diff --git a/src/hotkey.ts b/src/hotkey.ts
index f48f448..566041f 100644
--- a/src/hotkey.ts
+++ b/src/hotkey.ts
@@ -44,6 +44,16 @@ interface Hotkey {
     metaKey: boolean;
 }
 
+/**
+ * Extended options for hotkey event listeners.
+ */
+export interface HotkeyEventListenerOptions extends AddEventListenerOptions {
+    /**
+     * If specified, ensures that only trusted events are handled.
+     */
+    trusted?: boolean;
+}
+
 /**
  * Registers a hotkey on the specified target element.
  *
@@ -51,7 +61,7 @@ interface Hotkey {
  * @param {string} hotkey - The combination of keys for the hotkey, e.g., "Ctrl+Alt+Delete".
  * @param {(e: KeyboardEvent) => void} handler - The function to be called when the hotkey is triggered.
  * @param {string} [eventName="keydown"] - The name of the event to listen for (default is "keydown").
- * @param {AddEventListenerOptions | boolean | undefined} [options] - Additional options for the event listener.
+ * @param {HotkeyEventListenerOptions | boolean | undefined} [options] - Additional options for the event listener.
  *
  * @returns {() => void} - A function to unregister the hotkey.
  */
@@ -60,7 +70,7 @@ export function registerHotkey(
     hotkey: string,
     handler: (e: KeyboardEvent) => void,
     eventName: string = "keydown",
-    options?: AddEventListenerOptions | boolean | undefined): () => void {
+    options?: HotkeyEventListenerOptions | boolean | undefined): () => void {
 
     const info = describe(hotkey);
 
@@ -69,10 +79,12 @@ export function registerHotkey(
     }
 
     return listen(target, eventName, function (this: EventTarget, e: KeyboardEvent) {
-        if (!(e.target as HTMLElement)?.closest("[data-hotkey-ignore]")) {
-            if (info.code === e.code.toUpperCase()) {
-                if (control_keys.every(n => info[n as keyof Hotkey] === e[n as keyof KeyboardEvent])) {
-                    handler.call(this, e);
+        if (!(options as HotkeyEventListenerOptions)?.trusted || e.isTrusted) {
+            if (!(e.target as HTMLElement)?.closest("[data-hotkey-ignore]")) {
+                if (info.code === e.code.toUpperCase()) {
+                    if (control_keys.every(n => info[n as keyof Hotkey] === e[n as keyof KeyboardEvent])) {
+                        handler.call(this, e);
+                    }
                 }
             }
         }
diff --git a/tests/hotkey.spec.js b/tests/hotkey.spec.js
index 6fba396..fcf605b 100644
--- a/tests/hotkey.spec.js
+++ b/tests/hotkey.spec.js
@@ -249,3 +249,93 @@ test("should thrown when target selector is invalid", async ({ page }) => {
         });
     })).rejects.toThrow("No element found for selector '#unknown'");
 });
+
+test("should only trigger on trusted events when 'trusted' option is set to true", async ({ page }) => {
+    await page.evaluate(() => {
+        const el = document.getElementById("text");
+
+        window.registerHotkey(el, "Ctrl + K", () => {
+            window.hotkeyTriggered = true;
+        }, "keydown", { trusted: true });
+    });
+
+    await page.locator("#text").focus();
+
+    await page.keyboard.down("Control");
+    await page.keyboard.press("K");
+
+    const triggered = await page.evaluate(() => window.hotkeyTriggered);
+    expect(triggered).toBe(true);
+});
+
+test("should trigger on untrusted events when 'trusted' option is not set", async ({ page }) => {
+    await page.evaluate(() => {
+        const el = document.getElementById("text");
+
+        window.registerHotkey(el, "Ctrl + K", () => {
+            window.hotkeyTriggered = true;
+        });
+
+        const event = new KeyboardEvent("keydown", {
+            key: "k",
+            code: "KeyK",
+            ctrlKey: true,
+            bubbles: true
+        });
+
+        el.dispatchEvent(event);
+    });
+
+    await page.locator("#text").focus();
+
+    const triggered = await page.evaluate(() => window.hotkeyTriggered);
+    expect(triggered).toBe(true);
+});
+
+test("should trigger on untrusted events when 'trusted' option is false", async ({ page }) => {
+    await page.evaluate(() => {
+        const el = document.getElementById("text");
+
+        window.registerHotkey(el, "Ctrl + K", () => {
+            window.hotkeyTriggered = true;
+        }, "keydown", { trusted: false });
+
+        const event = new KeyboardEvent("keydown", {
+            key: "k",
+            code: "KeyK",
+            ctrlKey: true,
+            bubbles: true
+        });
+
+        el.dispatchEvent(event);
+    });
+
+    await page.locator("#text").focus();
+
+    const triggered = await page.evaluate(() => window.hotkeyTriggered);
+    expect(triggered).toBe(true);
+});
+
+test("should not trigger on untrusted events when 'trusted' option is true", async ({ page }) => {
+    await page.evaluate(() => {
+        const el = document.getElementById("text");
+
+        window.registerHotkey(el, "Ctrl + K", e => {
+            window.hotkeyTriggered = true;
+        }, "keydown", { trusted: true });
+
+        const event = new KeyboardEvent("keydown", {
+            key: "k",
+            code: "KeyK",
+            ctrlKey: true,
+            bubbles: true
+        });
+
+        el.dispatchEvent(event);
+    });
+
+    await page.locator("#text").focus();
+
+    const triggered = await page.evaluate(() => window.hotkeyTriggered);
+    expect(triggered).toBe(false);
+});