diff --git a/dune b/dune
index ea99e27..b60e747 100644
--- a/dune
+++ b/dune
@@ -1,3 +1,6 @@
 (mdx
-  (packages lwt_eio)
-  (files README.md))
+  (files README.md)
+  (deps
+    (env_var "EIO_BACKEND")
+    (package lwt_eio)
+    (package eio_main)))
diff --git a/dune-project b/dune-project
index 6ffc645..6be9e67 100644
--- a/dune-project
+++ b/dune-project
@@ -1,4 +1,4 @@
-(lang dune 2.9)
+(lang dune 3.8)
 (name lwt_eio)
 (formatting disabled)
 (generate_opam_files true)
@@ -12,8 +12,8 @@
  (synopsis "Run Lwt code within Eio")
  (description "An Lwt engine that allows running Lwt within an Eio event loop.")
  (depends
-  (eio (>= 0.10))
-  lwt
+  (eio (>= 0.11))
+  (lwt (>= 5.7.0))
   (mdx (and (>= 1.10.0) :with-test))
   (eio_main :with-test)))
-(using mdx 0.1)
+(using mdx 0.2)
diff --git a/lib/lwt_eio.ml b/lib/lwt_eio.ml
index 5ab4fee..065cd14 100644
--- a/lib/lwt_eio.ml
+++ b/lib/lwt_eio.ml
@@ -45,6 +45,33 @@ let fork_with_cancel ~sw fn =
     Option.get !cancel
   )
 
+(* Lwt wants to set SIGCHLD to its own handler, but some Eio backends also install a handler for it.
+   Both Lwt and Eio need to be notified, as they may each have child processes to monitor.
+
+   There are two cases:
+
+   1. Eio installs its handler first, then Lwt tries to replace it while Eio is running.
+      We intercept that attempt and prevent the handler from changing.
+
+   2. Lwt installs its handler first (e.g. because someone ran a Lwt event loop for a bit before using Eio).
+      In that case, Eio will already have replaced Lwt's handler by the time we get called.
+
+   Either way, Eio ends up owning the installed handler. We also want things to continue working if the Eio
+   event loop finishes and then the application runs a plain Lwt loop. That's why we use [register_immediate],
+   rather than running an Eio fiber.
+
+   We also send an extra notification initially, in case we missed one during the hand-over. *)
+let install_sigchld_handler = lazy (
+  if not Sys.win32 then (
+    Eio_unix.Process.install_sigchld_handler ();
+    let rec register () =
+      ignore (Eio.Condition.register_immediate Eio_unix.Process.sigchld register : Eio.Condition.request);
+      Lwt_unix.handle_signal Sys.sigchld
+    in
+    register ()
+  )
+)
+
 let make_engine ~sw ~clock = object
   inherit Lwt_engine.abstract
 
@@ -78,6 +105,9 @@ let make_engine ~sw ~clock = object
       Eio.Cancel.protect (fun () -> callback (); notify ())
     )
 
+  method! forwards_signal signum =
+    signum = Sys.sigchld
+
   method iter block =
     if block then (
       let p, r = Promise.create () in
@@ -110,6 +140,7 @@ let main ~clock user_promise =
     Lwt_engine.set old_engine
 
 let with_event_loop ~clock fn =
+  Lazy.force install_sigchld_handler;
   let p, r = Lwt.wait () in
   Switch.run @@ fun sw ->
   Fiber.fork ~sw (fun () -> main ~clock p);
diff --git a/lwt_eio.opam b/lwt_eio.opam
index bd3a511..c869bc1 100644
--- a/lwt_eio.opam
+++ b/lwt_eio.opam
@@ -10,9 +10,9 @@ homepage: "https://github.com/ocaml-multicore/lwt_eio"
 doc: "https://ocaml-multicore.github.io/lwt_eio"
 bug-reports: "https://github.com/ocaml-multicore/lwt_eio/issues"
 depends: [
-  "dune" {>= "2.9"}
-  "eio" {>= "0.10"}
-  "lwt"
+  "dune" {>= "3.8"}
+  "eio" {>= "0.11"}
+  "lwt" {>= "5.7.0"}
   "mdx" {>= "1.10.0" & with-test}
   "eio_main" {with-test}
   "odoc" {with-doc}
@@ -26,11 +26,9 @@ build: [
     name
     "-j"
     jobs
-    "--promote-install-files=false"
     "@install"
     "@runtest" {with-test}
     "@doc" {with-doc}
   ]
-  ["dune" "install" "-p" name "--create-install-files" name]
 ]
 dev-repo: "git+https://github.com/ocaml-multicore/lwt_eio.git"
diff --git a/test/dune b/test/dune
index 61d170c..1d12513 100644
--- a/test/dune
+++ b/test/dune
@@ -1,2 +1,5 @@
 (mdx
-  (packages lwt_eio))
+  (deps
+    (env_var "EIO_BACKEND")
+    (package lwt_eio)
+    (package eio_main)))
diff --git a/test/test.md b/test/test.md
index 9311656..a32202f 100644
--- a/test/test.md
+++ b/test/test.md
@@ -17,8 +17,7 @@ let run fn =
 
 ## Fairness
 
-Lwt and Eio fibers don't block each other, although `Lwt_main.run` does call `Lwt.wakeup_paused` twice
-during each iteration of the main loop, so the Lwt thread runs twice as often.
+Lwt and Eio fibers don't block each other:
 
 ```ocaml
 # run @@ fun () ->
@@ -42,19 +41,19 @@ during each iteration of the main loop, so the Lwt thread runs twice as often.
     );;
 +eio: i = 1
 +  lwt: i = 1
-+eio: i = 2
 +  lwt: i = 2
++eio: i = 2
 +  lwt: i = 3
 +eio: i = 3
 +  lwt: i = 4
-+  lwt: i = 5
 +eio: i = 4
-+  lwt: i = 6
-+  lwt: i = 7
++  lwt: i = 5
 +eio: i = 5
-+  lwt: i = 8
++  lwt: i = 6
 +eio: i = 6
++  lwt: i = 7
 +eio: i = 7
++  lwt: i = 8
 +eio: i = 8
 - : unit = ()
 ```
@@ -65,12 +64,37 @@ We can fork (as long we we're not using multiple domains):
 
 ```ocaml
 # run @@ fun () ->
-  let output = Lwt_eio.run_lwt (fun () -> Lwt_process.(pread (shell "echo test"))) in
+  let output = Lwt_eio.run_lwt (fun () -> Lwt_process.(pread (shell "sleep 0.1; echo test"))) in
   traceln "Subprocess produced %S" output;;
 +Subprocess produced "test\n"
 - : unit = ()
 ```
 
+Lwt's SIGCHLD handling works:
+
+```ocaml
+# run @@ fun () ->
+  Lwt_eio.run_lwt (fun () ->
+     let p = Lwt_process.(open_process_none (shell "sleep 0.1; echo test")) in
+     let+ status = p#status in
+     assert (status = Unix.WEXITED 0)
+    );;
+test
+- : unit = ()
+```
+
+Eio processes work too:
+
+```ocaml
+# Eio_main.run @@ fun env ->
+  Lwt_eio.with_event_loop ~clock:env#clock @@ fun _ ->
+  Lwt_eio.run_lwt Lwt.pause;
+  let proc_mgr = Eio.Stdenv.process_mgr env in
+  Eio.Process.run proc_mgr ["echo"; "hello"];;
+hello
+- : unit = ()
+```
+
 ## Signals
 
 Installing a signal handler with `Lwt_unix.on_signal` causes `lwt_unix_send_notification` to be called when the signal occurs. This signals the main event thread by writing to a pipe or eventfd, which is processed by Eio in the usual way.