diff --git a/src/node_wasi.cc b/src/node_wasi.cc
index 7ee59f46331097..9c82df1916e4b9 100644
--- a/src/node_wasi.cc
+++ b/src/node_wasi.cc
@@ -36,6 +36,7 @@ using v8::FastApiCallbackOptions;
 using v8::FunctionCallbackInfo;
 using v8::FunctionTemplate;
 using v8::HandleScope;
+using v8::Int32;
 using v8::Integer;
 using v8::Isolate;
 using v8::Local;
@@ -306,6 +307,16 @@ uint32_t ConvertType(Local<Value> value) {
   return value.As<Uint32>()->Value();
 }
 
+template <>
+bool CheckType<int32_t>(Local<Value> value) {
+  return value->IsInt32();
+}
+
+template <>
+int32_t ConvertType(Local<Value> value) {
+  return value.As<Int32>()->Value();
+}
+
 template <>
 bool CheckType<uint64_t>(Local<Value> value) {
   return value->IsBigInt();
@@ -486,14 +497,17 @@ uint32_t WASI::ClockTimeGet(WASI& wasi,
                             WasmMemory memory,
                             uint32_t clock_id,
                             uint64_t precision,
-                            uint32_t time_ptr) {
-  Debug(wasi, "clock_time_get(%d, %d, %d)\n", clock_id, precision, time_ptr);
-  CHECK_BOUNDS_OR_RETURN(memory.size, time_ptr, UVWASI_SERDES_SIZE_timestamp_t);
+                            int32_t time_ptr) {
+  const auto time_ptr_u32 = static_cast<uint32_t>(time_ptr);
+  Debug(
+      wasi, "clock_time_get(%d, %d, %d)\n", clock_id, precision, time_ptr_u32);
+  CHECK_BOUNDS_OR_RETURN(
+      memory.size, time_ptr_u32, UVWASI_SERDES_SIZE_timestamp_t);
   uvwasi_timestamp_t time;
   uvwasi_errno_t err =
       uvwasi_clock_time_get(&wasi.uvw_, clock_id, precision, &time);
   if (err == UVWASI_ESUCCESS)
-    uvwasi_serdes_write_timestamp_t(memory.data, time_ptr, time);
+    uvwasi_serdes_write_timestamp_t(memory.data, time_ptr_u32, time);
 
   return err;
 }
diff --git a/src/node_wasi.h b/src/node_wasi.h
index 25551936e6be36..383bd17bf7d639 100644
--- a/src/node_wasi.h
+++ b/src/node_wasi.h
@@ -31,7 +31,7 @@ class WASI : public BaseObject,
   static uint32_t ArgsGet(WASI&, WasmMemory, uint32_t, uint32_t);
   static uint32_t ArgsSizesGet(WASI&, WasmMemory, uint32_t, uint32_t);
   static uint32_t ClockResGet(WASI&, WasmMemory, uint32_t, uint32_t);
-  static uint32_t ClockTimeGet(WASI&, WasmMemory, uint32_t, uint64_t, uint32_t);
+  static uint32_t ClockTimeGet(WASI&, WasmMemory, uint32_t, uint64_t, int32_t);
   static uint32_t EnvironGet(WASI&, WasmMemory, uint32_t, uint32_t);
   static uint32_t EnvironSizesGet(WASI&, WasmMemory, uint32_t, uint32_t);
   static uint32_t FdAdvise(
diff --git a/test/fixtures/wasi-uint32-int32.wasm b/test/fixtures/wasi-uint32-int32.wasm
new file mode 100644
index 00000000000000..d82ca14a53466f
Binary files /dev/null and b/test/fixtures/wasi-uint32-int32.wasm differ
diff --git a/test/fixtures/wasi-uint32-int32.wat b/test/fixtures/wasi-uint32-int32.wat
new file mode 100644
index 00000000000000..5ab1fba75f2d94
--- /dev/null
+++ b/test/fixtures/wasi-uint32-int32.wat
@@ -0,0 +1,50 @@
+(module
+  (import "wasi_snapshot_preview1" "clock_time_get"
+    (func $clock_time_get (param i32 i64 i32) (result i32)))
+
+  (memory (export "memory") 2)
+
+  (func (export "test_clock_time_get") (result i32)
+    i32.const 0
+    i64.const 1
+    i32.const 0x80000000
+    call $clock_time_get
+  )
+
+  (func (export "test_clock_time_get_zero") (result i32)
+    i32.const 0
+    i64.const 1
+    i32.const 0
+    call $clock_time_get
+  )
+
+  (func (export "test_clock_time_get_one") (result i32)
+    i32.const 1
+    i64.const 1
+    i32.const 1
+    call $clock_time_get
+  )
+
+  (func (export "test_clock_time_get_int32_max") (result i32)
+    i32.const 0
+    i64.const 1
+    i32.const 0x7fffffff
+    call $clock_time_get
+  )
+
+  (func (export "test_clock_time_get_uint32_min") (result i32)
+    i32.const 0
+    i64.const 1
+    i32.const 0x80000000
+    call $clock_time_get
+  )
+
+  (func (export "test_clock_time_get_uint32_max") (result i32)
+    i32.const 0
+    i64.const 1
+    i32.const 0xffffffff
+    call $clock_time_get
+  )
+
+  (func (export "_start"))
+)
diff --git a/test/wasi/test-wasi-uint32-int32.js b/test/wasi/test-wasi-uint32-int32.js
new file mode 100644
index 00000000000000..661f0ae059d9fc
--- /dev/null
+++ b/test/wasi/test-wasi-uint32-int32.js
@@ -0,0 +1,42 @@
+'use strict';
+const common = require('../common');
+const assert = require('assert');
+const fs = require('fs');
+const path = require('path');
+const { WASI } = require('wasi');
+
+const wasm = fs.readFileSync(
+  path.join(__dirname, '..', 'fixtures', 'wasi-uint32-int32.wasm'),
+);
+
+const kWasiUint32Expectations = [
+  ['test_clock_time_get', 61],
+  ['test_clock_time_get_zero', 0],
+  ['test_clock_time_get_one', 0],
+  ['test_clock_time_get_int32_max', 61],
+  ['test_clock_time_get_uint32_min', 61],
+  ['test_clock_time_get_uint32_max', 61],
+];
+
+const kWasiUint32ExportNames = kWasiUint32Expectations.map(([name]) => name);
+
+(async () => {
+  const wasi = new WASI({ version: 'preview1', returnOnExit: true });
+  const importObject = { wasi_snapshot_preview1: wasi.wasiImport };
+  const { instance } = await WebAssembly.instantiate(wasm, importObject);
+
+  assert.deepStrictEqual(
+    Object.keys(instance.exports).sort(),
+    ['_start', 'memory', ...kWasiUint32ExportNames].sort(),
+  );
+
+  wasi.start(instance);
+
+  for (const [name, expectedErrno] of kWasiUint32Expectations) {
+    assert.strictEqual(
+      instance.exports[name](),
+      expectedErrno,
+      name,
+    );
+  }
+})().then(common.mustCall());