diff --git a/src/index.js b/src/index.js
index 4916451..287e6b7 100644
--- a/src/index.js
+++ b/src/index.js
@@ -1,4 +1,4 @@
-import { h, cloneElement, render, hydrate } from 'preact';
+import { h, cloneElement, render, hydrate, Fragment } from 'preact';
 
 /**
  * @typedef {import('./index.d.ts').PreactCustomElement} PreactCustomElement
@@ -26,7 +26,9 @@ export default function register(Component, tagName, propNames, options) {
 	}
 	PreactElement.prototype = Object.create(HTMLElement.prototype);
 	PreactElement.prototype.constructor = PreactElement;
-	PreactElement.prototype.connectedCallback = connectedCallback;
+	PreactElement.prototype.connectedCallback = function () {
+		connectedCallback.call(this, options);
+	};
 	PreactElement.prototype.attributeChangedCallback = attributeChangedCallback;
 	PreactElement.prototype.disconnectedCallback = disconnectedCallback;
 
@@ -89,7 +91,7 @@ function ContextProvider(props) {
 /**
  * @this {PreactCustomElement}
  */
-function connectedCallback() {
+function connectedCallback(options) {
 	// Obtain a reference to the previous context by pinging the nearest
 	// higher up node that was rendered with Preact. If one Preact component
 	// higher up receives our ping, it will set the `detail` property of
@@ -106,7 +108,7 @@ function connectedCallback() {
 	this._vdom = h(
 		ContextProvider,
 		{ ...this._props, context },
-		toVdom(this, this._vdomComponent)
+		toVdom(this, this._vdomComponent, options)
 	);
 	(this.hasAttribute('hydrate') ? hydrate : render)(this._vdom, this._root);
 }
@@ -170,10 +172,11 @@ function Slot(props, context) {
 			}
 		}
 	};
-	return h('slot', { ...props, ref });
+	const { useFragment, ...rest } = props;
+	return h(useFragment ? Fragment : 'slot', { ...rest, ref });
 }
 
-function toVdom(element, nodeName) {
+function toVdom(element, nodeName, options) {
 	if (element.nodeType === 3) return element.data;
 	if (element.nodeType !== 1) return null;
 	let children = [],
@@ -189,7 +192,7 @@ function toVdom(element, nodeName) {
 	}
 
 	for (i = cn.length; i--; ) {
-		const vnode = toVdom(cn[i], null);
+		const vnode = toVdom(cn[i], null, options);
 		// Move slots correctly
 		const name = cn[i].slot;
 		if (name) {
@@ -199,7 +202,15 @@ function toVdom(element, nodeName) {
 		}
 	}
 
+	const shadow = !!(options && options.shadow);
+
 	// Only wrap the topmost node with a slot
-	const wrappedChildren = nodeName ? h(Slot, null, children) : children;
+	const wrappedChildren = nodeName
+		? h(Slot, { useFragment: !shadow }, children)
+		: children;
+
+	if (!shadow && nodeName) {
+		element.innerHTML = '';
+	}
 	return h(nodeName || element.nodeName.toLowerCase(), props, wrappedChildren);
 }
diff --git a/src/index.test.jsx b/src/index.test.jsx
index 9609a08..fbbe185 100644
--- a/src/index.test.jsx
+++ b/src/index.test.jsx
@@ -1,9 +1,21 @@
 import { assert } from '@open-wc/testing';
-import { h, createContext, Component } from 'preact';
+import { h, createContext, Component, Fragment } from 'preact';
 import { useContext } from 'preact/hooks';
 import { act } from 'preact/test-utils';
 import registerElement from './index';
 
+/** @param {string} name */
+function createTestElement(name) {
+	const el = document.createElement(name);
+	const child1 = document.createElement('p');
+	child1.textContent = 'Child 1';
+	const child2 = document.createElement('p');
+	child2.textContent = 'Child 2';
+	el.appendChild(child1);
+	el.appendChild(child2);
+	return el;
+}
+
 describe('web components', () => {
 	/** @type {HTMLDivElement} */
 	let root;
@@ -359,4 +371,54 @@ describe('web components', () => {
 		const style = getComputedStyle(child);
 		assert.equal(style.color, 'rgb(255, 0, 0)');
 	});
+
+	it('supports controlling light DOM children', async () => {
+		function LightDomChildren({ children }) {
+			return (
+				<Fragment>
+					<h1>Light DOM Children</h1>
+					<div>{children}</div>
+				</Fragment>
+			);
+		}
+
+		registerElement(LightDomChildren, 'light-dom-children', []);
+		registerElement(LightDomChildren, 'light-dom-children-shadow-false', [], {
+			shadow: false,
+		});
+
+		root.appendChild(createTestElement('light-dom-children'));
+		root.appendChild(createTestElement('light-dom-children-shadow-false'));
+
+		assert.equal(
+			document.querySelector('light-dom-children').innerHTML,
+			'<h1>Light DOM Children</h1><div><p>Child 1</p><p>Child 2</p></div>'
+		);
+		assert.equal(
+			document.querySelector('light-dom-children-shadow-false').innerHTML,
+			'<h1>Light DOM Children</h1><div><p>Child 1</p><p>Child 2</p></div>'
+		);
+	});
+
+	it('supports controlling shadow DOM children', () => {
+		function ShadowDomChildren({ children }) {
+			return (
+				<Fragment>
+					<h1>Light DOM Children</h1>
+					<div>{children}</div>
+				</Fragment>
+			);
+		}
+
+		registerElement(ShadowDomChildren, 'shadow-dom-children', [], {
+			shadow: true,
+		});
+
+		root.appendChild(createTestElement('shadow-dom-children'));
+
+		assert.equal(
+			document.querySelector('shadow-dom-children').shadowRoot.innerHTML,
+			'<h1>Light DOM Children</h1><div><slot><p>Child 1</p><p>Child 2</p></slot></div>'
+		);
+	});
 });