diff --git a/packages/server-utils/src/integrations/knex.ts b/packages/server-utils/src/integrations/knex.ts
index 2928f66bd339..a3f2c236cba9 100644
--- a/packages/server-utils/src/integrations/knex.ts
+++ b/packages/server-utils/src/integrations/knex.ts
@@ -5,9 +5,14 @@
 import * as diagnosticsChannel from 'node:diagnostics_channel';
 import type { IntegrationFn, Span, SpanAttributes } from '@sentry/core';
 import {
+  _INTERNAL_getSqlQuerySummary,
+  _INTERNAL_sanitizeSqlQuery,
+  DB_SPAN_NAME_FALLBACK,
   debug,
   defineIntegration,
   getActiveSpan,
+  getClient,
+  hasSpanStreamingEnabled,
   SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN,
   SPAN_STATUS_ERROR,
   startInactiveSpan,
@@ -17,6 +22,7 @@ import {
 import {
   DB_NAMESPACE,
   DB_OPERATION_NAME,
+  DB_QUERY_SUMMARY,
   DB_QUERY_TEXT,
   DB_SYSTEM_NAME,
   DB_USER,
@@ -167,6 +173,11 @@ function subscribeQuery(): void {
         connection?.filename || connection?.database || extractDatabaseFromConnectionString(connectionString);
 
       const dbStatement = query?.sql != null ? truncate(query.sql, MAX_QUERY_LENGTH) : undefined;
+      // The statement is sanitized before it is summarized, so that a string literal containing
+      // `from`/`join` can't leak a value into the summary.
+      const querySummary = dbStatement
+        ? _INTERNAL_getSqlQuerySummary(_INTERNAL_sanitizeSqlQuery(dbStatement))
+        : undefined;
       const attributes: SpanAttributes = {
         [SENTRY_KIND]: 'client',
         [SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN]: ORIGIN,
@@ -180,10 +191,20 @@ function subscribeQuery(): void {
         [SERVER_PORT]: connection?.port ?? extractPortFromConnectionString(connectionString),
         [NETWORK_TRANSPORT]: connection?.filename === ':memory:' ? 'inproc' : undefined,
         [DB_QUERY_TEXT]: dbStatement,
+        [DB_QUERY_SUMMARY]: querySummary,
       };
 
+      const sentryClient = getClient();
+      // With span streaming, span names have to be low cardinality, so `{db.query.summary}` is used
+      // instead of the full statement, falling back to `getName`'s `{operation} {namespace}.{table}`
+      // when there is no statement to summarize.
+      const streamedName =
+        sentryClient && hasSpanStreamingEnabled(sentryClient)
+          ? querySummary || getName(name, operation, table) || DB_SPAN_NAME_FALLBACK
+          : undefined;
+
       return startInactiveSpan({
-        name: dbStatement ?? getName(name, operation, table) ?? 'knex.query',
+        name: streamedName ?? dbStatement ?? getName(name, operation, table) ?? 'knex.query',
         op: 'db',
         parentSpan,
         attributes,
diff --git a/packages/server-utils/src/integrations/prisma/tracing-helper.ts b/packages/server-utils/src/integrations/prisma/tracing-helper.ts
index 20f1e3552d18..365ac06caa9c 100644
--- a/packages/server-utils/src/integrations/prisma/tracing-helper.ts
+++ b/packages/server-utils/src/integrations/prisma/tracing-helper.ts
@@ -15,8 +15,12 @@
 
 import type { Span, SpanAttributes } from '@sentry/core';
 import {
+  _INTERNAL_getSqlQuerySummary,
+  _INTERNAL_sanitizeSqlQuery,
   debug,
   getActiveSpan,
+  getClient,
+  hasSpanStreamingEnabled,
   LRUMap,
   SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN,
   startInactiveSpan,
@@ -24,7 +28,15 @@ import {
 } from '@sentry/core';
 import { DEBUG_BUILD } from '../../debug-build';
 import type { EngineSpan, ExtendedSpanOptions, SpanCallback, TracingHelper } from './types';
-import { DB_STATEMENT, DB_SYSTEM, DB_SYSTEM_NAME, SENTRY_KIND, SENTRY_OP } from '@sentry/conventions/attributes';
+import {
+  DB_QUERY_SUMMARY,
+  DB_QUERY_TEXT,
+  DB_STATEMENT,
+  DB_SYSTEM,
+  DB_SYSTEM_NAME,
+  SENTRY_KIND,
+  SENTRY_OP,
+} from '@sentry/conventions/attributes';
 
 // Reading `process.env` can throw in runtimes that gate env access (e.g. Deno without `--allow-env`)
 // and `process` may be absent altogether (edge runtimes), so this degrades to `false` in those cases.
@@ -102,24 +114,47 @@ function buildSpanAttributes(name: string, attributes: Record<string, unknown> |
     merged[SENTRY_OP] = 'db';
   }
 
+  const statement = getSqlStatement(name, merged);
+  if (statement) {
+    // Sanitized before summarizing, so that a string literal containing `from`/`join` can't leak a
+    // value into the summary.
+    merged[DB_QUERY_SUMMARY] = _INTERNAL_getSqlQuerySummary(_INTERNAL_sanitizeSqlQuery(statement));
+  }
+
   return merged;
 }
 
 /**
- * Db query spans are named after their SQL text (e.g. `SELECT * FROM "User"`) rather than the generic
- * engine name. v5/v6 emit `prisma:engine:db_query`; v7 inlined the engine and emits `prisma:client:db_query`.
+ * The SQL a span reports, if any. Prisma emits it as the deprecated `db.statement` on older versions
+ * and as `db.query.text` on the `db_query` spans of newer ones.
  */
-function buildSpanName(name: string, attributes: SpanAttributes): string {
+function getSqlStatement(name: string, attributes: SpanAttributes): string | undefined {
   // oxlint-disable-next-line typescript/no-deprecated
   const dbStatement = attributes[DB_STATEMENT];
   if (typeof dbStatement === 'string' && dbStatement) {
     return dbStatement;
   }
-  const queryText = attributes['db.query.text'];
+  const queryText = attributes[DB_QUERY_TEXT];
   if ((name === 'prisma:engine:db_query' || name === 'prisma:client:db_query') && typeof queryText === 'string') {
     return queryText;
   }
-  return name;
+  return undefined;
+}
+
+/**
+ * Db query spans are named after their SQL text (e.g. `SELECT * FROM "User"`) rather than the generic
+ * engine name. v5/v6 emit `prisma:engine:db_query`; v7 inlined the engine and emits `prisma:client:db_query`.
+ */
+function buildSpanName(name: string, attributes: SpanAttributes): string {
+  const client = getClient();
+
+  // With span streaming, span names have to be low cardinality, so `{db.query.summary}` is used
+  // instead of the full statement. Spans that report no SQL keep the engine span name.
+  if (client && hasSpanStreamingEnabled(client)) {
+    return (attributes[DB_QUERY_SUMMARY] as string | undefined) || name;
+  }
+
+  return getSqlStatement(name, attributes) ?? name;
 }
 
 /**
diff --git a/packages/server-utils/src/integrations/tedious.ts b/packages/server-utils/src/integrations/tedious.ts
index 65f0ea8d2c6b..e4106a5a8baa 100644
--- a/packages/server-utils/src/integrations/tedious.ts
+++ b/packages/server-utils/src/integrations/tedious.ts
@@ -7,6 +7,8 @@ import * as diagnosticsChannel from 'node:diagnostics_channel';
 import type { IntegrationFn, SpanAttributes } from '@sentry/core';
 import {
   defineIntegration,
+  getClient,
+  hasSpanStreamingEnabled,
   SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN,
   SPAN_STATUS_ERROR,
   startInactiveSpan,
@@ -140,8 +142,14 @@ function subscribeQuery(channelName: string, operation: string): void {
       [SERVER_PORT]: connection.config?.options?.port,
     };
 
+    const client = getClient();
+    // `getSpanName` already builds `{db.operation.name}` paired with the bulk-load table, the stored
+    // procedure or `{db.namespace}`, so with span streaming — where span names have to be low
+    // cardinality — it is used instead of the SQL statement.
+    const spanName = getSpanName(operation, databaseName, sql, request.table);
+
     const span = startInactiveSpan({
-      name: sql || getSpanName(operation, databaseName, sql, request.table),
+      name: client && hasSpanStreamingEnabled(client) ? spanName : sql || spanName,
       op: 'db',
       attributes,
     });