diff --git a/.changeset/rich-cycles-leave.md b/.changeset/rich-cycles-leave.md
new file mode 100644
index 000000000000..228e05002530
--- /dev/null
+++ b/.changeset/rich-cycles-leave.md
@@ -0,0 +1,5 @@
+---
+"@typescript/vfs": patch
+---
+
+support non-hoisted `node_module` structure
diff --git a/packages/typescript-vfs/src/index.ts b/packages/typescript-vfs/src/index.ts
index 10ec61f02026..2af12cfdc062 100755
--- a/packages/typescript-vfs/src/index.ts
+++ b/packages/typescript-vfs/src/index.ts
@@ -527,6 +527,7 @@ export function createFSBackedSystem(
     writeFile: (fileName, contents) => {
       files.set(fileName, contents)
     },
+    realpath: nodeSys.realpath,
   }
 }