diff --git a/includes/sql_generator.hpp b/includes/sql_generator.hpp
index b66e2a3..ab9414b 100644
--- a/includes/sql_generator.hpp
+++ b/includes/sql_generator.hpp
@@ -27,7 +27,8 @@ void create_schema(duckdb::Connection &con, const std::string &db_name,
 bool table_exists(duckdb::Connection &con, const table_def &table);
 
 void create_table(duckdb::Connection &con, const table_def &table,
-                  const std::vector<column_def> &columns);
+                  const std::vector<const column_def *> &columns_pk,
+                  const std::vector<column_def> &all_columns);
 
 std::vector<column_def> describe_table(duckdb::Connection &con,
                                        const table_def &table);
diff --git a/src/motherduck_destination_server.cpp b/src/motherduck_destination_server.cpp
index f06560e..4702616 100644
--- a/src/motherduck_destination_server.cpp
+++ b/src/motherduck_destination_server.cpp
@@ -113,6 +113,19 @@ void process_file(
   arrow_array_stream.release(&arrow_array_stream);
 }
 
+void find_primary_keys(
+    const std::vector<column_def> &cols,
+    std::vector<const column_def *> &columns_pk,
+    std::vector<const column_def *> *columns_regular = nullptr) {
+  for (auto &col : cols) {
+    if (col.primary_key) {
+      columns_pk.push_back(&col);
+    } else if (columns_regular != nullptr) {
+      columns_regular->push_back(&col);
+    }
+  }
+}
+
 grpc::Status DestinationSdkImpl::ConfigurationForm(
     ::grpc::ServerContext *context,
     const ::fivetran_sdk::ConfigurationFormRequest *request,
@@ -204,7 +217,10 @@ grpc::Status DestinationSdkImpl::CreateTable(
       create_schema(*con, db_name, schema_name);
     }
 
-    create_table(*con, table, get_duckdb_columns(request->table().columns()));
+    std::vector<const column_def *> columns_pk;
+    const auto cols = get_duckdb_columns(request->table().columns());
+    find_primary_keys(cols, columns_pk);
+    create_table(*con, table, columns_pk, cols);
     response->set_success(true);
   } catch (const std::exception &e) {
     mdlog::severe("CreateTable endpoint failed for schema <" +
@@ -297,13 +313,8 @@ DestinationSdkImpl::WriteBatch(::grpc::ServerContext *context,
     const auto cols = get_duckdb_columns(request->table().columns());
     std::vector<const column_def *> columns_pk;
     std::vector<const column_def *> columns_regular;
-    for (auto &col : cols) {
-      if (col.primary_key) {
-        columns_pk.push_back(&col);
-      } else {
-        columns_regular.push_back(&col);
-      }
-    }
+    find_primary_keys(cols, columns_pk, &columns_regular);
+
     if (columns_pk.empty()) {
       throw std::invalid_argument("No primary keys found");
     }
diff --git a/src/sql_generator.cpp b/src/sql_generator.cpp
index 4bfe243..08d697a 100644
--- a/src/sql_generator.cpp
+++ b/src/sql_generator.cpp
@@ -16,8 +16,11 @@ std::string table_def::to_string() const {
   return out.str();
 }
 
+const auto print_column = [](const std::string &quoted_col,
+                             std::ostringstream &out) { out << quoted_col; };
+
 void write_joined(
-    std::ostringstream &sql, const std::vector<const column_def *> columns,
+    std::ostringstream &sql, const std::vector<const column_def *> &columns,
     std::function<void(const std::string &, std::ostringstream &)> print_str) {
   bool first = true;
   for (const auto &col : columns) {
@@ -26,7 +29,7 @@ void write_joined(
     } else {
       sql << ", ";
     }
-    print_str(col->name, sql);
+    print_str(KeywordHelper::WriteQuoted(col->name, '"'), sql);
   }
 }
 
@@ -78,20 +81,24 @@ void create_schema(duckdb::Connection &con, const std::string &db_name,
 }
 
 void create_table(duckdb::Connection &con, const table_def &table,
-                  const std::vector<column_def> &columns) {
+                  const std::vector<const column_def *> &columns_pk,
+                  const std::vector<column_def> &all_columns) {
   const std::string absolute_table_name = table.to_string();
   std::ostringstream ddl;
   ddl << "CREATE OR REPLACE TABLE " << absolute_table_name << " (";
 
-  for (const auto &col : columns) {
+  for (const auto &col : all_columns) {
     ddl << KeywordHelper::WriteQuoted(col.name, '"') << " "
         << duckdb::EnumUtil::ToChars(col.type);
-    if (col.primary_key) {
-      ddl << " PRIMARY KEY";
-    }
     ddl << ", "; // DuckDB allows trailing commas
   }
 
+  if (!columns_pk.empty()) {
+    ddl << "PRIMARY KEY (";
+    write_joined(ddl, columns_pk, print_column);
+    ddl << ")";
+  }
+
   ddl << ")";
 
   auto query = ddl.str();
@@ -232,15 +239,12 @@ void upsert(duckdb::Connection &con, const table_def &table,
       << staging_table_name;
   if (!columns_pk.empty()) {
     sql << " ON CONFLICT (";
-    write_joined(
-        sql, columns_pk,
-        [](const std::string &name, std::ostringstream &out) { out << name; });
+    write_joined(sql, columns_pk, print_column);
     sql << " ) DO UPDATE SET ";
 
     write_joined(sql, columns_regular,
-                 [](const std::string &name, std::ostringstream &out) {
-                   out << KeywordHelper::WriteQuoted(name, '"') << " = "
-                       << "excluded." << KeywordHelper::WriteQuoted(name, '"');
+                 [](const std::string &quoted_col, std::ostringstream &out) {
+                   out << quoted_col << " = excluded." << quoted_col;
                  });
   }
 
@@ -266,23 +270,21 @@ void update_values(duckdb::Connection &con, const table_def &table,
 
   write_joined(sql, columns_regular,
                [staging_table_name, absolute_table_name, unmodified_string](
-                   const std::string name, std::ostringstream &out) {
-                 auto colname = KeywordHelper::WriteQuoted(name, '"');
-                 out << colname << " = CASE WHEN " << staging_table_name << "."
-                     << colname << " = "
+                   const std::string quoted_col, std::ostringstream &out) {
+                 out << quoted_col << " = CASE WHEN " << staging_table_name
+                     << "." << quoted_col << " = "
                      << KeywordHelper::WriteQuoted(unmodified_string, '\'')
-                     << " THEN " << absolute_table_name << "." << colname
-                     << " ELSE " << staging_table_name << "." << colname
+                     << " THEN " << absolute_table_name << "." << quoted_col
+                     << " ELSE " << staging_table_name << "." << quoted_col
                      << " END";
                });
 
   sql << " FROM " << staging_table_name << " WHERE ";
-  write_joined(
-      sql, columns_pk, [&](const std::string &pk, std::ostringstream &out) {
-        out << table.table_name << "." << KeywordHelper::WriteQuoted(pk, '"')
-            << " = " << staging_table_name << "."
-            << KeywordHelper::WriteQuoted(pk, '"');
-      });
+  write_joined(sql, columns_pk,
+               [&](const std::string &quoted_col, std::ostringstream &out) {
+                 out << table.table_name << "." << quoted_col << " = "
+                     << staging_table_name << "." << quoted_col;
+               });
 
   auto query = sql.str();
   mdlog::info("update: " + query);
@@ -302,12 +304,11 @@ void delete_rows(duckdb::Connection &con, const table_def &table,
   sql << "DELETE FROM " + absolute_table_name << " USING " << staging_table_name
       << " WHERE ";
 
-  write_joined(
-      sql, columns_pk, [&](const std::string &pk, std::ostringstream &out) {
-        out << table.table_name << "." << KeywordHelper::WriteQuoted(pk, '"')
-            << " = " << staging_table_name << "."
-            << KeywordHelper::WriteQuoted(pk, '"');
-      });
+  write_joined(sql, columns_pk,
+               [&](const std::string &quoted_col, std::ostringstream &out) {
+                 out << table.table_name << "." << quoted_col << " = "
+                     << staging_table_name << "." << quoted_col;
+               });
 
   auto query = sql.str();
   mdlog::info("delete_rows: " + query);
diff --git a/test/integration/test_server.cpp b/test/integration/test_server.cpp
index 5cbbee0..cb24f64 100644
--- a/test/integration/test_server.cpp
+++ b/test/integration/test_server.cpp
@@ -501,4 +501,52 @@ TEST_CASE("Truncate nonexistent table should succeed", "[integration]") {
   REQUIRE_THAT(buffer.str(), Catch::Matchers::ContainsSubstring(
                                  "Table <nonexistent> not found in schema "
                                  "<some_schema>; not truncated"));
+}
+
+TEST_CASE("CreateTable with multiple primary keys", "[integration]") {
+  DestinationSdkImpl service;
+
+  const std::string table_name =
+      "multikey_table" + std::to_string(Catch::rngSeed());
+  auto token = std::getenv("motherduck_token");
+  REQUIRE(token);
+
+  {
+    // Create Table
+    ::fivetran_sdk::CreateTableRequest request;
+    (*request.mutable_configuration())["motherduck_token"] = token;
+    (*request.mutable_configuration())["motherduck_database"] = "fivetran_test";
+    request.mutable_table()->set_name(table_name);
+    auto col1 = request.mutable_table()->add_columns();
+    col1->set_name("id1");
+    col1->set_type(::fivetran_sdk::DataType::INT);
+    col1->set_primary_key(true);
+    auto col2 = request.mutable_table()->add_columns();
+    col2->set_name("id2");
+    col2->set_type(::fivetran_sdk::DataType::INT);
+    col2->set_primary_key(true);
+
+    ::fivetran_sdk::CreateTableResponse response;
+    auto status = service.CreateTable(nullptr, &request, &response);
+
+    INFO(status.error_message());
+    REQUIRE(status.ok());
+  }
+
+  {
+    // Describe the created table
+    ::fivetran_sdk::DescribeTableRequest request;
+    (*request.mutable_configuration())["motherduck_token"] = token;
+    (*request.mutable_configuration())["motherduck_database"] = "fivetran_test";
+    request.set_table_name(table_name);
+
+    {
+      ::fivetran_sdk::DescribeTableResponse response;
+      auto status = service.DescribeTable(nullptr, &request, &response);
+
+      INFO(status.error_message());
+      REQUIRE(status.ok());
+      REQUIRE(response.table().columns().size() == 2);
+    }
+  }
 }
\ No newline at end of file