diff --git a/src/main.ts b/src/main.ts
index 5038d56..0f51a4f 100644
--- a/src/main.ts
+++ b/src/main.ts
@@ -292,6 +292,27 @@ export class ExecProcess implements Result {
 
     nodeOptions.env = computeEnv(cwd, nodeOptions.env);
 
+    // Always use 'pipe' for stdout/stderr so we can capture output
+    // If user requested 'inherit', we will forward output manually
+    const wantInheritStdout =
+      nodeOptions.stdio === 'inherit' ||
+      (Array.isArray(nodeOptions.stdio) && nodeOptions.stdio[1] === 'inherit');
+    const wantInheritStderr =
+      nodeOptions.stdio === 'inherit' ||
+      (Array.isArray(nodeOptions.stdio) && nodeOptions.stdio[2] === 'inherit');
+
+    // Force stdio to 'pipe' for stdout/stderr
+    if (nodeOptions.stdio === 'inherit') {
+      nodeOptions.stdio = ['inherit', 'pipe', 'pipe'];
+    } else if (Array.isArray(nodeOptions.stdio)) {
+      nodeOptions.stdio = [
+        nodeOptions.stdio[0] ?? 'inherit',
+        'pipe',
+        'pipe',
+        ...nodeOptions.stdio.slice(3)
+      ];
+    }
+
     const {command: normalisedCommand, args: normalisedArgs} =
       normaliseCommandAndArgs(this._command, this._args);
 
@@ -305,9 +326,19 @@ export class ExecProcess implements Result {
 
     if (handle.stderr) {
       this._streamErr = handle.stderr;
+      if (wantInheritStderr) {
+        handle.stderr.on('data', (chunk) => {
+          process.stderr.write(chunk);
+        });
+      }
     }
     if (handle.stdout) {
       this._streamOut = handle.stdout;
+      if (wantInheritStdout) {
+        handle.stdout.on('data', (chunk) => {
+          process.stdout.write(chunk);
+        });
+      }
     }
 
     this._process = handle;
diff --git a/src/test/main_test.ts b/src/test/main_test.ts
index 94367f6..9888df8 100644
--- a/src/test/main_test.ts
+++ b/src/test/main_test.ts
@@ -1,6 +1,6 @@
-import {x, NonZeroExitError} from '../main.js';
-import {describe, test, expect} from 'vitest';
 import os from 'node:os';
+import {describe, expect, test, vi} from 'vitest';
+import {NonZeroExitError, x} from '../main.js';
 
 const isWindows = os.platform() === 'win32';
 
@@ -38,15 +38,39 @@ describe('exec', async () => {
   });
 
   test('resolves to stdout', async () => {
+    const stdoutWrite = vi.spyOn(process.stdout, 'write');
     const result = await x('node', ['-e', "console.log('foo')"]);
     expect(result.stdout).toBe('foo\n');
     expect(result.stderr).toBe('');
+    expect(stdoutWrite).not.toHaveBeenCalled();
+  });
+
+  test('resolves to stdout - with inherit', async () => {
+    const stdoutWrite = vi.spyOn(process.stdout, 'write');
+    const result = await x('node', ['-e', "console.log('foo')"], {
+      nodeOptions: {stdio: 'inherit'}
+    });
+    expect(result.stdout).toBe('foo\n');
+    expect(result.stderr).toBe('');
+    expect(stdoutWrite).toHaveBeenCalledWith(Buffer.from('foo\n'));
   });
 
   test('captures stderr', async () => {
+    const stderrWrite = vi.spyOn(process.stderr, 'write');
     const result = await x('node', ['-e', "console.error('some error')"]);
     expect(result.stderr).toBe('some error\n');
     expect(result.stdout).toBe('');
+    expect(stderrWrite).not.toHaveBeenCalled();
+  });
+
+  test('captures stderr - with inherit', async () => {
+    const stderrWrite = vi.spyOn(process.stderr, 'write');
+    const result = await x('node', ['-e', "console.error('some error')"], {
+      nodeOptions: {stdio: 'inherit'}
+    });
+    expect(result.stderr).toBe('some error\n');
+    expect(result.stdout).toBe('');
+    expect(stderrWrite).toHaveBeenCalledWith(Buffer.from('some error\n'));
   });
 });