diff --git a/sqlx-macros-core/src/derives/attributes.rs b/sqlx-macros-core/src/derives/attributes.rs
index 6109863833..cdd47dbacf 100644
--- a/sqlx-macros-core/src/derives/attributes.rs
+++ b/sqlx-macros-core/src/derives/attributes.rs
@@ -1,8 +1,8 @@
 use proc_macro2::{Ident, Span, TokenStream};
 use quote::quote_spanned;
 use syn::{
-    parenthesized, punctuated::Punctuated, token::Comma, Attribute, DeriveInput, Field, LitStr,
-    Meta, Token, Type, Variant,
+    parenthesized, punctuated::Punctuated, token::Comma, Attribute, DeriveInput, Field, LitInt,
+    LitStr, Meta, Token, Type, Variant,
 };
 
 macro_rules! assert_attribute {
@@ -73,6 +73,7 @@ pub struct SqlxChildAttributes {
     pub try_from: Option<Type>,
     pub skip: bool,
     pub json: Option<JsonAttribute>,
+    pub ordinal: Option<usize>,
 }
 
 pub fn parse_container_attributes(input: &[Attribute]) -> syn::Result<SqlxContainerAttributes> {
@@ -150,6 +151,7 @@ pub fn parse_child_attributes(input: &[Attribute]) -> syn::Result<SqlxChildAttri
     let mut flatten = false;
     let mut skip: bool = false;
     let mut json = None;
+    let mut ordinal = None;
 
     for attr in input.iter().filter(|a| a.path().is_ident("sqlx")) {
         attr.parse_nested_meta(|meta| {
@@ -177,6 +179,11 @@ pub fn parse_child_attributes(input: &[Attribute]) -> syn::Result<SqlxChildAttri
                 } else {
                     json = Some(JsonAttribute::NonNullable);
                 }
+            } else if meta.path.is_ident("ordinal") {
+                meta.input.parse::<Token![=]>()?;
+                let val: LitInt = meta.input.parse()?;
+                let ord = val.base10_parse::<usize>()?;
+                try_set!(ordinal, ord, val);
             }
 
             Ok(())
@@ -197,6 +204,7 @@ pub fn parse_child_attributes(input: &[Attribute]) -> syn::Result<SqlxChildAttri
         try_from,
         skip,
         json,
+        ordinal,
     })
 }
 
diff --git a/sqlx-macros-core/src/derives/row.rs b/sqlx-macros-core/src/derives/row.rs
index 604986f90b..34129958f0 100644
--- a/sqlx-macros-core/src/derives/row.rs
+++ b/sqlx-macros-core/src/derives/row.rs
@@ -97,6 +97,13 @@ fn expand_derive_from_row_struct(
                 }
             };
 
+            let id_s = if let Some(ordinal) = attributes.ordinal {
+                predicates.push(parse_quote!(::std::primitive::usize: ::sqlx::ColumnIndex<R>));
+                quote!(#ordinal)
+            } else {
+                quote!(#id_s)
+            };
+
             let expr: Expr = match (attributes.flatten, attributes.try_from, attributes.json) {
                 // <No attributes>
                 (false, None, None) => {
@@ -137,7 +144,7 @@ fn expand_derive_from_row_struct(
                 (false, Some(try_from), None) => {
                     predicates
                         .push(parse_quote!(#try_from: ::sqlx::decode::Decode<#lifetime, R::Database>));
-                    predicates.push(parse_quote!(#try_from: ::sqlx::types::Type<R::Database>)); 
+                    predicates.push(parse_quote!(#try_from: ::sqlx::types::Type<R::Database>));
 
                     parse_quote!(
                         __row.try_get(#id_s)
diff --git a/tests/postgres/derives.rs b/tests/postgres/derives.rs
index 96687e3113..e31fb471e5 100644
--- a/tests/postgres/derives.rs
+++ b/tests/postgres/derives.rs
@@ -719,6 +719,38 @@ async fn test_flatten() -> anyhow::Result<()> {
     Ok(())
 }
 
+#[cfg(feature = "macros")]
+#[sqlx_macros::test]
+pub async fn test_ordinal() -> anyhow::Result<()> {
+    #[derive(Debug, sqlx::FromRow)]
+    struct AccountOrdinal {
+        #[sqlx(ordinal = 1)]
+        id: i32,
+        #[sqlx(ordinal = 0)]
+        name: String,
+        #[sqlx(ordinal = 3)]
+        balance: Option<i32>,
+        #[sqlx(ordinal = 2)]
+        active: bool,
+    }
+
+    let mut conn = new::<Postgres>().await?;
+
+    let account: AccountOrdinal = sqlx::query_as(
+        r#"SELECT * from (VALUES ('foo', 1, true, 10000)) accounts("col_0", "col_1", "col_2", "col_3")"#,
+    )
+    .fetch_one(&mut conn)
+    .await?;
+    println!("{account:?}");
+
+    assert_eq!(1, account.id);
+    assert_eq!("foo", account.name);
+    assert_eq!(Some(10000), account.balance);
+    assert_eq!(true, account.active);
+
+    Ok(())
+}
+
 #[cfg(feature = "macros")]
 #[sqlx_macros::test]
 async fn test_skip() -> anyhow::Result<()> {