diff --git a/Modules/clinic/posixmodule.c.h b/Modules/clinic/posixmodule.c.h
index abeb9c3e3e12b1..e20946b5590a9c 100644
--- a/Modules/clinic/posixmodule.c.h
+++ b/Modules/clinic/posixmodule.c.h
@@ -8766,7 +8766,7 @@ os_splice(PyObject *module, PyObject *const *args, Py_ssize_t nargs, PyObject *k
 
 #endif /* ((defined(HAVE_SPLICE) && !defined(_AIX))) */
 
-#if defined(HAVE_MKFIFO)
+#if (defined(HAVE_MKFIFO) || defined(MS_WINDOWS))
 
 PyDoc_STRVAR(os_mkfifo__doc__,
 "mkfifo($module, /, path, mode=438, *, dir_fd=None)\n"
@@ -8857,7 +8857,7 @@ os_mkfifo(PyObject *module, PyObject *const *args, Py_ssize_t nargs, PyObject *k
     return return_value;
 }
 
-#endif /* defined(HAVE_MKFIFO) */
+#endif /* (defined(HAVE_MKFIFO) || defined(MS_WINDOWS)) */
 
 #if (defined(HAVE_MKNOD) && defined(HAVE_MAKEDEV))
 
@@ -13196,4 +13196,4 @@ os__emscripten_debugger(PyObject *module, PyObject *Py_UNUSED(ignored))
 #ifndef OS__EMSCRIPTEN_DEBUGGER_METHODDEF
     #define OS__EMSCRIPTEN_DEBUGGER_METHODDEF
 #endif /* !defined(OS__EMSCRIPTEN_DEBUGGER_METHODDEF) */
-/*[clinic end generated code: output=8318c26fc2cd236c input=a9049054013a1b77]*/
+/*[clinic end generated code: output=1df8579d03303ee6 input=a9049054013a1b77]*/
diff --git a/Modules/posixmodule.c b/Modules/posixmodule.c
index a35a848a7ca4b8..75864a04be544a 100644
--- a/Modules/posixmodule.c
+++ b/Modules/posixmodule.c
@@ -12523,7 +12523,7 @@ os_splice_impl(PyObject *module, int src, int dst, Py_ssize_t count,
 }
 #endif /* HAVE_SPLICE*/
 
-#ifdef HAVE_MKFIFO
+#if defined(HAVE_MKFIFO) || defined(MS_WINDOWS)
 /*[clinic input]
 os.mkfifo
 
@@ -12544,6 +12544,21 @@ static PyObject *
 os_mkfifo_impl(PyObject *module, path_t *path, int mode, int dir_fd)
 /*[clinic end generated code: output=ce41cfad0e68c940 input=73032e98a36e0e19]*/
 {
+#ifdef MS_WINDOWS
+    HANDLE h;
+    int fd;
+    Py_BEGIN_ALLOW_THREADS
+    h = CreateNamedPipeW(path->wide,
+        PIPE_ACCESS_DUPLEX | FILE_FLAG_FIRST_PIPE_INSTANCE,
+        PIPE_TYPE_BYTE | PIPE_READMODE_BYTE | PIPE_WAIT,
+        1, 1024, 1024, 0, NULL
+    );
+    Py_END_ALLOW_THREADS
+    if (INVALID_HANDLE_VALUE == h)
+        return win32_error_object("CreateNamedPipeW", path->object);
+    fd = _Py_open_osfhandle(h, _O_RDWR);
+    return PyLong_FromLong(fd);
+#else
     int result;
     int async_err = 0;
 #ifdef HAVE_MKFIFOAT
@@ -12578,7 +12593,8 @@ os_mkfifo_impl(PyObject *module, path_t *path, int mode, int dir_fd)
     if (result != 0)
         return (!async_err) ? posix_error() : NULL;
 
-    Py_RETURN_NONE;
+    return Py_NewRef(path->object);
+#endif
 }
 #endif /* HAVE_MKFIFO */