diff --git a/CHANGELOG.md b/CHANGELOG.md
index a4eac92e..bd4f2656 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -3,9 +3,9 @@
 [Squint](https://github.com/squint-cljs/squint): Light-weight ClojureScript dialect
 
 ## Unreleased
-
 - [#779](https://github.com/squint-cljs/squint/pull/779): Added `compare-and-swap!`, `swap-vals!` and `reset-vals!`
 - Multiple `:require-macros` with `:refer` now accumulate instead of overwriting
+- Fix qualified symbol resolution in macro expansions when namespace has different runtime alias
 
 ## v0.9.182
 
diff --git a/bb/tasks.clj b/bb/tasks.clj
index de5eb217..18039205 100644
--- a/bb/tasks.clj
+++ b/bb/tasks.clj
@@ -60,7 +60,8 @@
       (assert (str/includes? output "my-other-src 1 2"))
       (assert (str/includes? output "json!"))
       (assert (str/includes? output "{ a: 1 }"))
-      (assert (str/includes? output "\"emit!\"")))
+      (assert (str/includes? output "\"emit!\""))
+      (assert (str/includes? output "qualified test: 142")))
     (assert (fs/exists? "test-project/lib/foo.json"))
     (assert (fs/exists? "test-project/lib/baz.css"))
     (assert (not (fs/exists? "test-project/lib/bar.json")))))
diff --git a/src/squint/compiler/node.cljs b/src/squint/compiler/node.cljs
index 55cd2280..f70797e5 100644
--- a/src/squint/compiler/node.cljs
+++ b/src/squint/compiler/node.cljs
@@ -42,9 +42,9 @@
                                                                 reload (concat [:reload])))
                                                    (let [publics (eval-form
                                                                   `(ns-publics '~macro-ns))
-                                                         ks (keys publics)
-                                                         vs (vals publics)
-                                                         vs (map deref vs)
+                                                         macro-vars (filter (fn [[_ v]] (:macro (meta v))) publics)
+                                                         ks (map first macro-vars)
+                                                         vs (map (comp deref second) macro-vars)
                                                          publics (zipmap ks vs)]
                                                      publics)))]
                                    (.then macros
diff --git a/src/squint/compiler_common.cljc b/src/squint/compiler_common.cljc
index 3236eac0..d31b9e17 100644
--- a/src/squint/compiler_common.cljc
+++ b/src/squint/compiler_common.cljc
@@ -331,6 +331,11 @@
                                 (str "globalThis." (munge *cljs-ns*) "."))
                               (alias-munge sym-ns) "."
                               (munged-name sn)))
+                           (when-let [alias (get (:libname->alias current-ns) (str sym-ns))]
+                             (str (when *repl*
+                                    (str "globalThis." (munge *cljs-ns*) "."))
+                                  (alias-munge alias) "."
+                                  (munged-name sn)))
                            (let [ns (namespace expr)
                                  munged (munge ns)
                                  nm (name expr)]
@@ -592,6 +597,7 @@
   (when-not (or (= 'squint.core libname)
                 (= 'cherry.core libname))
     (let [env (expr-env env)
+          original-libname libname
           libname (resolve-ns env libname)
           [libname suffix] (str/split (if (string? libname) libname (str libname)) #"\$" 2)
           default? (= "default" suffix) ;; we only support a default suffix for now anyway
@@ -674,8 +680,11 @@
         (swap! (:ns-state env)
                (fn [ns-state]
                  (let [current (:current ns-state)]
-                   (update-in ns-state [current :aliases] (fn [aliases]
-                                                            ((fnil assoc {}) aliases as libname)))))))
+                   (-> ns-state
+                   (update-in [current :aliases] (fn [aliases]
+                                                   ((fnil assoc {}) aliases as libname)))
+                   (update-in [current :libname->alias] (fn [m]
+                                                          ((fnil assoc {}) m (str original-libname) as))))))))
       (when-not (:elide-imports env)
         expr)
       #_nil)))
diff --git a/test-project/src/macros.cljc b/test-project/src/macros.cljc
index 8c16a3bd..8c8517a0 100644
--- a/test-project/src/macros.cljc
+++ b/test-project/src/macros.cljc
@@ -1,6 +1,12 @@
 (ns macros
   #?(:cljs (:require ["node:fs" :as fs])))
 
+(defn add-100 [x]
+  (+ x 100))
+
+(defmacro with-add-100 [x]
+  `(add-100 ~x))
+
 (defmacro debug [_kwd body]
   `(println ::debug ~body))
 
diff --git a/test-project/src/main.cljs b/test-project/src/main.cljs
index f3ee47fc..888c1c98 100644
--- a/test-project/src/main.cljs
+++ b/test-project/src/main.cljs
@@ -1,7 +1,8 @@
 (ns main
-  (:require-macros [macros :as m :refer [debug]]
+  (:require-macros [macros :as m :refer [debug with-add-100]]
                    [macros2 :refer [also]])
-  (:require [other-ns]
+  (:require [macros :as mac]
+            [other-ns]
             [my-other-src :as src]
             ["fs" :as fs]
             ["path" :as path]
@@ -28,3 +29,5 @@
     println)
 
 (js/console.log json)
+
+(println "qualified test:" (m/with-add-100 42))