diff --git a/app/models/pager_tree/integrations/echoes_hq/v3.rb b/app/models/pager_tree/integrations/echoes_hq/v3.rb
new file mode 100644
index 0000000..2592d9f
--- /dev/null
+++ b/app/models/pager_tree/integrations/echoes_hq/v3.rb
@@ -0,0 +1,150 @@
+module PagerTree::Integrations
+  class EchoesHq::V3 < Integration
+    OPTIONS = [
+      {key: :api_key, type: :string, default: nil}
+    ]
+    store_accessor :options, *OPTIONS.map { |x| x[:key] }.map(&:to_s), prefix: "option"
+
+    validates :option_api_key, presence: true
+
+    after_initialize do
+      self.option_api_key ||= nil
+    end
+
+    def adapter_supports_incoming?
+      false
+    end
+
+    def adapter_supports_outgoing?
+      true
+    end
+
+    def adapter_show_outgoing_webhook_delivery?
+      false
+    end
+
+    def adapter_supports_title_template?
+      false
+    end
+
+    def adapter_supports_description_template?
+      false
+    end
+
+    def adapter_supports_auto_aggregate?
+      false
+    end
+
+    def adapter_supports_auto_resolve?
+      false
+    end
+
+    def adapter_outgoing_interest?(event_name)
+      ["alert_open", "alert_acknowledged", "alert_resolved"].include?(event_name.to_s)
+    end
+
+    def adapter_process_outgoing
+      @pager_tree_alert = adapter_outgoing_event.alert
+
+      create_or_update_echoes_hq_incident
+    end
+
+    private
+
+    def echoes_hq_incident_id
+      "PAGERTREE_#{@pager_tree_alert.tiny_id}"
+    end
+
+    def echoes_hq_status
+      case @pager_tree_alert.status.to_s
+      when "acknowledged" then "acknowledged"
+      when "resolved" then "resolved"
+      else
+        "triggered"
+      end
+    end
+
+    def echoes_hq_headers
+      {
+        Accept: "application/json",
+        "Content-Type": "application/json",
+        Authorization: "Bearer #{option_api_key}"
+      }
+    end
+
+    def get_echoes_hq_incident
+      result = nil
+      response = nil
+      url = "https://api.echoeshq.com/v1/signals/incidents/#{echoes_hq_incident_id}"
+      response = HTTParty.get(url, headers: echoes_hq_headers, timeout: 3)
+      result = response.code == 200 ? response.parsed_response : nil
+    rescue
+      result = nil
+    ensure
+      logs.create(level: :info, format: :json, message: {
+        message: "GET EchoesHQ Incident for PagerTree alert ##{@pager_tree_alert.tiny_id}",
+        url: url,
+        response: response
+      })
+
+      result
+    end
+
+    def create_echoes_hq_incident
+      result = nil
+      response = nil
+      url = "https://api.echoeshq.com/v1/signals/incidents"
+      body = {
+        id: echoes_hq_incident_id,
+        title: @pager_tree_alert.title,
+        service: {
+          name: @pager_tree_alert.source&.name || name
+        },
+        started_at: @pager_tree_alert.created_at.iso8601
+      }
+
+      response = HTTParty.post(url, body: body.to_json, headers: echoes_hq_headers, timeout: 3)
+      result = response.code == 200 ? response.parsed_response : nil
+    rescue
+      result = nil
+    ensure
+      logs.create(level: :info, format: :json, message: {
+        message: "CREATE EchoesHQ Incident for PagerTree alert ##{@pager_tree_alert.tiny_id}",
+        url: url,
+        body: body,
+        reponse: response
+      })
+
+      result
+    end
+
+    def update_echoes_hq_incident
+      result = nil
+      response = nil
+      url = "https://api.echoeshq.com/v1/signals/incidents/#{echoes_hq_incident_id}"
+      body = {
+        title: @pager_tree_alert.title,
+        status: echoes_hq_status,
+        resolved_at: @pager_tree_alert.resolved_at&.iso8601
+      }
+      response = HTTParty.put(url, body: body.to_json, headers: echoes_hq_headers, timeout: 3)
+      result = response.code == 200 ? response.parsed_response : nil
+    rescue
+      result = nil
+    ensure
+      logs.create(level: :info, format: :json, message: {
+        message: "UPDATE EchoesHQ Incident for PagerTree alert ##{@pager_tree_alert.tiny_id}",
+        url: url,
+        body: body,
+        response: response
+      })
+
+      result
+    end
+
+    def create_or_update_echoes_hq_incident
+      create_echoes_hq_incident unless get_echoes_hq_incident.present?
+      update_echoes_hq_incident
+    end
+  end
+end
diff --git a/app/views/pager_tree/integrations/echoes_hq/v3/_form_options.html.erb b/app/views/pager_tree/integrations/echoes_hq/v3/_form_options.html.erb
new file mode 100644
index 0000000..541af9f
--- /dev/null
+++ b/app/views/pager_tree/integrations/echoes_hq/v3/_form_options.html.erb
@@ -0,0 +1,10 @@
+<div class="grid grid-cols-1 md:grid-cols-3 gap-4">
+  <div class="form-group group" data-controller="password-visibility">
+    <%= form.label :option_api_key %>
+    <%= form.password_field :option_api_key, value: form.object.option_api_key, class: "form-control", data: { password_visibility_target: "input"} %>
+    <div class="flex justify-between">
+      <p class="form-hint"><%== t(".option_api_key_hint_html") %></p>
+      <%= render partial: "shared/password_visibility_button" %>
+    </div>
+  </div>
+</div>
\ No newline at end of file
diff --git a/app/views/pager_tree/integrations/echoes_hq/v3/_show_options.html.erb b/app/views/pager_tree/integrations/echoes_hq/v3/_show_options.html.erb
new file mode 100644
index 0000000..9047ca7
--- /dev/null
+++ b/app/views/pager_tree/integrations/echoes_hq/v3/_show_options.html.erb
@@ -0,0 +1,12 @@
+<div class="sm:col-span-2">
+  <dt class="text-sm font-medium text-gray-500">
+    <%= t("activerecord.attributes.pager_tree/integrations/echoes_hq/v3.option_api_key") %>
+  </dt>
+  <dd class="mt-1 text-sm text-gray-900">
+    <div class="flex items-center gap-2">
+      <p class="text-sm truncate">
+        <%= mask integration.option_api_key %>
+      </p>
+    </div>
+  </dd>
+</div>
diff --git a/config/locales/en.yml b/config/locales/en.yml
index 804118a..7561aef 100644
--- a/config/locales/en.yml
+++ b/config/locales/en.yml
@@ -40,6 +40,10 @@ en:
         v3:
           form_options:
             option_support_retriggered_event_hint_html: "Create a new alert when the 'Re-Triggered' event is sent by Datadog"
+      echoes_hq:
+        v3:
+          form_options:
+            option_api_key_hint_html: "EchoesHQ <a href='https://docs.echoeshq.com/api-authentication#ZB9nc' target='_blank'>API Key</a>"
       email:
         v3:
           form_options:
@@ -171,6 +175,8 @@ en:
         option_webhook_secret: "Webhook Secret"
       "pager_tree/integrations/datadog/v3":
         option_support_retriggered_event: "Retriggered Event"
+      "pager_tree/integrations/echoes_hq/v3":
+        option_api_key: "Echoes HQ API Key"
       "pager_tree/integrations/email/v3":
         option_allow_spam: "Allow Spam"
         option_dedup_threads: "Dedup Threads"
diff --git a/test/fixtures/pager_tree/integrations/integrations.yml b/test/fixtures/pager_tree/integrations/integrations.yml
index cb73ce1..c5473e2 100644
--- a/test/fixtures/pager_tree/integrations/integrations.yml
+++ b/test/fixtures/pager_tree/integrations/integrations.yml
@@ -37,6 +37,11 @@ dead_mans_snitch_v3:
   type: "PagerTree::Integrations::DeadMansSnitch::V3"
   # options: no_options
 
+echoes_hq_v3:
+  type: "PagerTree::Integrations::EchoesHq::V3"
+  options:
+    api_key: "abc123"
+
 elast_alert_v3:
   type: "PagerTree::Integrations::ElastAlert::V3"
   # options: no_options
diff --git a/test/models/pager_tree/integrations/echoes_hq/v3_test.rb b/test/models/pager_tree/integrations/echoes_hq/v3_test.rb
new file mode 100644
index 0000000..d5d22d7
--- /dev/null
+++ b/test/models/pager_tree/integrations/echoes_hq/v3_test.rb
@@ -0,0 +1,69 @@
+require "test_helper"
+
+module PagerTree::Integrations
+  class EchoesHq::V3Test < ActiveSupport::TestCase
+    include Integrateable
+
+    setup do
+      @integration = pager_tree_integrations_integrations(:echoes_hq_v3)
+
+      @alert = JSON.parse({
+        id: "01G9ZET2HZSTA9B0YDAB9G7XPZ",
+        account_id: "01G9ZDGQ0NYAF6E1M3C6FAYDV5",
+        prefix_id: "alt_K22OuvPYNmCyvJ",
+        tiny_id: 22,
+        source: {
+          name: "Joe Bob"
+        },
+        title: "new alert",
+        status: "acknowledged",
+        urgency: "medium",
+        created_at: "2022-08-08T19:27:20.127Z",
+        updated_at: "2022-08-08T19:27:49.256Z",
+        incident: false,
+        incident_severity: "sev_1",
+        incident_message: "",
+        alert_destinations: [
+          {
+            destination: {
+              name: "Team Bobcats"
+            }
+          }
+        ]
+      }.to_json, object_class: OpenStruct)
+
+      @data = {
+        event_name: :alert_acknowledged,
+        alert: @alert,
+        changes: [{
+          before: {
+            status: "open"
+          },
+          after: {
+            foo: "ackowledged"
+          }
+        }],
+        outgoing_rules_data: {}
+      }
+
+      @alert.created_at = @alert.created_at.to_datetime
+      @alert.updated_at = @alert.updated_at.to_datetime
+    end
+
+    test "sanity" do
+      assert_not @integration.adapter_supports_incoming?
+      assert @integration.adapter_incoming_can_defer?
+      assert @integration.adapter_supports_outgoing?
+      assert_not @integration.adapter_show_alerts?
+      assert @integration.adapter_show_logs?
+      assert_not @integration.adapter_show_outgoing_webhook_delivery?
+    end
+
+    test "outgoing_interest" do
+      assert @integration.adapter_outgoing_interest?(:alert_open)
+      assert @integration.adapter_outgoing_interest?(:alert_acknowledged)
+      assert @integration.adapter_outgoing_interest?(:alert_resolved)
+      assert_not @integration.adapter_outgoing_interest?(:alert_dropped)
+    end
+  end
+end