diff --git a/app/components/PackageDependents.vue b/app/components/PackageDependents.vue
new file mode 100644
index 00000000..b521442b
--- /dev/null
+++ b/app/components/PackageDependents.vue
@@ -0,0 +1,84 @@
+<script setup lang="ts">
+import { usePackageDependents } from '~/composables/useNpmRegistry'
+import { formatCompactNumber } from '~/utils/formatters'
+
+const props = defineProps<{
+  packageName: string
+}>()
+
+const { data, status } = usePackageDependents(() => props.packageName)
+
+const dependents = computed(() => data.value?.dependents ?? [])
+const total = computed(() => data.value?.total ?? 0)
+
+// Expanded state for showing all dependents
+const expanded = ref(false)
+
+// Show first 10 by default, all when expanded
+const visibleDependents = computed(() => {
+  if (expanded.value) {
+    return dependents.value
+  }
+  return dependents.value.slice(0, 10)
+})
+
+// Show section only when we have dependents or are loading
+const showSection = computed(() => {
+  return status.value === 'pending' || dependents.value.length > 0
+})
+</script>
+
+<template>
+  <section v-if="showSection" aria-labelledby="dependents-heading">
+    <h2 id="dependents-heading" class="text-xs text-fg-subtle uppercase tracking-wider mb-3">
+      Dependents
+      <span v-if="status === 'success' && total > 0">(top {{ total.toLocaleString() }})</span>
+    </h2>
+
+    <!-- Loading state -->
+    <div v-if="status === 'pending'" class="space-y-2">
+      <div v-for="i in 5" :key="i" class="flex items-center justify-between py-1">
+        <div class="skeleton h-4 rounded" :style="{ width: `${60 + (i % 3) * 20}px` }" />
+        <div class="skeleton h-3 w-12 rounded" />
+      </div>
+    </div>
+
+    <!-- Dependents list -->
+    <ul
+      v-else-if="dependents.length > 0"
+      class="space-y-1 list-none m-0 p-0"
+      aria-label="Packages that depend on this package"
+    >
+      <li
+        v-for="dependent in visibleDependents"
+        :key="dependent.name"
+        class="flex items-center justify-between py-1 text-sm gap-2"
+      >
+        <NuxtLink
+          :to="{ name: 'package', params: { package: dependent.name.split('/') } }"
+          class="font-mono text-fg-muted hover:text-fg transition-colors duration-200 truncate min-w-0"
+        >
+          {{ dependent.name }}
+        </NuxtLink>
+        <span
+          v-if="dependent.downloads"
+          class="font-mono text-xs text-fg-subtle shrink-0 flex items-center gap-1"
+          :title="`${dependent.downloads.toLocaleString()} downloads`"
+        >
+          <span class="i-carbon-download w-3 h-3" aria-hidden="true" />
+          {{ formatCompactNumber(dependent.downloads, { decimals: 1 }) }}
+        </span>
+      </li>
+    </ul>
+
+    <!-- Expand button -->
+    <button
+      v-if="dependents.length > 10 && !expanded"
+      type="button"
+      class="mt-2 font-mono text-xs text-fg-muted hover:text-fg transition-colors duration-200 rounded focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-fg/50"
+      @click="expanded = true"
+    >
+      show top {{ dependents.length }}
+    </button>
+  </section>
+</template>
diff --git a/app/composables/useNpmRegistry.ts b/app/composables/useNpmRegistry.ts
index 22c01617..bb2123f3 100644
--- a/app/composables/useNpmRegistry.ts
+++ b/app/composables/useNpmRegistry.ts
@@ -608,6 +608,51 @@ export function getOutdatedTooltip(info: OutdatedDependencyInfo): string {
   return `Patch update available (latest: ${info.latest})`
 }
 
+// ============================================================================
+// Package Dependents
+// ============================================================================
+
+export interface DependentPackage {
+  name: string
+  downloads: number
+  description?: string
+  version?: string
+}
+
+export interface DependentsResponse {
+  dependents: DependentPackage[]
+  total: number
+}
+
+const emptyDependentsResponse: DependentsResponse = {
+  dependents: [],
+  total: 0,
+}
+
+/**
+ * Fetch packages that depend on a given package (dependents).
+ * Uses the e18e CouchDB mirror to get accurate dependency data.
+ * Results are sorted by download count (most downloaded first)
+ * to help with security triage when vulnerabilities are discovered.
+ */
+export function usePackageDependents(packageName: MaybeRefOrGetter<string>) {
+  return useLazyAsyncData(
+    () => `dependents:${toValue(packageName)}`,
+    async () => {
+      const name = toValue(packageName)
+      if (!name) return emptyDependentsResponse
+
+      return await $fetch<DependentsResponse>(
+        `/api/registry/dependents/${encodeURIComponent(name)}`,
+      )
+    },
+    {
+      server: false,
+      default: () => emptyDependentsResponse,
+    },
+  )
+}
+
 /**
  * Get CSS class for a dependency version based on outdated status
  */
diff --git a/app/pages/[...package].vue b/app/pages/[...package].vue
index dbe71d17..7769ad44 100644
--- a/app/pages/[...package].vue
+++ b/app/pages/[...package].vue
@@ -892,6 +892,9 @@ defineOgImageComponent('Package', {
             :peer-dependencies-meta="displayVersion?.peerDependenciesMeta"
             :optional-dependencies="displayVersion?.optionalDependencies"
           />
+
+          <!-- Dependents (packages that depend on this one) -->
+          <PackageDependents :package-name="pkg.name" />
         </div>
       </div>
     </article>
diff --git a/server/api/registry/dependents/[...pkg].get.ts b/server/api/registry/dependents/[...pkg].get.ts
new file mode 100644
index 00000000..aa44e2c5
--- /dev/null
+++ b/server/api/registry/dependents/[...pkg].get.ts
@@ -0,0 +1,112 @@
+import * as v from 'valibot'
+import { PackageRouteParamsSchema } from '#shared/schemas/package'
+import { CACHE_MAX_AGE_ONE_HOUR } from '#shared/utils/constants'
+
+const E18E_LIVE_REGISTRY_URL = 'https://npm.devminer.xyz/live_registry'
+const E18E_REGISTRY_URL = 'https://npm.devminer.xyz/registry'
+
+interface DependentsViewResponse {
+  total_rows: number
+  offset: number
+  rows: {
+    id: string
+    key: string
+    value: { name: string; version: string }
+  }[]
+}
+
+interface DownloadsViewResponse {
+  total_rows: number
+  offset: number
+  rows: {
+    id: string
+    key: string
+    value: number
+  }[]
+}
+
+export interface DependentPackage {
+  name: string
+  downloads: number
+  version?: string
+}
+
+export interface DependentsResponse {
+  dependents: DependentPackage[]
+  total: number
+}
+
+/**
+ * GET /api/registry/dependents/:name
+ *
+ * Fetch packages that depend on the given package using the e18e CouchDB mirror.
+ * Uses CouchDB views for efficient lookups, then fetches download stats separately.
+ * Results are sorted by download count (most downloaded first) for security triage.
+ */
+export default defineCachedEventHandler(
+  async (event): Promise<DependentsResponse> => {
+    const pkgParamSegments = getRouterParam(event, 'pkg')?.split('/') ?? []
+    const { rawPackageName } = parsePackageParams(pkgParamSegments)
+
+    try {
+      const { packageName } = v.parse(PackageRouteParamsSchema, {
+        packageName: rawPackageName,
+      })
+
+      const dependentsResponse = await $fetch<DependentsViewResponse>(
+        `${E18E_LIVE_REGISTRY_URL}/_design/dependents/_view/dependents2?key=${encodeURIComponent(JSON.stringify(packageName))}&limit=250`,
+      )
+
+      if (dependentsResponse.rows.length === 0) {
+        return { dependents: [], total: 0 }
+      }
+
+      const packageNames = dependentsResponse.rows.map(row => row.value.name)
+
+      const downloadsResponse = await $fetch<DownloadsViewResponse>(
+        `${E18E_REGISTRY_URL}/_design/downloads/_view/downloads`,
+        {
+          method: 'POST',
+          headers: { 'Content-Type': 'application/json' },
+          body: { keys: packageNames },
+        },
+      )
+
+      const downloadsMap = new Map<string, number>()
+      for (const row of downloadsResponse.rows) {
+        downloadsMap.set(row.key, row.value)
+      }
+
+      const versionMap = new Map<string, string>()
+      for (const row of dependentsResponse.rows) {
+        versionMap.set(row.value.name, row.value.version)
+      }
+
+      const dependents: DependentPackage[] = packageNames
+        .map(name => ({
+          name,
+          downloads: downloadsMap.get(name) ?? 0,
+          version: versionMap.get(name),
+        }))
+        .sort((a, b) => b.downloads - a.downloads)
+
+      return {
+        dependents,
+        total: dependents.length,
+      }
+    } catch {
+      return {
+        dependents: [],
+        total: 0,
+      }
+    }
+  },
+  {
+    maxAge: CACHE_MAX_AGE_ONE_HOUR,
+    swr: true,
+    getKey: event => {
+      const pkg = getRouterParam(event, 'pkg') ?? ''
+      return `dependents:v2:${pkg.replace(/\/+$/, '').trim()}`
+    },
+  },
+)