diff --git a/.github/workflows/ci.yml b/.github/workflows/ci.yml
index 71d3bfc..1c41dad 100644
--- a/.github/workflows/ci.yml
+++ b/.github/workflows/ci.yml
@@ -10,8 +10,25 @@ jobs:
 
     strategy:
       matrix:
-        node-version: [12.x, 14.x, 16.10.0, 16.16.0, 16.17.0, 16.x, 17.x, 18.5.0, 18.x, 20.x]
-        os: [ubuntu-latest, macos-latest, windows-latest]
+        node-version:
+          - 12.x
+          - 14.x
+          - 16.10.0
+          - 16.16.0
+          - 16.17.0
+          - 16.x
+          - 17.x
+          - 18.5.0
+          - 18.18.0
+          - 18.19.0
+          - 18.x
+          - 20.9.0
+          - 20.x
+          - 21.x
+        os:
+          - ubuntu-latest
+          - macos-latest
+          - windows-latest
 
     steps:
       - uses: actions/checkout@v2
diff --git a/hook.js b/hook.js
index 3639fbf..df8a4f7 100644
--- a/hook.js
+++ b/hook.js
@@ -2,6 +2,7 @@
 //
 // This product includes software developed at Datadog (https://www.datadoghq.com/). Copyright 2021 Datadog, Inc.
 
+const { randomBytes } = require('crypto')
 const specifiers = new Map()
 const isWin = process.platform === "win32"
 
@@ -14,7 +15,8 @@ const NODE_MINOR = Number(NODE_VERSION[1])
 
 let entrypoint
 
-if (NODE_MAJOR >= 20) {
+let getExports
+if (NODE_MAJOR >= 20 || (NODE_MAJOR == 18 && NODE_MINOR >= 19)) {
   getExports = require('./lib/get-exports.js')
 } else {
   getExports = (url) => import(url).then(Object.keys)
@@ -76,6 +78,79 @@ function needsToAddFileProtocol(urlObj) {
   return !isFileProtocol(urlObj) && NODE_MAJOR < 18
 }
 
+/**
+ * Determines if a specifier represents an export all ESM line.
+ * Note that the expected `line` isn't 100% valid ESM. It is derived
+ * from the `getExports` function wherein we have recognized the true
+ * line and re-mapped it to one we expect.
+ *
+ * @param {string} line
+ * @returns {boolean}
+ */
+function isStarExportLine(line) {
+  return /^\* from /.test(line)
+}
+
+/**
+ * @typedef {object} ProcessedStarExport
+ * @property {string[]} imports A set of ESM import lines to be added to the
+ * shimmed module source.
+ * @property {string[]} namespaces A set of identifiers representing the
+ * modules in `imports`, e.g. for `import * as foo from 'bar'`, "foo" will be
+ * present in this array.
+ * @property {string[]} settings The shimmed setters for all of the exports
+ * from the `imports`.
+ */
+
+/**
+ * Processes a module that has been exported via the ESM "export all" syntax.
+ * It gets all of the exports from the designated "get all exports from" module
+ * and maps them into the shimmed setters syntax.
+ *
+ * @param {object} params
+ * @param {string} params.exportLine The text indicating the module to import,
+ * e.g. "* from foo".
+ * @param {string} params.srcUrl The full URL to the module that contains the
+ * `exportLine`.
+ * @param {object} params.context Provided by the loaders API.
+ * @param {function} parentGetSource Provides the source code for the parent
+ * module.
+ * @returns {Promise<ProcessedStarExport>}
+ */
+async function processStarExport({exportLine, srcUrl, context, parentGetSource}) {
+  const [_, modFile] = exportLine.split('* from ')
+  const modName = Buffer.from(modFile, 'hex') + Date.now() + randomBytes(4).toString('hex')
+  const modUrl = new URL(modFile, srcUrl).toString()
+  const innerExports = await getExports(modUrl, context, parentGetSource)
+
+  const imports = [`import * as $${modName} from ${JSON.stringify(modUrl)}`]
+  const namespaces = [`$${modName}`]
+  const setters = []
+  for (const n of innerExports) {
+    if (isStarExportLine(n) === true) {
+      const data = await processStarExport({
+        exportLine: n,
+        srcUrl: modUrl,
+        context,
+        parentGetSource
+      })
+      Array.prototype.push.apply(imports, data.imports)
+      Array.prototype.push.apply(namespaces, data.namespaces)
+      Array.prototype.push.apply(setters, data.setters)
+      continue
+    }
+    setters.push(`
+    let $${n} = _.${n}
+    export { $${n} as ${n} }
+    set.${n} = (v) => {
+      $${n} = v
+      return true
+    }
+    `)
+  }
+
+  return { imports, namespaces, setters }
+}
 
 function addIitm (url) {
   const urlObj = new URL(url)
@@ -100,7 +175,11 @@ function createHook (meta) {
       return url
     }
 
-    if (context.importAssertions && context.importAssertions.type === 'json') {
+    // Node.js v21 renames importAssertions to importAttributes
+    if (
+      (context.importAssertions && context.importAssertions.type === 'json') ||
+      (context.importAttributes && context.importAttributes.type === 'json')
+    ) {
       return url
     }
 
@@ -116,23 +195,53 @@ function createHook (meta) {
 
   const iitmURL = new URL('lib/register.js', meta.url).toString()
   async function getSource (url, context, parentGetSource) {
+    const imports = []
+    const namespaceIds = []
+
     if (hasIitm(url)) {
       const realUrl = deleteIitm(url)
       const exportNames = await getExports(realUrl, context, parentGetSource)
+      const setters = []
+
+      for (const n of exportNames) {
+        if (isStarExportLine(n) === true) {
+          // Encountered a `export * from 'module'` line. Thus, we need to
+          // get all exports from the specified module and shim them into the
+          // current module.
+          const data = await processStarExport({
+            exportLine: n,
+            srcUrl: url,
+            context,
+            parentGetSource
+          })
+          Array.prototype.push.apply(imports, data.imports)
+          Array.prototype.push.apply(namespaceIds, data.namespaces)
+          Array.prototype.push.apply(setters, data.setters)
+
+          continue
+        }
+
+        setters.push(`
+        let $${n} = _.${n}
+        export { $${n} as ${n} }
+        set.${n} = (v) => {
+          $${n} = v
+          return true
+        }
+        `)
+      }
+
       return {
         source: `
 import { register } from '${iitmURL}'
 import * as namespace from ${JSON.stringify(url)}
+${imports.join('\n')}
+
+const _ = Object.assign({}, ...[namespace, ${namespaceIds.join(', ')}])
 const set = {}
-${exportNames.map((n) => `
-let $${n} = namespace.${n}
-export { $${n} as ${n} }
-set.${n} = (v) => {
-  $${n} = v
-  return true
-}
-`).join('\n')}
-register(${JSON.stringify(realUrl)}, namespace, set, ${JSON.stringify(specifiers.get(realUrl))})
+
+${setters.join('\n')}
+register(${JSON.stringify(realUrl)}, _, set, ${JSON.stringify(specifiers.get(realUrl))})
 `
       }
     }
diff --git a/lib/get-esm-exports.js b/lib/get-esm-exports.js
index 3b4fa30..c04799e 100644
--- a/lib/get-esm-exports.js
+++ b/lib/get-esm-exports.js
@@ -34,7 +34,7 @@ function getEsmExports (moduleStr) {
         if (node.exported) {
           exportedNames.add(node.exported.name)
         } else {
-          exportedNames.add('*')
+          exportedNames.add(`* from ${node.source.value}`)
         }
         break
       default:
diff --git a/package.json b/package.json
index 9af84f6..562c1ec 100644
--- a/package.json
+++ b/package.json
@@ -1,6 +1,6 @@
 {
   "name": "import-in-the-middle",
-  "version": "1.4.2",
+  "version": "1.5.0",
   "description": "Intercept imports in Node.js",
   "main": "index.js",
   "scripts": {
diff --git a/test/fixtures/a.mjs b/test/fixtures/a.mjs
new file mode 100644
index 0000000..1381e65
--- /dev/null
+++ b/test/fixtures/a.mjs
@@ -0,0 +1,7 @@
+export const a = 'a'
+
+export function aFunc() {
+  return a
+}
+
+export * from './foo.mjs'
diff --git a/test/fixtures/b.mjs b/test/fixtures/b.mjs
new file mode 100644
index 0000000..2bb4e36
--- /dev/null
+++ b/test/fixtures/b.mjs
@@ -0,0 +1,5 @@
+export const b = 'b'
+
+export function bFunc() {
+  return b
+}
diff --git a/test/fixtures/bundle.mjs b/test/fixtures/bundle.mjs
new file mode 100644
index 0000000..fc2af44
--- /dev/null
+++ b/test/fixtures/bundle.mjs
@@ -0,0 +1,4 @@
+import bar from './something.mjs'
+export default bar
+export * from './a.mjs'
+export * from './b.mjs'
diff --git a/test/fixtures/esm-exports.txt b/test/fixtures/esm-exports.txt
index 341fa53..9d5337b 100644
--- a/test/fixtures/esm-exports.txt
+++ b/test/fixtures/esm-exports.txt
@@ -23,7 +23,7 @@ export default class { /* … */ } //| default
 export default function* () { /* … */ } //| default
 
 // Aggregating modules
-export * from "module-name"; //| *
+export * from "module-name"; //| * from module-name
 export * as name1 from "module-name"; //| name1
 export { name1, /* …, */ nameN } from "module-name"; //| name1,nameN
 export { import1 as name1, import2 as name2, /* …, */ nameN } from "module-name"; //| name1,name2,nameN
diff --git a/test/fixtures/foo.mjs b/test/fixtures/foo.mjs
new file mode 100644
index 0000000..f494858
--- /dev/null
+++ b/test/fixtures/foo.mjs
@@ -0,0 +1,5 @@
+export function foo() {
+  return 'foo'
+}
+
+export * from './lib/baz.mjs'
diff --git a/test/fixtures/lib/baz.mjs b/test/fixtures/lib/baz.mjs
new file mode 100644
index 0000000..210d922
--- /dev/null
+++ b/test/fixtures/lib/baz.mjs
@@ -0,0 +1,3 @@
+export function baz() {
+  return 'baz'
+}
diff --git a/test/get-esm-exports/v18.19-get-esm-exports.js b/test/get-esm-exports/v18.19-get-esm-exports.js
new file mode 100644
index 0000000..3126e5c
--- /dev/null
+++ b/test/get-esm-exports/v18.19-get-esm-exports.js
@@ -0,0 +1,3 @@
+// v18.19.0 backported ESM hook execution to a separate thread,
+// thus being equivalent to >=v20.
+require('./v20-get-esm-exports')
diff --git a/test/hook/static-import-star.mjs b/test/hook/static-import-star.mjs
new file mode 100644
index 0000000..5cf427f
--- /dev/null
+++ b/test/hook/static-import-star.mjs
@@ -0,0 +1,21 @@
+import { strictEqual } from 'assert'
+import Hook from '../../index.js'
+Hook((exports, name) => {
+  if (/bundle\.mjs/.test(name) === false) return
+
+  const bar = exports.default
+  exports.default = function wrappedBar() {
+    return bar() + '-wrapped'
+  }
+
+  const aFunc = exports.aFunc
+  exports.aFunc = function wrappedAFunc() {
+    return aFunc() + '-wrapped'
+  }
+})
+
+import { default as bar, aFunc, baz } from '../fixtures/bundle.mjs'
+
+strictEqual(bar(), '42-wrapped')
+strictEqual(aFunc(), 'a-wrapped')
+strictEqual(baz(), 'baz')
diff --git a/test/other/import-executable.mjs b/test/other/import-executable.mjs
index 5979db4..baa3ddf 100644
--- a/test/other/import-executable.mjs
+++ b/test/other/import-executable.mjs
@@ -4,6 +4,14 @@
 
 import { rejects } from 'assert'
 (async () => {
+  const [processMajor, processMinor] = process.versions.node.split('.').map(Number)
+  const extensionlessSupported = processMajor >= 21 ||
+    (processMajor === 20 && processMinor >= 10) ||
+    (processMajor === 18 && processMinor >= 19)
+  if (extensionlessSupported) {
+    // Files without extension are supported in Node.js ^21, ^20.10.0, and ^18.19.0
+    return
+  }
   await rejects(() => import('./executable'), {
     name: 'TypeError',
     code: 'ERR_UNKNOWN_FILE_EXTENSION'
diff --git a/test/runtest b/test/runtest
index 555ca75..c78a381 100755
--- a/test/runtest
+++ b/test/runtest
@@ -16,14 +16,19 @@ const args = [
   ...process.argv.slice(2)
 ]
 
-const [processMajor] = process.versions.node.split('.').map(Number)
+const [processMajor, processMinor] = process.versions.node.split('.').map(Number)
 
-const match = filename.match(/v([0-9]+)/)
+const match = filename.match(/v([0-9]+)(?:\.([0-9]+))?/)
 
-const versionRequirement = match ? match[1] : 0;
+const majorRequirement = match ? match[1] : 0;
+const minorRequirement = match && match[2];
 
-if (processMajor < versionRequirement) {
-  console.log(`skipping ${filename} as this is Node.js v${processMajor} and test wants v${versionRequirement}`);
+if (processMajor < majorRequirement && minorRequirement === undefined) {
+  console.log(`skipping ${filename} as this is Node.js v${processMajor} and test wants v${majorRequirement}`);
+  process.exit(0);
+}
+if (processMajor < majorRequirement && processMinor < minorRequirement) {
+  console.log(`skipping ${filename} as this is Node.js v${processMajor}.${processMinor} and test wants >=v${majorRequirement}.${minorRequirement}`);
   process.exit(0);
 }