diff --git a/README.md b/README.md
index 5c6c5af..f2e74d7 100644
--- a/README.md
+++ b/README.md
@@ -226,7 +226,9 @@ Here's what the full _default_ module configuration looks like:
     // Sessions aren't pinned to the user's IP address
     ipPinning: false,
     // Expiration of the sessions are not reset to the original expiryInSeconds on every request
-    rolling: false
+    rolling: false,
+    // Uninitialized, resp. unmodified sessions are saved to the store, so session cookies are set at the first response
+    saveUninitialized: true
   },
   api: {
     // The API is enabled
diff --git a/package-lock.json b/package-lock.json
index 504ac59..8e9bf87 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -13,6 +13,7 @@
         "argon2": "^0.30.2",
         "dayjs": "^1.11.6",
         "defu": "^6.1.0",
+        "fast-deep-equal": "^3.1.3",
         "h3": "^1.0.1",
         "unstorage": "^1.0.1"
       },
@@ -4461,8 +4462,7 @@
     "node_modules/fast-deep-equal": {
       "version": "3.1.3",
       "resolved": "https://registry.npmjs.org/fast-deep-equal/-/fast-deep-equal-3.1.3.tgz",
-      "integrity": "sha512-f3qQ9oQy9j2AhBe/H9VC91wLmKBCCU/gDOnKNAYG5hswO7BLKj09Hc5HYNz9cGI++xlpDCIgDaitVs03ATR84Q==",
-      "dev": true
+      "integrity": "sha512-f3qQ9oQy9j2AhBe/H9VC91wLmKBCCU/gDOnKNAYG5hswO7BLKj09Hc5HYNz9cGI++xlpDCIgDaitVs03ATR84Q=="
     },
     "node_modules/fast-glob": {
       "version": "3.2.12",
@@ -13218,8 +13218,7 @@
     "fast-deep-equal": {
       "version": "3.1.3",
       "resolved": "https://registry.npmjs.org/fast-deep-equal/-/fast-deep-equal-3.1.3.tgz",
-      "integrity": "sha512-f3qQ9oQy9j2AhBe/H9VC91wLmKBCCU/gDOnKNAYG5hswO7BLKj09Hc5HYNz9cGI++xlpDCIgDaitVs03ATR84Q==",
-      "dev": true
+      "integrity": "sha512-f3qQ9oQy9j2AhBe/H9VC91wLmKBCCU/gDOnKNAYG5hswO7BLKj09Hc5HYNz9cGI++xlpDCIgDaitVs03ATR84Q=="
     },
     "fast-glob": {
       "version": "3.2.12",
diff --git a/package.json b/package.json
index 88e65d1..e2333df 100644
--- a/package.json
+++ b/package.json
@@ -35,6 +35,7 @@
     "argon2": "^0.30.2",
     "dayjs": "^1.11.6",
     "defu": "^6.1.0",
+    "fast-deep-equal": "^3.1.3",
     "h3": "^1.0.1",
     "unstorage": "^1.0.1"
   },
diff --git a/src/module.ts b/src/module.ts
index d7d0c80..eedf5de 100644
--- a/src/module.ts
+++ b/src/module.ts
@@ -26,7 +26,8 @@ const defaults: FilledModuleOptions = {
     },
     domain: false,
     ipPinning: false as boolean|SessionIpPinningOptions,
-    rolling: false
+    rolling: false,
+    saveUninitialized: true
   },
   api: {
     isEnabled: true,
diff --git a/src/runtime/server/middleware/session/index.ts b/src/runtime/server/middleware/session/index.ts
index 6ee76e1..557debb 100644
--- a/src/runtime/server/middleware/session/index.ts
+++ b/src/runtime/server/middleware/session/index.ts
@@ -1,10 +1,12 @@
 import { deleteCookie, eventHandler, H3Event, parseCookies, setCookie } from 'h3'
 import { nanoid } from 'nanoid'
 import dayjs from 'dayjs'
-import { SameSiteOptions, Session, SessionOptions } from '../../../../types'
+import equal from 'fast-deep-equal'
+import { SameSiteOptions, Session, SessionOptions, SessionContent } from '../../../../types'
 import { dropStorageSession, getStorageSession, setStorageSession } from './storage'
 import { processSessionIp, getHashedIpAddress } from './ipPinning'
 import { SessionExpired } from './exceptions'
+import { resEndProxy } from './resEndProxy'
 import { useRuntimeConfig } from '#imports'
 
 const SESSION_COOKIE_NAME = 'sessionId'
@@ -65,7 +67,7 @@ export const deleteSession = async (event: H3Event) => {
   deleteCookie(event, SESSION_COOKIE_NAME)
 }
 
-const newSession = async (event: H3Event) => {
+const newSession = async (event: H3Event, sessionContent?: SessionContent) => {
   const runtimeConfig = useRuntimeConfig()
   const sessionOptions = runtimeConfig.session.session as SessionOptions
   const now = new Date()
@@ -80,11 +82,23 @@ const newSession = async (event: H3Event) => {
     createdAt: now,
     ip: sessionOptions.ipPinning ? await getHashedIpAddress(event) : undefined
   }
+  if (sessionContent) {
+    Object.assign(session, sessionContent)
+  }
   await setStorageSession(sessionId, session)
 
   return session
 }
 
+const newSessionIfModified = (event: H3Event, sessionContent: SessionContent) => {
+  const source = { ...sessionContent }
+  resEndProxy(event.res, async () => {
+    if (!equal(sessionContent, source)) {
+      await newSession(event, sessionContent)
+    }
+  })
+}
+
 const getSession = async (event: H3Event): Promise<null | Session> => {
   // 1. Does the sessionId cookie exist on the request?
   const existingSessionId = getCurrentSessionId(event)
@@ -136,7 +150,15 @@ const ensureSession = async (event: H3Event) => {
 
   let session = await getSession(event)
   if (!session) {
-    session = await newSession(event)
+    if (sessionOptions.saveUninitialized) {
+      session = await newSession(event)
+    } else {
+      // 1. Create an empty session object in the event context
+      event.context.session = {}
+      // 2. Create a new session if the object has been modified by any event handler
+      newSessionIfModified(event, event.context.session)
+      return null
+    }
   } else if (sessionOptions.rolling) {
     session = updateSessionExpirationDate(session, event)
   }
diff --git a/src/runtime/server/middleware/session/resEndProxy.ts b/src/runtime/server/middleware/session/resEndProxy.ts
new file mode 100644
index 0000000..e930f92
--- /dev/null
+++ b/src/runtime/server/middleware/session/resEndProxy.ts
@@ -0,0 +1,14 @@
+import type { ServerResponse } from 'node:http'
+
+type MiddleWare = () => Promise<void>
+
+// Proxy res.end() to get a callback at the end of all event handlers
+export const resEndProxy = (res: ServerResponse, middleWare: MiddleWare) => {
+  const _end = res.end
+
+  // @ts-ignore Replacing res.end() will lead to type checking error
+  res.end = async (chunk: any, encoding: BufferEncoding) => {
+    await middleWare()
+    return _end.call(res, chunk, encoding) as ServerResponse
+  }
+}
diff --git a/src/types.ts b/src/types.ts
index af9b8ce..0756310 100644
--- a/src/types.ts
+++ b/src/types.ts
@@ -104,7 +104,15 @@ export interface SessionOptions {
    * @example true
    * @type boolean
    */
-  rolling: boolean
+  rolling: boolean,
+  /**
+   * Forces a session that is "uninitialized" to be saved to the store. A session is uninitialized when it is new but not modified.
+   * Choosing false is useful for implementing login sessions, reducing server storage usage, or complying with laws that require permission before setting a cookie.
+   * @default true
+   * @example false
+   * @type boolean
+   */
+  saveUninitialized: boolean
 }
 
 export interface ApiOptions {
@@ -189,3 +197,7 @@ export declare interface Session {
 
   [key: string]: any;
 }
+
+export declare interface SessionContent {
+  [key: string]: any;
+}