diff --git a/src/manifest/fixtures/empty-platforms-with-prefix/package.json b/src/manifest/fixtures/empty-platforms-with-prefix/package.json
new file mode 100644
index 00000000..f422084a
--- /dev/null
+++ b/src/manifest/fixtures/empty-platforms-with-prefix/package.json
@@ -0,0 +1,55 @@
+{
+  "name": "empty-platforms-with-prefix",
+  "private": false,
+  "version": "0.1.17",
+  "description": "A simple Neon library with a prefix and no platforms.",
+  "type": "module",
+  "exports": {
+    ".": {
+      "import": {
+        "types": "./types/index.d.mts",
+        "default": "./lib/index.mjs"
+      },
+      "require": {
+        "types": "./types/index.d.cts",
+        "default": "./lib/index.cjs"
+      }
+    }
+  },
+  "types": "./types/index.d.cts",
+  "main": "./lib/index.cjs",
+  "files": [
+    "lib/index.cjs",
+    "lib/load.cjs",
+    "lib/index.mjs",
+    "types/index.d.cts",
+    "types/index.d.mts"
+  ],
+  "scripts": {
+    "test": "cargo test",
+    "cargo-build": "cargo build --message-format=json > cargo.log",
+    "cross-build": "cross build --message-format=json > cross.log",
+    "postcargo-build": "neon dist -v < cargo.log",
+    "postcross-build": "neon dist -v -m /target < cross.log",
+    "debug": "npm run cargo-build --",
+    "build": "npm run cargo-build -- --release",
+    "cross": "npm run cross-build -- --release",
+    "prepack": "neon update-platforms -v 2>update-platforms.log",
+    "version": "neon bump -v --binaries platforms"
+  },
+  "author": "David Herman <david.herman@gmail.com>",
+  "license": "MIT",
+  "devDependencies": {
+    "@neon-rs/cli": "^0.0.186"
+  },
+  "dependencies": {
+    "@neon-rs/load": "^0.0.186"
+  },
+  "neon": {
+    "type": "library",
+    "org": "@dherman",
+    "prefix": "empty-platforms-with-prefix-",
+    "platforms": {},
+    "load": "./lib/load.cjs"
+  }
+}
diff --git a/src/manifest/package.json b/src/manifest/package.json
index eb511daa..30f0344c 100644
--- a/src/manifest/package.json
+++ b/src/manifest/package.json
@@ -1,7 +1,7 @@
 {
   "name": "@neon-rs/manifest",
   "private": false,
-  "version": "0.1.3",
+  "version": "0.2.0",
   "description": "Library for working with Neon package configuration.",
   "exports": {
     ".": {
diff --git a/src/manifest/src/cache/npm/npm.cts b/src/manifest/src/cache/npm/npm.cts
index 8806bb4b..42fba5c6 100644
--- a/src/manifest/src/cache/npm/npm.cts
+++ b/src/manifest/src/cache/npm/npm.cts
@@ -111,7 +111,7 @@ export class NPMCacheCfg implements CacheCfg {
               [],
               js.callExpression(
                 js.identifier('require'),
-                [js.literal(`${cfg.org}/${platform}`)]
+                [js.literal(`${cfg.org}/${cfg.prefix ?? ''}${platform}`)]
               )
             )
           );
@@ -123,7 +123,7 @@ export class NPMCacheCfg implements CacheCfg {
 
   packageNames(): string[] {
     const cfg = this.manifest.cfg();
-    return Object.keys(this.manifest.allPlatforms()).map(key => `${cfg.org}/${key}`);
+    return Object.keys(this.manifest.allPlatforms()).map(key => `${cfg.org}/${cfg.prefix ?? ''}${key}`);
   }
 
   updatePlatforms(lib: LibraryManifest): boolean {
diff --git a/src/manifest/src/library/library.cts b/src/manifest/src/library/library.cts
index 7625f42c..e2e8d40c 100644
--- a/src/manifest/src/library/library.cts
+++ b/src/manifest/src/library/library.cts
@@ -8,6 +8,7 @@ import { NPMCacheCfg } from "../cache/npm/npm.cjs";
 export interface LibraryCfg {
   type: "library";
   org: string;
+  prefix?: string;
   platforms: PlatformFamily;
   load?: string;
 }
@@ -26,6 +27,11 @@ function assertIsLibraryCfg(json: unknown): asserts json is LibraryCfg {
       throw new TypeError(`expected "neon.load" to be a string, found ${json.load}`);
     }
   }
+  if ('prefix' in json) {
+    if (typeof json.prefix !== 'string' && typeof json.prefix !== 'undefined') {
+      throw new TypeError(`expected "neon.prefix" to be a string, found ${json.prefix}`);
+    }
+  }
 }
 
 function isEmptyFamily(family: PlatformFamily): boolean {
diff --git a/src/manifest/src/test/manifest.cts b/src/manifest/src/test/manifest.cts
index 721eea5b..b10c2f13 100644
--- a/src/manifest/src/test/manifest.cts
+++ b/src/manifest/src/test/manifest.cts
@@ -34,6 +34,12 @@ describe("simple manifest", () => {
     assert.strictEqual(lib.version, '0.1.17');
   });
 
+  async function testPrefixPlatforms(lib: LibraryManifest, name: string, prefix: string, version: string) {
+    const contents = await fs.readFile(path.join(lib.dir, 'lib', 'load.cjs'), 'utf8');
+    assert.include(contents, `'darwin-arm64': () => require('@${name}/${prefix}darwin-arm64')`);
+    assert.include(contents, `'darwin-x64': () => require('@${name}/${prefix}darwin-x64')`);
+  }
+
   async function testEmptyPlatforms(lib: LibraryManifest, name: string, version: string) {
     await lib.addNodePlatform('darwin-arm64');
     assert.isTrue(lib.hasUnsavedChanges());
@@ -92,4 +98,14 @@ describe("simple manifest", () => {
     const json: any = lib.toJSON();
     assert.strictEqual(json.optionalDependencies['@empty-object-platforms/darwin-arm64'], lib.version);
   });
+
+  it("handles prefixes", async () => {
+    const lib = await library('empty-platforms-with-prefix');
+    await lib.addPlatformPreset('macos');
+    await lib.saveChanges(() => {});
+    const reloaded = await LibraryManifest.load(lib.dir);
+    assert.strictEqual(reloaded.cfg().platforms, 'macos');
+    assert.strictEqual(reloaded.cfg().prefix, 'empty-platforms-with-prefix-');
+    assert.strictEqual(reloaded.cfg().org, '@dherman');
+  });
 });
diff --git a/src/package.json b/src/package.json
index 68f64b50..ba09244a 100644
--- a/src/package.json
+++ b/src/package.json
@@ -5,14 +5,16 @@
   "version": "0.1.81",
   "workspaces": [
     "cli",
-    "install"
+    "install",
+    "manifest"
   ],
   "author": "Dave Herman <david.herman@gmail.com>",
   "license": "MIT",
   "scripts": {
-    "dist": "npm run dist:cli && npm run dist:install",
+    "dist": "npm run dist:cli && npm run dist:install && npm run dist:manifest",
     "dist:cli": "cd cli && npm run dist",
     "dist:install": "cd install && npm run dist",
+    "dist:manifest": "cd manifest && npm run dist",
     "version": "node ../dist/cli bump -v --workspaces"
   },
   "dependencies": {