diff --git a/Cargo.lock b/Cargo.lock
index a5fb3f821dd..f7c6d52b05e 100644
--- a/Cargo.lock
+++ b/Cargo.lock
@@ -2618,14 +2618,13 @@ dependencies = [
 [[package]]
 name = "rustix"
 version = "1.1.5"
-source = "registry+https://github.com/rust-lang/crates.io-index"
-checksum = "891efababe418670775f199f0d233d84843c227a0949a883ce15b37c78d6629d"
+source = "git+https://github.com/mattsu2020/rustix.git?branch=mknodat_macos#cdce88186f1501937bc01ce23b74c654f6bf9348"
 dependencies = [
  "bitflags 2.13.2",
  "errno",
  "libc",
  "linux-raw-sys",
- "windows-sys 0.61.2",
+ "windows-sys 0.60.2",
 ]
 
 [[package]]
@@ -3768,7 +3767,7 @@ version = "0.13.0"
 dependencies = [
  "clap",
  "fluent",
- "nix",
+ "rustix",
  "uucore",
 ]
 
diff --git a/Cargo.toml b/Cargo.toml
index d2521e2a426..f6e9cfdf66f 100644
--- a/Cargo.toml
+++ b/Cargo.toml
@@ -706,3 +706,6 @@ strip = true
 inherits = "release"
 panic = "unwind"
 debug = true
+
+[patch.crates-io]
+rustix = { git = "https://github.com/mattsu2020/rustix.git", branch = "mknodat_macos" }
diff --git a/src/uu/mknod/Cargo.toml b/src/uu/mknod/Cargo.toml
index f25823b9ec1..c3d8ed68733 100644
--- a/src/uu/mknod/Cargo.toml
+++ b/src/uu/mknod/Cargo.toml
@@ -20,7 +20,7 @@ doctest = false
 [dependencies]
 clap = { workspace = true }
 fluent = { workspace = true }
-nix = { workspace = true, features = ["fs"] }
+rustix = { workspace = true, features = ["fs", "process"] }
 uucore = { workspace = true, features = ["fs", "mode"] }
 
 [features]
diff --git a/src/uu/mknod/src/mknod.rs b/src/uu/mknod/src/mknod.rs
index 2a91f98ba0d..401f1606ef7 100644
--- a/src/uu/mknod/src/mknod.rs
+++ b/src/uu/mknod/src/mknod.rs
@@ -3,11 +3,11 @@
 // For the full copyright and license information, please view the LICENSE
 // file that was distributed with this source code.
 
-// spell-checker:ignore (ToDO) parsemode makedev sysmacros perror IFBLK IFCHR IFIFO sflag
+// spell-checker:ignore (ToDO) parsemode makedev sysmacros perror RAII mknodat
 
 use clap::{Arg, ArgAction, Command, value_parser};
-use nix::libc::{S_IRGRP, S_IROTH, S_IRUSR, S_IWGRP, S_IWOTH, S_IWUSR, mode_t};
-use nix::sys::stat::{Mode, SFlag, dev_t, mknod as nix_mknod, umask as nix_umask};
+use rustix::fs::{CWD, Dev, FileType as RustixFileType, Mode, mknodat};
+use rustix::process::umask;
 use std::ffi::OsString;
 use std::io::{self, Write as _};
 
@@ -17,8 +17,7 @@ use uucore::format_usage;
 use uucore::fs::makedev;
 use uucore::translate;
 
-#[allow(clippy::unnecessary_cast)]
-const MODE_RW_UGO: u32 = (S_IRUSR | S_IWUSR | S_IRGRP | S_IWGRP | S_IROTH | S_IWOTH) as u32;
+const MODE_RW_UGO: u32 = 0o666;
 
 mod options {
     pub const MODE: &str = "mode";
@@ -29,7 +28,7 @@ mod options {
     pub const CONTEXT: &str = "context";
 }
 
-#[derive(Clone, PartialEq)]
+#[derive(Clone, Copy, PartialEq)]
 enum FileType {
     Block,
     Character,
@@ -37,11 +36,11 @@ enum FileType {
 }
 
 impl FileType {
-    fn as_sflag(&self) -> SFlag {
+    fn to_file_type(self) -> RustixFileType {
         match self {
-            Self::Block => SFlag::S_IFBLK,
-            Self::Character => SFlag::S_IFCHR,
-            Self::Fifo => SFlag::S_IFIFO,
+            Self::Block => RustixFileType::BlockDevice,
+            Self::Character => RustixFileType::CharacterDevice,
+            Self::Fifo => RustixFileType::Fifo,
         }
     }
 }
@@ -56,7 +55,7 @@ struct Config {
     /// when false, the exact mode bits will be set
     use_umask: bool,
 
-    dev: dev_t,
+    dev: Dev,
 
     /// Set security context (SELinux/SMACK).
     #[cfg(any(
@@ -73,11 +72,27 @@ struct Config {
     context: Option<String>,
 }
 
+/// RAII guard to restore umask on drop, ensuring cleanup even on panic.
+struct UmaskGuard(Mode);
+
+impl UmaskGuard {
+    fn set(new_mask: Mode) -> Self {
+        let old_mask = umask(new_mask);
+        Self(old_mask)
+    }
+}
+
+impl Drop for UmaskGuard {
+    fn drop(&mut self) {
+        umask(self.0);
+    }
+}
+
 fn mknod(file_name: &str, config: Config) -> i32 {
     // Label the node at creation, as GNU does; relabelling after leaves a window.
     #[cfg(all(feature = "selinux", any(target_os = "android", target_os = "linux")))]
     let _selinux_guard = if config.set_security_context {
-        let mode = config.file_type.as_sflag().bits() | config.mode.bits();
+        let mode = config.file_type.to_file_type().as_raw_mode() | config.mode.as_raw_mode();
         match uucore::selinux::FsCreateContext::new(
             std::path::Path::new(file_name),
             Some(mode),
@@ -93,27 +108,22 @@ fn mknod(file_name: &str, config: Config) -> i32 {
         None
     };
 
-    // set umask to 0 and store previous umask
-    let have_prev_umask = if config.use_umask {
+    let _guard = if config.use_umask {
         None
     } else {
-        Some(nix_umask(Mode::empty()))
+        Some(UmaskGuard::set(Mode::empty()))
     };
 
-    let mknod_err = nix_mknod(
+    let mknod_err = mknodat(
+        CWD,
         file_name,
-        config.file_type.as_sflag(),
+        config.file_type.to_file_type(),
         config.mode,
         config.dev,
     )
     .err();
     let errno = if mknod_err.is_some() { -1 } else { 0 };
 
-    // set umask back to original value
-    if let Some(prev_umask) = have_prev_umask {
-        nix_umask(prev_umask);
-    }
-
     if let Some(err) = mknod_err {
         let _ = writeln!(
             io::stderr(),
@@ -174,7 +184,7 @@ pub fn uumain(args: impl uucore::Args) -> UResult<()> {
             mode
         }
     };
-    let mode = Mode::from_bits_truncate(mode_permissions as mode_t);
+    let mode = Mode::from_bits_truncate(mode_permissions as _);
 
     let file_name = matches
         .get_one::<String>("name")
@@ -215,7 +225,7 @@ pub fn uumain(args: impl uucore::Args) -> UResult<()> {
 
     let config = Config {
         mode,
-        file_type: file_type.clone(),
+        file_type: *file_type,
         use_umask,
         dev,
         #[cfg(any(
diff --git a/tests/by-util/test_mknod.rs b/tests/by-util/test_mknod.rs
index 49fdbc243f9..ab059d1b874 100644
--- a/tests/by-util/test_mknod.rs
+++ b/tests/by-util/test_mknod.rs
@@ -72,6 +72,34 @@ fn test_mknod_fifo_mnemonic_usage() {
     assert!(ts.fixtures.is_fifo("test_file"));
 }
 
+#[test]
+fn test_mknod_fifo_umask() {
+    for (mode, expected) in [(None, 0o600), (Some("0644"), 0o644)] {
+        let ts = TestScenario::new(util_name!());
+        let mut cmd = ts.ucmd();
+        if let Some(mode) = mode {
+            cmd.args(&["-m", mode]);
+        }
+        cmd.args(&["test_file", "p"]).umask(0o077).succeeds();
+        assert!(ts.fixtures.is_fifo("test_file"));
+        assert_eq!(
+            ts.fixtures.metadata("test_file").permissions().mode() & 0o777,
+            expected
+        );
+    }
+}
+
+#[test]
+fn test_mknod_fifo_existing_file() {
+    let ts = TestScenario::new(util_name!());
+    ts.fixtures.write("test_file", "keep this content");
+    ts.ucmd()
+        .args(&["test_file", "p"])
+        .fails()
+        .stderr_contains("File exists");
+    assert_eq!(ts.fixtures.read("test_file"), "keep this content");
+}
+
 #[test]
 fn test_mknod_fifo_read_only() {
     let ts = TestScenario::new(util_name!());