diff --git a/src/telemetry/ScopedTelemetry.ts b/src/telemetry/ScopedTelemetry.ts
index b10c20e3..111d6b77 100644
--- a/src/telemetry/ScopedTelemetry.ts
+++ b/src/telemetry/ScopedTelemetry.ts
@@ -11,6 +11,7 @@ import {
     ValueType,
 } from '@opentelemetry/api';
 import { Closeable } from '../utils/Closeable';
+import { errorAttributes } from '../utils/Errors';
 import { typeOf } from '../utils/TypeCheck';
 import { TelemetryContext } from './TelemetryContext';
 
@@ -51,6 +52,21 @@ export class ScopedTelemetry implements Closeable {
         this.getOrCreateHistogram(name, options)?.record(value, attributes);
     }
 
+    error(name: string, error: unknown, origin?: 'uncaughtException' | 'unhandledRejection', config?: MetricConfig) {
+        if (config === undefined) {
+            this.count(name, 1, {
+                attributes: errorAttributes(error, origin),
+            });
+        } else {
+            config.attributes = {
+                ...config.attributes,
+                ...errorAttributes(error, origin),
+            };
+
+            this.count(name, 1, config);
+        }
+    }
+
     registerGaugeProvider(name: string, provider: () => number, config?: MetricConfig): void {
         if (!this.meter) {
             return;
@@ -91,7 +107,7 @@ export class ScopedTelemetry implements Closeable {
         try {
             return fn();
         } catch (error) {
-            this.count(`${name}.fault`, 1, config);
+            this.error(`${name}.fault`, error, undefined, config);
             throw error;
         }
     }
@@ -102,7 +118,7 @@ export class ScopedTelemetry implements Closeable {
         try {
             return await fn();
         } catch (error) {
-            this.count(`${name}.fault`, 1, config);
+            this.error(`${name}.fault`, error, undefined, config);
             throw error;
         }
     }
@@ -122,7 +138,7 @@ export class ScopedTelemetry implements Closeable {
             if (trackResponse) this.recordResponse(name, result, config);
             return result;
         } catch (error) {
-            this.count(`${name}.fault`, 1, config);
+            this.error(`${name}.fault`, error, undefined, config);
             throw error;
         } finally {
             this.recordDuration(name, performance.now() - startTime, config);
@@ -149,7 +165,7 @@ export class ScopedTelemetry implements Closeable {
             if (trackResponse) this.recordResponse(name, result, config);
             return result;
         } catch (error) {
-            this.count(`${name}.fault`, 1, config);
+            this.error(`${name}.fault`, error, undefined, config);
             throw error;
         } finally {
             this.recordDuration(name, performance.now() - startTime, config);
@@ -243,10 +259,10 @@ export class ScopedTelemetry implements Closeable {
     }
 }
 
-function generateConfig(config?: MetricConfig) {
-    const { attributes = {}, unit = '1', valueType = ValueType.DOUBLE, ...options } = config ?? {};
+function generateConfig(config?: MetricConfig): { options: MetricOptions; attributes: Attributes } {
+    const { attributes = {}, unit = '1', valueType = ValueType.DOUBLE, description, advice } = config ?? {};
     return {
-        options: { unit, valueType, ...options },
+        options: { unit, valueType, description, advice },
         attributes: generateAttr(attributes),
     };
 }
diff --git a/src/telemetry/TelemetryService.ts b/src/telemetry/TelemetryService.ts
index ab5f879b..351d4a3d 100644
--- a/src/telemetry/TelemetryService.ts
+++ b/src/telemetry/TelemetryService.ts
@@ -4,7 +4,6 @@ import { NodeSDK } from '@opentelemetry/sdk-node';
 import { v4 } from 'uuid';
 import { AwsMetadata, ClientInfo } from '../server/InitParams';
 import { Closeable } from '../utils/Closeable';
-import { extractLocationFromStack } from '../utils/Errors';
 import { LoggerFactory } from './LoggerFactory';
 import { otelSdk } from './OTELInstrumentation';
 import { ScopedTelemetry } from './ScopedTelemetry';
@@ -152,26 +151,12 @@ export class TelemetryService implements Closeable {
 
     private registerErrorHandlers(telemetry: ScopedTelemetry): void {
         process.on('unhandledRejection', (reason, _promise) => {
-            const location = reason instanceof Error ? extractLocationFromStack(reason.stack) : {};
-            telemetry.count('process.promise.unhandled', 1, {
-                attributes: {
-                    'error.type': reason instanceof Error ? reason.name : typeof reason,
-                    ...location,
-                },
-            });
-
+            telemetry.error('process.promise.unhandled', reason);
             void this.metricsReader?.forceFlush();
         });
 
         process.on('uncaughtException', (error, origin) => {
-            telemetry.count('process.exception.uncaught', 1, {
-                attributes: {
-                    'error.type': error.name,
-                    'error.origin': origin,
-                    ...extractLocationFromStack(error.stack),
-                },
-            });
-
+            telemetry.error('process.exception.uncaught', error, origin);
             void this.metricsReader?.forceFlush();
         });
     }
diff --git a/src/utils/Errors.ts b/src/utils/Errors.ts
index 46cb5dec..05ab34f2 100644
--- a/src/utils/Errors.ts
+++ b/src/utils/Errors.ts
@@ -1,3 +1,4 @@
+import { Attributes } from '@opentelemetry/api';
 import { ErrorCodes, ResponseError } from 'vscode-languageserver';
 import { determineSensitiveInfo } from './ErrorStackInfo';
 import { toString } from './String';
@@ -50,3 +51,14 @@ export function extractLocationFromStack(stack?: string): Record<string, string>
     result['error.stack'] = lines.slice(1).join('\n');
     return result;
 }
+
+export function errorAttributes(error: unknown, origin?: 'uncaughtException' | 'unhandledRejection'): Attributes {
+    const location = error instanceof Error ? extractLocationFromStack(error.stack) : {};
+    const type = error instanceof Error ? error.name : typeof error;
+
+    return {
+        'error.type': type,
+        'error.origin': origin ?? 'Unknown',
+        ...location,
+    };
+}
diff --git a/tst/unit/telemetry/ScopedTelemetry.test.ts b/tst/unit/telemetry/ScopedTelemetry.test.ts
index a8e48b7e..d8a14179 100644
--- a/tst/unit/telemetry/ScopedTelemetry.test.ts
+++ b/tst/unit/telemetry/ScopedTelemetry.test.ts
@@ -168,4 +168,145 @@ describe('ScopedTelemetry', () => {
             expect(scopedTelemetry['histograms'].size).toBe(0);
         });
     });
+
+    describe('error', () => {
+        let mockAdd: ReturnType<typeof vi.fn>;
+
+        beforeEach(() => {
+            mockAdd = vi.fn();
+            mockMeter.createCounter = vi.fn(() => ({ add: mockAdd }));
+        });
+
+        it('should record error with default origin Unknown when not provided', () => {
+            const error = new Error('test error');
+            error.stack = 'Error: test error\n    at func (file.ts:10:5)';
+
+            scopedTelemetry.error('test.error', error);
+
+            expect(mockMeter.createCounter).toHaveBeenCalledWith('test.error', {
+                unit: '1',
+                valueType: 1,
+                description: undefined,
+                advice: undefined,
+            });
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'Error',
+                'error.origin': 'Unknown',
+                'error.message': 'Error: test error',
+                'error.stack': 'at func (file.ts:10:5)',
+            });
+        });
+
+        it('should record error with uncaughtException origin', () => {
+            const error = new TypeError('type error');
+            error.stack = 'TypeError: type error\n    at test (test.ts:1:1)';
+
+            scopedTelemetry.error('test.error', error, 'uncaughtException');
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'TypeError',
+                'error.origin': 'uncaughtException',
+                'error.message': 'TypeError: type error',
+                'error.stack': 'at test (test.ts:1:1)',
+            });
+        });
+
+        it('should record error with unhandledRejection origin', () => {
+            const error = new Error('rejection');
+            error.stack = 'Error: rejection\n    at promise (p.ts:5:10)';
+
+            scopedTelemetry.error('test.error', error, 'unhandledRejection');
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'Error',
+                'error.origin': 'unhandledRejection',
+                'error.message': 'Error: rejection',
+                'error.stack': 'at promise (p.ts:5:10)',
+            });
+        });
+
+        it('should merge config attributes with error attributes', () => {
+            const error = new Error('test');
+            error.stack = 'Error: test\n    at x (x.ts:1:1)';
+
+            scopedTelemetry.error('test.error', error, undefined, {
+                attributes: { custom: 'value', region: 'us-east-1' },
+            });
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                custom: 'value',
+                region: 'us-east-1',
+                'error.type': 'Error',
+                'error.origin': 'Unknown',
+                'error.message': 'Error: test',
+                'error.stack': 'at x (x.ts:1:1)',
+            });
+        });
+
+        it('should pass config options to counter', () => {
+            const error = new Error('test');
+            error.stack = 'Error: test\n    at x (x.ts:1:1)';
+
+            scopedTelemetry.error('test.error', error, undefined, {
+                unit: 'errors',
+                description: 'Error counter',
+            });
+
+            expect(mockMeter.createCounter).toHaveBeenCalledWith('test.error', {
+                unit: 'errors',
+                valueType: 1,
+                description: 'Error counter',
+                advice: undefined,
+            });
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'Error',
+                'error.origin': 'Unknown',
+                'error.message': 'Error: test',
+                'error.stack': 'at x (x.ts:1:1)',
+            });
+        });
+
+        it('should handle non-Error string value', () => {
+            scopedTelemetry.error('test.error', 'string error');
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'string',
+                'error.origin': 'Unknown',
+            });
+        });
+
+        it('should handle non-Error null value', () => {
+            scopedTelemetry.error('test.error', null);
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'object',
+                'error.origin': 'Unknown',
+            });
+        });
+
+        it('should handle non-Error undefined value', () => {
+            scopedTelemetry.error('test.error', undefined);
+
+            expect(mockAdd).toHaveBeenCalledWith(1, {
+                HandlerSource: 'Unknown',
+                'aws.emf.storage_resolution': 1,
+                'error.type': 'undefined',
+                'error.origin': 'Unknown',
+            });
+        });
+    });
 });
diff --git a/tst/unit/utils/Errors.test.ts b/tst/unit/utils/Errors.test.ts
index 950d88e9..486c6a94 100644
--- a/tst/unit/utils/Errors.test.ts
+++ b/tst/unit/utils/Errors.test.ts
@@ -1,5 +1,5 @@
 import { describe, test, expect } from 'vitest';
-import { extractLocationFromStack } from '../../../src/utils/Errors';
+import { errorAttributes, extractLocationFromStack } from '../../../src/utils/Errors';
 
 describe('extractLocationFromStack', () => {
     test('returns empty object when stack is undefined', () => {
@@ -149,3 +149,88 @@ at Object.Module._extensions..js (node:internal/modules/cjs/loader:1213:10)`,
         });
     });
 });
+
+describe('errorAttributes', () => {
+    test('returns attributes for Error with stack and default origin', () => {
+        const error = new Error('test message');
+        error.stack = 'Error: test message\n    at func (file.ts:10:5)';
+
+        const result = errorAttributes(error);
+
+        expect(result).toEqual({
+            'error.type': 'Error',
+            'error.origin': 'Unknown',
+            'error.message': 'Error: test message',
+            'error.stack': 'at func (file.ts:10:5)',
+        });
+    });
+
+    test('returns attributes for custom Error type', () => {
+        const error = new TypeError('type error');
+        error.stack = 'TypeError: type error\n    at func (file.ts:1:1)';
+
+        const result = errorAttributes(error);
+
+        expect(result).toEqual({
+            'error.type': 'TypeError',
+            'error.origin': 'Unknown',
+            'error.message': 'TypeError: type error',
+            'error.stack': 'at func (file.ts:1:1)',
+        });
+    });
+
+    test('returns attributes with uncaughtException origin', () => {
+        const error = new Error('test');
+        error.stack = 'Error: test\n    at x (x.ts:1:1)';
+
+        const result = errorAttributes(error, 'uncaughtException');
+
+        expect(result).toEqual({
+            'error.type': 'Error',
+            'error.origin': 'uncaughtException',
+            'error.message': 'Error: test',
+            'error.stack': 'at x (x.ts:1:1)',
+        });
+    });
+
+    test('returns attributes with unhandledRejection origin', () => {
+        const error = new Error('test');
+        error.stack = 'Error: test\n    at x (x.ts:1:1)';
+
+        const result = errorAttributes(error, 'unhandledRejection');
+
+        expect(result).toEqual({
+            'error.type': 'Error',
+            'error.origin': 'unhandledRejection',
+            'error.message': 'Error: test',
+            'error.stack': 'at x (x.ts:1:1)',
+        });
+    });
+
+    test('returns attributes for non-Error string value', () => {
+        const result = errorAttributes('string error');
+
+        expect(result).toEqual({
+            'error.type': 'string',
+            'error.origin': 'Unknown',
+        });
+    });
+
+    test('returns attributes for non-Error null value', () => {
+        const result = errorAttributes(null);
+
+        expect(result).toEqual({
+            'error.type': 'object',
+            'error.origin': 'Unknown',
+        });
+    });
+
+    test('returns attributes for non-Error undefined value', () => {
+        const result = errorAttributes(undefined);
+
+        expect(result).toEqual({
+            'error.type': 'undefined',
+            'error.origin': 'Unknown',
+        });
+    });
+});