diff --git a/src/parser/tag.rs b/src/parser/tag.rs
index 50b28fb7..e6af621a 100644
--- a/src/parser/tag.rs
+++ b/src/parser/tag.rs
@@ -63,7 +63,11 @@ pub fn get_sql_from_expr(
             .iter()
             .map(|tpl_element| SQL {
               var_decl_name: var_decl_name.to_owned(),
-              query: tpl_element.raw.to_string(),
+              query: tpl_element
+                .cooked
+                .as_ref()
+                .map(|c| c.to_atom_lossy().to_string())
+                .unwrap_or_else(|| tpl_element.raw.to_string()),
               span: span.clone(),
             })
             .collect();
diff --git a/tests/demo/mysql/backtick_escaping.queries.ts b/tests/demo/mysql/backtick_escaping.queries.ts
new file mode 100644
index 00000000..ed5f371c
--- /dev/null
+++ b/tests/demo/mysql/backtick_escaping.queries.ts
@@ -0,0 +1,41 @@
+export type BacktickTableNameParams = [];
+
+export interface IBacktickTableNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IBacktickTableNameQuery {
+	params: BacktickTableNameParams;
+	result: IBacktickTableNameResult;
+}
+
+export type BacktickQualifiedNameParams = [];
+
+export interface IBacktickQualifiedNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IBacktickQualifiedNameQuery {
+	params: BacktickQualifiedNameParams;
+	result: IBacktickQualifiedNameResult;
+}
+
+export type BacktickColumnNamesParams = [number];
+
+export interface IBacktickColumnNamesResult {
+	id: number;
+	name: string;
+}
+
+export interface IBacktickColumnNamesQuery {
+	params: BacktickColumnNamesParams;
+	result: IBacktickColumnNamesResult;
+}
diff --git a/tests/demo/mysql/backtick_escaping.snapshot.ts b/tests/demo/mysql/backtick_escaping.snapshot.ts
new file mode 100644
index 00000000..ed5f371c
--- /dev/null
+++ b/tests/demo/mysql/backtick_escaping.snapshot.ts
@@ -0,0 +1,41 @@
+export type BacktickTableNameParams = [];
+
+export interface IBacktickTableNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IBacktickTableNameQuery {
+	params: BacktickTableNameParams;
+	result: IBacktickTableNameResult;
+}
+
+export type BacktickQualifiedNameParams = [];
+
+export interface IBacktickQualifiedNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IBacktickQualifiedNameQuery {
+	params: BacktickQualifiedNameParams;
+	result: IBacktickQualifiedNameResult;
+}
+
+export type BacktickColumnNamesParams = [number];
+
+export interface IBacktickColumnNamesResult {
+	id: number;
+	name: string;
+}
+
+export interface IBacktickColumnNamesQuery {
+	params: BacktickColumnNamesParams;
+	result: IBacktickColumnNamesResult;
+}
diff --git a/tests/demo/mysql/backtick_escaping.ts b/tests/demo/mysql/backtick_escaping.ts
new file mode 100644
index 00000000..66d3d795
--- /dev/null
+++ b/tests/demo/mysql/backtick_escaping.ts
@@ -0,0 +1,22 @@
+import { sql } from 'sqlx-ts'
+
+// Issue #265: Backtick-escaped table names should work
+const backtickTableName = sql`
+-- @db: db_mysql
+-- @name: backtick table name
+SELECT * FROM \`items\`
+`
+
+// Issue #265: Backtick-escaped qualified table names (db.table)
+const backtickQualifiedName = sql`
+-- @db: db_mysql
+-- @name: backtick qualified name
+SELECT * FROM \`sqlx-ts\`.\`items\`
+`
+
+// Issue #265: Backtick-escaped column names
+const backtickColumnNames = sql`
+-- @db: db_mysql
+-- @name: backtick column names
+SELECT \`id\`, \`name\` FROM \`items\` WHERE \`id\` = ?
+`
diff --git a/tests/demo/select/double_quote_escaping.queries.ts b/tests/demo/select/double_quote_escaping.queries.ts
new file mode 100644
index 00000000..dce8f669
--- /dev/null
+++ b/tests/demo/select/double_quote_escaping.queries.ts
@@ -0,0 +1,41 @@
+export type DoubleQuoteTableNameParams = [];
+
+export interface IDoubleQuoteTableNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IDoubleQuoteTableNameQuery {
+	params: DoubleQuoteTableNameParams;
+	result: IDoubleQuoteTableNameResult;
+}
+
+export type DoubleQuoteQualifiedNameParams = [];
+
+export interface IDoubleQuoteQualifiedNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IDoubleQuoteQualifiedNameQuery {
+	params: DoubleQuoteQualifiedNameParams;
+	result: IDoubleQuoteQualifiedNameResult;
+}
+
+export type DoubleQuoteColumnNamesParams = [number];
+
+export interface IDoubleQuoteColumnNamesResult {
+	id: number;
+	name: string;
+}
+
+export interface IDoubleQuoteColumnNamesQuery {
+	params: DoubleQuoteColumnNamesParams;
+	result: IDoubleQuoteColumnNamesResult;
+}
diff --git a/tests/demo/select/double_quote_escaping.snapshot.ts b/tests/demo/select/double_quote_escaping.snapshot.ts
new file mode 100644
index 00000000..dce8f669
--- /dev/null
+++ b/tests/demo/select/double_quote_escaping.snapshot.ts
@@ -0,0 +1,41 @@
+export type DoubleQuoteTableNameParams = [];
+
+export interface IDoubleQuoteTableNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IDoubleQuoteTableNameQuery {
+	params: DoubleQuoteTableNameParams;
+	result: IDoubleQuoteTableNameResult;
+}
+
+export type DoubleQuoteQualifiedNameParams = [];
+
+export interface IDoubleQuoteQualifiedNameResult {
+	flavor_text: string | null;
+	id: number;
+	inventory_id: number | null;
+	name: string;
+	rarity: string | null;
+}
+
+export interface IDoubleQuoteQualifiedNameQuery {
+	params: DoubleQuoteQualifiedNameParams;
+	result: IDoubleQuoteQualifiedNameResult;
+}
+
+export type DoubleQuoteColumnNamesParams = [number];
+
+export interface IDoubleQuoteColumnNamesResult {
+	id: number;
+	name: string;
+}
+
+export interface IDoubleQuoteColumnNamesQuery {
+	params: DoubleQuoteColumnNamesParams;
+	result: IDoubleQuoteColumnNamesResult;
+}
diff --git a/tests/demo/select/double_quote_escaping.ts b/tests/demo/select/double_quote_escaping.ts
new file mode 100644
index 00000000..8a3e7984
--- /dev/null
+++ b/tests/demo/select/double_quote_escaping.ts
@@ -0,0 +1,19 @@
+import { sql } from 'sqlx-ts'
+
+// Issue #265: Double-quoted identifiers should work in PostgreSQL
+const doubleQuoteTableName = sql`
+-- @name: double quote table name
+SELECT * FROM "items"
+`
+
+// Double-quoted qualified table names (schema.table)
+const doubleQuoteQualifiedName = sql`
+-- @name: double quote qualified name
+SELECT * FROM "public"."items"
+`
+
+// Double-quoted column names with param
+const doubleQuoteColumnNames = sql`
+-- @name: double quote column names
+SELECT "id", "name" FROM "items" WHERE "id" = $1
+`