diff --git a/modules/equativBidAdapter.js b/modules/equativBidAdapter.js
index 0f6648fc509..fff0e4c2ed8 100644
--- a/modules/equativBidAdapter.js
+++ b/modules/equativBidAdapter.js
@@ -3,6 +3,7 @@ import { tryAppendQueryString } from '../libraries/urlUtils/urlUtils.js';
 import { registerBidder } from '../src/adapters/bidderFactory.js';
 import { config } from '../src/config.js';
 import { BANNER, NATIVE, VIDEO } from '../src/mediaTypes.js';
+import { Renderer } from '../src/Renderer.js';
 import { getStorageManager } from '../src/storageManager.js';
 import { deepAccess, deepSetValue, logError, logWarn, mergeDeep } from '../src/utils.js';
 
@@ -16,6 +17,7 @@ const COOKIE_SYNC_ORIGIN = 'https://apps.smartadserver.com';
 const COOKIE_SYNC_URL = `${COOKIE_SYNC_ORIGIN}/diff/templates/asset/csync.html`;
 const DEFAULT_TTL = 300;
 const LOG_PREFIX = 'Equativ:';
+const OUTSTREAM_RENDERER_URL = 'https://apps.sascdn.com/diff/video-outstream/equativ-video-outstream.js';
 const PID_STORAGE_NAME = 'eqt_pid';
 
 let feedbackArray = [];
@@ -244,6 +246,32 @@ export const converter = ortbConverter({
     ttl: DEFAULT_TTL
   },
 
+  bidResponse(buildBidResponse, bid, context) {
+    const { bidRequest } = context;
+    const bidResponse = buildBidResponse(bid, context);
+
+    if (bidResponse.mediaType === VIDEO && bidRequest.mediaTypes.video.context === 'outstream') {
+      const renderer = Renderer.install({
+        adUnitCode: bidRequest.adUnitCode,
+        id: bidRequest.bidId,
+        url: OUTSTREAM_RENDERER_URL,
+      });
+
+      renderer.setRender((bid) => {
+        bid.renderer.push(() => {
+          window.EquativVideoOutstream.renderAd({
+            slotId: bid.adUnitCode,
+            vast: bid.vastUrl || bid.vastXml
+          });
+        });
+      });
+
+      bidResponse.renderer = renderer;
+    }
+
+    return bidResponse;
+  },
+
   imp(buildImp, bidRequest, context) {
     const imp = buildImp(bidRequest, context);
     const { siteId, pageId, formatId } = bidRequest.params;
diff --git a/test/spec/modules/equativBidAdapter_spec.js b/test/spec/modules/equativBidAdapter_spec.js
index 32f5c05077f..0e1cfd77360 100644
--- a/test/spec/modules/equativBidAdapter_spec.js
+++ b/test/spec/modules/equativBidAdapter_spec.js
@@ -1,4 +1,5 @@
 import { converter, getImpIdMap, spec, storage } from 'modules/equativBidAdapter.js';
+import { Renderer } from 'src/Renderer.js';
 import * as utils from '../../../src/utils.js';
 
 describe('Equativ bid adapter tests', () => {
@@ -109,6 +110,7 @@ describe('Equativ bid adapter tests', () => {
     privacy: 1,
     ver: '1.2',
   };
+
   const DEFAULT_NATIVE_BID_REQUESTS = [
     {
       adUnitCode: 'equativ_native_42',
@@ -1043,6 +1045,105 @@ describe('Equativ bid adapter tests', () => {
 
       expect(result.bids[0]).to.have.property('ttl').that.eq(120);
     });
+
+    describe('outstream', () => {
+      const bidId = 'abcd1234';
+
+      const bidRequests = [{
+        bidId,
+        mediaTypes: {
+          banner: {
+            sizes: [[300, 250]]
+          },
+          video: {
+            context: 'outstream'
+          }
+        },
+        params: {
+          networkId: 111
+        }
+      }];
+
+      it('should add renderer', () => {
+        const request = spec.buildRequests(
+          bidRequests,
+          {
+            bidderCode: 'equativ',
+            bids: bidRequests
+          }
+        )[0];
+
+        const response = {
+          body: {
+            seatbid: [
+              {
+                bid: [{ mtype: 2 }]
+              }
+            ]
+          }
+        };
+
+        const impIdMap = getImpIdMap();
+        response.body.seatbid[0].bid[0].impid = Object.keys(impIdMap).find(key => impIdMap[key] === bidId);
+        const bid = spec.interpretResponse(response, request).bids[0];
+
+        expect(bid).to.have.property('renderer');
+        expect(bid.renderer).to.be.instanceof(Renderer);
+        expect(bid.renderer.url).eq('https://apps.sascdn.com/diff/video-outstream/equativ-video-outstream.js');
+      });
+
+      it('should initialize and set renderer', () => {
+        const fakeRenderer = {
+          push: (cb) => cb(),
+          setRender: sinon.stub()
+        };
+
+        const installStub = sandBox.stub(Renderer, 'install').returns(fakeRenderer);
+        const renderAdStub = sandBox.stub();
+
+        window.EquativVideoOutstream = { renderAd: renderAdStub };
+
+        const request = spec.buildRequests(
+          bidRequests,
+          {
+            bidderCode: 'equativ',
+            bids: bidRequests
+          }
+        )[0];
+
+        expect(installStub.notCalled).to.be.true;
+        expect(fakeRenderer.setRender.notCalled).to.be.true;
+
+        const response = {
+          body: {
+            seatbid: [
+              {
+                bid: [{
+                  mtype: 2,
+                  renderer: fakeRenderer
+                }]
+              }
+            ]
+          }
+        };
+
+        const impIdMap = getImpIdMap();
+        response.body.seatbid[0].bid[0].impid = Object.keys(impIdMap).find(key => impIdMap[key] === bidId);
+
+        const bid = spec.interpretResponse(response, request).bids[0];
+
+        expect(installStub.calledOnce).to.be.true;
+        expect(fakeRenderer.setRender.calledOnce).to.be.true;
+
+        const renderFn = fakeRenderer.setRender.firstCall.args[0];
+
+        renderFn(bid);
+
+        expect(renderAdStub.calledOnce).to.be.true;
+        expect(renderAdStub.firstCall.args[0]).to.have.property('slotId');
+        expect(renderAdStub.firstCall.args[0]).to.have.property('vast');
+      });
+    });
   });
 
   describe('isBidRequestValid', () => {