diff --git a/pkgs/by-name/ot/otb/package.nix b/pkgs/by-name/ot/otb/package.nix
index f1b433ee31b0..18daaa405904 100644
--- a/pkgs/by-name/ot/otb/package.nix
+++ b/pkgs/by-name/ot/otb/package.nix
@@ -98,6 +98,17 @@ let
     postPatch = ''
       substituteInPlace Modules/ThirdParty/KWSys/src/KWSys/CMakeLists.txt \
       --replace-fail 'cmake_minimum_required(VERSION 3.1 FATAL_ERROR)' 'cmake_minimum_required(VERSION 3.10)'
+      # fix build with GCC 15
+      substituteInPlace Modules/ThirdParty/GoogleTest/src/itkgoogletest/googletest/src/gtest-death-test.cc \
+        --replace-fail \
+          '#include <utility>' \
+          '#include <utility>
+          #include <cstdint>'
+      substituteInPlace Modules/Core/Common/include/itkFloatingPointExceptions.h \
+        --replace-fail \
+          '#include "itkSingletonMacro.h"' \
+          '#include "itkSingletonMacro.h"
+          #include <cstdint>'
     '';
 
     # fix the CMake config files for ITK which contains double slashes
diff --git a/pkgs/development/libraries/itk/generic.nix b/pkgs/development/libraries/itk/generic.nix
index c55c362c6d4f..44b971d50ad6 100644
--- a/pkgs/development/libraries/itk/generic.nix
+++ b/pkgs/development/libraries/itk/generic.nix
@@ -94,6 +94,18 @@ stdenv.mkDerivation {
     ln -sr ${itkAdaptiveDenoisingSrc} Modules/External/ITKAdaptiveDenoising
     ln -sr ${itkSimpleITKFiltersSrc} Modules/External/ITKSimpleITKFilters
     ln -sr ${rtkSrc} Modules/Remote/RTK
+
+    # fix build with GCC 15
+    substituteInPlace Modules/ThirdParty/GoogleTest/src/itkgoogletest/googletest/src/gtest-death-test.cc \
+      --replace-fail \
+        '#include <utility>' \
+        '#include <utility>
+        #include <cstdint>'
+    substituteInPlace Modules/Core/Common/include/itkFloatingPointExceptions.h \
+      --replace-fail \
+        '#include "itkSingletonMacro.h"' \
+        '#include "itkSingletonMacro.h"
+        #include <cstdint>'
   '';
 
   cmakeFlags = [