diff --git a/Misc/NEWS.d/next/C API/2023-08-26-04-07-37.gh-issue-85283.TKX77g.rst b/Misc/NEWS.d/next/C API/2023-08-26-04-07-37.gh-issue-85283.TKX77g.rst
new file mode 100644
index 00000000000000..c0a33a0e8be3c8
--- /dev/null
+++ b/Misc/NEWS.d/next/C API/2023-08-26-04-07-37.gh-issue-85283.TKX77g.rst	
@@ -0,0 +1,2 @@
+The ``_uuid`` C extension is now built with the :ref:`limited C API
+<limited-c-api>`. Patch by Victor Stinner.
diff --git a/Modules/_uuidmodule.c b/Modules/_uuidmodule.c
index 2f5be1c5144d83..c6d62ad12372cc 100644
--- a/Modules/_uuidmodule.c
+++ b/Modules/_uuidmodule.c
@@ -3,6 +3,8 @@
  * DCE compatible Universally Unique Identifier library.
  */
 
+#define Py_LIMITED_API 0x030d0000
+
 #include "Python.h"
 #if defined(HAVE_UUID_H)
   // AIX, FreeBSD, libuuid with pkgconf