diff --git a/.gitignore b/.gitignore
index 9e91cfa..eaa1bfb 100644
--- a/.gitignore
+++ b/.gitignore
@@ -3,3 +3,4 @@ build/
 lib/
 /*.tgz
 test/yarn.lock
+test/package.json
diff --git a/README.md b/README.md
index 7abdbc5..574dddb 100644
--- a/README.md
+++ b/README.md
@@ -16,7 +16,9 @@ registerThread();
 Watchdog thread:
 
 ```ts
-const { captureStackTrace } = require("@sentry-internal/node-native-stacktrace");
+const {
+  captureStackTrace,
+} = require("@sentry-internal/node-native-stacktrace");
 
 const stacks = captureStackTrace();
 console.log(stacks);
@@ -87,15 +89,20 @@ In the main or worker threads if you call `registerThread()` regularly, times
 are recorded.
 
 ```ts
-const { registerThread } = require("@sentry-internal/node-native-stacktrace");
+const {
+  registerThread,
+  threadPoll,
+} = require("@sentry-internal/node-native-stacktrace");
+
+registerThread();
 
 setInterval(() => {
-  registerThread();
+  threadPoll({ optional_state: "some_value" });
 }, 200);
 ```
 
 In the watchdog thread you can call `getThreadsLastSeen()` to get how long it's
-been in milliseconds since each thread registered.
+been in milliseconds since each thread polled.
 
 If any thread has exceeded a threshold, you can call `captureStackTrace()` to
 get the stack traces for all threads.
@@ -111,11 +118,13 @@ const THRESHOLD = 1000; // 1 second
 setInterval(() => {
   for (const [thread, time] in Object.entries(getThreadsLastSeen())) {
     if (time > THRESHOLD) {
-      const stacks = captureStackTrace();
-      const blockedThread = stacks[thread];
+      const threads = captureStackTrace();
+      const blockedThread = threads[thread];
+      const { frames, state } = blockedThread;
       console.log(
         `Thread '${thread}' blocked more than ${THRESHOLD}ms`,
-        blockedThread,
+        frames,
+        state,
       );
     }
   }
diff --git a/module.cc b/module.cc
index bdb09c0..e8c225b 100644
--- a/module.cc
+++ b/module.cc
@@ -15,6 +15,8 @@ struct ThreadInfo {
   std::string thread_name;
   // Last time this thread was seen in milliseconds since epoch
   milliseconds last_seen;
+  // Some JSON serialized state for the thread
+  std::string state;
 };
 
 static std::mutex threads_mutex;
@@ -32,6 +34,12 @@ struct JsStackFrame {
 // Type alias for a vector of JsStackFrame
 using JsStackTrace = std::vector<JsStackFrame>;
 
+struct ThreadResult {
+  std::string thread_name;
+  std::string state;
+  JsStackTrace stack_frames;
+};
+
 // Function to be called when an isolate's execution is interrupted
 static void ExecutionInterrupted(Isolate *isolate, void *data) {
   auto promise = static_cast<std::promise<JsStackTrace> *>(data);
@@ -91,7 +99,6 @@ void CaptureStackTraces(const FunctionCallbackInfo<Value> &args) {
   auto capture_from_isolate = args.GetIsolate();
   auto current_context = capture_from_isolate->GetCurrentContext();
 
-  using ThreadResult = std::tuple<std::string, JsStackTrace>;
   std::vector<std::future<ThreadResult>> futures;
 
   {
@@ -100,27 +107,30 @@ void CaptureStackTraces(const FunctionCallbackInfo<Value> &args) {
       if (thread_isolate == capture_from_isolate)
         continue;
       auto thread_name = thread_info.thread_name;
+      auto state = thread_info.state;
 
       futures.emplace_back(std::async(
           std::launch::async,
-          [thread_name](Isolate *isolate) -> ThreadResult {
-            return std::make_tuple(thread_name, CaptureStackTrace(isolate));
+          [thread_name, state](Isolate *isolate) -> ThreadResult {
+            return ThreadResult{thread_name, state, CaptureStackTrace(isolate)};
           },
           thread_isolate));
     }
   }
 
-  Local<Object> result = Object::New(capture_from_isolate);
+  Local<Object> output = Object::New(capture_from_isolate);
 
   for (auto &future : futures) {
-    auto [thread_name, frames] = future.get();
-    auto key = String::NewFromUtf8(capture_from_isolate, thread_name.c_str(),
-                                   NewStringType::kNormal)
-                   .ToLocalChecked();
-
-    Local<Array> jsFrames = Array::New(capture_from_isolate, frames.size());
-    for (size_t i = 0; i < frames.size(); ++i) {
-      const auto &f = frames[i];
+    auto result = future.get();
+    auto key =
+        String::NewFromUtf8(capture_from_isolate, result.thread_name.c_str(),
+                            NewStringType::kNormal)
+            .ToLocalChecked();
+
+    Local<Array> jsFrames =
+        Array::New(capture_from_isolate, result.stack_frames.size());
+    for (size_t i = 0; i < result.stack_frames.size(); ++i) {
+      const auto &frame = result.stack_frames[i];
       Local<Object> frameObj = Object::New(capture_from_isolate);
       frameObj
           ->Set(current_context,
@@ -128,7 +138,7 @@ void CaptureStackTraces(const FunctionCallbackInfo<Value> &args) {
                                     NewStringType::kInternalized)
                     .ToLocalChecked(),
                 String::NewFromUtf8(capture_from_isolate,
-                                    f.function_name.c_str(),
+                                    frame.function_name.c_str(),
                                     NewStringType::kNormal)
                     .ToLocalChecked())
           .Check();
@@ -137,7 +147,8 @@ void CaptureStackTraces(const FunctionCallbackInfo<Value> &args) {
                 String::NewFromUtf8(capture_from_isolate, "filename",
                                     NewStringType::kInternalized)
                     .ToLocalChecked(),
-                String::NewFromUtf8(capture_from_isolate, f.filename.c_str(),
+                String::NewFromUtf8(capture_from_isolate,
+                                    frame.filename.c_str(),
                                     NewStringType::kNormal)
                     .ToLocalChecked())
           .Check();
@@ -146,23 +157,52 @@ void CaptureStackTraces(const FunctionCallbackInfo<Value> &args) {
                 String::NewFromUtf8(capture_from_isolate, "lineno",
                                     NewStringType::kInternalized)
                     .ToLocalChecked(),
-                Integer::New(capture_from_isolate, f.lineno))
+                Integer::New(capture_from_isolate, frame.lineno))
           .Check();
       frameObj
           ->Set(current_context,
                 String::NewFromUtf8(capture_from_isolate, "colno",
                                     NewStringType::kInternalized)
                     .ToLocalChecked(),
-                Integer::New(capture_from_isolate, f.colno))
+                Integer::New(capture_from_isolate, frame.colno))
           .Check();
       jsFrames->Set(current_context, static_cast<uint32_t>(i), frameObj)
           .Check();
     }
 
-    result->Set(current_context, key, jsFrames).Check();
+    // Create a thread object with a 'frames' property and optional 'state'
+    Local<Object> threadObj = Object::New(capture_from_isolate);
+    threadObj
+        ->Set(current_context,
+              String::NewFromUtf8(capture_from_isolate, "frames",
+                                  NewStringType::kInternalized)
+                  .ToLocalChecked(),
+              jsFrames)
+        .Check();
+
+    if (!result.state.empty()) {
+      v8::MaybeLocal<v8::String> stateStr = v8::String::NewFromUtf8(
+          capture_from_isolate, result.state.c_str(), NewStringType::kNormal);
+      if (!stateStr.IsEmpty()) {
+        v8::MaybeLocal<v8::Value> maybeStateVal =
+            v8::JSON::Parse(current_context, stateStr.ToLocalChecked());
+        v8::Local<v8::Value> stateVal;
+        if (maybeStateVal.ToLocal(&stateVal)) {
+          threadObj
+              ->Set(current_context,
+                    String::NewFromUtf8(capture_from_isolate, "state",
+                                        NewStringType::kInternalized)
+                        .ToLocalChecked(),
+                    stateVal)
+              .Check();
+        }
+      }
+    }
+
+    output->Set(current_context, key, threadObj).Check();
   }
 
-  args.GetReturnValue().Set(result);
+  args.GetReturnValue().Set(output);
 }
 
 // Cleanup function to remove the thread from the map when the isolate is
@@ -194,13 +234,39 @@ void RegisterThread(const FunctionCallbackInfo<Value> &args) {
     std::lock_guard<std::mutex> lock(threads_mutex);
     auto found = threads.find(isolate);
     if (found == threads.end()) {
-      threads.emplace(isolate, ThreadInfo{thread_name, milliseconds::zero()});
+      threads.emplace(isolate,
+                      ThreadInfo{thread_name, milliseconds::zero(), ""});
       // Register a cleanup hook to remove this thread when the isolate is
       // destroyed
       node::AddEnvironmentCleanupHook(isolate, Cleanup, isolate);
+    }
+  }
+}
+
+// Function to track a thread and set its state
+void ThreadPoll(const FunctionCallbackInfo<Value> &args) {
+  auto isolate = args.GetIsolate();
+  auto context = isolate->GetCurrentContext();
+
+  std::string state_str;
+  if (args.Length() == 1 && args[0]->IsValue()) {
+    MaybeLocal<String> maybe_json = v8::JSON::Stringify(context, args[0]);
+    if (!maybe_json.IsEmpty()) {
+      v8::String::Utf8Value utf8_state(isolate, maybe_json.ToLocalChecked());
+      state_str = *utf8_state ? *utf8_state : "";
     } else {
+      state_str = "";
+    }
+  } else {
+    state_str = "";
+  }
+
+  {
+    std::lock_guard<std::mutex> lock(threads_mutex);
+    auto found = threads.find(isolate);
+    if (found != threads.end()) {
       auto &thread_info = found->second;
-      thread_info.thread_name = thread_name;
+      thread_info.state = state_str;
       thread_info.last_seen =
           duration_cast<milliseconds>(system_clock::now().time_since_epoch());
     }
@@ -257,6 +323,16 @@ NODE_MODULE_INITIALIZER(Local<Object> exports, Local<Value> module,
                 .ToLocalChecked())
       .Check();
 
+  exports
+      ->Set(context,
+            String::NewFromUtf8(isolate, "threadPoll",
+                                NewStringType::kInternalized)
+                .ToLocalChecked(),
+            FunctionTemplate::New(isolate, ThreadPoll)
+                ->GetFunction(context)
+                .ToLocalChecked())
+      .Check();
+
   exports
       ->Set(context,
             String::NewFromUtf8(isolate, "getThreadsLastSeen",
diff --git a/src/index.ts b/src/index.ts
index e21d3da..c05b75c 100644
--- a/src/index.ts
+++ b/src/index.ts
@@ -11,6 +11,11 @@ const arch = process.env['BUILD_ARCH'] || _arch();
 const abi = getAbi(versions.node, 'node');
 const identifier = [platform, arch, stdlib, abi].filter(c => c !== undefined && c !== null).join('-');
 
+type Thread<S = unknown> = {
+  frames: StackFrame[];
+  state?: S
+}
+
 type StackFrame = {
   function: string;
   filename: string;
@@ -20,7 +25,8 @@ type StackFrame = {
 
 interface Native {
   registerThread(threadName: string): void;
-  captureStackTrace(): Record<string, StackFrame[]>;
+  threadPoll(state?: object): void;
+  captureStackTrace<S = unknown>(): Record<string, Thread<S>>;
   getThreadsLastSeen(): Record<string, number>;
 }
 
@@ -177,11 +183,24 @@ export function registerThread(threadName: string = String(threadId)): void {
   native.registerThread(threadName);
 }
 
+/**
+ * Tells the native module that the thread is still running and updates the state.
+ *
+ * @param state Optional state to pass to the native module.
+ */
+export function threadPoll(state?: object): void {
+  if (typeof state === 'object') {
+    native.threadPoll(state);
+  } else {
+    native.threadPoll();
+  }
+}
+
 /**
  * Captures stack traces for all registered threads.
  */
-export function captureStackTrace(): Record<string, StackFrame[]> {
-  return native.captureStackTrace();
+export function captureStackTrace<S = unknown>(): Record<string, Thread<S>> {
+  return native.captureStackTrace<S>();
 }
 
 /**
diff --git a/test/e2e.test.mjs b/test/e2e.test.mjs
index 7b23c92..d97e76a 100644
--- a/test/e2e.test.mjs
+++ b/test/e2e.test.mjs
@@ -13,7 +13,7 @@ describe('e2e Tests', { timeout: 20000 }, () => {
 
     const stacks = JSON.parse(result.stdout.toString());
 
-    expect(stacks['0']).toEqual(expect.arrayContaining([
+    expect(stacks['0'].frames).toEqual(expect.arrayContaining([
       {
         function: 'pbkdf2Sync',
         filename: expect.any(String),
@@ -34,7 +34,7 @@ describe('e2e Tests', { timeout: 20000 }, () => {
       },
     ]));
 
-    expect(stacks['2']).toEqual(expect.arrayContaining([
+    expect(stacks['2'].frames).toEqual(expect.arrayContaining([
       {
         function: 'pbkdf2Sync',
         filename: expect.any(String),
@@ -64,7 +64,7 @@ describe('e2e Tests', { timeout: 20000 }, () => {
 
     const stacks = JSON.parse(result.stdout.toString());
 
-    expect(stacks['0']).toEqual(expect.arrayContaining([
+    expect(stacks['0'].frames).toEqual(expect.arrayContaining([
       {
         function: 'pbkdf2Sync',
         filename: expect.any(String),
@@ -85,6 +85,8 @@ describe('e2e Tests', { timeout: 20000 }, () => {
       },
     ]));
 
-    expect(stacks['2'].length).toEqual(1);
+    expect(stacks['0'].state).toEqual({ some_property: 'some_value' });
+
+    expect(stacks['2'].frames.length).toEqual(1);
   });
 });
diff --git a/test/package.json b/test/package.json
deleted file mode 100644
index bc4541c..0000000
--- a/test/package.json
+++ /dev/null
@@ -1,7 +0,0 @@
-{
-  "name": "node-cpu-profiler-test",
-  "license": "MIT",
-  "dependencies": {
-    "@sentry-internal/node-native-stacktrace": "file:../sentry-internal-node-native-stacktrace-0.1.0.tgz"
-  }
-}
diff --git a/test/stalled.js b/test/stalled.js
index bb44e2a..56f35ec 100644
--- a/test/stalled.js
+++ b/test/stalled.js
@@ -1,9 +1,11 @@
 const { Worker } = require('node:worker_threads');
 const { longWork } = require('./long-work.js');
-const { registerThread } = require('@sentry-internal/node-native-stacktrace');
+const { registerThread, threadPoll } = require('@sentry-internal/node-native-stacktrace');
+
+registerThread();
 
 setInterval(() => {
-  registerThread();
+  threadPoll({ some_property: 'some_value' });
 }, 200).unref();
 
 const watchdog = new Worker('./test/stalled-watchdog.js');
diff --git a/test/worker-do-nothing.js b/test/worker-do-nothing.js
index fc0b799..598a533 100644
--- a/test/worker-do-nothing.js
+++ b/test/worker-do-nothing.js
@@ -1,7 +1,7 @@
-const { longWork } = require('./long-work');
-const { registerThread } = require('@sentry-internal/node-native-stacktrace');
+const { registerThread, threadPoll } = require('@sentry-internal/node-native-stacktrace');
+
+registerThread();
 
 setInterval(() => {
-  registerThread();
+  threadPoll();
 }, 200);
-