diff --git a/pkg/kubelet/cm/container_manager.go b/pkg/kubelet/cm/container_manager.go
index babeec5ab72..f8d69c0e49e 100644
--- a/pkg/kubelet/cm/container_manager.go
+++ b/pkg/kubelet/cm/container_manager.go
@@ -28,6 +28,7 @@ import (
 
 	// TODO: Migrate kubelet to either use its own internal objects or client library.
 	v1 "k8s.io/api/core/v1"
+	"k8s.io/apiserver/pkg/server/healthz"
 	internalapi "k8s.io/cri-api/pkg/apis"
 	podresourcesapi "k8s.io/kubelet/pkg/apis/podresources/v1"
 	kubeletconfig "k8s.io/kubernetes/pkg/kubelet/apis/config"
@@ -122,6 +123,10 @@ type ContainerManager interface {
 	// registration.
 	GetPluginRegistrationHandlers() map[string]cache.PluginHandler
 
+	// GetHealthCheckers returns a set of health checkers for all plugins.
+	// These checkers are integrated into the systemd watchdog to monitor the service's health.
+	GetHealthCheckers() []healthz.HealthChecker
+
 	// ShouldResetExtendedResourceCapacity returns whether or not the extended resources should be zeroed,
 	// due to node recreation.
 	ShouldResetExtendedResourceCapacity() bool
diff --git a/pkg/kubelet/cm/container_manager_linux.go b/pkg/kubelet/cm/container_manager_linux.go
index 5cad2f75a7e..9d335791f4c 100644
--- a/pkg/kubelet/cm/container_manager_linux.go
+++ b/pkg/kubelet/cm/container_manager_linux.go
@@ -41,6 +41,7 @@ import (
 	utilerrors "k8s.io/apimachinery/pkg/util/errors"
 	"k8s.io/apimachinery/pkg/util/sets"
 	"k8s.io/apimachinery/pkg/util/wait"
+	"k8s.io/apiserver/pkg/server/healthz"
 	utilfeature "k8s.io/apiserver/pkg/util/feature"
 	clientset "k8s.io/client-go/kubernetes"
 	"k8s.io/client-go/tools/record"
@@ -661,6 +662,10 @@ func (cm *containerManagerImpl) GetPluginRegistrationHandlers() map[string]cache
 	return res
 }
 
+func (cm *containerManagerImpl) GetHealthCheckers() []healthz.HealthChecker {
+	return []healthz.HealthChecker{cm.deviceManager.GetHealthChecker()}
+}
+
 // TODO: move the GetResources logic to PodContainerManager.
 func (cm *containerManagerImpl) GetResources(ctx context.Context, pod *v1.Pod, container *v1.Container) (*kubecontainer.RunContainerOptions, error) {
 	logger := klog.FromContext(ctx)
diff --git a/pkg/kubelet/cm/container_manager_stub.go b/pkg/kubelet/cm/container_manager_stub.go
index e271366edf8..e117a7377d7 100644
--- a/pkg/kubelet/cm/container_manager_stub.go
+++ b/pkg/kubelet/cm/container_manager_stub.go
@@ -25,6 +25,7 @@ import (
 
 	"k8s.io/apimachinery/pkg/api/resource"
 	"k8s.io/apimachinery/pkg/types"
+	"k8s.io/apiserver/pkg/server/healthz"
 	internalapi "k8s.io/cri-api/pkg/apis"
 	podresourcesapi "k8s.io/kubelet/pkg/apis/podresources/v1"
 	"k8s.io/kubernetes/pkg/kubelet/cm/cpumanager"
@@ -95,6 +96,10 @@ func (cm *containerManagerStub) GetPluginRegistrationHandlers() map[string]cache
 	return nil
 }
 
+func (cm *containerManagerStub) GetHealthCheckers() []healthz.HealthChecker {
+	return []healthz.HealthChecker{}
+}
+
 func (cm *containerManagerStub) GetDevicePluginResourceCapacity() (v1.ResourceList, v1.ResourceList, []string) {
 	return cm.extendedPluginResources, cm.extendedPluginResources, []string{}
 }
diff --git a/pkg/kubelet/cm/container_manager_windows.go b/pkg/kubelet/cm/container_manager_windows.go
index c518f73de7d..5cbbc300218 100644
--- a/pkg/kubelet/cm/container_manager_windows.go
+++ b/pkg/kubelet/cm/container_manager_windows.go
@@ -36,6 +36,7 @@ import (
 	v1 "k8s.io/api/core/v1"
 	"k8s.io/apimachinery/pkg/api/resource"
 	"k8s.io/apimachinery/pkg/types"
+	"k8s.io/apiserver/pkg/server/healthz"
 	clientset "k8s.io/client-go/kubernetes"
 	"k8s.io/client-go/tools/record"
 	internalapi "k8s.io/cri-api/pkg/apis"
@@ -224,6 +225,10 @@ func (cm *containerManagerImpl) GetPluginRegistrationHandlers() map[string]cache
 	return map[string]cache.PluginHandler{pluginwatcherapi.DevicePlugin: cm.deviceManager.GetWatcherHandler()}
 }
 
+func (cm *containerManagerImpl) GetHealthCheckers() []healthz.HealthChecker {
+	return []healthz.HealthChecker{cm.deviceManager.GetHealthChecker()}
+}
+
 func (cm *containerManagerImpl) GetDevicePluginResourceCapacity() (v1.ResourceList, v1.ResourceList, []string) {
 	return cm.deviceManager.GetCapacity()
 }
diff --git a/pkg/kubelet/cm/devicemanager/manager.go b/pkg/kubelet/cm/devicemanager/manager.go
index c6ccb4e7f83..e13b03931da 100644
--- a/pkg/kubelet/cm/devicemanager/manager.go
+++ b/pkg/kubelet/cm/devicemanager/manager.go
@@ -34,6 +34,7 @@ import (
 	"k8s.io/apimachinery/pkg/api/resource"
 	errorsutil "k8s.io/apimachinery/pkg/util/errors"
 	"k8s.io/apimachinery/pkg/util/sets"
+	"k8s.io/apiserver/pkg/server/healthz"
 	utilfeature "k8s.io/apiserver/pkg/util/feature"
 	pluginapi "k8s.io/kubelet/pkg/apis/deviceplugin/v1beta1"
 	"k8s.io/kubernetes/pkg/features"
@@ -326,6 +327,11 @@ func (m *ManagerImpl) GetWatcherHandler() cache.PluginHandler {
 	return m.server
 }
 
+// GetHealthChecker returns the plugin handler
+func (m *ManagerImpl) GetHealthChecker() healthz.HealthChecker {
+	return m.server
+}
+
 // checkpointFile returns device plugin checkpoint file path.
 func (m *ManagerImpl) checkpointFile() string {
 	return filepath.Join(m.checkpointdir, kubeletDeviceManagerCheckpoint)
diff --git a/pkg/kubelet/cm/devicemanager/plugin/v1beta1/server.go b/pkg/kubelet/cm/devicemanager/plugin/v1beta1/server.go
index 6aa6936bab9..312aa930a0f 100644
--- a/pkg/kubelet/cm/devicemanager/plugin/v1beta1/server.go
+++ b/pkg/kubelet/cm/devicemanager/plugin/v1beta1/server.go
@@ -20,6 +20,7 @@ import (
 	"context"
 	"fmt"
 	"net"
+	"net/http"
 	"os"
 	"path/filepath"
 	"sync"
@@ -28,6 +29,7 @@ import (
 	"google.golang.org/grpc"
 
 	core "k8s.io/api/core/v1"
+	"k8s.io/apiserver/pkg/server/healthz"
 	"k8s.io/klog/v2"
 	api "k8s.io/kubelet/pkg/apis/deviceplugin/v1beta1"
 	v1helper "k8s.io/kubernetes/pkg/apis/core/v1/helper"
@@ -39,6 +41,7 @@ import (
 // Server interface provides methods for Device plugin registration server.
 type Server interface {
 	cache.PluginHandler
+	healthz.HealthChecker
 	Start() error
 	Stop() error
 	SocketPath() string
@@ -53,6 +56,9 @@ type server struct {
 	rhandler   RegistrationHandler
 	chandler   ClientHandler
 	clients    map[string]Client
+
+	// isStarted indicates whether the service has started successfully.
+	isStarted bool
 }
 
 // NewServer returns an initialized device plugin registration server.
@@ -109,7 +115,9 @@ func (s *server) Start() error {
 	api.RegisterRegistrationServer(s.grpc, s)
 	go func() {
 		defer s.wg.Done()
+		s.setHealthy()
 		if err = s.grpc.Serve(ln); err != nil {
+			s.setUnhealthy()
 			klog.ErrorS(err, "Error while serving device plugin registration grpc server")
 		}
 	}()
@@ -134,6 +142,9 @@ func (s *server) Stop() error {
 	s.grpc.Stop()
 	s.wg.Wait()
 	s.grpc = nil
+	// During kubelet termination, we do not need the registration server,
+	// and we consider the kubelet to be healthy even when it is down.
+	s.setHealthy()
 
 	return nil
 }
@@ -190,3 +201,24 @@ func (s *server) visitClients(visit func(r string, c Client)) {
 	}
 	s.mutex.Unlock()
 }
+
+func (s *server) Name() string {
+	return "device-plugin"
+}
+
+func (s *server) Check(_ *http.Request) error {
+	if s.isStarted {
+		return nil
+	}
+	return fmt.Errorf("device plugin registration gRPC server failed and no device plugins can register")
+}
+
+// setHealthy sets the health status of the gRPC server.
+func (s *server) setHealthy() {
+	s.isStarted = true
+}
+
+// setUnhealthy sets the health status of the gRPC server to unhealthy.
+func (s *server) setUnhealthy() {
+	s.isStarted = false
+}
diff --git a/pkg/kubelet/cm/devicemanager/types.go b/pkg/kubelet/cm/devicemanager/types.go
index 097dea4ca2d..bdf0b27d673 100644
--- a/pkg/kubelet/cm/devicemanager/types.go
+++ b/pkg/kubelet/cm/devicemanager/types.go
@@ -21,6 +21,7 @@ import (
 
 	v1 "k8s.io/api/core/v1"
 	"k8s.io/apimachinery/pkg/util/sets"
+	"k8s.io/apiserver/pkg/server/healthz"
 	"k8s.io/kubernetes/pkg/kubelet/cm/containermap"
 	"k8s.io/kubernetes/pkg/kubelet/cm/resourceupdates"
 	"k8s.io/kubernetes/pkg/kubelet/cm/topologymanager"
@@ -62,6 +63,7 @@ type Manager interface {
 
 	// GetWatcherHandler returns the plugin handler for the device manager.
 	GetWatcherHandler() cache.PluginHandler
+	GetHealthChecker() healthz.HealthChecker
 
 	// GetDevices returns information about the devices assigned to pods and containers
 	GetDevices(podUID, containerName string) ResourceDeviceInstances
diff --git a/pkg/kubelet/cm/fake_container_manager.go b/pkg/kubelet/cm/fake_container_manager.go
index 6c575f6b7ff..63f974c10ce 100644
--- a/pkg/kubelet/cm/fake_container_manager.go
+++ b/pkg/kubelet/cm/fake_container_manager.go
@@ -24,6 +24,7 @@ import (
 
 	"k8s.io/apimachinery/pkg/api/resource"
 	"k8s.io/apimachinery/pkg/types"
+	"k8s.io/apiserver/pkg/server/healthz"
 	internalapi "k8s.io/cri-api/pkg/apis"
 	podresourcesapi "k8s.io/kubelet/pkg/apis/podresources/v1"
 	"k8s.io/kubernetes/pkg/kubelet/cm/cpumanager"
@@ -131,6 +132,13 @@ func (cm *FakeContainerManager) GetPluginRegistrationHandlers() map[string]cache
 	return nil
 }
 
+func (cm *FakeContainerManager) GetHealthCheckers() []healthz.HealthChecker {
+	cm.Lock()
+	defer cm.Unlock()
+	cm.CalledFunctions = append(cm.CalledFunctions, "GetPluginRegistrationServerChecker")
+	return []healthz.HealthChecker{}
+}
+
 func (cm *FakeContainerManager) GetDevicePluginResourceCapacity() (v1.ResourceList, v1.ResourceList, []string) {
 	cm.Lock()
 	defer cm.Unlock()
diff --git a/pkg/kubelet/kubelet.go b/pkg/kubelet/kubelet.go
index 8da0e4fb691..975c0770655 100644
--- a/pkg/kubelet/kubelet.go
+++ b/pkg/kubelet/kubelet.go
@@ -34,6 +34,7 @@ import (
 	"time"
 
 	cadvisorapi "github.com/google/cadvisor/info/v1"
+	inuserns "github.com/moby/sys/userns"
 	"github.com/opencontainers/selinux/go-selinux"
 	"go.opentelemetry.io/otel/attribute"
 	"go.opentelemetry.io/otel/codes"
@@ -46,7 +47,6 @@ import (
 	utilfs "k8s.io/kubernetes/pkg/util/filesystem"
 	netutils "k8s.io/utils/net"
 
-	inuserns "github.com/moby/sys/userns"
 	v1 "k8s.io/api/core/v1"
 	metav1 "k8s.io/apimachinery/pkg/apis/meta/v1"
 	"k8s.io/apimachinery/pkg/fields"
@@ -961,7 +961,8 @@ func NewMainKubelet(kubeCfg *kubeletconfiginternal.KubeletConfiguration,
 	if utilfeature.DefaultFeatureGate.Enabled(features.SystemdWatchdog) {
 		// NewHealthChecker returns an error indicating that the watchdog is configured but the configuration is incorrect,
 		// the kubelet will not be started.
-		klet.healthChecker, err = watchdog.NewHealthChecker(klet)
+		checkers := klet.containerManager.GetHealthCheckers()
+		klet.healthChecker, err = watchdog.NewHealthChecker(klet, watchdog.WithExtendedCheckers(checkers))
 		if err != nil {
 			return nil, fmt.Errorf("create health checker: %w", err)
 		}
@@ -2919,12 +2920,12 @@ func (kl *Kubelet) BirthCry() {
 // ListenAndServe runs the kubelet HTTP server.
 func (kl *Kubelet) ListenAndServe(kubeCfg *kubeletconfiginternal.KubeletConfiguration, tlsOptions *server.TLSOptions,
 	auth server.AuthInterface, tp trace.TracerProvider) {
-	server.ListenAndServeKubeletServer(kl, kl.resourceAnalyzer, kubeCfg, tlsOptions, auth, tp)
+	server.ListenAndServeKubeletServer(kl, kl.resourceAnalyzer, kl.containerManager.GetHealthCheckers(), kubeCfg, tlsOptions, auth, tp)
 }
 
 // ListenAndServeReadOnly runs the kubelet HTTP server in read-only mode.
 func (kl *Kubelet) ListenAndServeReadOnly(address net.IP, port uint, tp trace.TracerProvider) {
-	server.ListenAndServeKubeletReadOnlyServer(kl, kl.resourceAnalyzer, address, port, tp)
+	server.ListenAndServeKubeletReadOnlyServer(kl, kl.resourceAnalyzer, kl.containerManager.GetHealthCheckers(), address, port, tp)
 }
 
 // ListenAndServePodResources runs the kubelet podresources grpc service
diff --git a/pkg/kubelet/server/server.go b/pkg/kubelet/server/server.go
index f983e1d362b..94b282f7a01 100644
--- a/pkg/kubelet/server/server.go
+++ b/pkg/kubelet/server/server.go
@@ -114,6 +114,7 @@ type Server struct {
 	metricsBuckets       sets.Set[string]
 	metricsMethodBuckets sets.Set[string]
 	resourceAnalyzer     stats.ResourceAnalyzer
+	extendedCheckers     []healthz.HealthChecker
 }
 
 // TLSOptions holds the TLS options.
@@ -156,6 +157,7 @@ func (a *filteringContainer) RegisteredHandlePaths() []string {
 func ListenAndServeKubeletServer(
 	host HostInterface,
 	resourceAnalyzer stats.ResourceAnalyzer,
+	checkers []healthz.HealthChecker,
 	kubeCfg *kubeletconfiginternal.KubeletConfiguration,
 	tlsOptions *TLSOptions,
 	auth AuthInterface,
@@ -164,7 +166,7 @@ func ListenAndServeKubeletServer(
 	address := netutils.ParseIPSloppy(kubeCfg.Address)
 	port := uint(kubeCfg.Port)
 	klog.InfoS("Starting to listen", "address", address, "port", port)
-	handler := NewServer(host, resourceAnalyzer, auth, kubeCfg)
+	handler := NewServer(host, resourceAnalyzer, checkers, auth, kubeCfg)
 
 	if utilfeature.DefaultFeatureGate.Enabled(features.KubeletTracing) {
 		handler.InstallTracingFilter(tp)
@@ -198,11 +200,12 @@ func ListenAndServeKubeletServer(
 func ListenAndServeKubeletReadOnlyServer(
 	host HostInterface,
 	resourceAnalyzer stats.ResourceAnalyzer,
+	checkers []healthz.HealthChecker,
 	address net.IP,
 	port uint,
 	tp oteltrace.TracerProvider) {
 	klog.InfoS("Starting to listen read-only", "address", address, "port", port)
-	s := NewServer(host, resourceAnalyzer, nil, nil)
+	s := NewServer(host, resourceAnalyzer, checkers, nil, nil)
 
 	if utilfeature.DefaultFeatureGate.Enabled(features.KubeletTracing) {
 		s.InstallTracingFilter(tp, otelrestful.WithPublicEndpoint())
@@ -278,6 +281,7 @@ type HostInterface interface {
 func NewServer(
 	host HostInterface,
 	resourceAnalyzer stats.ResourceAnalyzer,
+	checkers []healthz.HealthChecker,
 	auth AuthInterface,
 	kubeCfg *kubeletconfiginternal.KubeletConfiguration) Server {
 
@@ -288,6 +292,7 @@ func NewServer(
 		restfulCont:          &filteringContainer{Container: restful.NewContainer()},
 		metricsBuckets:       sets.New[string](),
 		metricsMethodBuckets: sets.New[string]("OPTIONS", "GET", "HEAD", "POST", "PUT", "DELETE", "TRACE", "CONNECT"),
+		extendedCheckers:     checkers,
 	}
 	if auth != nil {
 		server.InstallAuthFilter()
@@ -392,11 +397,13 @@ func (s *Server) getMetricMethodBucket(method string) string {
 // patterns with the restful Container.
 func (s *Server) InstallDefaultHandlers() {
 	s.addMetricsBucketMatcher("healthz")
-	healthz.InstallHandler(s.restfulCont,
+	checkers := []healthz.HealthChecker{
 		healthz.PingHealthz,
 		healthz.LogHealthz,
 		healthz.NamedCheck("syncloop", s.host.SyncLoopHealthCheck),
-	)
+	}
+	checkers = append(checkers, s.extendedCheckers...)
+	healthz.InstallHandler(s.restfulCont, checkers...)
 
 	slis.SLIMetricsWithReset{}.Install(s.restfulCont)
 
diff --git a/pkg/kubelet/server/server_test.go b/pkg/kubelet/server/server_test.go
index 547ceb8084f..be1d9e922d4 100644
--- a/pkg/kubelet/server/server_test.go
+++ b/pkg/kubelet/server/server_test.go
@@ -53,6 +53,7 @@ import (
 	"k8s.io/utils/ptr"
 
 	// Do some initialization to decode the query parameters correctly.
+	"k8s.io/apiserver/pkg/server/healthz"
 	utilfeature "k8s.io/apiserver/pkg/util/feature"
 	featuregatetesting "k8s.io/component-base/featuregate/testing"
 	"k8s.io/kubelet/pkg/cri/streaming"
@@ -368,6 +369,7 @@ func newServerTestWithDebuggingHandlers(kubeCfg *kubeletconfiginternal.KubeletCo
 	server := NewServer(
 		fw.fakeKubelet,
 		stats.NewResourceAnalyzer(fw.fakeKubelet, time.Minute, &record.FakeRecorder{}),
+		[]healthz.HealthChecker{},
 		fw.fakeAuth,
 		kubeCfg,
 	)
@@ -1650,8 +1652,8 @@ func TestNewServerRegistersMetricsSLIsEndpointTwice(t *testing.T) {
 	}
 	resourceAnalyzer := stats.NewResourceAnalyzer(nil, time.Minute, &record.FakeRecorder{})
 
-	server1 := NewServer(host, resourceAnalyzer, nil, nil)
-	server2 := NewServer(host, resourceAnalyzer, nil, nil)
+	server1 := NewServer(host, resourceAnalyzer, []healthz.HealthChecker{}, nil, nil)
+	server2 := NewServer(host, resourceAnalyzer, []healthz.HealthChecker{}, nil, nil)
 
 	// Check if both servers registered the /metrics/slis endpoint
 	assert.Contains(t, server1.restfulCont.RegisteredHandlePaths(), "/metrics/slis", "First server should register /metrics/slis")
diff --git a/pkg/kubelet/watchdog/watchdog_linux.go b/pkg/kubelet/watchdog/watchdog_linux.go
index 6a8342658c2..e30275aaacd 100644
--- a/pkg/kubelet/watchdog/watchdog_linux.go
+++ b/pkg/kubelet/watchdog/watchdog_linux.go
@@ -59,6 +59,12 @@ func WithWatchdogClient(watchdog WatchdogClient) Option {
 	}
 }
 
+func WithExtendedCheckers(checkers []healthz.HealthChecker) Option {
+	return func(hc *healthChecker) {
+		hc.checkers = append(hc.checkers, checkers...)
+	}
+}
+
 type healthChecker struct {
 	checkers     []healthz.HealthChecker
 	retryBackoff wait.Backoff
@@ -109,7 +115,7 @@ func NewHealthChecker(syncLoop syncLoopHealthChecker, opts ...Option) (HealthChe
 		Jitter:   0.1,
 		Steps:    2,
 	}
-	hc.checkers = checkers
+	hc.checkers = append(hc.checkers, checkers...)
 	hc.retryBackoff = retryBackoff
 	hc.interval = watchdogVal / 2
 
diff --git a/pkg/kubelet/watchdog/watchdog_unsupported.go b/pkg/kubelet/watchdog/watchdog_unsupported.go
index dae45894a16..b536af21f2d 100644
--- a/pkg/kubelet/watchdog/watchdog_unsupported.go
+++ b/pkg/kubelet/watchdog/watchdog_unsupported.go
@@ -19,12 +19,20 @@ limitations under the License.
 
 package watchdog
 
+import "k8s.io/apiserver/pkg/server/healthz"
+
 type healthCheckerUnsupported struct{}
 
 var _ HealthChecker = &healthCheckerUnsupported{}
 
+type Option func(*healthCheckerUnsupported)
+
+func WithExtendedCheckers(checkers []healthz.HealthChecker) Option {
+	return nil
+}
+
 // NewHealthChecker creates a fake one here
-func NewHealthChecker(_ syncLoopHealthChecker) (HealthChecker, error) {
+func NewHealthChecker(_ syncLoopHealthChecker, _ ...Option) (HealthChecker, error) {
 	return &healthCheckerUnsupported{}, nil
 }