diff --git a/src/cmap/connect.ts b/src/cmap/connect.ts
index 394b70689c..aa73e88e5f 100644
--- a/src/cmap/connect.ts
+++ b/src/cmap/connect.ts
@@ -289,6 +289,7 @@ export const LEGAL_TLS_SOCKET_OPTIONS = [
 export const LEGAL_TCP_SOCKET_OPTIONS = [
   'autoSelectFamily',
   'autoSelectFamilyAttemptTimeout',
+  'keepAliveInitialDelay',
   'family',
   'hints',
   'localAddress',
@@ -306,6 +307,9 @@ function parseConnectOptions(options: ConnectionOptions): SocketConnectOpts {
       (result as Document)[name] = options[name];
     }
   }
+  result.keepAliveInitialDelay ??= 120000;
+  result.keepAlive = true;
+  result.noDelay = options.noDelay ?? true;
 
   if (typeof hostAddress.socketPath === 'string') {
     result.path = hostAddress.socketPath;
@@ -347,7 +351,6 @@ function parseSslOptions(options: MakeConnectionOptions): TLSConnectionOpts {
 
 export async function makeSocket(options: MakeConnectionOptions): Promise<Stream> {
   const useTLS = options.tls ?? false;
-  const noDelay = options.noDelay ?? true;
   const connectTimeoutMS = options.connectTimeoutMS ?? 30000;
   const existingSocket = options.existingSocket;
 
@@ -376,9 +379,7 @@ export async function makeSocket(options: MakeConnectionOptions): Promise<Stream
     socket = net.createConnection(parseConnectOptions(options));
   }
 
-  socket.setKeepAlive(true, 300000);
   socket.setTimeout(connectTimeoutMS);
-  socket.setNoDelay(noDelay);
 
   let cancellationHandler: ((err: Error) => void) | null = null;
 
diff --git a/src/connection_string.ts b/src/connection_string.ts
index f1b23e5ac7..09e4e280a3 100644
--- a/src/connection_string.ts
+++ b/src/connection_string.ts
@@ -1273,6 +1273,7 @@ export const OPTIONS = {
   requestCert: { type: 'any' },
   rejectUnauthorized: { type: 'any' },
   checkServerIdentity: { type: 'any' },
+  keepAliveInitialDelay: { type: 'any' },
   ALPNProtocols: { type: 'any' },
   SNICallback: { type: 'any' },
   session: { type: 'any' },
diff --git a/src/mongo_client.ts b/src/mongo_client.ts
index 9fe8d6cd40..e77afc4026 100644
--- a/src/mongo_client.ts
+++ b/src/mongo_client.ts
@@ -115,7 +115,12 @@ export type SupportedTLSSocketOptions = Pick<
 
 /** @public */
 export type SupportedSocketOptions = Pick<
-  TcpNetConnectOpts & { autoSelectFamily?: boolean; autoSelectFamilyAttemptTimeout?: number },
+  TcpNetConnectOpts & {
+    autoSelectFamily?: boolean;
+    autoSelectFamilyAttemptTimeout?: number;
+    /** Node.JS socket option to set the time the first keepalive probe is sent on an idle socket. Defaults to 120000ms */
+    keepAliveInitialDelay?: number;
+  },
   (typeof LEGAL_TCP_SOCKET_OPTIONS)[number]
 >;
 
diff --git a/test/integration/node-specific/mongo_client.test.ts b/test/integration/node-specific/mongo_client.test.ts
index 4a97035d55..9a0cea014b 100644
--- a/test/integration/node-specific/mongo_client.test.ts
+++ b/test/integration/node-specific/mongo_client.test.ts
@@ -135,6 +135,206 @@ describe('class MongoClient', function () {
     expect(error).to.be.instanceOf(MongoServerSelectionError);
   });
 
+  describe('#connect', function () {
+    context('when keepAliveInitialDelay is provided', function () {
+      context('when the value is 0', function () {
+        const options = { keepAliveInitialDelay: 0 };
+        let client;
+        let spy;
+
+        beforeEach(async function () {
+          spy = sinon.spy(net, 'createConnection');
+          const uri = this.configuration.url();
+          client = new MongoClient(uri, options);
+          await client.connect();
+        });
+
+        afterEach(async function () {
+          await client?.close();
+          spy.restore();
+        });
+
+        it('passes through the option', {
+          metadata: { requires: { apiVersion: false } },
+          test: function () {
+            expect(spy).to.have.been.calledWith(
+              sinon.match({
+                keepAlive: true,
+                keepAliveInitialDelay: 0
+              })
+            );
+          }
+        });
+      });
+
+      context('when the value is positive', function () {
+        const options = { keepAliveInitialDelay: 100 };
+        let client;
+        let spy;
+
+        beforeEach(async function () {
+          spy = sinon.spy(net, 'createConnection');
+          const uri = this.configuration.url();
+          client = new MongoClient(uri, options);
+          await client.connect();
+        });
+
+        afterEach(async function () {
+          await client?.close();
+          spy.restore();
+        });
+
+        it('passes through the option', {
+          metadata: { requires: { apiVersion: false } },
+          test: function () {
+            expect(spy).to.have.been.calledWith(
+              sinon.match({
+                keepAlive: true,
+                keepAliveInitialDelay: 100
+              })
+            );
+          }
+        });
+      });
+
+      context('when the value is negative', function () {
+        const options = { keepAliveInitialDelay: -100 };
+        let client;
+        let spy;
+
+        beforeEach(async function () {
+          spy = sinon.spy(net, 'createConnection');
+          const uri = this.configuration.url();
+          client = new MongoClient(uri, options);
+          await client.connect();
+        });
+
+        afterEach(async function () {
+          await client?.close();
+          spy.restore();
+        });
+
+        it('the Node.js runtime sets the option to 0', {
+          metadata: { requires: { apiVersion: false } },
+          test: function () {
+            expect(spy).to.have.been.calledWith(
+              sinon.match({
+                keepAlive: true,
+                keepAliveInitialDelay: 0
+              })
+            );
+          }
+        });
+      });
+
+      context('when the value is mistyped', function () {
+        // Set server selection timeout to get the error quicker.
+        const options = { keepAliveInitialDelay: 'test', serverSelectionTimeoutMS: 1000 };
+        let client;
+        let spy;
+
+        beforeEach(async function () {
+          spy = sinon.spy(net, 'createConnection');
+          const uri = this.configuration.url();
+          client = new MongoClient(uri, options);
+        });
+
+        afterEach(async function () {
+          await client?.close();
+          spy.restore();
+        });
+
+        it('throws an error', {
+          metadata: { requires: { apiVersion: false } },
+          test: async function () {
+            const error = await client.connect().catch(error => error);
+            expect(error.message).to.include(
+              'property must be of type number. Received type string'
+            );
+          }
+        });
+      });
+    });
+
+    context('when keepAliveInitialDelay is not provided', function () {
+      let client;
+      let spy;
+
+      beforeEach(async function () {
+        spy = sinon.spy(net, 'createConnection');
+        client = this.configuration.newClient();
+        await client.connect();
+      });
+
+      afterEach(async function () {
+        await client?.close();
+        spy.restore();
+      });
+
+      it('sets keepalive to 120000', function () {
+        expect(spy).to.have.been.calledWith(
+          sinon.match({
+            keepAlive: true,
+            keepAliveInitialDelay: 120000
+          })
+        );
+      });
+    });
+
+    context('when noDelay is not provided', function () {
+      let client;
+      let spy;
+
+      beforeEach(async function () {
+        spy = sinon.spy(net, 'createConnection');
+        client = this.configuration.newClient();
+        await client.connect();
+      });
+
+      afterEach(async function () {
+        await client?.close();
+        spy.restore();
+      });
+
+      it('sets noDelay to true', function () {
+        expect(spy).to.have.been.calledWith(
+          sinon.match({
+            noDelay: true
+          })
+        );
+      });
+    });
+
+    context('when noDelay is provided', function () {
+      let client;
+      let spy;
+
+      beforeEach(async function () {
+        const options = { noDelay: false };
+        spy = sinon.spy(net, 'createConnection');
+        const uri = this.configuration.url();
+        client = new MongoClient(uri, options);
+        await client.connect();
+      });
+
+      afterEach(async function () {
+        await client?.close();
+        spy.restore();
+      });
+
+      it('sets noDelay', {
+        metadata: { requires: { apiVersion: false } },
+        test: function () {
+          expect(spy).to.have.been.calledWith(
+            sinon.match({
+              noDelay: false
+            })
+          );
+        }
+      });
+    });
+  });
+
   it('Should correctly pass through appname', {
     metadata: {
       requires: {
@@ -889,12 +1089,12 @@ describe('class MongoClient', function () {
         metadata: { requires: { topology: ['single'] } },
         test: async function () {
           await client.connect();
-          expect(netSpy).to.have.been.calledWith({
-            autoSelectFamily: false,
-            autoSelectFamilyAttemptTimeout: 100,
-            host: 'localhost',
-            port: 27017
-          });
+          expect(netSpy).to.have.been.calledWith(
+            sinon.match({
+              autoSelectFamily: false,
+              autoSelectFamilyAttemptTimeout: 100
+            })
+          );
         }
       });
     });
@@ -908,11 +1108,11 @@ describe('class MongoClient', function () {
         metadata: { requires: { topology: ['single'] } },
         test: async function () {
           await client.connect();
-          expect(netSpy).to.have.been.calledWith({
-            autoSelectFamily: true,
-            host: 'localhost',
-            port: 27017
-          });
+          expect(netSpy).to.have.been.calledWith(
+            sinon.match({
+              autoSelectFamily: true
+            })
+          );
         }
       });
     });
diff --git a/test/manual/tls_support.test.ts b/test/manual/tls_support.test.ts
index 5359708626..5448c0a02e 100644
--- a/test/manual/tls_support.test.ts
+++ b/test/manual/tls_support.test.ts
@@ -77,19 +77,17 @@ describe('TLS Support', function () {
 
         it('sets the default options', async function () {
           await client.connect();
-          expect(tlsSpy).to.have.been.calledWith({
-            autoSelectFamily: true,
-            host: 'localhost',
-            port: 27017,
-            servername: 'localhost',
-            ca: sinon.match.defined,
-            cert: sinon.match.defined,
-            key: sinon.match.defined
-          });
+          expect(tlsSpy).to.have.been.calledWith(
+            sinon.match({
+              ca: sinon.match.defined,
+              cert: sinon.match.defined,
+              key: sinon.match.defined
+            })
+          );
         });
       });
 
-      context('when auto family options are set', function () {
+      context('when auto select family options are set', function () {
         let tlsSpy;
 
         afterEach(function () {
@@ -107,16 +105,15 @@ describe('TLS Support', function () {
 
         it('sets the provided options', async function () {
           await client.connect();
-          expect(tlsSpy).to.have.been.calledWith({
-            autoSelectFamily: false,
-            autoSelectFamilyAttemptTimeout: 100,
-            host: 'localhost',
-            port: 27017,
-            servername: 'localhost',
-            ca: sinon.match.defined,
-            cert: sinon.match.defined,
-            key: sinon.match.defined
-          });
+          expect(tlsSpy).to.have.been.calledWith(
+            sinon.match({
+              autoSelectFamily: false,
+              autoSelectFamilyAttemptTimeout: 100,
+              ca: sinon.match.defined,
+              cert: sinon.match.defined,
+              key: sinon.match.defined
+            })
+          );
         });
       });