diff --git a/manifests/php.yml b/manifests/php.yml
index db6eb53666d..220ba53ab12 100644
--- a/manifests/php.yml
+++ b/manifests/php.yml
@@ -1044,7 +1044,16 @@ manifest:
   tests/test_library_conf.py::Test_ExtractBehavior_Default::test_single_tracecontext: v1.17.0
   tests/test_library_conf.py::Test_ExtractBehavior_Ignore: incomplete_test_app (/make_distant_call endpoint is not correctly implemented)
   tests/test_library_conf.py::Test_ExtractBehavior_Restart: incomplete_test_app (/make_distant_call endpoint is not correctly implemented)
-  tests/test_library_conf.py::Test_ExtractBehavior_Restart_Otel: missing_feature (OTel extraction endpoint not implemented)
+  tests/test_library_conf.py::Test_ExtractBehavior_Restart_Otel:
+    - weblog_declaration:
+        "*": missing_feature (OTel SDK requires PHP >= 8.1)
+        apache-mod-8.1: v1.22.0
+        apache-mod-8.1-zts: v1.22.0
+        apache-mod-8.2: v1.22.0
+        apache-mod-8.2-zts: v1.22.0
+        php-fpm-8.1: v1.22.0
+        php-fpm-8.2: v1.22.0
+        php-fpm-8.5: v1.22.0
   tests/test_library_conf.py::Test_ExtractBehavior_Restart_With_Extract_First: incomplete_test_app (/make_distant_call endpoint is not correctly implemented)
   tests/test_library_conf.py::Test_HeaderTags: v0.68.2
   tests/test_library_conf.py::Test_HeaderTags_Colon_Leading: v0.74.0
diff --git a/utils/build/docker/php/common/otel_drop_in_extract_and_make_distant_call.php b/utils/build/docker/php/common/otel_drop_in_extract_and_make_distant_call.php
new file mode 100644
index 00000000000..25632f63b66
--- /dev/null
+++ b/utils/build/docker/php/common/otel_drop_in_extract_and_make_distant_call.php
@@ -0,0 +1,72 @@
+<?php
+
+require_once __DIR__ . "/vendor/autoload.php";
+
+$url = $_GET["url"] ?? null;
+if ($url === null) {
+    http_response_code(400);
+    header("Content-Type: application/json");
+    echo json_encode(["error" => "url parameter required"]);
+    exit();
+}
+
+// Collect incoming headers (lowercase keys) for OTel propagator extraction.
+// In restart extract mode, the DD drop-in creates a new root context with
+// span links to the incoming trace, rather than propagating it directly.
+$headers = [];
+foreach (getallheaders() as $k => $v) {
+    $headers[strtolower($k)] = $v;
+}
+
+$context = \OpenTelemetry\API\Globals::propagator()->extract($headers);
+
+$tracer = \OpenTelemetry\API\Globals::tracerProvider()->getTracer('dd-trace-php/system-tests');
+$span = $tracer->spanBuilder('otel_extract_distant_call')
+    ->setParent($context)
+    ->setSpanKind(\OpenTelemetry\API\Trace\SpanKind::KIND_SERVER)
+    ->startSpan();
+$scope = $span->activate();
+
+// Make the distant call; auto-instrumentation propagates the active span context.
+$ch = curl_init($url);
+$response_headers = [];
+curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
+curl_setopt($ch, CURLOPT_HEADER, false);
+curl_setopt($ch, CURLINFO_HEADER_OUT, true);
+curl_setopt($ch, CURLOPT_HEADERFUNCTION, function ($curl, $header) use (
+    &$response_headers,
+) {
+    $len = strlen($header);
+    $parts = explode(":", $header, 2);
+    if (count($parts) === 2) {
+        $response_headers[strtolower(trim($parts[0]))] = trim($parts[1]);
+    }
+    return $len;
+});
+$status_code = 0;
+$request_headers = [];
+try {
+    curl_exec($ch);
+    $status_code = curl_getinfo($ch, CURLINFO_HTTP_CODE);
+    $raw = curl_getinfo($ch, CURLINFO_HEADER_OUT);
+    if ($raw) {
+        foreach (explode("\r\n", $raw) as $line) {
+            if (strpos($line, ":") !== false) {
+                [$k, $v] = explode(":", $line, 2);
+                $request_headers[strtolower(trim($k))] = trim($v);
+            }
+        }
+    }
+    curl_close($ch);
+    $span->end();
+} finally {
+    $scope->detach();
+}
+
+header("Content-Type: application/json");
+echo json_encode([
+    "url" => $url,
+    "status_code" => $status_code,
+    "request_headers" => $request_headers,
+    "response_headers" => $response_headers,
+]);
diff --git a/utils/build/docker/php/common/rewrite-rules.conf b/utils/build/docker/php/common/rewrite-rules.conf
index 7f46acdd997..58fc6921735 100644
--- a/utils/build/docker/php/common/rewrite-rules.conf
+++ b/utils/build/docker/php/common/rewrite-rules.conf
@@ -27,6 +27,7 @@ RewriteRule "^/signup$" "/signup/"
 RewriteRule "^/shell_execution$" "/shell_execution/"
 RewriteRule "^/otel_drop_in_baggage_api_otel$" "/otel_drop_in_baggage_api_otel/"
 RewriteRule "^/otel_drop_in_baggage_api_datadog$" "/otel_drop_in_baggage_api_datadog/"
+RewriteRule "^/otel_drop_in_extract_and_make_distant_call$" "/otel_drop_in_extract_and_make_distant_call/" [QSA]
 RewriteRule "^/otel_drop_in$" "/otel_drop_in/"
 RewriteRule "^/db$" "/db/"
 RewriteRule "^/trace/sql$" "/trace_sql/"