diff --git a/Doc/library/time.rst b/Doc/library/time.rst
index 542493a82af94d..079700da500a7f 100644
--- a/Doc/library/time.rst
+++ b/Doc/library/time.rst
@@ -295,7 +295,7 @@ Functions
 
    * On Windows, call ``QueryPerformanceCounter()`` and
      ``QueryPerformanceFrequency()``.
-   * On macOS, call ``mach_absolute_time()`` and ``mach_timebase_info()``.
+   * On macOS, call ``clock_gettime(CLOCK_MONOTONIC_RAW)`` if available, otherwise call ``mach_absolute_time()`` and ``mach_timebase_info()``.
    * On HP-UX, call ``gethrtime()``.
    * Call ``clock_gettime(CLOCK_HIGHRES)`` if available.
    * Otherwise, call ``clock_gettime(CLOCK_MONOTONIC)``.
diff --git a/Misc/NEWS.d/next/macOS/2025-05-22-11-48-08.gh-issue-86273.n95ARS.rst b/Misc/NEWS.d/next/macOS/2025-05-22-11-48-08.gh-issue-86273.n95ARS.rst
new file mode 100644
index 00000000000000..42727657f3442f
--- /dev/null
+++ b/Misc/NEWS.d/next/macOS/2025-05-22-11-48-08.gh-issue-86273.n95ARS.rst
@@ -0,0 +1,2 @@
+On macOS >= 10.12, use ``clock_gettime(CLOCK_MONOTONIC_RAW)`` for
+:func:`time.monotonic`. Patch by John Keith Hohm.
diff --git a/Python/pytime.c b/Python/pytime.c
index 67cf6437264490..a6757a313788f3 100644
--- a/Python/pytime.c
+++ b/Python/pytime.c
@@ -12,7 +12,7 @@
 #  include <winsock2.h>           // struct timeval
 #endif
 
-#if defined(__APPLE__)
+#if defined(__APPLE__) && !defined(CLOCK_MONOTONIC_RAW)
 #  include <mach/mach_time.h>     // mach_absolute_time(), mach_timebase_info()
 
 #if defined(__APPLE__) && defined(__has_builtin)
@@ -933,7 +933,7 @@ py_get_system_clock(PyTime_t *tp, _Py_clock_info_t *info, int raise_exc)
     struct timespec ts;
 #endif
 
-#if !defined(HAVE_CLOCK_GETTIME) || defined(__APPLE__)
+#if !defined(HAVE_CLOCK_GETTIME) || (defined(__APPLE__) && !defined(CLOCK_MONOTONIC_RAW))
     struct timeval tv;
 #endif
 
@@ -1090,7 +1090,7 @@ py_get_win_perf_counter(PyTime_t *tp, _Py_clock_info_t *info, int raise_exc)
 #endif  // MS_WINDOWS
 
 
-#ifdef __APPLE__
+#if defined(__APPLE__) && !defined(CLOCK_MONOTONIC_RAW)
 static PyStatus
 py_mach_timebase_info(_PyTimeFraction *base)
 {
@@ -1125,7 +1125,7 @@ _PyTime_Init(struct _Py_time_runtime_state *state)
 {
 #ifdef MS_WINDOWS
     return py_win_perf_counter_frequency(&state->base);
-#elif defined(__APPLE__)
+#elif defined(__APPLE__) && !defined(CLOCK_MONOTONIC_RAW)
     return py_mach_timebase_info(&state->base);
 #else
     return PyStatus_Ok();
@@ -1146,7 +1146,7 @@ py_get_monotonic_clock(PyTime_t *tp, _Py_clock_info_t *info, int raise_exc)
     if (py_get_win_perf_counter(tp, info, raise_exc) < 0) {
         return -1;
     }
-#elif defined(__APPLE__)
+#elif defined(__APPLE__) && !defined(CLOCK_MONOTONIC_RAW)
     if (info) {
         info->implementation = "mach_absolute_time()";
         info->resolution = _PyTimeFraction_Resolution(&_PyRuntime.time.base);
@@ -1185,6 +1185,9 @@ py_get_monotonic_clock(PyTime_t *tp, _Py_clock_info_t *info, int raise_exc)
 #ifdef CLOCK_HIGHRES
     const clockid_t clk_id = CLOCK_HIGHRES;
     const char *implementation = "clock_gettime(CLOCK_HIGHRES)";
+#elif defined(__APPLE__) && defined(CLOCK_MONOTONIC_RAW)
+    const clockid_t clk_id = CLOCK_MONOTONIC_RAW;
+    const char *implementation = "clock_gettime(CLOCK_MONOTONIC_RAW)";
 #else
     const clockid_t clk_id = CLOCK_MONOTONIC;
     const char *implementation = "clock_gettime(CLOCK_MONOTONIC)";