diff --git a/.changeset/sixty-carrots-pick.md b/.changeset/sixty-carrots-pick.md
new file mode 100644
index 000000000000..047f07052c7f
--- /dev/null
+++ b/.changeset/sixty-carrots-pick.md
@@ -0,0 +1,5 @@
+---
+'@astrojs/node': patch
+---
+
+Handle errors where a module is not found when loading the server entrypoint
diff --git a/packages/integrations/node/src/preview.ts b/packages/integrations/node/src/preview.ts
index 6a7ce7ebaa53..938214c3e7d4 100644
--- a/packages/integrations/node/src/preview.ts
+++ b/packages/integrations/node/src/preview.ts
@@ -21,7 +21,7 @@ const createPreviewServer: CreatePreviewServer = async (preview) => {
 			);
 		}
 	} catch (err) {
-		if ((err as any).code === 'ERR_MODULE_NOT_FOUND') {
+		if ((err as any).code === 'ERR_MODULE_NOT_FOUND' && (err as any).url === preview.serverEntrypoint.href) {
 			throw new AstroError(
 				`The server entrypoint ${fileURLToPath(
 					preview.serverEntrypoint,