The standard fatigue estimation procedure is implemented in Model Predictive Control via externalization of the Rainflow algorithm from the optimization problem. Additionally, stress history is considered in a consistent manner by employing a so-called stress residue. The formulation is implemented in the state-of-the-art MPC framework acados and tested in closed-loop with the 5MW onshore turbine in OpenFAST. Simulation results indicate that the new formulation outperforms conventional PID- and MPC-controllers over the entire wind regime, and that the consideration of stress history is highly beneficial.