The paper describes the design and manufacturing process of a fiber optic microphone based on a macro cavity at the end face of an optical fiber. The study explores the step-by-step fabrication of a droplet-shaped macro cavity on the optical fiber’s end surface, derived from the formation of a quasi-periodic array of micro-cavities due to the fuse effect. Immersing the end face of an optical fiber with a macro cavity in liquid leads to the formation of a closed area of gas where interfacial surfaces act as Fabry–Perot mirrors. The study demonstrates that the macro cavity can act as a standard foundational element for diverse fiber optic sensors, using the droplet-shaped end-face cavity as a primary sensor element. An evaluation of the macro cavity interferometer’s sensitivity to length alterations is presented, highlighting its substantial promise for use in precise fiber optic measurements. However, potential limitations and further research directions include investigating the influence of external factors on microphone sensitivity and long-term stability. This approach not only significantly contributes to optical measurement techniques but also underscores the necessity for the continued exploration of the parameters influencing device performance.