diff --git a/CHANGELOG.md b/CHANGELOG.md
index 106cba91b3a..eefcca6ec79 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -34,6 +34,9 @@ release.
 
 ## v1.17.0 (2023-01-17)
 
+- Add Cloud Spanner and Microsoft SQL Server Compact to db.system semantic conventions.
+  [#3105](https://github.com/open-telemetry/opentelemetry-specification/pull/3105)
+
 ### Context
 
 - No changes.
diff --git a/semantic_conventions/trace/database.yaml b/semantic_conventions/trace/database.yaml
index 2e70d7da859..d0abc8048d8 100644
--- a/semantic_conventions/trace/database.yaml
+++ b/semantic_conventions/trace/database.yaml
@@ -19,6 +19,9 @@ groups:
             - id: mssql
               value: 'mssql'
               brief: 'Microsoft SQL Server'
+            - id: mssqlcompact
+              value: 'mssqlcompact'
+              brief: 'Microsoft SQL Server Compact'
             - id: mysql
               value: 'mysql'
               brief: 'MySQL'
@@ -160,6 +163,9 @@ groups:
             - id: clickhouse
               value: 'clickhouse'
               brief: 'ClickHouse'
+            - id: spanner
+              value: 'spanner'
+              brief: 'Cloud Spanner'
       - id: connection_string
         tag: connection-level
         type: string
diff --git a/specification/trace/semantic_conventions/database.md b/specification/trace/semantic_conventions/database.md
index 7349bbf6dd5..1bb9a36028f 100644
--- a/specification/trace/semantic_conventions/database.md
+++ b/specification/trace/semantic_conventions/database.md
@@ -70,6 +70,7 @@ Some database systems may allow a connection to switch to a different `db.user`,
 |---|---|
 | `other_sql` | Some other SQL database. Fallback only. See notes. |
 | `mssql` | Microsoft SQL Server |
+| `mssqlcompact` | Microsoft SQL Server Compact |
 | `mysql` | MySQL |
 | `oracle` | Oracle Database |
 | `db2` | IBM Db2 |
@@ -117,6 +118,7 @@ Some database systems may allow a connection to switch to a different `db.user`,
 | `cockroachdb` | CockroachDB |
 | `opensearch` | OpenSearch |
 | `clickhouse` | ClickHouse |
+| `spanner` | Cloud Spanner |
 <!-- endsemconv -->
 
 ### Notes and well-known identifiers for `db.system`