diff --git a/CHANGELOG.md b/CHANGELOG.md
index df8598e..180d77c 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -5,7 +5,14 @@ All notable changes to this project will be documented in this file.
 The format is based on [Keep a Changelog](https://keepachangelog.com/en/1.0.0/),
 and this project adheres to [Semantic Versioning](https://semver.org/spec/v2.0.0.html).
 
-## [Unreleased]
+## [Unreleased] TBD
+
+### Added
+- Introduce new `:open_telemetry` target
+
+### Changed
+- Removed dependency for `dogstatsd-ruby` gem. Added `dogstatsd-ruby` and `opentelemetry-*` gems to development/test dependencies for integration tests.
+  - Consumers are expected to explicitly define these dependencies in their projects.
 
 ## [1.1.4]
 
diff --git a/Gemfile b/Gemfile
index 0f12708..0808e90 100644
--- a/Gemfile
+++ b/Gemfile
@@ -6,7 +6,10 @@ source 'https://rubygems.org'
 gemspec
 
 gem 'dogstatsd-ruby'
-
+gem 'opentelemetry-exporter-otlp'
+gem 'opentelemetry-exporter-otlp-metrics', '~> 0.3'
+gem 'opentelemetry-metrics-sdk', '~> 0.5'
+gem 'opentelemetry-sdk'
 gem 'rack'
 gem 'rake', '~> 13.0'
 gem 'rspec', '~> 3.0'
diff --git a/Gemfile.lock b/Gemfile.lock
index e0256f4..5274d7c 100644
--- a/Gemfile.lock
+++ b/Gemfile.lock
@@ -8,10 +8,56 @@ GEM
   remote: https://rubygems.org/
   specs:
     ast (2.4.2)
+    bigdecimal (3.1.8)
     diff-lcs (1.5.1)
     dogstatsd-ruby (5.6.1)
+    google-protobuf (4.29.1)
+      bigdecimal
+      rake (>= 13)
+    google-protobuf (4.29.1-arm64-darwin)
+      bigdecimal
+      rake (>= 13)
+    google-protobuf (4.29.1-x86_64-linux)
+      bigdecimal
+      rake (>= 13)
+    googleapis-common-protos-types (1.16.0)
+      google-protobuf (>= 3.18, < 5.a)
     json (2.7.2)
     nio4r (2.7.1)
+    opentelemetry-api (1.4.0)
+    opentelemetry-common (0.21.0)
+      opentelemetry-api (~> 1.0)
+    opentelemetry-exporter-otlp (0.29.1)
+      google-protobuf (>= 3.18)
+      googleapis-common-protos-types (~> 1.3)
+      opentelemetry-api (~> 1.1)
+      opentelemetry-common (~> 0.20)
+      opentelemetry-sdk (~> 1.2)
+      opentelemetry-semantic_conventions
+    opentelemetry-exporter-otlp-metrics (0.3.0)
+      google-protobuf (>= 3.18, < 5.0)
+      googleapis-common-protos-types (~> 1.3)
+      opentelemetry-api (~> 1.1)
+      opentelemetry-common (~> 0.20)
+      opentelemetry-metrics-api (~> 0.2)
+      opentelemetry-metrics-sdk (~> 0.5)
+      opentelemetry-sdk (~> 1.2)
+      opentelemetry-semantic_conventions
+    opentelemetry-metrics-api (0.2.0)
+      opentelemetry-api (~> 1.0)
+    opentelemetry-metrics-sdk (0.5.0)
+      opentelemetry-api (~> 1.1)
+      opentelemetry-metrics-api (~> 0.2)
+      opentelemetry-sdk (~> 1.2)
+    opentelemetry-registry (0.3.1)
+      opentelemetry-api (~> 1.1)
+    opentelemetry-sdk (1.6.0)
+      opentelemetry-api (~> 1.1)
+      opentelemetry-common (~> 0.20)
+      opentelemetry-registry (~> 0.2)
+      opentelemetry-semantic_conventions
+    opentelemetry-semantic_conventions (1.10.1)
+      opentelemetry-api (~> 1.0)
     parallel (1.24.0)
     parser (3.3.1.0)
       ast (~> 2.4.1)
@@ -64,6 +110,10 @@ PLATFORMS
 
 DEPENDENCIES
   dogstatsd-ruby
+  opentelemetry-exporter-otlp
+  opentelemetry-exporter-otlp-metrics (~> 0.3)
+  opentelemetry-metrics-sdk (~> 0.5)
+  opentelemetry-sdk
   puma-plugin-telemetry!
   rack
   rake (~> 13.0)
diff --git a/README.md b/README.md
index d0b6f66..8ddbfdc 100644
--- a/README.md
+++ b/README.md
@@ -53,14 +53,27 @@ Output telemetry as JSON to `STDOUT`
 
 Given gem provides built in target for Datadog StatsD client, that uses batch operation to publish metrics.
 
-**NOTE** Be sure to have `dogstatsd` gem installed.
-
 ```ruby
   config.add_target :dogstatsd, client: Datadog::Statsd.new
 ```
 
 You can provide all the tags, namespaces, and other configuration options as always to `Datadog::Statsd.new` method.
 
+### OpenTelemetry target
+
+Given gem provides built in target for OpenTelemetry Metrics SDK, that uses batch operations to publish metrics.
+
+```ruby
+  config.add_target :open_telemetry, meter_provider: OpenTelemetry.meter_provider
+```
+
+This target supports the following options:
+| Option     | Description                                                     | Default | Required |   |
+|------------|-----------------------------------------------------------------|---------|----------|---|
+| prefix     | Metric name prefix. <br> ex) prefix: 'puma' => 'puma.workers.booted' | nil     | No       |   |
+| suffix     | Metric name suffix. <br> ex) suffix: 'v1' => 'workers.booted.v1'     | nil     | No       |   |
+| attributes | Attributes to be included with the metric                       | {}      | No       |   |
+
 ### All available options
 
 For detailed documentation checkout [`Puma::Plugin::Telemetry::Config`](./lib/puma/plugin/telemetry/config.rb) class.
diff --git a/lib/puma/plugin/telemetry.rb b/lib/puma/plugin/telemetry.rb
index 235ecb2..4e0d764 100644
--- a/lib/puma/plugin/telemetry.rb
+++ b/lib/puma/plugin/telemetry.rb
@@ -7,6 +7,7 @@
 require 'puma/plugin/telemetry/data'
 require 'puma/plugin/telemetry/targets/datadog_statsd_target'
 require 'puma/plugin/telemetry/targets/io_target'
+require 'puma/plugin/telemetry/targets/open_telemetry_target'
 require 'puma/plugin/telemetry/config'
 
 module Puma
diff --git a/lib/puma/plugin/telemetry/config.rb b/lib/puma/plugin/telemetry/config.rb
index 1f26718..5efcbdf 100644
--- a/lib/puma/plugin/telemetry/config.rb
+++ b/lib/puma/plugin/telemetry/config.rb
@@ -32,7 +32,8 @@ class Config
 
         TARGETS = {
           dogstatsd: Telemetry::Targets::DatadogStatsdTarget,
-          io: Telemetry::Targets::IOTarget
+          io: Telemetry::Targets::IOTarget,
+          open_telemetry: Telemetry::Targets::OpenTelemetryTarget
         }.freeze
 
         # Whenever telemetry should run with puma
diff --git a/lib/puma/plugin/telemetry/targets/open_telemetry_target.rb b/lib/puma/plugin/telemetry/targets/open_telemetry_target.rb
new file mode 100644
index 0000000..cdea1ae
--- /dev/null
+++ b/lib/puma/plugin/telemetry/targets/open_telemetry_target.rb
@@ -0,0 +1,53 @@
+# frozen_string_literal: true
+
+module Puma
+  class Plugin
+    module Telemetry
+      module Targets
+        # Target wrapping OpenTelemetry Metrics client.
+        #
+        # ## Example
+        #
+        #     require 'opentelemetry-metrics-sdk'
+        #
+        #     OpenTelemetryTarget.new(meter_provider: OpenTelemetry.meter_provider, prefix: 'puma')
+        #
+        class OpenTelemetryTarget
+          def initialize(meter_provider:, prefix: nil, suffix: nil, force_flush: false, attributes: {})
+            @meter_provider = meter_provider
+            @meter          = meter_provider.meter('puma.telemetry')
+            @prefix         = prefix
+            @suffix         = suffix
+            @force_flush    = force_flush
+            @attributes     = attributes
+            @instruments    = {}
+          end
+
+          # We are using `gauge` metric type, which means that only the last value will get exported
+          # since the OpenTelemetry exporter aggregates metrics before sending them.
+          #
+          # This means that we could publish metrics from here several times
+          # before they get flushed from the aggregation thread, and when they
+          # do, only the last values will get sent.
+          #
+          # That's why we provide the option to explicitly call force_flush here, in order to persist
+          # all metrics, and not only the most recent ones.
+          #
+          # Note: Force flushing metrics every time can significantly impact performance
+          #
+          def call(telemetry)
+            telemetry.each do |metric, value|
+              instrument(metric).record(value, attributes: @attributes)
+            end
+
+            @meter_provider.force_flush if @force_flush
+          end
+
+          def instrument(metric)
+            @instruments[metric] ||= @meter.create_gauge([@prefix, metric, @suffix].compact.join('.'))
+          end
+        end
+      end
+    end
+  end
+end
diff --git a/spec/fixtures/open_telemetry.rb b/spec/fixtures/open_telemetry.rb
new file mode 100644
index 0000000..f276244
--- /dev/null
+++ b/spec/fixtures/open_telemetry.rb
@@ -0,0 +1,32 @@
+# frozen_string_literal: true
+
+require 'opentelemetry/sdk'
+require 'opentelemetry-metrics-sdk'
+
+# Custom console exporter to support flushing metrics. Console _pull_ exporter doesn't have a force_flush method like the typical exporters
+class ConsoleMetricExporter < OpenTelemetry::SDK::Metrics::Export::ConsoleMetricPullExporter
+  def force_flush(timeout: nil)
+    pull
+  end
+end
+
+OpenTelemetry::SDK.configure
+
+console_metric_exporter = ConsoleMetricExporter.new
+OpenTelemetry.meter_provider.add_metric_reader(console_metric_exporter)
+
+app { |_env| [200, {}, ['embedded app']] }
+lowlevel_error_handler { |_err| [500, {}, ['error page']] }
+
+threads 1, 1
+
+bind "unix://#{ENV.fetch('BIND_PATH', nil)}"
+
+plugin 'telemetry'
+
+Puma::Plugin::Telemetry.configure do |config|
+  config.add_target :open_telemetry, meter_provider: OpenTelemetry.meter_provider
+  config.frequency = 0.2
+  config.enabled = true
+  config.initial_delay = 2
+end
diff --git a/spec/integration/plugin_spec.rb b/spec/integration/plugin_spec.rb
index 81628c3..d70a058 100644
--- a/spec/integration/plugin_spec.rb
+++ b/spec/integration/plugin_spec.rb
@@ -95,6 +95,40 @@ class Plugin
         end
       end
 
+      context 'when open_telemetry target' do
+        let(:config) { 'open_telemetry' }
+        let(:expected_telemetry) do
+          {
+            'workers.booted' => 1,
+            'workers.total' => 1,
+            'workers.spawned_threads' => 1,
+            'workers.max_threads' => 1,
+            'workers.requests_count' => 0,
+            'queue.backlog' => 0,
+            'queue.capacity' => 1,
+          }
+        end
+
+        it "doesn't crash" do
+          total_metrics = 0
+          matched_telemetry = {}
+
+          while (line = @server.next_line) do
+            if line.include?('OpenTelemetry::SDK::Metrics::State::MetricData')
+              name = @server.next_line.match(/name="(.*)"/)[1]
+
+              true until (line = @server.next_line).include?('value=')
+              value = line.match(/value=(.*)/)[1].to_i
+
+              matched_telemetry[name] = value
+
+              break if matched_telemetry.keys.size == expected_telemetry.keys.size
+            end
+          end
+          expect(matched_telemetry).to eq(expected_telemetry)
+        end
+      end
+
       context 'when sockets telemetry' do
         let(:config) { 'sockets' }
 
diff --git a/spec/puma/plugin/telemetry/config_spec.rb b/spec/puma/plugin/telemetry/config_spec.rb
index 5c5a50d..06aaf91 100644
--- a/spec/puma/plugin/telemetry/config_spec.rb
+++ b/spec/puma/plugin/telemetry/config_spec.rb
@@ -45,6 +45,21 @@ module Telemetry
             end
           end
 
+          context 'when built in: Open Telemetry' do
+            let(:meter_provider) { double('otel meter provider', meter: double('otel meter')) }
+
+            it 'adds new target' do
+              expect do
+                config.add_target(:open_telemetry, meter_provider: meter_provider)
+              end.to change(config.targets, :size).by(1)
+            end
+
+            it 'adds new Open Telemetry Target' do
+              config.add_target(:open_telemetry, meter_provider: meter_provider)
+              expect(config.targets.first).to be_a(Telemetry::Targets::OpenTelemetryTarget)
+            end
+          end
+
           context 'when custom' do
             let(:target) { proc { |telemetry| puts telemetry.inspect } }