diff --git a/.chronus/changes/safe-int-openapi3-2024-1-17-0-53-2.md b/.chronus/changes/safe-int-openapi3-2024-1-17-0-53-2.md
new file mode 100644
index 000000000..6072a3bc9
--- /dev/null
+++ b/.chronus/changes/safe-int-openapi3-2024-1-17-0-53-2.md
@@ -0,0 +1,8 @@
+---
+# Change versionKind to one of: internal, fix, dependencies, feature, deprecation, breaking
+changeKind: feature
+packages:
+  - "@typespec/openapi3"
+---
+
+Add a new option `safeint-strategy` that can be set to `double-int` to emit `type: integer, format: double-int` instead of `type: integer, format: int64` when using the `safeint` scalar.
diff --git a/docs/libraries/openapi3/reference/emitter.md b/docs/libraries/openapi3/reference/emitter.md
index bd8979799..b9f4be9c9 100644
--- a/docs/libraries/openapi3/reference/emitter.md
+++ b/docs/libraries/openapi3/reference/emitter.md
@@ -81,3 +81,14 @@ By default all types declared under the service namespace will be included. With
 
 If the generated openapi types should have the `x-typespec-name` extension set with the name of the TypeSpec type that created it.
 This extension is meant for debugging and should not be depended on.
+
+### `safeint-strategy`
+
+**Type:** `"double-int" | "int64"`
+
+How to handle safeint type. Options are:
+
+- `double-int`: Will produce `type: integer, format: double-int`
+- `int64`: Will produce `type: integer, format: int64`
+
+Default: `int64`
diff --git a/packages/openapi3/README.md b/packages/openapi3/README.md
index a41e857f9..d148beb0c 100644
--- a/packages/openapi3/README.md
+++ b/packages/openapi3/README.md
@@ -86,6 +86,17 @@ By default all types declared under the service namespace will be included. With
 If the generated openapi types should have the `x-typespec-name` extension set with the name of the TypeSpec type that created it.
 This extension is meant for debugging and should not be depended on.
 
+#### `safeint-strategy`
+
+**Type:** `"double-int" | "int64"`
+
+How to handle safeint type. Options are:
+
+- `double-int`: Will produce `type: integer, format: double-int`
+- `int64`: Will produce `type: integer, format: int64`
+
+Default: `int64`
+
 ## Decorators
 
 ### TypeSpec.OpenAPI
diff --git a/packages/openapi3/src/lib.ts b/packages/openapi3/src/lib.ts
index ad0549887..335aecedb 100644
--- a/packages/openapi3/src/lib.ts
+++ b/packages/openapi3/src/lib.ts
@@ -54,6 +54,14 @@ export interface OpenAPI3EmitterOptions {
    * @default "never"
    */
   "include-x-typespec-name"?: "inline-only" | "never";
+
+  /**
+   * How to handle safeint type. Options are:
+   *  - `double-int`: Will produce `type: integer, format: double-int`
+   *  - `int64`: Will produce `type: integer, format: int64`
+   * @default "int64"
+   */
+  "safeint-strategy"?: "double-int" | "int64";
 }
 
 const EmitterOptionsSchema: JSONSchemaType<OpenAPI3EmitterOptions> = {
@@ -117,6 +125,19 @@ const EmitterOptionsSchema: JSONSchemaType<OpenAPI3EmitterOptions> = {
       description:
         "If the generated openapi types should have the `x-typespec-name` extension set with the name of the TypeSpec type that created it.\nThis extension is meant for debugging and should not be depended on.",
     },
+    "safeint-strategy": {
+      type: "string",
+      enum: ["double-int", "int64"],
+      nullable: true,
+      default: "int64",
+      description: [
+        "How to handle safeint type. Options are:",
+        " - `double-int`: Will produce `type: integer, format: double-int`",
+        " - `int64`: Will produce `type: integer, format: int64`",
+        "",
+        "Default: `int64`",
+      ].join("\n"),
+    },
   },
   required: [],
 };
diff --git a/packages/openapi3/src/openapi.ts b/packages/openapi3/src/openapi.ts
index 863970672..21b13418f 100644
--- a/packages/openapi3/src/openapi.ts
+++ b/packages/openapi3/src/openapi.ts
@@ -118,6 +118,7 @@ const defaultOptions = {
   "new-line": "lf",
   "omit-unreachable-types": false,
   "include-x-typespec-name": "never",
+  "safeint-strategy": "int64",
 } as const;
 
 export async function $onEmit(context: EmitContext<OpenAPI3EmitterOptions>) {
@@ -186,6 +187,7 @@ export function resolveOptions(
     newLine: resolvedOptions["new-line"],
     omitUnreachableTypes: resolvedOptions["omit-unreachable-types"],
     includeXTypeSpecName: resolvedOptions["include-x-typespec-name"],
+    safeintStrategy: resolvedOptions["safeint-strategy"],
     outputFile: resolvePath(context.emitterOutputDir, outputFile),
   };
 }
@@ -196,6 +198,7 @@ export interface ResolvedOpenAPI3EmitterOptions {
   newLine: NewLine;
   omitUnreachableTypes: boolean;
   includeXTypeSpecName: "inline-only" | "never";
+  safeintStrategy: "double-int" | "int64";
 }
 
 function createOAPIEmitter(
diff --git a/packages/openapi3/src/schema-emitter.ts b/packages/openapi3/src/schema-emitter.ts
index 6456d8b58..5b579c6de 100644
--- a/packages/openapi3/src/schema-emitter.ts
+++ b/packages/openapi3/src/schema-emitter.ts
@@ -699,7 +699,13 @@ export class OpenAPI3SchemaEmitter extends TypeEmitter<
       case "int64":
         return { type: "integer", format: "int64" };
       case "safeint":
-        return { type: "integer", format: "int64" };
+        switch (this.#options.safeintStrategy) {
+          case "double-int":
+            return { type: "integer", format: "double-int" };
+          case "int64":
+          default:
+            return { type: "integer", format: "int64" };
+        }
       case "uint8":
         return { type: "integer", format: "uint8" };
       case "uint16":
diff --git a/packages/openapi3/test/primitive-types.test.ts b/packages/openapi3/test/primitive-types.test.ts
index 03ac8cc58..be6b8e5c5 100644
--- a/packages/openapi3/test/primitive-types.test.ts
+++ b/packages/openapi3/test/primitive-types.test.ts
@@ -1,7 +1,7 @@
 import { deepStrictEqual, ok, strictEqual } from "assert";
 import { describe, it } from "vitest";
 import { OpenAPI3Schema } from "../src/types.js";
-import { oapiForModel } from "./test-host.js";
+import { oapiForModel, openApiFor } from "./test-host.js";
 
 describe("openapi3: primitives", () => {
   describe("handle TypeSpec intrinsic types", () => {
@@ -48,6 +48,34 @@ describe("openapi3: primitives", () => {
     }
   });
 
+  describe("safeint-strategy", () => {
+    it("produce type: integer, format: double-int for safeint when safeint-strategy is double-int", async () => {
+      const res = await openApiFor(
+        `
+      model Pet { name: safeint };
+      `,
+        undefined,
+        { "safeint-strategy": "double-int" }
+      );
+
+      const schema = res.components.schemas.Pet.properties.name;
+      deepStrictEqual(schema, { type: "integer", format: "double-int" });
+    });
+
+    it("produce type: integer, format: int64 for safeint when safeint-strategy is int64", async () => {
+      const res = await openApiFor(
+        `
+      model Pet { name: safeint };
+      `,
+        undefined,
+        { "safeint-strategy": "int64" }
+      );
+
+      const schema = res.components.schemas.Pet.properties.name;
+      deepStrictEqual(schema, { type: "integer", format: "int64" });
+    });
+  });
+
   it("defines models extended from primitives", async () => {
     const res = await oapiForModel(
       "Pet",