diff --git a/apps/docs/content/1.getting-started/2.installation.md b/apps/docs/content/1.getting-started/2.installation.md
index 3d17676..27609d0 100644
--- a/apps/docs/content/1.getting-started/2.installation.md
+++ b/apps/docs/content/1.getting-started/2.installation.md
@@ -35,6 +35,8 @@ export default defineNuxtConfig({
     },
     // Optional: only log specific routes (supports glob patterns)
     include: ['/api/**'],
+    // Optional: exclude specific routes from logging
+    exclude: ['/api/_nuxt_icon/**'],
   },
 })
 ```
@@ -46,10 +48,35 @@ export default defineNuxtConfig({
 | `env.service` | `string` | `'app'` | Service name shown in logs |
 | `env.environment` | `string` | Auto-detected | Environment name |
 | `include` | `string[]` | `undefined` | Route patterns to log. Supports glob (`/api/**`). If not set, all routes are logged |
+| `exclude` | `string[]` | `undefined` | Route patterns to exclude from logging. Supports glob (`/api/_nuxt_icon/**`). Exclusions take precedence over inclusions |
 | `pretty` | `boolean` | `true` in dev | Pretty print with tree formatting |
 | `sampling.rates` | `object` | `undefined` | Head sampling rates per log level (0-100%). See [Sampling](#sampling) |
 | `sampling.keep` | `array` | `undefined` | Tail sampling conditions to force-keep logs. See [Sampling](#sampling) |
 
+### Route Filtering
+
+Use `include` and `exclude` to control which routes are logged. Both support glob patterns.
+
+```typescript [nuxt.config.ts]
+export default defineNuxtConfig({
+  modules: ['evlog/nuxt'],
+  evlog: {
+    // Log all API and auth routes...
+    include: ['/api/**', '/auth/**'],
+    // ...except internal/noisy routes
+    exclude: [
+      '/api/_nuxt_icon/**',  // Nuxt Icon requests
+      '/api/_content/**',    // Nuxt Content queries
+      '/api/health',         // Health checks
+    ],
+  },
+})
+```
+
+::callout{icon="i-lucide-info" color="info"}
+**Exclusions take precedence.** If a path matches both `include` and `exclude`, it will be excluded.
+::
+
 ### Sampling
 
 At scale, logging everything can become expensive. evlog supports two sampling strategies:
diff --git a/packages/evlog/src/nitro/plugin.ts b/packages/evlog/src/nitro/plugin.ts
index 0635b74..2b87cc5 100644
--- a/packages/evlog/src/nitro/plugin.ts
+++ b/packages/evlog/src/nitro/plugin.ts
@@ -8,14 +8,23 @@ interface EvlogConfig {
   env?: Record<string, unknown>
   pretty?: boolean
   include?: string[]
+  exclude?: string[]
   sampling?: SamplingConfig
 }
 
-function shouldLog(path: string, include?: string[]): boolean {
-  // If no include patterns, log everything
+function shouldLog(path: string, include?: string[], exclude?: string[]): boolean {
+  // Check exclusions first (they take precedence)
+  if (exclude && exclude.length > 0) {
+    if (exclude.some(pattern => matchesPattern(path, pattern))) {
+      return false
+    }
+  }
+
+  // If no include patterns, log everything (that wasn't excluded)
   if (!include || include.length === 0) {
     return true
   }
+
   // Log only if path matches at least one include pattern
   return include.some(pattern => matchesPattern(path, pattern))
 }
@@ -63,8 +72,8 @@ export default defineNitroPlugin((nitroApp) => {
   nitroApp.hooks.hook('request', (event) => {
     const e = event as ServerEvent
 
-    // Skip logging for routes not matching include patterns
-    if (!shouldLog(e.path, evlogConfig?.include)) {
+    // Skip logging for routes not matching include/exclude patterns
+    if (!shouldLog(e.path, evlogConfig?.include, evlogConfig?.exclude)) {
       return
     }
 
diff --git a/packages/evlog/src/nuxt/module.ts b/packages/evlog/src/nuxt/module.ts
index 7ab9ac3..ae37240 100644
--- a/packages/evlog/src/nuxt/module.ts
+++ b/packages/evlog/src/nuxt/module.ts
@@ -28,6 +28,14 @@ export interface ModuleOptions {
    */
   include?: string[]
 
+  /**
+   * Route patterns to exclude from logging.
+   * Supports glob patterns like '/api/_nuxt_icon/**'.
+   * Exclusions take precedence over inclusions.
+   * @example ['/api/_nuxt_icon/**', '/health']
+   */
+  exclude?: string[]
+
   /**
    * Sampling configuration for filtering logs.
    * Allows configuring what percentage of logs to keep per level.
diff --git a/packages/evlog/test/utils.test.ts b/packages/evlog/test/utils.test.ts
index 792e509..d634ddc 100644
--- a/packages/evlog/test/utils.test.ts
+++ b/packages/evlog/test/utils.test.ts
@@ -1,6 +1,19 @@
 import { describe, expect, it, vi } from 'vitest'
 import { colors, formatDuration, getLevelColor, isClient, isDev, isServer, matchesPattern } from '../src/utils'
 
+// Helper to test shouldLog logic (mirrors plugin.ts implementation)
+function shouldLog(path: string, include?: string[], exclude?: string[]): boolean {
+  if (exclude && exclude.length > 0) {
+    if (exclude.some(pattern => matchesPattern(path, pattern))) {
+      return false
+    }
+  }
+  if (!include || include.length === 0) {
+    return true
+  }
+  return include.some(pattern => matchesPattern(path, pattern))
+}
+
 describe('formatDuration', () => {
   it('formats milliseconds for duration < 1s', () => {
     expect(formatDuration(0)).toBe('0ms')
@@ -208,3 +221,111 @@ describe('matchesPattern', () => {
     })
   })
 })
+
+describe('shouldLog', () => {
+  describe('no filters', () => {
+    it('logs everything when no include or exclude', () => {
+      expect(shouldLog('/api/users')).toBe(true)
+      expect(shouldLog('/health')).toBe(true)
+      expect(shouldLog('/')).toBe(true)
+    })
+
+    it('logs everything with empty arrays', () => {
+      expect(shouldLog('/api/users', [], [])).toBe(true)
+      expect(shouldLog('/health', [], [])).toBe(true)
+    })
+  })
+
+  describe('include only', () => {
+    it('logs matching paths', () => {
+      expect(shouldLog('/api/users', ['/api/**'])).toBe(true)
+      expect(shouldLog('/api/posts/123', ['/api/**'])).toBe(true)
+    })
+
+    it('does not log non-matching paths', () => {
+      expect(shouldLog('/health', ['/api/**'])).toBe(false)
+      expect(shouldLog('/auth/login', ['/api/**'])).toBe(false)
+    })
+
+    it('supports multiple include patterns', () => {
+      expect(shouldLog('/api/users', ['/api/**', '/auth/**'])).toBe(true)
+      expect(shouldLog('/auth/login', ['/api/**', '/auth/**'])).toBe(true)
+      expect(shouldLog('/health', ['/api/**', '/auth/**'])).toBe(false)
+    })
+  })
+
+  describe('exclude only', () => {
+    it('logs non-matching paths', () => {
+      expect(shouldLog('/api/users', undefined, ['/health'])).toBe(true)
+      expect(shouldLog('/api/posts', undefined, ['/api/_nuxt_icon/**'])).toBe(true)
+    })
+
+    it('does not log matching exclude paths', () => {
+      expect(shouldLog('/health', undefined, ['/health'])).toBe(false)
+      expect(shouldLog('/api/_nuxt_icon/foo', undefined, ['/api/_nuxt_icon/**'])).toBe(false)
+    })
+
+    it('supports multiple exclude patterns', () => {
+      expect(shouldLog('/api/users', undefined, ['/health', '/api/_nuxt_icon/**'])).toBe(true)
+      expect(shouldLog('/health', undefined, ['/health', '/api/_nuxt_icon/**'])).toBe(false)
+      expect(shouldLog('/api/_nuxt_icon/bar', undefined, ['/health', '/api/_nuxt_icon/**'])).toBe(false)
+    })
+  })
+
+  describe('include and exclude combined', () => {
+    it('excludes take precedence over includes', () => {
+      // Path matches include but also matches exclude -> excluded
+      expect(shouldLog('/api/_nuxt_icon/foo', ['/api/**'], ['/api/_nuxt_icon/**'])).toBe(false)
+    })
+
+    it('logs paths matching include but not exclude', () => {
+      expect(shouldLog('/api/users', ['/api/**'], ['/api/_nuxt_icon/**'])).toBe(true)
+      expect(shouldLog('/api/posts/123', ['/api/**'], ['/api/_nuxt_icon/**'])).toBe(true)
+    })
+
+    it('does not log paths not matching include', () => {
+      expect(shouldLog('/health', ['/api/**'], ['/api/_nuxt_icon/**'])).toBe(false)
+    })
+
+    it('handles complex filtering scenarios', () => {
+      const include = ['/api/**', '/auth/**']
+      const exclude = ['/api/_nuxt_icon/**', '/api/health', '/auth/internal/**']
+
+      expect(shouldLog('/api/users', include, exclude)).toBe(true)
+      expect(shouldLog('/auth/login', include, exclude)).toBe(true)
+      expect(shouldLog('/api/_nuxt_icon/icon.svg', include, exclude)).toBe(false)
+      expect(shouldLog('/api/health', include, exclude)).toBe(false)
+      expect(shouldLog('/auth/internal/debug', include, exclude)).toBe(false)
+      expect(shouldLog('/public/assets', include, exclude)).toBe(false)
+    })
+  })
+
+  describe('real-world use cases', () => {
+    it('excludes nuxt icon routes from API logging', () => {
+      const include = ['/api/**']
+      const exclude = ['/api/_nuxt_icon/**']
+
+      expect(shouldLog('/api/users', include, exclude)).toBe(true)
+      expect(shouldLog('/api/_nuxt_icon/mdi:home', include, exclude)).toBe(false)
+      expect(shouldLog('/api/_nuxt_icon/lucide:check', include, exclude)).toBe(false)
+    })
+
+    it('excludes health checks', () => {
+      const exclude = ['/health', '/healthz', '/ready']
+
+      expect(shouldLog('/api/users', undefined, exclude)).toBe(true)
+      expect(shouldLog('/health', undefined, exclude)).toBe(false)
+      expect(shouldLog('/healthz', undefined, exclude)).toBe(false)
+      expect(shouldLog('/ready', undefined, exclude)).toBe(false)
+    })
+
+    it('excludes static assets', () => {
+      const include = ['/api/**']
+      const exclude = ['/api/_content/**', '/api/_nuxt_icon/**']
+
+      expect(shouldLog('/api/users', include, exclude)).toBe(true)
+      expect(shouldLog('/api/_content/query', include, exclude)).toBe(false)
+      expect(shouldLog('/api/_nuxt_icon/foo', include, exclude)).toBe(false)
+    })
+  })
+})