diff --git a/apps/server/scripts/t3-sqlite-state.test.ts b/apps/server/scripts/t3-sqlite-state.test.ts
index fa5471bfa8c4..27a2dcc593df 100644
--- a/apps/server/scripts/t3-sqlite-state.test.ts
+++ b/apps/server/scripts/t3-sqlite-state.test.ts
@@ -75,6 +75,25 @@ it.layer(NodeServices.layer)("t3-sqlite-state", (it) => {
     }),
   );
 
+  it.effect("enables checkpoint_fullfsync on its direct connection", () =>
+    Effect.gen(function* () {
+      const fs = yield* FileSystem.FileSystem;
+      const baseDir = yield* fs.makeTempDirectoryScoped({ prefix: "t3-sqlite-state-fsync-" });
+      yield* createFixtureDatabase(baseDir);
+
+      const result = yield* runSqliteState({
+        operation: "query",
+        baseDir,
+        sql: "PRAGMA checkpoint_fullfsync",
+      });
+
+      assert.equal(result.operation, "query");
+      if (result.operation === "query") {
+        assert.deepStrictEqual(result.rows, [{ checkpoint_fullfsync: 1 }]);
+      }
+    }),
+  );
+
   it.effect.skipIf(!symlinksSupported)(
     "backs up isolated state before writes and refuses the shared home",
     () =>
diff --git a/apps/server/scripts/t3-sqlite-state.ts b/apps/server/scripts/t3-sqlite-state.ts
index 5e274588671f..a5dbb19311fa 100644
--- a/apps/server/scripts/t3-sqlite-state.ts
+++ b/apps/server/scripts/t3-sqlite-state.ts
@@ -201,6 +201,9 @@ export const runSqliteState = Effect.fn("runSqliteState")(function* (
   const program = Effect.gen(function* () {
     const sql = yield* SqlClient.SqlClient;
     yield* sql.unsafe("PRAGMA busy_timeout = 5000").unprepared;
+    // This connection bypasses persistence/Layers/Sqlite.ts and can checkpoint
+    // state.sqlite, so it needs the same F_FULLFSYNC checkpoint barrier.
+    yield* sql.unsafe("PRAGMA checkpoint_fullfsync = ON").unprepared;
 
     if (input.operation === "query") {
       const rows = yield* sql.unsafe<RawSqliteRow>(source).unprepared.pipe(
diff --git a/apps/server/src/persistence/Layers/Sqlite.test.ts b/apps/server/src/persistence/Layers/Sqlite.test.ts
index 5bcbd35e918c..e1832cfbe952 100644
--- a/apps/server/src/persistence/Layers/Sqlite.test.ts
+++ b/apps/server/src/persistence/Layers/Sqlite.test.ts
@@ -94,3 +94,13 @@ it.effect("applies busy_timeout in the shared persistence setup", () =>
     assert.equal(rows[0]?.timeout, 5000);
   }).pipe(Effect.provide(SqlitePersistenceMemory)),
 );
+
+it.effect("enables checkpoint_fullfsync in the shared persistence setup", () =>
+  Effect.gen(function* () {
+    const sql = yield* SqlClient.SqlClient;
+    const rows = yield* sql<{
+      readonly checkpoint_fullfsync: number;
+    }>`PRAGMA checkpoint_fullfsync`;
+    assert.equal(rows[0]?.checkpoint_fullfsync, 1);
+  }).pipe(Effect.provide(SqlitePersistenceMemory)),
+);
diff --git a/apps/server/src/persistence/Layers/Sqlite.ts b/apps/server/src/persistence/Layers/Sqlite.ts
index 56536087d69c..cc6b81658803 100644
--- a/apps/server/src/persistence/Layers/Sqlite.ts
+++ b/apps/server/src/persistence/Layers/Sqlite.ts
@@ -18,6 +18,9 @@ const setup = Layer.effectDiscard(
     yield* sql`PRAGMA busy_timeout = 5000;`;
     yield* sql`PRAGMA foreign_keys = ON;`;
     yield* sql`PRAGMA journal_mode = WAL;`;
+    // macOS fsync() does not flush the drive cache. Checkpoint syncs must use
+    // F_FULLFSYNC so a power loss cannot publish page references without the pages.
+    yield* sql`PRAGMA checkpoint_fullfsync = ON;`;
     // PASSIVE checkpoints never shrink the -wal file, so it otherwise keeps its
     // largest size until the last connection closes.
     yield* sql.unsafe(`PRAGMA journal_size_limit = ${WAL_SIZE_LIMIT_BYTES};`);