diff --git a/docker/php/Dockerfile b/docker/php/Dockerfile
index 8fbe6d0..01a4c23 100644
--- a/docker/php/Dockerfile
+++ b/docker/php/Dockerfile
@@ -1,4 +1,4 @@
-FROM php:8.2.1-zts-bullseye AS php
+FROM php:8.3-zts-bullseye AS php
 
 RUN apt-get update -y \
     && apt-get upgrade -y
diff --git a/resources/schemas/sqlite.sql b/resources/schemas/sqlite.sql
new file mode 100644
index 0000000..3961f95
--- /dev/null
+++ b/resources/schemas/sqlite.sql
@@ -0,0 +1,5 @@
+CREATE TABLE my_table (
+    id INTEGER PRIMARY KEY,
+    name VARCHAR(255),
+    created_at TIMESTAMP DEFAULT CURRENT_TIMESTAMP NOT NULL
+);
\ No newline at end of file
diff --git a/src/AmpPostgresConnectionAdapter.php b/src/AmpPostgresConnectionAdapter.php
index c37b39e..6400354 100644
--- a/src/AmpPostgresConnectionAdapter.php
+++ b/src/AmpPostgresConnectionAdapter.php
@@ -20,7 +20,7 @@ private function __construct(
         private readonly Closure $connectionFactory
     ) {}
 
-    public static function newConnectionFromConfig(ConnectionAdapterConfig $config) : self {
+    public static function fromConnectionConfig(ConnectionAdapterConfig $config) : self {
         return new self(fn() => connect(
             PostgresConfig::fromString(sprintf(
                 'db=%s host=%s port=%d user=%s pass=%s',
@@ -33,7 +33,7 @@ public static function newConnectionFromConfig(ConnectionAdapterConfig $config)
         ));
     }
 
-    public static function existingConnection(PostgresLink $link) : self {
+    public static function fromExistingConnection(PostgresLink $link) : self {
         return new self(fn() => $link);
     }
 
diff --git a/src/PdoConnectionAdapter.php b/src/PdoConnectionAdapter.php
index 0fe4e03..e7e8072 100644
--- a/src/PdoConnectionAdapter.php
+++ b/src/PdoConnectionAdapter.php
@@ -2,12 +2,9 @@
 
 namespace Cspray\DatabaseTestCase;
 
-use Cspray\DatabaseTestCase\DatabaseRepresentation\Row;
-use Cspray\DatabaseTestCase\DatabaseRepresentation\Table;
-use Cspray\DatabaseTestCase\Exception\UnableToGetTable;
+use Closure;
 use Cspray\DatabaseTestCase\Exception\MissingRequiredExtension;
 use PDO;
-use PDOException;
 
 if (! extension_loaded('pdo')) {
     throw new MissingRequiredExtension('You must enable ext-pdo to use the ' . PdoConnectionAdapter::class);
@@ -17,27 +14,25 @@ final class PdoConnectionAdapter extends AbstractConnectionAdapter {
 
     private ?PDO $connection = null;
 
-    public function __construct(
-        private readonly ConnectionAdapterConfig $adapterConfig,
+    private function __construct(
+        private readonly Closure $pdoSupplier,
         private readonly PdoDriver $pdoDriver
     ) {}
 
+    public static function fromConnectionConfig(ConnectionAdapterConfig $adapterConfig, PdoDriver $pdoDriver) : self {
+        return self::fromExistingConnection(new PDO($pdoDriver->dsn($adapterConfig)), $pdoDriver);
+    }
+
+    public static function fromExistingConnection(PDO $pdo, PdoDriver $pdoDriver) : self {
+        return new self(static fn() => $pdo, $pdoDriver);
+    }
+
     public function establishConnection() : void {
-        $this->connection = new PDO(
-            sprintf(
-                '%s:host=%s;port=%d;dbname=%s;user=%s;password=%s',
-                $this->pdoDriver->getDsnIdentifier(),
-                $this->adapterConfig->host,
-                $this->adapterConfig->port,
-                $this->adapterConfig->database,
-                $this->adapterConfig->user,
-                $this->adapterConfig->password
-            )
-        );
+        $this->connection = ($this->pdoSupplier)();
     }
 
     public function onTestStart() : void {
-        $this->connection->query('START TRANSACTION');
+        $this->connection->query($this->pdoDriver->startTransactionSql());
     }
 
     public function onTestStop() : void {
diff --git a/src/PdoDriver.php b/src/PdoDriver.php
index 34e9eaf..07f6647 100644
--- a/src/PdoDriver.php
+++ b/src/PdoDriver.php
@@ -5,11 +5,39 @@
 enum PdoDriver : string{
     case Postgresql = 'pdo_pgsql';
     case Mysql = 'pdo_mysql';
+    case Sqlite = 'pdo_sqlite';
 
-    public function getDsnIdentifier() : string {
+    public function dsn(ConnectionAdapterConfig $adapterConfig) : string {
+        return match ($this) {
+            self::Sqlite => sprintf(
+                'sqlite:%s',
+                $adapterConfig->host
+            ),
+            default => sprintf(
+                '%s:host=%s;port=%d;dbname=%s;user=%s;password=%s',
+                $this->dsnIdentifier(),
+                $adapterConfig->host,
+                $adapterConfig->port,
+                $adapterConfig->database,
+                $adapterConfig->user,
+                $adapterConfig->password
+            ),
+        };
+
+    }
+
+    private function dsnIdentifier() : string {
         return match ($this) {
             self::Postgresql => 'pgsql',
-            self::Mysql => 'mysql'
+            self::Mysql => 'mysql',
+            self::Sqlite => 'sqlite',
+        };
+    }
+
+    public function startTransactionSql() : string {
+        return match ($this) {
+            self::Sqlite => 'BEGIN TRANSACTION',
+            default => 'START TRANSACTION',
         };
     }
 }
\ No newline at end of file
diff --git a/tests/Integration/AmpPostgresConnectionAdapterTest.php b/tests/Integration/AmpPostgresConnectionAdapterTest.php
index 2adf338..7f891f3 100644
--- a/tests/Integration/AmpPostgresConnectionAdapterTest.php
+++ b/tests/Integration/AmpPostgresConnectionAdapterTest.php
@@ -22,6 +22,6 @@ protected function executeCountSql(string $table) : int {
     }
 
     protected static function getConnectionAdapter() : ConnectionAdapter {
-        return AmpPostgresConnectionAdapter::newConnectionFromConfig(new PostgresConnectionConfig());
+        return AmpPostgresConnectionAdapter::fromConnectionConfig(new PostgresConnectionConfig());
     }
 }
\ No newline at end of file
diff --git a/tests/Integration/ExistingPdoConnectionAdapterTest.php b/tests/Integration/ExistingPdoConnectionAdapterTest.php
new file mode 100644
index 0000000..66c639d
--- /dev/null
+++ b/tests/Integration/ExistingPdoConnectionAdapterTest.php
@@ -0,0 +1,30 @@
+<?php declare(strict_types=1);
+
+namespace Cspray\DatabaseTestCase\Tests\Integration;
+
+use Cspray\DatabaseTestCase\ConnectionAdapter;
+use Cspray\DatabaseTestCase\PdoConnectionAdapter;
+use Cspray\DatabaseTestCase\PdoDriver;
+use PDO;
+use PHPUnit\Framework\Attributes\CoversClass;
+
+#[CoversClass(PdoConnectionAdapter::class)]
+class ExistingPdoConnectionAdapterTest extends ConnectionAdapterTestCase {
+
+    protected function getExpectedUnderlyingConnectionClassName() : string {
+        return PDO::class;
+    }
+
+    protected function executeCountSql(string $table) : int {
+        $connection = self::getUnderlyingConnection();
+        assert($connection instanceof PDO);
+        return $connection->query('SELECT COUNT(*) AS "count" FROM ' . $table)
+            ->fetch(PDO::FETCH_ASSOC)['count'];
+    }
+
+    protected static function getConnectionAdapter() : ConnectionAdapter {
+        $pdo = new PDO('sqlite::memory:');
+        $pdo->query(file_get_contents(dirname(__DIR__, 2) . '/resources/schemas/sqlite.sql'));
+        return PdoConnectionAdapter::fromExistingConnection($pdo, PdoDriver::Sqlite);
+    }
+}
\ No newline at end of file
diff --git a/tests/Integration/MysqlPdoConnectionAdapterTest.php b/tests/Integration/MysqlPdoConnectionAdapterTest.php
index 494826b..e727775 100644
--- a/tests/Integration/MysqlPdoConnectionAdapterTest.php
+++ b/tests/Integration/MysqlPdoConnectionAdapterTest.php
@@ -24,7 +24,7 @@ protected function executeCountSql(string $table) : int {
     }
 
     protected static function getConnectionAdapter() : ConnectionAdapter {
-        return new PdoConnectionAdapter(
+        return PdoConnectionAdapter::fromConnectionConfig(
             new ConnectionAdapterConfig(
                 'mysql',
                 'mysql',
diff --git a/tests/Integration/PostgresPdoConnectionAdapterTest.php b/tests/Integration/PostgresPdoConnectionAdapterTest.php
index 9bf87e2..c3959bd 100644
--- a/tests/Integration/PostgresPdoConnectionAdapterTest.php
+++ b/tests/Integration/PostgresPdoConnectionAdapterTest.php
@@ -14,7 +14,7 @@
 class PostgresPdoConnectionAdapterTest extends ConnectionAdapterTestCase {
 
     protected static function getConnectionAdapter() : ConnectionAdapter {
-        return new PdoConnectionAdapter(
+        return PdoConnectionAdapter::fromConnectionConfig(
             new PostgresConnectionConfig(),
             PdoDriver::Postgresql
         );