diff --git a/src/js/bun/sqlite.ts b/src/js/bun/sqlite.ts
index a01b55c6b8164..6f690ddd7460b 100644
--- a/src/js/bun/sqlite.ts
+++ b/src/js/bun/sqlite.ts
@@ -187,6 +187,10 @@ class Database {
     if (typeof options === "object" && options) {
       flags = 0;
 
+      if (typeof options.fileMustExist === "boolean") {
+        options.create = !options.fileMustExist;
+      }
+
       if (options.readonly) {
         flags = constants.SQLITE_OPEN_READONLY;
       }