diff --git a/src/index.ts b/src/index.ts
index 827dedddd..27b155503 100644
--- a/src/index.ts
+++ b/src/index.ts
@@ -26,6 +26,8 @@ export { isEvent, isHTTPEvent, mockEvent, getEventContext } from "./utils/event.
 
 // Handler and Middleware
 
+export type { ExtractRouteParams } from "./types/_utils.ts";
+
 export type {
   EventHandler,
   DynamicEventHandler,
diff --git a/src/types/_utils.ts b/src/types/_utils.ts
index 4773ec36c..ea75d88b5 100644
--- a/src/types/_utils.ts
+++ b/src/types/_utils.ts
@@ -1 +1,22 @@
 export type MaybePromise<T = unknown> = T | Promise<T>;
+
+/**
+ * Extract route parameter names from a route path string.
+ *
+ * @example
+ * ```ts
+ * type Params = ExtractRouteParams<"/users/:id/posts/:slug">;
+ * // { id: string; slug: string }
+ * ```
+ */
+export type ExtractRouteParams<T extends string> = _Prettify<_ExtractParams<T>>;
+
+type _ExtractParams<T extends string> = string extends T
+  ? Record<string, string>
+  : T extends `${string}:${infer Param}/${infer Rest}`
+    ? { [K in Param]: string } & _ExtractParams<Rest>
+    : T extends `${string}:${infer Param}`
+      ? { [K in Param]: string }
+      : Record<string, string>;
+
+type _Prettify<T> = { [K in keyof T]: T[K] } & {};
diff --git a/src/types/h3.ts b/src/types/h3.ts
index fae2f8c19..dd67538ff 100644
--- a/src/types/h3.ts
+++ b/src/types/h3.ts
@@ -1,7 +1,7 @@
 import type { H3EventContext } from "./context.ts";
-import type { HTTPHandler, EventHandler, Middleware } from "./handler.ts";
+import type { HTTPHandler, EventHandler, Middleware, EventHandlerResponse } from "./handler.ts";
 import type { HTTPError } from "../error.ts";
-import type { MaybePromise } from "./_utils.ts";
+import type { MaybePromise, ExtractRouteParams } from "./_utils.ts";
 import type { FetchHandler, ServerRequest } from "srvx";
 // import type { MatchedRoute, RouterContext } from "rou3";
 import type { H3Event } from "../event.ts";
@@ -173,15 +173,65 @@ export declare class H3 extends H3Core {
   /**
    * Register a route handler for all HTTP methods.
    */
+  all<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   all(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
 
+  get<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   get(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  post<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   post(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  put<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   put(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  delete<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   delete(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  patch<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   patch(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  head<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   head(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  options<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   options(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  connect<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   connect(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
+  trace<P extends string>(
+    route: P,
+    handler: (event: H3Event<{ routerParams: ExtractRouteParams<P> }>) => unknown,
+    opts?: RouteOptions,
+  ): this;
   trace(route: string, handler: HTTPHandler, opts?: RouteOptions): this;
 }
diff --git a/src/utils/request.ts b/src/utils/request.ts
index 311ff0002..a78b73677 100644
--- a/src/utils/request.ts
+++ b/src/utils/request.ts
@@ -138,10 +138,11 @@ export function getValidatedQuery(
  *   const params = getRouterParams(event); // { key: "value" }
  * });
  */
-export function getRouterParams(
-  event: HTTPEvent,
-  opts: { decode?: boolean } = {},
-): NonNullable<H3Event["context"]["params"]> {
+export function getRouterParams<
+  T,
+  _Event extends HTTPEvent = HTTPEvent,
+  _T = InferEventInput<"routerParams", _Event, T>,
+>(event: _Event, opts: { decode?: boolean } = {}): _T {
   // Fallback object needs to be returned in case router is not used (#149)
   const context = getEventContext<H3EventContext>(event);
   let params = (context.params || {}) as NonNullable<H3Event["context"]["params"]>;
@@ -151,7 +152,7 @@ export function getRouterParams(
       params[key] = decodeURIComponent(params[key]);
     }
   }
-  return params;
+  return params as _T;
 }
 
 export function getValidatedRouterParams<Event extends HTTPEvent, S extends StandardSchemaV1>(
@@ -252,7 +253,7 @@ export function getRouterParam(
   name: string,
   opts: { decode?: boolean } = {},
 ): string | undefined {
-  const params = getRouterParams(event, opts);
+  const params = getRouterParams(event, opts) as Record<string, string>;
   return params[name];
 }
 
diff --git a/test/unit/types.test-d.ts b/test/unit/types.test-d.ts
index e34682b33..3c01ad7a5 100644
--- a/test/unit/types.test-d.ts
+++ b/test/unit/types.test-d.ts
@@ -1,8 +1,10 @@
-import type { H3Event } from "../../src/index.ts";
+import type { H3Event, ExtractRouteParams } from "../../src/index.ts";
 import { describe, it, expectTypeOf } from "vitest";
 import {
+  H3,
   defineHandler,
   getQuery,
+  getRouterParams,
   readBody,
   readValidatedBody,
   getValidatedQuery,
@@ -123,4 +125,52 @@ describe("types", () => {
       });
     });
   });
+
+  describe("ExtractRouteParams", () => {
+    it("extracts single param", () => {
+      expectTypeOf<ExtractRouteParams<"/users/:id">>().toEqualTypeOf<{
+        id: string;
+      }>();
+    });
+
+    it("extracts multiple params", () => {
+      expectTypeOf<ExtractRouteParams<"/users/:id/posts/:slug">>().toEqualTypeOf<{
+        id: string;
+        slug: string;
+      }>();
+    });
+
+    it("returns Record<string, string> for no params", () => {
+      expectTypeOf<ExtractRouteParams<"/users">>().toEqualTypeOf<Record<string, string>>();
+    });
+  });
+
+  describe("route param inference", () => {
+    it("infers params from app.get path", () => {
+      const app = new H3();
+      app.get("/users/:id", (event) => {
+        const params = getRouterParams(event);
+        expectTypeOf(params).toEqualTypeOf<{ id: string }>();
+      });
+    });
+
+    it("infers multiple params from app.post path", () => {
+      const app = new H3();
+      app.post("/users/:userId/posts/:postId", (event) => {
+        const params = getRouterParams(event);
+        expectTypeOf(params).toEqualTypeOf<{
+          userId: string;
+          postId: string;
+        }>();
+      });
+    });
+
+    it("infers Record<string, string> for static route", () => {
+      const app = new H3();
+      app.get("/users", (event) => {
+        const params = getRouterParams(event);
+        expectTypeOf(params).toEqualTypeOf<Record<string, string>>();
+      });
+    });
+  });
 });