diff --git a/CHANGELOG.rst b/CHANGELOG.rst
index f161578..4428edb 100644
--- a/CHANGELOG.rst
+++ b/CHANGELOG.rst
@@ -1,3 +1,9 @@
+1.0.3 (unreleased)
+------------------
+
+- Provide top-level ``pytest_xprocess`` module compatibility shim for downstream imports (`#163 <https://github.com/pytest-dev/pytest-xprocess/issues/163>`_)
+
+
 1.0.1 (2024-04-31)
 ------------------
 
diff --git a/pytest_xprocess.py b/pytest_xprocess.py
new file mode 100644
index 0000000..7c8d348
--- /dev/null
+++ b/pytest_xprocess.py
@@ -0,0 +1,29 @@
+from xprocess import ProcessStarter
+from xprocess import XProcess
+from xprocess import XProcessInfo
+from xprocess import XProcessResources
+from xprocess.pytest_xprocess import get_log_files
+from xprocess.pytest_xprocess import getrootdir
+from xprocess.pytest_xprocess import InterruptionHandler
+from xprocess.pytest_xprocess import pytest_addoption
+from xprocess.pytest_xprocess import pytest_cmdline_main
+from xprocess.pytest_xprocess import pytest_configure
+from xprocess.pytest_xprocess import pytest_runtest_makereport
+from xprocess.pytest_xprocess import pytest_unconfigure
+from xprocess.pytest_xprocess import xprocess
+
+__all__ = [
+    "InterruptionHandler",
+    "ProcessStarter",
+    "XProcess",
+    "XProcessInfo",
+    "XProcessResources",
+    "get_log_files",
+    "getrootdir",
+    "pytest_addoption",
+    "pytest_cmdline_main",
+    "pytest_configure",
+    "pytest_runtest_makereport",
+    "pytest_unconfigure",
+    "xprocess",
+]
diff --git a/setup.cfg b/setup.cfg
index dfb962e..4d5a25b 100644
--- a/setup.cfg
+++ b/setup.cfg
@@ -24,6 +24,7 @@ classifiers=
 
 [options]
 packages = find:
+py_modules = pytest_xprocess
 python_requires = >= 3.8
 
 [options.packages.find]
@@ -38,6 +39,7 @@ branch = true
 include =
     xprocess/xprocess.py
     xprocess/pytest_xprocess.py
+    pytest_xprocess.py
 
 [flake8]
 # B = bugbear
diff --git a/tests/test_top_level_import.py b/tests/test_top_level_import.py
new file mode 100644
index 0000000..35f8d08
--- /dev/null
+++ b/tests/test_top_level_import.py
@@ -0,0 +1,28 @@
+import importlib.util
+
+import pytest_xprocess
+from pytest_xprocess import getrootdir
+from pytest_xprocess import ProcessStarter
+from pytest_xprocess import XProcess
+from pytest_xprocess import XProcessInfo
+from pytest_xprocess import XProcessResources
+from xprocess import ProcessStarter as InternalProcessStarter
+from xprocess import XProcess as InternalXProcess
+from xprocess import XProcessInfo as InternalXProcessInfo
+from xprocess import XProcessResources as InternalXProcessResources
+from xprocess.pytest_xprocess import getrootdir as internal_getrootdir
+
+
+def test_top_level_pytest_xprocess_spec():
+    spec = importlib.util.find_spec("pytest_xprocess")
+    assert spec is not None
+    assert spec.origin is not None
+
+
+def test_top_level_pytest_xprocess_exports():
+    assert getrootdir is internal_getrootdir
+    assert ProcessStarter is InternalProcessStarter
+    assert XProcess is InternalXProcess
+    assert XProcessInfo is InternalXProcessInfo
+    assert XProcessResources is InternalXProcessResources
+    assert hasattr(pytest_xprocess, "xprocess")