diff --git a/README.md b/README.md
index 516f2a0..ca7423b 100644
--- a/README.md
+++ b/README.md
@@ -112,6 +112,37 @@ stop() // stop 2 => 100+ms
 stop('foo') // => 100+ms
 ```
 
+### Merging with Existing Server-Timing Headers
+
+The library now supports merging `header-timers` values with existing Server-Timing headers without overwriting. This can be particularly useful when managing multiple instances of timers or incorporating user-provided headers.
+
+#### Using `mergeWithExisting` Method
+
+The `mergeWithExisting` method allows for the combination of `header-timers` values with pre-existing Server-Timing headers. It can take either a string representing the existing Server-Timing header or an object containing all headers, including the Server-Timing entry.
+
+##### Example with String Input
+
+```js
+const existingHeaders = 'cache;desc="Cache Read";dur=23.2';
+const mergedHeaders = timers.mergeWithExisting(existingHeaders);
+console.log(mergedHeaders);
+// Outputs: "Server-Timing: cache;desc="Cache Read";dur=23.2, open;dur=0.014ms, database;desc="collecting data";dur=603.512ms, analytics;desc="log request data";dur=101.475709ms"
+```
+
+##### Example with Object Input
+
+```js
+const existingHeaders = {
+  'Content-Type': 'application/json',
+  'Server-Timing': 'cache;desc="Cache Read";dur=23.2'
+};
+const mergedHeaders = timers.mergeWithExisting(existingHeaders);
+console.log(mergedHeaders);
+// Outputs: "Server-Timing: cache;desc="Cache Read";dur=23.2, open;dur=0.014ms, database;desc="collecting data";dur=603.512ms, analytics;desc="log request data";dur=101.475709ms"
+```
+
+This feature ensures that the `Server-Timing` values generated by `header-timers` can be seamlessly integrated with existing headers, providing a comprehensive view of server-side timing information without data loss.
+
 ## Goals
 
 Be helpful and accurate. Stay small and fast. Then be intuitive. This means:
diff --git a/index-test.js b/index-test.js
index e19a24e..0c881a9 100644
--- a/index-test.js
+++ b/index-test.js
@@ -3,7 +3,7 @@ import test from 'node:test'
 import HeaderTimers from './index.js'
 
 test('header-timers', async (t) => {
-  const { key, start, stop, reset, timers, count, values, value, toObject, toString } =
+  const { key, start, stop, reset, timers, count, values, value, toObject, toString, mergeWithExisting } =
     HeaderTimers()
 
   await t.test('baseline without timers', () => {
@@ -73,6 +73,33 @@ test('header-timers', async (t) => {
     const vals = values()
     assert(vals[0].startsWith('n1;dur='))
   })
+
+  await t.test('merging with existing Server-Timing headers as string', () => {
+    reset()
+
+    start('db', 'Database query')
+    stop('db')
+
+    const existingHeaders = 'cache;desc="Cache Read";dur=23.2';
+    const mergedHeaders = mergeWithExisting(existingHeaders);
+
+    assert.equal(mergedHeaders, `${key}: cache;desc="Cache Read";dur=23.2, db;desc="Database query";dur=${timers()[0].ms}`);
+  })
+
+  await t.test('merging with existing Server-Timing headers as object', () => {
+    reset()
+
+    start('api', 'API call')
+    stop('api')
+
+    const existingHeaders = {
+      'Content-Type': 'application/json',
+      'Server-Timing': 'auth;desc="Authentication";dur=12.3'
+    };
+    const mergedHeaders = mergeWithExisting(existingHeaders);
+
+    assert.equal(mergedHeaders, `${key}: auth;desc="Authentication";dur=12.3, api;desc="API call";dur=${timers()[0].ms}`);
+  })
 })
 
 test('header-timers with config', async (t) => {
diff --git a/index.js b/index.js
index e312934..b62b178 100644
--- a/index.js
+++ b/index.js
@@ -15,6 +15,7 @@ const KEY = 'Server-Timing'
  * @property {() => Record<string, string>} toObject
  * @property {() => string} toString
  * @property {() => void} reset
+ * @property {(existingHeaders: string | Record<string, string>) => string} mergeWithExisting
  */
 
 /**
@@ -34,6 +35,7 @@ export default function ({ enabled = true, precision = 3, prefix = 'n', key = KE
       toObject: () => ({}),
       toString: () => '',
       reset: () => null,
+      mergeWithExisting: () => '',
     }
   }
 
@@ -108,9 +110,28 @@ export default function ({ enabled = true, precision = 3, prefix = 'n', key = KE
   /** @returns {string} */
   const value = () => values().join(',')
   /** @returns {Record<string, string>} */
-  const toObject = () => ({ [key]: value() })
+  const toObject = (existingHeaders = {}) => {
+    const serverTimingHeader = value();
+    if (typeof existingHeaders === 'string') {
+      return { [key]: existingHeaders ? `${existingHeaders}, ${serverTimingHeader}` : serverTimingHeader };
+    } else if (typeof existingHeaders === 'object' && existingHeaders[key]) {
+      return { ...existingHeaders, [key]: `${existingHeaders[key]}, ${serverTimingHeader}` };
+    }
+    return { ...existingHeaders, [key]: serverTimingHeader };
+  }
   /** @returns {string} */
   const toString = () => `${key}: ${value()}`
+
+  /**
+   * Merges existing Server-Timing headers with header-timers values without overwriting.
+   * @param {string | Record<string, string>} existingHeaders - The existing headers as a string or object.
+   * @returns {string} - The merged Server-Timing header string.
+   */
+  function mergeWithExisting(existingHeaders) {
+    const mergedHeaders = toObject(existingHeaders);
+    return `${key}: ${mergedHeaders[key]}`;
+  }
+
   /** @returns {{ name: string, description?: string, start: bigint, end?: bigint, ms?: number }[]} */
   const timers = () => Array.from(_timers.values())
   /** @returns {number} */
@@ -127,5 +148,6 @@ export default function ({ enabled = true, precision = 3, prefix = 'n', key = KE
     toObject,
     toString,
     reset,
+    mergeWithExisting,
   }
 }