diff --git a/README.md b/README.md
index 0163aa3..4fe1cbb 100644
--- a/README.md
+++ b/README.md
@@ -95,3 +95,21 @@ case, the resolved filename of the module being patched is appended. For
 example, if we are patching `lib/index.js` in the `foo` package, and we set
 a base directory of `/tmp/dump/`, then the patched code will be written to
 `/tmp/dump/foo/lib/index.js`.
+
+### Diagnostics Hook
+
+A diagnostics hook can be set which is called every time a module is transformed 
+or transformation fails. This hook will only work with the synchronous 
+`registerHooks` because the older `register` runs in a different thread.
+
+```js
+import { setDiagnosticsHook } from '@apm-js-collab/tracing-hooks/hook-sync.mjs'
+
+setDiagnosticsHook(({ url, moduleName, error }) => {
+  if(error) {
+    // injection failed
+  } else {
+    // injection succeeded
+  }
+})
+```
\ No newline at end of file
diff --git a/hook-sync.mjs b/hook-sync.mjs
index 6706979..2b221a1 100644
--- a/hook-sync.mjs
+++ b/hook-sync.mjs
@@ -1 +1 @@
-export { initializeSync as initialize, loadSync as load, resolveSync as resolve } from './hook.mjs'
+export { initializeSync as initialize, loadSync as load, resolveSync as resolve, setDiagnosticsHook } from './hook.mjs'
diff --git a/hook.mjs b/hook.mjs
index 0b30ca0..2cc5613 100644
--- a/hook.mjs
+++ b/hook.mjs
@@ -11,6 +11,12 @@ let transformers = null
 let packages = null
 let instrumentator = null
 
+let diagnosticsHook;
+
+export function setDiagnosticsHook(hook) {
+  diagnosticsHook = hook
+}
+
 export async function initialize(data = {}) {
   return initializeSync(data)
 }
@@ -79,12 +85,18 @@ export function loadResult(url, result) {
       const transformedCode = transformer.transform(code.toString('utf8'), 'unknown')
       result.source = transformedCode?.code
       result.shortCircuit = true
+      if (diagnosticsHook) {
+        diagnosticsHook({ url, moduleName: transformer.moduleName })
+      }
     } catch(err) {
       debug('Error transforming module %s: %o', url, err)
+      if (diagnosticsHook) {
+        diagnosticsHook({ url, moduleName: transformer.moduleName, error: err })
+      }
     } finally {
       transformer.free()
     }
   }
 
   return result
-}
+}
\ No newline at end of file
diff --git a/package.json b/package.json
index 6dce029..efbc5b5 100644
--- a/package.json
+++ b/package.json
@@ -20,7 +20,7 @@
     "lib"
   ],
   "dependencies": {
-    "@apm-js-collab/code-transformer": "^0.13.0",
+    "@apm-js-collab/code-transformer": "^0.14.0",
     "debug": "^4.4.1",
     "module-details-from-path": "^1.0.4"
   },
diff --git a/test/hook-sync.test.mjs b/test/hook-sync.test.mjs
index c856cff..b427da1 100644
--- a/test/hook-sync.test.mjs
+++ b/test/hook-sync.test.mjs
@@ -201,3 +201,25 @@ test('should default initialization to not crash if not defined', async (t) => {
   const snapshot = await snap(result.source)
   assert.deepEqual(result.source, snapshot)
 })
+
+test('should rewrite code and call diagnostics hook', async (t) => {
+  const { syncLoaderRewriter, snap } = t.ctx
+  syncLoaderRewriter.setDiagnosticsHook(({url, moduleName, error}) => {
+    assert.equal(url, `file://${esmPath}`)
+    assert.equal(moduleName, 'esm-pkg')
+    assert.equal(error, undefined)
+  })
+  const esmPath = path.join(import.meta.dirname, './example-deps/lib/node_modules/esm-pkg/foo.js')
+  function resolveFn() {
+    return { url: `file://${esmPath}` }
+  }
+  function nextLoad() {
+    const data = readFileSync(esmPath, 'utf8')
+    return {
+      format: 'module',
+      source: data
+    }
+  }
+  const url = syncLoaderRewriter.resolve('esm-pkg', {}, resolveFn)
+  syncLoaderRewriter.load(url.url, {}, nextLoad)
+})
\ No newline at end of file