (spanJSON.description === 'prisma:engine:db_query' && !spanJSON.data?.['db.system']) {
+            span.setAttribute('db.system', 'prisma');
+          }
+        });
+      },
+    };
+  },
+);