diff --git a/.changeset/satteri-prism.md b/.changeset/satteri-prism.md
new file mode 100644
index 000000000000..0a28c7a601b6
--- /dev/null
+++ b/.changeset/satteri-prism.md
@@ -0,0 +1,18 @@
+---
+'@astrojs/markdown-satteri': minor
+'@astrojs/mdx': patch
+---
+
+Adds support for Prism syntax highlighting to the Sätteri Markdown and MDX processors. Setting `markdown.syntaxHighlight` to `'prism'` now highlights your code blocks with Prism.
+
+```js
+// astro.config.mjs
+import { satteri } from '@astrojs/markdown-satteri';
+
+export default defineConfig({
+  markdown: {
+    processor: satteri(),
+    syntaxHighlight: 'prism',
+  },
+});
+```
diff --git a/packages/integrations/mdx/src/satteri/index.ts b/packages/integrations/mdx/src/satteri/index.ts
index 636b47f54be8..861d6003c6e6 100644
--- a/packages/integrations/mdx/src/satteri/index.ts
+++ b/packages/integrations/mdx/src/satteri/index.ts
@@ -1,11 +1,11 @@
 import { pathToFileURL } from 'node:url';
 import type { MarkdownHeading } from '@astrojs/internal-helpers/markdown';
-import { createShikiHighlighter } from '@astrojs/internal-helpers/shiki';
 import type { SatteriResolvedOptions } from '@astrojs/markdown-satteri';
 import {
 	satteriCollectImagesPlugin,
+	satteriCreateHighlightFn,
 	satteriHeadingIdsPlugin,
-	satteriShikiPlugin,
+	satteriHighlightPlugin,
 } from '@astrojs/markdown-satteri';
 import { createDefaultAstroMetadata } from 'astro/markdown';
 import {
@@ -48,38 +48,12 @@ export function createMdxProcessor(
 	let highlightFn: HighlightFn | undefined;
 	let initPromise: Promise<void> | undefined;
 
-	function initShiki() {
-		const syntaxHighlight = mdxOptions.syntaxHighlight;
-		const syntaxHighlightType =
-			typeof syntaxHighlight === 'string'
-				? syntaxHighlight
-				: syntaxHighlight
-					? syntaxHighlight.type
-					: undefined;
-
-		if (syntaxHighlightType === 'prism') {
-			throw new Error(
-				'Prism syntax highlighting is not supported by the `satteri()` markdown processor. Use shiki instead, or switch to `markdown.processor: unified({...})`.',
-			);
-		}
-
-		if (syntaxHighlightType === 'shiki') {
-			const shikiConfig = mdxOptions.shikiConfig ?? {};
-			initPromise = createShikiHighlighter({
-				langs: shikiConfig.langs,
-				theme: shikiConfig.theme,
-				themes: shikiConfig.themes,
-				langAlias: shikiConfig.langAlias,
-			}).then((hl) => {
-				highlightFn = (code, lang, meta) =>
-					hl.codeToHtml(code, lang, {
-						meta,
-						wrap: shikiConfig.wrap,
-						defaultColor: shikiConfig.defaultColor,
-						transformers: shikiConfig.transformers,
-					});
-			});
-		}
+	function initHighlighter() {
+		initPromise = satteriCreateHighlightFn(mdxOptions.syntaxHighlight, mdxOptions.shikiConfig).then(
+			(fn) => {
+				highlightFn = fn;
+			},
+		);
 	}
 
 	return {
@@ -89,7 +63,7 @@ export function createMdxProcessor(
 			frontmatter: Record<string, any>,
 		): Promise<CompileMdxResult> {
 			if (!highlightFn && !initPromise) {
-				initShiki();
+				initHighlighter();
 			}
 			if (initPromise) await initPromise;
 
@@ -124,7 +98,7 @@ export function createMdxProcessor(
 			if (highlightFn) {
 				// `mdx: true` wraps the highlighted HTML in a JSX `<Fragment set:html>` node
 				// rather than a raw HTML node, since the Sätteri pipeline is compiling to JSX.
-				hastPlugins.push(satteriShikiPlugin(highlightFn, excludeLangs, { mdx: true }));
+				hastPlugins.push(satteriHighlightPlugin(highlightFn, excludeLangs, { mdx: true }));
 			}
 			if (satteriOptions.hastPlugins.length) {
 				hastPlugins.push(...satteriOptions.hastPlugins);
diff --git a/packages/markdown/satteri/package.json b/packages/markdown/satteri/package.json
index 43ed79dabba4..b4eb79137a35 100644
--- a/packages/markdown/satteri/package.json
+++ b/packages/markdown/satteri/package.json
@@ -27,6 +27,7 @@
   },
   "dependencies": {
     "@astrojs/internal-helpers": "workspace:*",
+    "@astrojs/prism": "workspace:*",
     "github-slugger": "^2.0.0",
     "satteri": "^0.8.0"
   },
diff --git a/packages/markdown/satteri/src/index.ts b/packages/markdown/satteri/src/index.ts
index f95d2a44bcd2..529187cefd89 100644
--- a/packages/markdown/satteri/src/index.ts
+++ b/packages/markdown/satteri/src/index.ts
@@ -2,7 +2,10 @@ export {
 	createCollectImagesPlugin as satteriCollectImagesPlugin,
 	createHeadingIdsPlugin as satteriHeadingIdsPlugin,
 	createImageMarkerPlugin as satteriImageMarkerPlugin,
-	createShikiPlugin as satteriShikiPlugin,
+	createHighlightPlugin as satteriHighlightPlugin,
+	/** @deprecated Renamed to `satteriHighlightPlugin` (it drives both Shiki and Prism). */
+	createHighlightPlugin as satteriShikiPlugin,
+	createHighlightFn as satteriCreateHighlightFn,
 	collectHastText as satteriCollectHastText,
 	makeFragmentNode as satteriMakeFragmentNode,
 	createSatteriMarkdownProcessor,
diff --git a/packages/markdown/satteri/src/satteri-processor.ts b/packages/markdown/satteri/src/satteri-processor.ts
index 895924df914f..041bc42ac0e1 100644
--- a/packages/markdown/satteri/src/satteri-processor.ts
+++ b/packages/markdown/satteri/src/satteri-processor.ts
@@ -177,14 +177,14 @@ export function createImageMarkerPlugin(
 	};
 }
 
-export function createShikiPlugin(
+export function createHighlightPlugin(
 	highlight: HighlightFn,
 	excludeLangs: string[] | undefined,
 	options?: { mdx?: boolean },
 ): HastPluginDefinition {
 	const wrapResult = options?.mdx ? makeFragmentNode : makeRawNode;
 	return {
-		name: 'shiki-highlight',
+		name: 'highlight',
 		element: {
 			filter: ['pre'],
 			async visit(node, ctx) {
@@ -217,6 +217,49 @@ export interface SatteriMarkdownProcessorOptions extends AstroMarkdownOptions {
 	features?: Features;
 }
 
+/**
+ * Build the highlighter for the Sätteri pipeline, or `undefined` when syntax
+ * highlighting is disabled. Shiki and Prism both resolve to a `HighlightFn`
+ * that turns a code block into a complete `<pre>` HTML string.
+ */
+export async function createHighlightFn(
+	syntaxHighlight: AstroMarkdownOptions['syntaxHighlight'],
+	shikiConfig: AstroMarkdownOptions['shikiConfig'] | undefined,
+): Promise<HighlightFn | undefined> {
+	const syntaxHighlightType =
+		typeof syntaxHighlight === 'string'
+			? syntaxHighlight
+			: syntaxHighlight
+				? syntaxHighlight.type
+				: undefined;
+
+	if (syntaxHighlightType === 'shiki') {
+		const hl = await createShikiHighlighter({
+			langs: shikiConfig?.langs,
+			theme: shikiConfig?.theme,
+			themes: shikiConfig?.themes,
+			langAlias: shikiConfig?.langAlias,
+		});
+		return (code, lang, meta) =>
+			hl.codeToHtml(code, lang, {
+				meta,
+				wrap: shikiConfig?.wrap,
+				defaultColor: shikiConfig?.defaultColor,
+				transformers: shikiConfig?.transformers,
+			});
+	}
+
+	if (syntaxHighlightType === 'prism') {
+		const { runHighlighterWithAstro } = await import('@astrojs/prism/dist/highlighter');
+		return async (code, lang) => {
+			const { html, classLanguage } = await runHighlighterWithAstro(lang, code);
+			return `<pre class="${classLanguage}" data-language="${lang}"><code class="${classLanguage}">${html}</code></pre>`;
+		};
+	}
+
+	return undefined;
+}
+
 export async function createSatteriMarkdownProcessor(
 	opts?: SatteriMarkdownProcessorOptions,
 ): Promise<MarkdownRenderer> {
@@ -232,35 +275,7 @@ export async function createSatteriMarkdownProcessor(
 		features: userFeatures,
 	} = opts ?? {};
 
-	const syntaxHighlightType =
-		typeof syntaxHighlight === 'string'
-			? syntaxHighlight
-			: syntaxHighlight
-				? syntaxHighlight.type
-				: undefined;
-
-	if (syntaxHighlightType === 'prism') {
-		throw new Error(
-			'Prism syntax highlighting is not supported by the `satteri()` markdown processor. Use shiki instead, or switch to `markdown.processor: unified({...})`.',
-		);
-	}
-
-	let highlightFn: HighlightFn | undefined;
-	if (syntaxHighlightType === 'shiki') {
-		const hl = await createShikiHighlighter({
-			langs: shikiConfig.langs,
-			theme: shikiConfig.theme,
-			themes: shikiConfig.themes,
-			langAlias: shikiConfig.langAlias,
-		});
-		highlightFn = (code, lang, meta) =>
-			hl.codeToHtml(code, lang, {
-				meta,
-				wrap: shikiConfig.wrap,
-				defaultColor: shikiConfig.defaultColor,
-				transformers: shikiConfig.transformers,
-			});
-	}
+	const highlightFn = await createHighlightFn(syntaxHighlight, shikiConfig);
 
 	const syntaxHighlightExcludeLangs =
 		typeof syntaxHighlight === 'object' ? syntaxHighlight.excludeLangs : undefined;
@@ -279,7 +294,7 @@ export async function createSatteriMarkdownProcessor(
 
 			const hastPlugins: HastPluginDefinition[] = [];
 			if (highlightFn) {
-				hastPlugins.push(createShikiPlugin(highlightFn, syntaxHighlightExcludeLangs));
+				hastPlugins.push(createHighlightPlugin(highlightFn, syntaxHighlightExcludeLangs));
 			}
 			hastPlugins.push(...userHastPlugins);
 			hastPlugins.push(createImageMarkerPlugin(localImagePaths, remoteImagePaths));
diff --git a/packages/markdown/satteri/test/highlight.test.ts b/packages/markdown/satteri/test/highlight.test.ts
index 9ff091fbc3c2..251ba88c9c43 100644
--- a/packages/markdown/satteri/test/highlight.test.ts
+++ b/packages/markdown/satteri/test/highlight.test.ts
@@ -23,10 +23,20 @@ describe('satteri highlight', () => {
 		assert.ok(!code.includes('background-color:'));
 	});
 
-	it('rejects prism highlighting', async () => {
-		await assert.rejects(
-			createSatteriMarkdownProcessor({ syntaxHighlight: { type: 'prism' } }),
-			/Prism syntax highlighting is not supported/,
-		);
+	it('highlights using prism', async () => {
+		const processor = await createSatteriMarkdownProcessor({
+			syntaxHighlight: { type: 'prism' },
+		});
+		const { code } = await processor.render('```js\nconsole.log("Hello, world!");\n```');
+		assert.match(code, /<pre class="language-js" data-language="js">/);
+		assert.match(code, /class="token /);
+	});
+
+	it('supports prism excludeLangs', async () => {
+		const processor = await createSatteriMarkdownProcessor({
+			syntaxHighlight: { type: 'prism', excludeLangs: ['js'] },
+		});
+		const { code } = await processor.render('```js\nconsole.log("Hello, world!");\n```');
+		assert.ok(!code.includes('class="token '));
 	});
 });
diff --git a/pnpm-lock.yaml b/pnpm-lock.yaml
index 51e1549cbdd9..a3c47d243f5a 100644
--- a/pnpm-lock.yaml
+++ b/pnpm-lock.yaml
@@ -6751,6 +6751,9 @@ importers:
       '@astrojs/internal-helpers':
         specifier: workspace:*
         version: link:../../internal-helpers
+      '@astrojs/prism':
+        specifier: workspace:*
+        version: link:../../astro-prism
       github-slugger:
         specifier: ^2.0.0
         version: 2.0.0