diff --git a/doc/api/fs.md b/doc/api/fs.md
index 350555f2f8ad99..956c28e8d2f85e 100644
--- a/doc/api/fs.md
+++ b/doc/api/fs.md
@@ -2849,6 +2849,9 @@ behavior is similar to `cp dir1/ dir2/`.
 <!-- YAML
 added: v0.1.31
 changes:
+  - version: REPLACEME
+    pr-url: https://github.com/nodejs/node/pull/63851
+    description: Add the `windowsHandle` option.
   - version: v16.10.0
     pr-url: https://github.com/nodejs/node/pull/40013
     description: The `fs` option does not need `open` method if an `fd` was provided.
@@ -2905,6 +2908,8 @@ changes:
   * `highWaterMark` {integer} **Default:** `64 * 1024`
   * `fs` {Object|null} **Default:** `null`
   * `signal` {AbortSignal|null} **Default:** `null`
+  * `windowsHandle` {bigint} A raw Win32 `HANDLE` value to read from, in place
+    of `fd`. Windows only. **Default:** `null`
 * Returns: {fs.ReadStream}
 
 `options` can include `start` and `end` values to read a range of bytes from
@@ -2925,6 +2930,12 @@ If `fd` points to a character device that only supports blocking reads
 available. This can prevent the process from exiting and the stream from
 closing naturally.
 
+On Windows, a value passed in `fd` is interpreted as a CRT file descriptor. To
+use a raw Win32 `HANDLE` instead, such as an inherited anonymous pipe handle
+obtained from another process, pass it as `windowsHandle`. The handle is wrapped
+in a file descriptor that the stream owns and closes. The `windowsHandle` option
+throws on non-Windows platforms and cannot be combined with the `fs` option.
+
 By default, the stream will emit a `'close'` event after it has been
 destroyed.  Set the `emitClose` option to `false` to change this behavior.
 
@@ -2975,6 +2986,9 @@ If `options` is a string, then it specifies the encoding.
 <!-- YAML
 added: v0.1.31
 changes:
+  - version: REPLACEME
+    pr-url: https://github.com/nodejs/node/pull/63851
+    description: Add the `windowsHandle` option.
   - version:
     - v21.0.0
     - v20.10.0
@@ -3035,6 +3049,8 @@ changes:
   * `highWaterMark` {number} **Default:** `16384`
   * `flush` {boolean} If `true`, the underlying file descriptor is flushed
     prior to closing it. **Default:** `false`.
+  * `windowsHandle` {bigint} A raw Win32 `HANDLE` value to write to, in place
+    of `fd`. Windows only. **Default:** `null`
 * Returns: {fs.WriteStream}
 
 `options` may also include a `start` option to allow writing data at some
@@ -3049,6 +3065,12 @@ then the file descriptor won't be closed, even if there's an error.
 It is the application's responsibility to close it and make sure there's no
 file descriptor leak.
 
+On Windows, a value passed in `fd` is interpreted as a CRT file descriptor. To
+use a raw Win32 `HANDLE` instead, such as an inherited anonymous pipe handle
+obtained from another process, pass it as `windowsHandle`. The handle is wrapped
+in a file descriptor that the stream owns and closes. The `windowsHandle` option
+throws on non-Windows platforms and cannot be combined with the `fs` option.
+
 By default, the stream will emit a `'close'` event after it has been
 destroyed.  Set the `emitClose` option to `false` to change this behavior.
 
diff --git a/lib/internal/fs/streams.js b/lib/internal/fs/streams.js
index c2e8abc4efdadd..4c53f7ea23e17c 100644
--- a/lib/internal/fs/streams.js
+++ b/lib/internal/fs/streams.js
@@ -13,13 +13,17 @@ const {
 } = primordials;
 
 const {
+  ERR_FEATURE_UNAVAILABLE_ON_PLATFORM,
+  ERR_INCOMPATIBLE_OPTION_PAIR,
   ERR_INVALID_ARG_TYPE,
   ERR_METHOD_NOT_IMPLEMENTED,
+  ERR_MISSING_OPTION,
   ERR_OUT_OF_RANGE,
   ERR_STREAM_DESTROYED,
   ERR_SYSTEM_ERROR,
 } = require('internal/errors').codes;
 const {
+  isWindows,
   kEmptyObject,
 } = require('internal/util');
 const {
@@ -40,6 +44,8 @@ const {
 } = require('internal/fs/utils');
 const { Readable, Writable, finished } = require('stream');
 const { toPathIfFileURL } = require('internal/url');
+const binding = internalBinding('fs');
+const { O_RDONLY, O_WRONLY } = internalBinding('constants').fs;
 const kIoDone = Symbol('kIoDone');
 const kIsPerformingIO = Symbol('kIsPerformingIO');
 
@@ -160,6 +166,26 @@ function importFd(stream, options) {
                                  ['number', 'FileHandle'], options.fd);
 }
 
+function importWindowsHandle(stream, options, flags) {
+  if (options.windowsHandle == null) {
+    throw new ERR_MISSING_OPTION('options.windowsHandle');
+  }
+  if (!isWindows) {
+    throw new ERR_FEATURE_UNAVAILABLE_ON_PLATFORM('windowsHandle');
+  }
+  if (options.fs) {
+    // The HANDLE is wrapped using the real filesystem, so a custom fs
+    // implementation cannot be combined with it.
+    throw new ERR_METHOD_NOT_IMPLEMENTED('windowsHandle with fs');
+  }
+  if (typeof options.windowsHandle !== 'bigint') {
+    throw new ERR_INVALID_ARG_TYPE('options.windowsHandle', 'bigint',
+                                   options.windowsHandle);
+  }
+  stream[kFs] = fs;
+  return binding.handleToFd(options.windowsHandle, flags);
+}
+
 function ReadStream(path, options) {
   if (!(this instanceof ReadStream))
     return new ReadStream(path, options);
@@ -173,7 +199,11 @@ function ReadStream(path, options) {
     options.autoDestroy = false;
   }
 
-  if (options.fd == null) {
+  if (options.fd != null && options.windowsHandle != null) {
+    throw new ERR_INCOMPATIBLE_OPTION_PAIR('windowsHandle', 'fd');
+  } else if (options.windowsHandle != null) {
+    this.fd = getValidatedFd(importWindowsHandle(this, options, O_RDONLY));
+  } else if (options.fd == null) {
     this.fd = null;
     this[kFs] = options.fs || fs;
     validateFunction(this[kFs].open, 'options.fs.open');
@@ -325,7 +355,11 @@ function WriteStream(path, options) {
   // Only buffers are supported.
   options.decodeStrings = true;
 
-  if (options.fd == null) {
+  if (options.fd != null && options.windowsHandle != null) {
+    throw new ERR_INCOMPATIBLE_OPTION_PAIR('windowsHandle', 'fd');
+  } else if (options.windowsHandle != null) {
+    this.fd = getValidatedFd(importWindowsHandle(this, options, O_WRONLY));
+  } else if (options.fd == null) {
     this.fd = null;
     this[kFs] = options.fs || fs;
     validateFunction(this[kFs].open, 'options.fs.open');
diff --git a/src/node_file.cc b/src/node_file.cc
index d93f213202ec43..e2805422524d7c 100644
--- a/src/node_file.cc
+++ b/src/node_file.cc
@@ -4132,6 +4132,33 @@ InternalFieldInfoBase* BindingData::Serialize(int index) {
   return info;
 }
 
+#ifdef _WIN32
+static void HandleToFd(const FunctionCallbackInfo<Value>& args) {
+  Environment* env = Environment::GetCurrent(args);
+  CHECK_GE(args.Length(), 1);
+  CHECK(args[0]->IsBigInt());
+
+  int flags = 0;
+  if (args[1]->IsNumber()) {
+    flags = args[1].As<Int32>()->Value();
+  }
+
+  bool lossless;
+  int64_t handle = args[0].As<BigInt>()->Int64Value(&lossless);
+  if (!lossless) {
+    return THROW_ERR_OUT_OF_RANGE(
+        env, "windowsHandle does not fit into 64 bits");
+  }
+  intptr_t value = static_cast<intptr_t>(handle);
+
+  int fd = _open_osfhandle(value, flags);
+  if (fd == -1) {
+    return env->ThrowErrnoException(errno, "_open_osfhandle");
+  }
+  args.GetReturnValue().Set(fd);
+}
+#endif  // _WIN32
+
 void BindingData::CreatePerIsolateProperties(IsolateData* isolate_data,
                                              Local<ObjectTemplate> target) {
   Isolate* isolate = isolate_data->isolate();
@@ -4198,6 +4225,10 @@ static void CreatePerIsolateProperties(IsolateData* isolate_data,
 
   SetMethod(isolate, target, "mkdtemp", Mkdtemp);
 
+#ifdef _WIN32
+  SetMethod(isolate, target, "handleToFd", HandleToFd);
+#endif
+
   SetMethod(isolate, target, "cpSyncCheckPaths", CpSyncCheckPaths);
   SetMethod(isolate, target, "cpSyncOverrideFile", CpSyncOverrideFile);
   SetMethod(isolate, target, "cpSyncCopyDir", CpSyncCopyDir);
@@ -4325,6 +4356,9 @@ void RegisterExternalReferences(ExternalReferenceRegistry* registry) {
   registry->Register(LUTimes);
 
   registry->Register(Mkdtemp);
+#ifdef _WIN32
+  registry->Register(HandleToFd);
+#endif
   registry->Register(NewFSReqCallback);
 
   registry->Register(FileHandle::New);
diff --git a/test/addons/fs-windows-handle/binding.cc b/test/addons/fs-windows-handle/binding.cc
new file mode 100644
index 00000000000000..2f296210a551f0
--- /dev/null
+++ b/test/addons/fs-windows-handle/binding.cc
@@ -0,0 +1,64 @@
+#include <node.h>
+#include <v8.h>
+
+#ifdef _WIN32
+#include <windows.h>
+#endif
+
+namespace {
+
+using v8::BigInt;
+using v8::Context;
+using v8::FunctionCallbackInfo;
+using v8::Isolate;
+using v8::Local;
+using v8::Object;
+using v8::String;
+using v8::Value;
+
+// Creates an anonymous pipe and returns its raw Win32 read/write HANDLE values
+// as JS bigints. These are NOT CRT file descriptors, so passing them as the
+// `windowsHandle` stream option exercises the HANDLE -> fd conversion path on
+// Windows. Returns undefined on other platforms.
+void CreatePipeHandles(const FunctionCallbackInfo<Value>& args) {
+  Isolate* isolate = args.GetIsolate();
+#ifdef _WIN32
+  Local<Context> context = isolate->GetCurrentContext();
+
+  HANDLE read_handle = nullptr;
+  HANDLE write_handle = nullptr;
+  if (!CreatePipe(&read_handle, &write_handle, nullptr, 0)) {
+    isolate->ThrowException(v8::Exception::Error(
+        String::NewFromUtf8(isolate, "CreatePipe failed").ToLocalChecked()));
+    return;
+  }
+
+  Local<Object> result = Object::New(isolate);
+  result
+      ->Set(context,
+            String::NewFromUtf8(isolate, "readHandle").ToLocalChecked(),
+            BigInt::New(isolate,
+                        static_cast<int64_t>(
+                            reinterpret_cast<intptr_t>(read_handle))))
+      .Check();
+  result
+      ->Set(context,
+            String::NewFromUtf8(isolate, "writeHandle").ToLocalChecked(),
+            BigInt::New(isolate,
+                        static_cast<int64_t>(
+                            reinterpret_cast<intptr_t>(write_handle))))
+      .Check();
+  args.GetReturnValue().Set(result);
+#else
+  args.GetReturnValue().SetUndefined();
+#endif
+}
+
+}  // anonymous namespace
+
+extern "C" NODE_MODULE_EXPORT void
+NODE_MODULE_INITIALIZER(Local<Object> exports,
+                        Local<Value> module,
+                        Local<Context> context) {
+  NODE_SET_METHOD(exports, "createPipeHandles", CreatePipeHandles);
+}
diff --git a/test/addons/fs-windows-handle/binding.gyp b/test/addons/fs-windows-handle/binding.gyp
new file mode 100644
index 00000000000000..7e0f38c27d570a
--- /dev/null
+++ b/test/addons/fs-windows-handle/binding.gyp
@@ -0,0 +1,9 @@
+{
+  'targets': [
+    {
+      'target_name': 'binding',
+      'sources': [ 'binding.cc' ],
+      'includes': ['../common.gypi'],
+    },
+  ]
+}
diff --git a/test/addons/fs-windows-handle/test.js b/test/addons/fs-windows-handle/test.js
new file mode 100644
index 00000000000000..122440ee4677bb
--- /dev/null
+++ b/test/addons/fs-windows-handle/test.js
@@ -0,0 +1,35 @@
+'use strict';
+// Verifies that fs.createReadStream()/createWriteStream() accept a raw Win32
+// HANDLE through the `windowsHandle` option, as happens when a parent process
+// passes an inherited anonymous pipe handle. The addon produces such handles
+// via CreatePipe(); Node must wrap them in CRT file descriptors instead of
+// failing with EBADF.
+
+const common = require('../../common');
+
+if (!common.isWindows) {
+  common.skip('windowsHandle is Windows-only');
+}
+
+const assert = require('assert');
+const fs = require('fs');
+
+const binding = require(`./build/${common.buildType}/binding`);
+
+const { readHandle, writeHandle } = binding.createPipeHandles();
+assert.strictEqual(typeof readHandle, 'bigint');
+assert.strictEqual(typeof writeHandle, 'bigint');
+
+const payload = 'payload';
+
+const chunks = [];
+const rs = fs.createReadStream(null, { windowsHandle: readHandle });
+rs.on('error', (err) => assert.fail(err));
+rs.on('data', (chunk) => chunks.push(chunk));
+rs.on('end', common.mustCall(() => {
+  assert.strictEqual(Buffer.concat(chunks).toString(), payload);
+}));
+
+const ws = fs.createWriteStream(null, { windowsHandle: writeHandle });
+ws.on('error', (err) => assert.fail(err));
+ws.end(payload);
diff --git a/test/parallel/test-fs-stream-windows-handle.js b/test/parallel/test-fs-stream-windows-handle.js
new file mode 100644
index 00000000000000..299a618802cfb1
--- /dev/null
+++ b/test/parallel/test-fs-stream-windows-handle.js
@@ -0,0 +1,47 @@
+'use strict';
+
+// Tests option validation for the `windowsHandle` option of
+// fs.createReadStream()/createWriteStream(). The functional round-trip on
+// Windows (where a real Win32 HANDLE is wrapped in a file descriptor) is
+// covered by test/addons/fs-windows-handle.
+
+const common = require('../common');
+const assert = require('assert');
+const fs = require('fs');
+
+const handle = 1n;
+
+for (const create of [fs.createReadStream, fs.createWriteStream]) {
+  assert.throws(() => create(null, { windowsHandle: handle, fd: 2 }), {
+    code: 'ERR_INCOMPATIBLE_OPTION_PAIR',
+  });
+}
+
+if (!common.isWindows) {
+  for (const create of [fs.createReadStream, fs.createWriteStream]) {
+    assert.throws(() => create(null, { windowsHandle: handle }), {
+      code: 'ERR_FEATURE_UNAVAILABLE_ON_PLATFORM',
+    });
+  }
+  return;
+}
+
+for (const create of [fs.createReadStream, fs.createWriteStream]) {
+  // Cannot be combined with a custom `fs` implementation.
+  assert.throws(() => create(null, { windowsHandle: handle, fs: {} }), {
+    code: 'ERR_METHOD_NOT_IMPLEMENTED',
+  });
+
+  // Must be a bigint.
+  assert.throws(() => create(null, { windowsHandle: 'nope' }), {
+    code: 'ERR_INVALID_ARG_TYPE',
+  });
+  assert.throws(() => create(null, { windowsHandle: 1 }), {
+    code: 'ERR_INVALID_ARG_TYPE',
+  });
+
+  // Must fit into 64 bits.
+  assert.throws(() => create(null, { windowsHandle: 2n ** 64n }), {
+    code: 'ERR_OUT_OF_RANGE',
+  });
+}