diff --git a/CHANGELOG.md b/CHANGELOG.md
index 1c345a1465..f85941c0be 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,5 +1,9 @@
 # Changelog
 
+## Unreleased
+
+- Report unhealthy when one of the services crashes. ([#4255](https://github.com/getsentry/relay/pull/4255))
+
 ## 24.11.1
 
 **Bug Fixes**:
diff --git a/relay-server/src/lib.rs b/relay-server/src/lib.rs
index d675c220bf..ed1f87eb97 100644
--- a/relay-server/src/lib.rs
+++ b/relay-server/src/lib.rs
@@ -305,11 +305,15 @@ pub fn run(config: Config) -> anyhow::Result<()> {
         runner.start(HttpServer::new(config, state.clone())?);
 
         tokio::select! {
-            _ = runner.join() => {},
-            // NOTE: when every service implements a shutdown listener,
-            // awaiting on `finished` becomes unnecessary: We can simply join() and guarantee
-            // that every service finished its main task.
-            // See also https://github.com/getsentry/relay/issues/4050.
+            _ = runner.join(|e| {
+                if e.is_panic() {
+                    state.health_check().send(e);
+                }
+                // NOTE: when every service implements a shutdown listener,
+                // awaiting on `finished` becomes unnecessary: We can simply join() and guarantee
+                // that every service finished its main task.
+                // See also https://github.com/getsentry/relay/issues/4050.
+            }) => {},
             _ = Controller::shutdown_handle().finished() => {}
         }
 
diff --git a/relay-server/src/services/health_check.rs b/relay-server/src/services/health_check.rs
index b586d22429..d9d03590ba 100644
--- a/relay-server/src/services/health_check.rs
+++ b/relay-server/src/services/health_check.rs
@@ -1,9 +1,12 @@
 use std::sync::Arc;
 
 use relay_config::Config;
-use relay_system::{Addr, AsyncResponse, Controller, FromMessage, Interface, Sender, Service};
+use relay_system::{
+    Addr, AsyncResponse, Controller, FromMessage, Interface, NoResponse, Sender, Service,
+};
 use std::future::Future;
 use tokio::sync::watch;
+use tokio::task::JoinError;
 use tokio::time::{timeout, Instant};
 
 use crate::services::buffer::ObservableEnvelopeBuffer;
@@ -51,8 +54,13 @@ impl FromIterator<Status> for Status {
     }
 }
 
-/// Service interface for the [`IsHealthy`] message.
-pub struct HealthCheck(IsHealthy, Sender<Status>);
+/// Service interface for the health check service.
+pub enum HealthCheck {
+    /// Query whether relay is healthy.
+    IsHealthy(IsHealthy, Sender<Status>),
+    /// Report a service crash.
+    ReportCrash(JoinError),
+}
 
 impl Interface for HealthCheck {}
 
@@ -60,7 +68,15 @@ impl FromMessage<IsHealthy> for HealthCheck {
     type Response = AsyncResponse<Status>;
 
     fn from_message(message: IsHealthy, sender: Sender<Status>) -> Self {
-        Self(message, sender)
+        Self::IsHealthy(message, sender)
+    }
+}
+
+impl FromMessage<JoinError> for HealthCheck {
+    type Response = NoResponse;
+
+    fn from_message(message: JoinError, _: ()) -> Self {
+        Self::ReportCrash(message)
     }
 }
 
@@ -197,6 +213,7 @@ impl Service for HealthCheckService {
         // Add 10% buffer to the internal timeouts to avoid race conditions.
         let status_timeout = (check_interval + self.config.health_probe_timeout()).mul_f64(1.1);
 
+        let update_tx2 = update_tx.clone();
         relay_system::spawn!(async move {
             let shutdown = Controller::shutdown_handle();
 
@@ -214,16 +231,22 @@ impl Service for HealthCheckService {
             update_tx.send(StatusUpdate::new(Status::Unhealthy)).ok();
         });
 
-        while let Some(HealthCheck(message, sender)) = rx.recv().await {
-            let update = update_rx.borrow();
-
-            sender.send(if matches!(message, IsHealthy::Liveness) {
-                Status::Healthy
-            } else if update.instant.elapsed() >= status_timeout {
-                Status::Unhealthy
-            } else {
-                update.status
-            });
+        while let Some(message) = rx.recv().await {
+            match message {
+                HealthCheck::IsHealthy(message, sender) => {
+                    let update = update_rx.borrow();
+                    sender.send(if matches!(message, IsHealthy::Liveness) {
+                        Status::Healthy
+                    } else if update.instant.elapsed() >= status_timeout {
+                        Status::Unhealthy
+                    } else {
+                        update.status
+                    });
+                }
+                HealthCheck::ReportCrash(_) => {
+                    update_tx2.send(StatusUpdate::new(Status::Unhealthy)).ok();
+                }
+            }
         }
     }
 }
diff --git a/relay-system/src/service.rs b/relay-system/src/service.rs
index 063b23bc82..5f60453bdb 100644
--- a/relay-system/src/service.rs
+++ b/relay-system/src/service.rs
@@ -11,7 +11,7 @@ use futures::future::Shared;
 use futures::stream::FuturesUnordered;
 use futures::{FutureExt, StreamExt};
 use tokio::sync::{mpsc, oneshot};
-use tokio::task::JoinHandle;
+use tokio::task::{JoinError, JoinHandle};
 use tokio::time::MissedTickBehavior;
 
 use crate::statsd::SystemGauges;
@@ -1050,13 +1050,10 @@ impl ServiceRunner {
     /// Awaits until all services have finished.
     ///
     /// Panics if one of the spawned services has panicked.
-    pub async fn join(&mut self) {
+    pub async fn join<F: Fn(JoinError)>(&mut self, error_handler: F) {
         while let Some(res) = self.0.next().await {
             if let Err(e) = res {
-                if e.is_panic() {
-                    // Re-trigger panic to terminate the process:
-                    std::panic::resume_unwind(e.into_panic());
-                }
+                error_handler(e);
             }
         }
     }