diff --git a/CHANGELOG.md b/CHANGELOG.md
index 2d143880df3..f579eb1b17b 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -70,6 +70,9 @@
 * Fixed multiline doc comment alignment and remove empty ones entirely.
   [#4135](https://github.com/rustwasm/wasm-bindgen/pull/4135)
 
+* Fixed `experimental-nodejs-module` target when used with `#[wasm_bindgen(start)]`.
+  [#4093](https://github.com/rustwasm/wasm-bindgen/pull/4093)
+
 --------------------------------------------------------------------------------
 
 ## [0.2.93](https://github.com/rustwasm/wasm-bindgen/compare/0.2.92...0.2.93)
diff --git a/crates/cli-support/src/js/mod.rs b/crates/cli-support/src/js/mod.rs
index b7523e6089e..6256679021c 100644
--- a/crates/cli-support/src/js/mod.rs
+++ b/crates/cli-support/src/js/mod.rs
@@ -483,6 +483,25 @@ impl<'a> Context<'a> {
                         module_name
                     ))));
                 }
+
+                match self.config.mode {
+                    OutputMode::Bundler { .. } => {
+                        start.get_or_insert_with(String::new).push_str(&format!(
+                            "\
+import {{ __wbg_set_wasm }} from \"./{module_name}_bg.js\";
+__wbg_set_wasm(wasm);"
+                        ));
+                    }
+
+                    OutputMode::Node { module: true } => {
+                        start.get_or_insert_with(String::new).push_str(&format!(
+                            "imports[\"./{module_name}_bg.js\"].__wbg_set_wasm(wasm);"
+                        ));
+                    }
+
+                    _ => {}
+                }
+
                 if needs_manual_start {
                     start
                         .get_or_insert_with(String::new)
diff --git a/crates/cli-support/src/lib.rs b/crates/cli-support/src/lib.rs
index bd47dfc43b0..188d674df9c 100755
--- a/crates/cli-support/src/lib.rs
+++ b/crates/cli-support/src/lib.rs
@@ -701,10 +701,8 @@ impl Output {
                 write(
                     &js_path,
                     format!(
-                        "
-import {{ __wbg_set_wasm }} from \"./{js_name}\";
+                        "\
 {start}
-__wbg_set_wasm(wasm);
 export * from \"./{js_name}\";",
                     ),
                 )?;
@@ -712,10 +710,8 @@ export * from \"./{js_name}\";",
                 write(
                     &js_path,
                     format!(
-                        "
+                        "\
 import * as wasm from \"./{wasm_name}.wasm\";
-import {{ __wbg_set_wasm }} from \"./{js_name}\";
-__wbg_set_wasm(wasm);
 export * from \"./{js_name}\";
 {start}"
                     ),