diff --git a/packages/nuxi/src/dev/fetch.ts b/packages/nuxi/src/dev/fetch.ts
index ba5a380fa..acfd1e824 100644
--- a/packages/nuxi/src/dev/fetch.ts
+++ b/packages/nuxi/src/dev/fetch.ts
@@ -1,5 +1,9 @@
 import type { IncomingMessage, RequestListener, ServerResponse } from 'node:http'
+import { request as httpRequest } from 'node:http'
+import { Readable } from 'node:stream'
+import { pipeline } from 'node:stream/promises'
 import { NodeRequest } from 'srvx/node'
+import { isWindows } from 'std-env'
 import { Agent } from 'undici'
 
 interface DevAddress {
@@ -32,6 +36,88 @@ function fetchSocketOptions(socketPath: string) {
   }
 }
 
+interface NodeHttpResponse {
+  status: number
+  statusText: string
+  headers: Headers
+  body: Readable
+}
+/**
+ * fetch using native Node.js http.request for Windows named pipes
+ * this bypasses undici's Web Streams which have buffering issues on Windows
+ */
+function fetchWithNodeHttp(socketPath: string, url: URL, init?: RequestInit & { duplex?: string }): Promise<NodeHttpResponse> {
+  return new Promise((resolve, reject) => {
+    const headers: Record<string, string> = {}
+    if (init?.headers) {
+      if (init.headers instanceof Headers) {
+        for (const [key, value] of init.headers.entries()) {
+          headers[key] = value
+        }
+      }
+      else if (Array.isArray(init.headers)) {
+        for (const [key, value] of init.headers) {
+          headers[key] = value
+        }
+      }
+      else {
+        Object.assign(headers, init.headers)
+      }
+    }
+
+    const req = httpRequest({
+      socketPath,
+      path: url.pathname + url.search,
+      method: init?.method || 'GET',
+      headers,
+    }, (res) => {
+      const responseHeaders = new Headers()
+      for (const [key, value] of Object.entries(res.headers)) {
+        if (value !== undefined) {
+          responseHeaders.set(key, Array.isArray(value) ? value.join(', ') : value)
+        }
+      }
+
+      resolve({
+        status: res.statusCode || 200,
+        statusText: res.statusMessage || 'OK',
+        headers: responseHeaders,
+        body: res,
+      })
+    })
+
+    req.on('error', reject)
+
+    if (init?.body) {
+      if (typeof init.body === 'string') {
+        req.write(init.body)
+      }
+      else if (init.body instanceof ReadableStream) {
+        const reader = init.body.getReader()
+        const pump = async () => {
+          try {
+            while (true) {
+              const { done, value } = await reader.read()
+              if (done) {
+                break
+              }
+              req.write(value)
+            }
+            req.end()
+          }
+          catch (err) {
+            req.destroy(err as Error)
+          }
+        }
+        pump()
+        return
+      }
+    }
+
+    req.end()
+  })
+}
+
 /**
  * Fetch to a specific address (socket or network)
  * Based on Nitro's fetchAddress implementation
@@ -40,7 +126,7 @@ function fetchAddress(
   addr: DevAddress,
   input: string | URL | Request,
   inputInit?: RequestInit,
-): Promise<Response> {
+): Promise<Response | NodeHttpResponse> {
   let url: URL
   let init: (RequestInit & { duplex?: string }) | undefined
 
@@ -64,6 +150,11 @@ function fetchAddress(
     ...init,
   }
 
+  if (addr.socketPath && isWindows) {
+    url.protocol = 'http:'
+    return fetchWithNodeHttp(addr.socketPath, url, init)
+  }
+
   if (addr.socketPath) {
     url.protocol = 'http:'
     return fetch(url, {
@@ -80,7 +171,7 @@ function fetchAddress(
 /**
  * Send Web API Response to Node.js ServerResponse
  */
-async function sendWebResponse(res: ServerResponse, webResponse: Response): Promise<void> {
+async function sendWebResponse(res: ServerResponse, webResponse: Response | NodeHttpResponse): Promise<void> {
   // Set status
   res.statusCode = webResponse.status
   res.statusMessage = webResponse.statusText
@@ -92,6 +183,12 @@ async function sendWebResponse(res: ServerResponse, webResponse: Response): Prom
 
   // Stream body
   if (webResponse.body) {
+    // handle node readable stream (from Windows named pipe fetch)
+    if (webResponse.body instanceof Readable) {
+      await pipeline(webResponse.body, res, { end: true })
+      return
+    }
+
     const reader = webResponse.body.getReader()
     try {
       while (true) {
@@ -99,7 +196,10 @@ async function sendWebResponse(res: ServerResponse, webResponse: Response): Prom
         if (done) {
           break
         }
-        res.write(value)
+        // backpressure
+        if (!res.write(value)) {
+          await new Promise<void>(resolve => res.once('drain', resolve))
+        }
       }
     }
     finally {