diff --git a/drizzle-kit/src/cli/commands/libSqlPushUtils.ts b/drizzle-kit/src/cli/commands/libSqlPushUtils.ts
index 31e90c8722..cbd0d9fd3f 100644
--- a/drizzle-kit/src/cli/commands/libSqlPushUtils.ts
+++ b/drizzle-kit/src/cli/commands/libSqlPushUtils.ts
@@ -125,6 +125,9 @@ export const libSqlLogSuggestionsAndReturn = async (
 	const columnsToRemove: string[] = [];
 	const tablesToTruncate: string[] = [];
 
+	// Track tables that have been recreated to avoid duplicate index creation
+	const recreatedTables = new Set<string>();
+
 	for (const statement of statements) {
 		if (statement.type === 'drop_table') {
 			const res = await connection.query<{ count: string }>(
@@ -231,6 +234,8 @@ export const libSqlLogSuggestionsAndReturn = async (
 			);
 		} else if (statement.type === 'recreate_table') {
 			const tableName = statement.tableName;
+			// Mark table as recreated to skip duplicate index creation later
+			recreatedTables.add(tableName);
 
 			let dataLoss = false;
 
@@ -336,6 +341,9 @@ export const libSqlLogSuggestionsAndReturn = async (
 			statementsToExecute.push(
 				...(Array.isArray(fromJsonStatement) ? fromJsonStatement : [fromJsonStatement]),
 			);
+		} else if (statement.type === 'create_index' && recreatedTables.has(statement.tableName)) {
+			// Skip create_index for recreated tables - indexes are already created in _moveDataStatements
+			continue;
 		} else {
 			const fromJsonStatement = fromJson([statement], 'turso', 'push', json2);
 			statementsToExecute.push(
diff --git a/drizzle-kit/src/cli/commands/sqlitePushUtils.ts b/drizzle-kit/src/cli/commands/sqlitePushUtils.ts
index a18b369451..b117096ed1 100644
--- a/drizzle-kit/src/cli/commands/sqlitePushUtils.ts
+++ b/drizzle-kit/src/cli/commands/sqlitePushUtils.ts
@@ -140,6 +140,9 @@ export const logSuggestionsAndReturn = async (
 	const schemasToRemove: string[] = [];
 	const tablesToTruncate: string[] = [];
 
+	// Track tables that have been recreated to avoid duplicate index creation
+	const recreatedTables = new Set<string>();
+
 	for (const statement of statements) {
 		if (statement.type === 'drop_table') {
 			const res = await connection.query<{ count: string }>(
@@ -217,6 +220,8 @@ export const logSuggestionsAndReturn = async (
 			);
 		} else if (statement.type === 'recreate_table') {
 			const tableName = statement.tableName;
+			// Mark table as recreated to skip duplicate index creation later
+			recreatedTables.add(tableName);
 			const oldTableName = getOldTableName(tableName, meta);
 
 			let dataLoss = false;
@@ -302,6 +307,9 @@ export const logSuggestionsAndReturn = async (
 			if (pragmaState) {
 				statementsToExecute.push(`PRAGMA foreign_keys=ON;`);
 			}
+		} else if (statement.type === 'create_index' && recreatedTables.has(statement.tableName)) {
+			// Skip create_index for recreated tables - indexes are already created in _moveDataStatements
+			continue;
 		} else {
 			const fromJsonStatement = fromJson([statement], 'sqlite', 'push');
 			statementsToExecute.push(
diff --git a/drizzle-kit/tests/push/libsql.test.ts b/drizzle-kit/tests/push/libsql.test.ts
index 2ae2e38110..e7e68b10fe 100644
--- a/drizzle-kit/tests/push/libsql.test.ts
+++ b/drizzle-kit/tests/push/libsql.test.ts
@@ -10,6 +10,7 @@ import {
 	int,
 	integer,
 	numeric,
+	primaryKey,
 	real,
 	sqliteTable,
 	sqliteView,
@@ -1398,3 +1399,78 @@ test('alter view ".as"', async () => {
 	expect(statements.length).toBe(0);
 	expect(sqlStatements.length).toBe(0);
 });
+
+// Regression test for duplicate CREATE INDEX on table recreation
+// Bug: When a recreate_table occurs, CREATE INDEX statements were emitted twice:
+//   CREATE UNIQUE INDEX `UserSlug_userSlug` ...
+//   PRAGMA foreign_keys=ON;
+//   CREATE UNIQUE INDEX `UserSlug_userSlug` ...  <-- duplicate!
+test('recreate table with composite pk, unique index and regular index should not duplicate CREATE INDEX', async (t) => {
+	// Schema with composite PK, uniqueIndex, and regular index (matches UserSlugBindings)
+	const schema = {
+		UserSlugBindings: sqliteTable(
+			'UserSlugBindings',
+			{
+				userId: text('userId').notNull(),
+				userSlug: text('userSlug').notNull(),
+				created: text('created').notNull(),
+			},
+			(table) => [
+				primaryKey({ columns: [table.userSlug, table.userId] }),
+				uniqueIndex('UserSlug_userSlug').on(table.userSlug),
+				index('UserSlug_created').on(table.created),
+			],
+		),
+	};
+
+	const turso = createClient({ url: ':memory:' });
+
+	// ==================== FIRST PUSH: empty DB -> schema ====================
+	// This simulates the initial `drizzle-kit push` to an empty database
+	const {
+		sqlStatements: firstPushStatements,
+	} = await diffTestSchemasPushLibSQL(turso, {}, schema, [], false);
+
+	// First push should have clean CREATE statements, no ALTER/recreate
+	expect(firstPushStatements.some((s) => s.includes('CREATE TABLE `UserSlugBindings`'))).toBe(true);
+	expect(firstPushStatements.some((s) => s.includes('CREATE UNIQUE INDEX `UserSlug_userSlug`'))).toBe(true);
+	expect(firstPushStatements.some((s) => s.includes('CREATE INDEX `UserSlug_created`'))).toBe(true);
+
+	// No ALTER TABLE or __new_ (recreate) statements on first push
+	expect(firstPushStatements.some((s) => s.includes('ALTER TABLE'))).toBe(false);
+	expect(firstPushStatements.some((s) => s.includes('__new_'))).toBe(false);
+
+	// Each index should appear exactly once
+	const firstPushUniqueIndexCount = firstPushStatements.filter(
+		(s) => s.includes('CREATE UNIQUE INDEX') && s.includes('UserSlug_userSlug'),
+	).length;
+	const firstPushRegularIndexCount = firstPushStatements.filter(
+		(s) => s.includes('CREATE INDEX') && s.includes('UserSlug_created'),
+	).length;
+	expect(firstPushUniqueIndexCount).toBe(1);
+	expect(firstPushRegularIndexCount).toBe(1);
+
+	// ==================== SECOND PUSH: schema -> schema ====================
+	// This simulates running `drizzle-kit push` again on the same DB
+	const {
+		sqlStatements: secondPushStatements,
+		columnsToRemove,
+		tablesToRemove,
+	} = await diffTestSchemasPushLibSQL(turso, schema, schema, [], false);
+
+	// Count CREATE INDEX occurrences in second push output
+	const secondPushUniqueIndexCount = secondPushStatements.filter(
+		(s) => s.includes('CREATE UNIQUE INDEX') && s.includes('UserSlug_userSlug'),
+	).length;
+	const secondPushRegularIndexCount = secondPushStatements.filter(
+		(s) => s.includes('CREATE INDEX') && s.includes('UserSlug_created'),
+	).length;
+
+	// CRITICAL: Each index should appear at most ONCE, not twice
+	// Bug was: _moveDataStatements created indexes, then create_index statements added duplicates
+	expect(secondPushUniqueIndexCount).toBeLessThanOrEqual(1);
+	expect(secondPushRegularIndexCount).toBeLessThanOrEqual(1);
+
+	expect(columnsToRemove!.length).toBe(0);
+	expect(tablesToRemove!.length).toBe(0);
+});