diff --git a/CHANGELOG.md b/CHANGELOG.md
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,5 +1,9 @@
 # Revision history for warp-systemd
 
+## 0.2.0.0 -- 2021-07-06
+
+ * Allow using healthchecks as conditional to trigger heartbeat
+
 ## 0.1.1.0 -- 2020-07-09
 
  * Update `network` package and use `withFdSocket` ([network#399](https://github.com/haskell/network/pull/399))
diff --git a/src/Network/Wai/Handler/Warp/Systemd.hs b/src/Network/Wai/Handler/Warp/Systemd.hs
--- a/src/Network/Wai/Handler/Warp/Systemd.hs
+++ b/src/Network/Wai/Handler/Warp/Systemd.hs
@@ -19,6 +19,9 @@
   , heartbeatInterval
   , setHeartbeatInterval
 
+  , heartbeatCheck
+  , setHeartbeatCheck
+
   , onBeginShutdown
   , setOnBeginShutdown
 
@@ -57,6 +60,7 @@
   , _logWarn :: String -> IO ()
   , _requireSocketActivation :: Bool
   , _heartbeatInterval :: Maybe Int
+  , _heartbeatCheck :: IO ()
   , _dontOverrideInstallShutdownHandler :: Bool
   , _onBeginShutdown :: IO ()
   }
@@ -68,6 +72,7 @@
   , _logWarn = SIO.hPutStrLn SIO.stderr . ("WARNING: " ++)
   , _requireSocketActivation = False
   , _heartbeatInterval = Nothing
+  , _heartbeatCheck = return ()
   , _dontOverrideInstallShutdownHandler = False
   , _onBeginShutdown = return ()
   }
@@ -98,6 +103,13 @@
 heartbeatInterval :: Lens' SystemdSettings (Maybe Int)
 heartbeatInterval = lens _heartbeatInterval setHeartbeatInterval
 
+-- | Run an action before emitting a hearbeat and if it throws an exception, print a warning
+--   and skip systemd notification.
+--
+-- Default: @return ()@
+heartbeatCheck :: Lens' SystemdSettings (IO ())
+heartbeatCheck = lens _heartbeatCheck setHeartbeatCheck
+
 -- | If @True@, do not override 'Warp.Settings'' with
 -- 'setInstallShutdownHandler'. This lets you provide your own
 -- shutdown handler functionality. Enabling this setting will
@@ -138,6 +150,10 @@
 setHeartbeatInterval :: Maybe Int -> SystemdSettings -> SystemdSettings
 setHeartbeatInterval x s = s { _heartbeatInterval = x }
 
+-- | See 'heartbeatCheck'
+setHeartbeatCheck :: IO () -> SystemdSettings -> SystemdSettings
+setHeartbeatCheck action s = s { _heartbeatCheck = action }
+
 -- | See 'dontOverrideInstallShutdownHandler'
 setDontOverrideInstallShutdownHandler :: Bool -> SystemdSettings -> SystemdSettings
 setDontOverrideInstallShutdownHandler x s = s { _dontOverrideInstallShutdownHandler = x }
@@ -164,7 +180,7 @@
 runSystemdWarp saSettings settings app = do
 
   forM_ (_heartbeatInterval saSettings) $ \interval -> do
-    forkIO (heartbeat (_logWarn saSettings) interval)
+    forkIO (heartbeat (_logWarn saSettings) (_heartbeatCheck saSettings) interval)
   
   socketActivationSockets <- Systemd.getActivatedSockets
 
@@ -225,18 +241,25 @@
     Nothing ->
       runSettings settings' app
 
-heartbeat :: (String -> IO ()) -> Int -> IO ()
-heartbeat flogWarn delaySeconds = loop where
+heartbeat :: (String -> IO ()) -> IO () -> Int -> IO ()
+heartbeat flogWarn action delaySeconds = loop where
   loop = do
     let delayMicroSeconds = delaySeconds * 1000 * 1000
-    r <- Systemd.notifyWatchdog
-    case r of
-      Nothing -> do
-        flogWarn "Systemd heartbeat notification does not seem to arrive. Stopping heartbeat notifications."
-        return ()
-      Just _ -> do
+    eitherCheck <- try action
+    case eitherCheck of
+      Left exc -> do
+        flogWarn $ "Systemd heartbeat check failed: " <> displayException (exc :: SomeException)
         threadDelay delayMicroSeconds
         loop
+      Right () -> do
+        r <- Systemd.notifyWatchdog
+        case r of
+          Nothing -> do
+            flogWarn "Systemd heartbeat notification does not seem to arrive. Stopping heartbeat notifications."
+            return ()
+          Just _ -> do
+            threadDelay delayMicroSeconds
+            loop
 
 ---------------- Minimal dependency-free lens ----------------
 
diff --git a/warp-systemd.cabal b/warp-systemd.cabal
--- a/warp-systemd.cabal
+++ b/warp-systemd.cabal
@@ -1,5 +1,5 @@
 name:                warp-systemd
-version: 0.1.1.0
+version: 0.2.0.0
 synopsis:            Socket activation and other systemd integration for the Warp web server (WAI)
 homepage:            https://github.com/hercules-ci/warp-systemd
 license:             BSD3
@@ -14,7 +14,7 @@
 
 library
   exposed-modules:     Network.Wai.Handler.Warp.Systemd
-  build-depends:       base >=4.9 && < 4.14
+  build-depends:       base >=4.9 && < 4.15
                      , network >= 3.1 && < 3.2
                      , systemd == 2.*
                      , unix