diff --git a/src/EventLoop/Listener.php b/src/EventLoop/Listener.php
new file mode 100644
index 0000000..1b3ab57
--- /dev/null
+++ b/src/EventLoop/Listener.php
@@ -0,0 +1,20 @@
+<?php
+
+namespace Revolt\EventLoop;
+
+interface Listener
+{
+    /**
+     * Called when a Suspension is suspended.
+     *
+     * @param int $id The object ID of the Suspension.
+     */
+    public function onSuspend(int $id): void;
+
+    /**
+     * Called when a Suspension is resumed.
+     *
+     * @param int $id The object ID of the Suspension.
+     */
+    public function onResume(int $id): void;
+}
diff --git a/src/EventLoop/Suspension.php b/src/EventLoop/Suspension.php
index d2e4b27..342d0db 100644
--- a/src/EventLoop/Suspension.php
+++ b/src/EventLoop/Suspension.php
@@ -10,7 +10,7 @@
  * **Example**
  *
  * ```php
- * $suspension = Scheduler::createSuspension();
+ * $suspension = EventLoop::createSuspension();
  *
  * $promise->then(fn ($value) => $suspension->resume($value), fn ($throwable) => $suspension->throw($throwable));
  *
@@ -19,13 +19,21 @@
  */
 final class Suspension
 {
+    /** @var string Next listener ID. */
+    private static string $nextId = 'a';
+
+    /** @var Listener[] */
+    private static array $listeners = [];
+
+    private static bool $invokingListeners = false;
+
     private ?\Fiber $fiber;
     private \Fiber $scheduler;
     private Driver $driver;
     private bool $pending = false;
 
     /**
-     * Suspension constructor.
+     * Use {@see EventLoop::createSuspension()} to create Suspensions.
      *
      * @param Driver $driver
      * @param \Fiber $scheduler
@@ -54,6 +62,10 @@ public function throw(\Throwable $throwable): void
             throw new \Error('Must call throw() before calling resume()');
         }
 
+        if (self::$invokingListeners) {
+            throw new \Error('Cannot call throw() within a suspension listener');
+        }
+
         $this->pending = false;
 
         if ($this->fiber) {
@@ -70,6 +82,10 @@ public function resume(mixed $value): void
             throw new \Error('Must call suspend() before calling resume()');
         }
 
+        if (self::$invokingListeners) {
+            throw new \Error('Cannot call throw() within a suspension listener');
+        }
+
         $this->pending = false;
 
         if ($this->fiber) {
@@ -90,22 +106,73 @@ public function suspend(): mixed
             throw new \Error('Must not call suspend() from another fiber');
         }
 
+        if (self::$invokingListeners) {
+            throw new \Error('Cannot call suspend() within a suspension listener');
+        }
+
         $this->pending = true;
 
-        // Awaiting from within a fiber.
-        if ($this->fiber) {
-            return \Fiber::suspend();
+        if (!empty(self::$listeners)) {
+            $this->invokeListeners('onSuspend');
         }
 
-        // Awaiting from {main}.
-        $lambda = $this->scheduler->isStarted() ? $this->scheduler->resume() : $this->scheduler->start();
+        try {
+            // Awaiting from within a fiber.
+            if ($this->fiber) {
+                return \Fiber::suspend();
+            }
+
+            // Awaiting from {main}.
+            $lambda = $this->scheduler->isStarted() ? $this->scheduler->resume() : $this->scheduler->start();
+
+            /** @psalm-suppress RedundantCondition $this->pending should be changed when resumed. */
+            if ($this->pending) {
+                // Should only be true if the event loop exited without resolving the promise.
+                throw new \Error('Event loop suspended or exited unexpectedly');
+            }
+
+            return $lambda();
+        } finally {
+            if (!empty(self::$listeners)) {
+                $this->invokeListeners('onResume');
+            }
+        }
+    }
 
-        /** @psalm-suppress RedundantCondition $this->pending should be changed when resumed. */
-        if ($this->pending) {
-            // Should only be true if the event loop exited without resolving the promise.
-            throw new \Error('Scheduler suspended or exited unexpectedly');
+    private function invokeListeners(string $method): void
+    {
+        $id = \spl_object_id($this);
+        self::$invokingListeners = true;
+        foreach (self::$listeners as $listener) {
+            try {
+                $listener->{$method}($id);
+            } catch (\Throwable $exception) {
+                $this->driver->queue(static fn () => throw $exception);
+            }
         }
+        self::$invokingListeners = false;
+    }
+
+    /**
+     * Add a listener that is invoked when any Suspension is suspended, resumed, or destroyed.
+     *
+     * @param Listener $listener
+     * @return string ID that can be used to remove the listener using {@see unlisten()}.
+     */
+    public static function listen(Listener $listener): string
+    {
+        $id = self::$nextId++;
+        self::$listeners[$id] = $listener;
+        return $id;
+    }
 
-        return $lambda();
+    /**
+     * Remove the suspension listener.
+     *
+     * @param string $id
+     */
+    public static function unlisten(string $id): void
+    {
+        unset(self::$listeners[$id]);
     }
 }
diff --git a/test/SuspensionTest.php b/test/SuspensionTest.php
new file mode 100644
index 0000000..eb67c2f
--- /dev/null
+++ b/test/SuspensionTest.php
@@ -0,0 +1,183 @@
+<?php
+
+namespace Revolt\EventLoop;
+
+use PHPUnit\Framework\TestCase;
+use Revolt\EventLoop;
+
+class SuspensionTest extends TestCase
+{
+    public function testListen(): void
+    {
+        $listener = new class () implements Listener {
+            public int $suspended = 0;
+            public int $resumed = 0;
+
+            public function onSuspend(int $id): void
+            {
+                ++$this->suspended;
+            }
+
+            public function onResume(int $id): void
+            {
+                ++$this->resumed;
+            }
+        };
+
+        $id = Suspension::listen($listener);
+
+        $suspension = EventLoop::createSuspension();
+        EventLoop::defer(fn () => $suspension->resume(null));
+
+        $suspension->suspend();
+
+        self::assertSame(1, $listener->suspended);
+        self::assertSame(1, $listener->resumed);
+
+        Suspension::listen($listener);
+
+        $suspension = EventLoop::createSuspension();
+        EventLoop::defer(fn () => $suspension->throw(new \Exception()));
+
+        try {
+            $suspension->suspend();
+            self::fail('Exception was expected to be thrown from suspend');
+        } catch (\Exception $e) {
+            // Expected, ignore.
+        }
+
+        self::assertSame(3, $listener->suspended);
+        self::assertSame(3, $listener->resumed);
+
+        Suspension::unlisten($id);
+
+        $suspension = EventLoop::createSuspension();
+        EventLoop::defer(fn () => $suspension->resume(null));
+
+        $suspension->suspend();
+
+        self::assertSame(4, $listener->suspended);
+        self::assertSame(4, $listener->resumed);
+    }
+
+    public function provideListenerMethods(): iterable
+    {
+        $reflectionClass = new \ReflectionClass(Listener::class);
+        $methods = $reflectionClass->getMethods();
+        return \array_map(static fn (\ReflectionMethod $reflectionMethod) => [$reflectionMethod->getName()], $methods);
+    }
+
+    /**
+     * @dataProvider provideListenerMethods
+     */
+    public function testSuspendDuringListenerInvocation(string $functionName): void
+    {
+        $suspension = EventLoop::createSuspension();
+
+        $listener = new class ($functionName, $suspension) implements Listener {
+            public function __construct(
+                private string $functionName,
+                private Suspension $suspension,
+            ) {
+            }
+
+            public function onSuspend(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->suspend();
+                }
+            }
+
+            public function onResume(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->suspend();
+                }
+            }
+        };
+
+        Suspension::listen($listener);
+
+        $suspension = EventLoop::createSuspension();
+        EventLoop::defer(fn () => $suspension->resume(null));
+
+        self::expectException(\Error::class);
+        self::expectExceptionMessage('within a suspension listener');
+
+        $suspension->suspend();
+    }
+
+    /**
+     * @dataProvider provideListenerMethods
+     */
+    public function testResumeDuringListenerInvocation(string $functionName): void
+    {
+        $suspension = EventLoop::createSuspension();
+
+        $listener = new class ($functionName, $suspension) implements Listener {
+            public function __construct(
+                private string $functionName,
+                private Suspension $suspension,
+            ) {
+            }
+
+            public function onSuspend(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->resume(null);
+                }
+            }
+
+            public function onResume(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->resume(null);
+                }
+            }
+        };
+
+        Suspension::listen($listener);
+
+        self::expectException(\Error::class);
+        self::expectExceptionMessage('within a suspension listener');
+
+        $suspension->suspend();
+    }
+
+    /**
+     * @dataProvider provideListenerMethods
+     */
+    public function testThrowDuringListenerInvocation(string $functionName): void
+    {
+        $suspension = EventLoop::createSuspension();
+
+        $listener = new class ($functionName, $suspension) implements Listener {
+            public function __construct(
+                private string $functionName,
+                private Suspension $suspension,
+            ) {
+            }
+
+            public function onSuspend(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->throw(new \Exception());
+                }
+            }
+
+            public function onResume(int $id): void
+            {
+                if ($this->functionName === __FUNCTION__) {
+                    $this->suspension->throw(new \Exception());
+                }
+            }
+        };
+
+        Suspension::listen($listener);
+
+        self::expectException(\Error::class);
+        self::expectExceptionMessage('within a suspension listener');
+
+        $suspension->suspend();
+    }
+}