diff --git a/outlines/fsm/json_schema.py b/outlines/fsm/json_schema.py
index dbd2baa40..8f3c4815d 100644
--- a/outlines/fsm/json_schema.py
+++ b/outlines/fsm/json_schema.py
@@ -199,6 +199,15 @@ def to_regex(
 
         return rf"({'|'.join(xor_patterns)})"
 
+    # Create pattern for Tuples, per JSON Schema spec, `prefixItems` determines types at each idx
+    elif "prefixItems" in instance:
+        element_patterns = [
+            to_regex(resolver, t, whitespace_pattern) for t in instance["prefixItems"]
+        ]
+        comma_split_pattern = rf"{whitespace_pattern},{whitespace_pattern}"
+        tuple_inner = comma_split_pattern.join(element_patterns)
+        return rf"\[{whitespace_pattern}{tuple_inner}{whitespace_pattern}\]"
+
     # The enum keyword is used to restrict a value to a fixed set of values. It
     # must be an array with at least one element, where each element is unique.
     elif "enum" in instance:
diff --git a/tests/fsm/test_json_schema.py b/tests/fsm/test_json_schema.py
index b12f9576e..8f8b5d88f 100644
--- a/tests/fsm/test_json_schema.py
+++ b/tests/fsm/test_json_schema.py
@@ -354,6 +354,15 @@ def test_match_number(pattern, does_match):
             rf"({STRING}{INTEGER})",
             [('"a"1', True), ('"a"', False), ('"1"', False)],
         ),
+        # Tuple / prefixItems
+        (
+            {
+                "title": "Foo",
+                "prefixItems": [{"type": "string"}, {"type": "integer"}],
+            },
+            rf"\[{WHITESPACE}{STRING}{WHITESPACE},{WHITESPACE}{INTEGER}{WHITESPACE}\]",
+            [('["a", 1]', True), ('["a", 1, 1]', False), ("[]", False)],
+        ),
         # Nested schema
         (
             {