diff --git a/src/c/luv_c_type_descriptions.ml b/src/c/luv_c_type_descriptions.ml
index 4ea7af07..e0a31372 100644
--- a/src/c/luv_c_type_descriptions.ml
+++ b/src/c/luv_c_type_descriptions.ml
@@ -671,6 +671,8 @@ struct
       let windows_hide = constant "UV_PROCESS_WINDOWS_HIDE" int
       let windows_hide_console = constant "UV_PROCESS_WINDOWS_HIDE_CONSOLE" int
       let windows_hide_gui = constant "UV_PROCESS_WINDOWS_HIDE_GUI" int
+      let windows_file_path_exact_name =
+        constant "UV_PROCESS_WINDOWS_FILE_PATH_EXACT_NAME" int
     end
 
     module Redirection =
diff --git a/src/c/shims.h b/src/c/shims.h
index 92633d72..abf51107 100644
--- a/src/c/shims.h
+++ b/src/c/shims.h
@@ -803,4 +803,6 @@
     {
         return ENOSYS;
     }
+
+    #define UV_PROCESS_WINDOWS_FILE_PATH_EXACT_NAME 0
 #endif
diff --git a/src/feature/detect_features.ml b/src/feature/detect_features.ml
index e3c8c278..ce337a83 100644
--- a/src/feature/detect_features.ml
+++ b/src/feature/detect_features.ml
@@ -285,6 +285,7 @@ let () =
   needs 14 "prioritized" "See [`PRIORITIZED] in {!Luv.Poll.Event.t}.";
   needs 24 "process_windows_hide_console" "See {!Luv.Process.spawn}.";
   needs 24 "process_windows_hide_gui" "See {!Luv.Process.spawn}.";
+  needs 48 "process_windows_file_path_exact_name" "See {!Luv.Process.spawn}.";
   needs 33 "random" "See {!Luv.Random.random}.";
   needs 28 "readdir" "See {!Luv.File.readdir}.";
   needs 45 "setaffinity" "See {!Luv.Thread.setaffinity}.";
diff --git a/src/process.ml b/src/process.ml
index c1e3e368..4673f070 100644
--- a/src/process.ml
+++ b/src/process.ml
@@ -105,6 +105,7 @@ let spawn
     ?windows_hide
     ?windows_hide_console
     ?windows_hide_gui
+    ?windows_file_path_exact_name
     path arguments =
 
   let loop = Loop.or_default loop in
@@ -167,6 +168,7 @@ let spawn
     |> maybe_flag windows_hide Flag.windows_hide
     |> maybe_flag windows_hide_console Flag.windows_hide_console
     |> maybe_flag windows_hide_gui Flag.windows_hide_gui
+    |> maybe_flag windows_file_path_exact_name Flag.windows_file_path_exact_name
   in
 
   let redirections, redirection_count = build_redirection_array redirect in
diff --git a/src/process.mli b/src/process.mli
index 023c6717..2e141cce 100644
--- a/src/process.mli
+++ b/src/process.mli
@@ -87,6 +87,7 @@ val spawn :
   ?windows_hide:bool ->
   ?windows_hide_console:bool ->
   ?windows_hide_gui:bool ->
+  ?windows_file_path_exact_name:bool ->
   string ->
   string list ->
     (t, Error.t) result
@@ -117,12 +118,14 @@ val spawn :
     process, and redirect them to [/dev/null] or [nul].
 
     [?windows_hide_console] and [?windows_hide_gui] have no effect on libuv
-    prior to 1.24.0.
+    prior to 1.24.0. [?windows_file_path_exact_name] has no effect on libuv
+    prior to 1.48.0.
 
     {{!Luv.Require} Feature checks}:
 
     - [Luv.Require.(has process_windows_hide_console)]
-    - [Luv.Require.(has process_windows_hide_gui)] *)
+    - [Luv.Require.(has process_windows_hide_gui)]
+    - [Luv.Require.(has process_windows_file_path_exact_name)] *)
 
 val disable_stdio_inheritance : unit -> unit
 (** Disables (tries) file descriptor inheritance for inherited descriptors.