diff --git a/src/request.ts b/src/request.ts
index c1257a2..d4470f7 100644
--- a/src/request.ts
+++ b/src/request.ts
@@ -563,7 +563,8 @@ export class HttpRequest extends Macroable {
      * exists
      */
     if (trustProxy(this.request.socket.remoteAddress!, this.#config.trustProxy)) {
-      host = this.header('X-Forwarded-Host') || host
+      const forwardedHost = this.header('X-Forwarded-Host')
+      host = forwardedHost ? forwardedHost.split(/\s*,\s*/)[0] : host
     }
 
     if (!host) {
diff --git a/tests/request.spec.ts b/tests/request.spec.ts
index 95591fe..153cd9a 100644
--- a/tests/request.spec.ts
+++ b/tests/request.spec.ts
@@ -612,6 +612,39 @@ test.group('Request', () => {
     assert.equal(body.ip, '10.10.10.10')
   })
 
+  test('use the first forwarded host from a trusted proxy', async ({ assert }) => {
+    const { url } = await httpServer.create((req, res) => {
+      const request = new HttpRequestFactory()
+        .merge({
+          req,
+          res,
+          encryption,
+          config: {
+            trustProxy: proxyAddr.compile('loopback'),
+          },
+        })
+        .create()
+      res.writeHead(200, { 'content-type': 'application/json' })
+      res.end(
+        JSON.stringify({
+          host: request.host(),
+          hostname: request.hostname(),
+          url: request.completeUrl(),
+        })
+      )
+    })
+
+    const { body } = await supertest(url)
+      .get('/')
+      .set('x-forwarded-host', 'client.example.test, edge.example.test')
+
+    assert.deepEqual(body, {
+      host: 'client.example.test',
+      hostname: 'client.example.test',
+      url: 'http://client.example.test/',
+    })
+  })
+
   test('trust all proxies when trustProxy is true', async ({ assert }) => {
     const { url } = await httpServer.create((req, res) => {
       req.headers['x-forwarded-for'] = '10.10.10.10'