diff --git a/spec/avram/migrator/alter_table_statement_spec.cr b/spec/avram/migrator/alter_table_statement_spec.cr
index 89efd9551..eba721b79 100644
--- a/spec/avram/migrator/alter_table_statement_spec.cr
+++ b/spec/avram/migrator/alter_table_statement_spec.cr
@@ -186,4 +186,24 @@ describe Avram::Migrator::AlterTableStatement do
       end
     end
   end
+
+  context "IF EXISTS" do
+    it "adds the option to the table" do
+      built = Avram::Migrator::AlterTableStatement.new(:users, if_exists: true).build do
+        add name : String?
+        rename :old_name, :new_name
+        rename_belongs_to :owner, :boss
+      end
+
+      built.statements.size.should eq 3
+
+      built.statements[0].should eq "ALTER TABLE IF EXISTS users RENAME COLUMN old_name TO new_name;"
+      built.statements[1].should eq "ALTER TABLE IF EXISTS users RENAME COLUMN owner_id TO boss_id;"
+
+      built.statements[2].should eq <<-SQL
+      ALTER TABLE IF EXISTS users
+        ADD name text;
+      SQL
+    end
+  end
 end
diff --git a/spec/avram/migrator/create_table_statement_spec.cr b/spec/avram/migrator/create_table_statement_spec.cr
index 824a5047e..93219355b 100644
--- a/spec/avram/migrator/create_table_statement_spec.cr
+++ b/spec/avram/migrator/create_table_statement_spec.cr
@@ -236,4 +236,16 @@ describe Avram::Migrator::CreateTableStatement do
       end
     end
   end
+
+  context "IF NOT EXISTS" do
+    it "adds the option to the table" do
+      built = Avram::Migrator::CreateTableStatement.new(:users, if_not_exists: true).build do
+      end
+
+      built.statements.size.should eq 1
+      built.statements.first.should eq <<-SQL
+      CREATE TABLE IF NOT EXISTS users (\n);
+      SQL
+    end
+  end
 end
diff --git a/spec/avram/migrator/migration_spec.cr b/spec/avram/migrator/migration_spec.cr
index fecc26a1d..86f99f7ab 100644
--- a/spec/avram/migrator/migration_spec.cr
+++ b/spec/avram/migrator/migration_spec.cr
@@ -64,6 +64,20 @@ class MigrationWithFunctionAndTrigger::V996 < Avram::Migrator::Migration::V1
   end
 end
 
+class MigrationCreateTableIfNotExists::V995 < Avram::Migrator::Migration::V1
+  def migrate
+    create :fake_things, if_not_exists: true do
+      add foo : String
+    end
+  end
+
+  def rollback
+    alter :fake_things, if_exists: true do
+      add foo : String?
+    end
+  end
+end
+
 describe Avram::Migrator::Migration::V1 do
   it "executes statements in a transaction" do
     expect_raises Avram::FailedMigration do
@@ -113,6 +127,19 @@ describe Avram::Migrator::Migration::V1 do
       sql.should contain "CREATE TRIGGER trigger_touch_updated_at"
     end
   end
+
+  describe "if _not_ exists" do
+    it "passes the option through the macro" do
+      migration = MigrationCreateTableIfNotExists::V995.new
+      migration.migrate
+      sql = migration.prepared_statements.join("\n")
+      sql.should contain "CREATE TABLE IF NOT EXISTS fake_things"
+
+      migration.rollback
+      sql = migration.prepared_statements.join("\n")
+      sql.should contain "ALTER TABLE IF EXISTS fake_things"
+    end
+  end
 end
 
 private def get_column_names(table_name)
diff --git a/src/avram/migrator/alter_table_statement.cr b/src/avram/migrator/alter_table_statement.cr
index 575709401..0c04cae50 100644
--- a/src/avram/migrator/alter_table_statement.cr
+++ b/src/avram/migrator/alter_table_statement.cr
@@ -11,8 +11,9 @@ class Avram::Migrator::AlterTableStatement
   getter fill_existing_with_statements = [] of String
   getter change_type_statements = [] of String
   getter change_default_statements = [] of String
+  private getter? if_exists : Bool = false
 
-  def initialize(@table_name : TableName)
+  def initialize(@table_name : TableName, *, @if_exists : Bool = false)
   end
 
   # Change the column's type from whatever it is currently to
@@ -116,13 +117,19 @@ class Avram::Migrator::AlterTableStatement
     alter_statements + change_default_statements + change_type_statements + index_statements + fill_existing_with_statements
   end
 
+  def if_exists_statement
+    if if_exists?
+      "IF EXISTS "
+    end
+  end
+
   def alter_statements : Array(String)
     alterations = renamed_rows.map do |statement|
-      "ALTER TABLE #{@table_name} #{statement};"
+      "ALTER TABLE #{if_exists_statement}#{@table_name} #{statement};"
     end
     unless (rows + dropped_rows).empty?
       alterations << String.build do |statement|
-        statement << "ALTER TABLE #{@table_name}"
+        statement << "ALTER TABLE #{if_exists_statement}#{@table_name}"
         statement << "\n"
         statement << (rows + dropped_rows).join(",\n")
         statement << ';'
@@ -249,7 +256,7 @@ class Avram::Migrator::AlterTableStatement
 
   def add_fill_existing_with_statements(column : Symbol | String, type, value, nilable)
     @fill_existing_with_statements << "UPDATE #{@table_name} SET #{column} = #{value};"
-    @fill_existing_with_statements << "ALTER TABLE #{@table_name} ALTER COLUMN #{column} SET NOT NULL;" unless nilable
+    @fill_existing_with_statements << "ALTER TABLE #{if_exists_statement}#{@table_name} ALTER COLUMN #{column} SET NOT NULL;" unless nilable
   end
 
   macro symbol_expected_error(action, name)
diff --git a/src/avram/migrator/create_table_statement.cr b/src/avram/migrator/create_table_statement.cr
index 92a9b55d0..735004920 100644
--- a/src/avram/migrator/create_table_statement.cr
+++ b/src/avram/migrator/create_table_statement.cr
@@ -7,8 +7,9 @@ class Avram::Migrator::CreateTableStatement
 
   private getter rows = [] of String
   private getter constraints = [] of String
+  private getter? if_not_exists : Bool = false
 
-  def initialize(@table_name : TableName)
+  def initialize(@table_name : TableName, *, @if_not_exists : Bool = false)
   end
 
   # Accepts a block to build a table and indices using `add` and `add_index` methods.
@@ -54,7 +55,7 @@ class Avram::Migrator::CreateTableStatement
 
   private def table_statement
     String.build do |statement|
-      statement << initial_table_statement
+      initial_table_statement(statement)
       statement << rows.join(",\n")
       statement << ",\n" if !constraints.empty?
       statement << constraints.join(", \n")
@@ -62,10 +63,11 @@ class Avram::Migrator::CreateTableStatement
     end
   end
 
-  private def initial_table_statement
-    <<-SQL
-    CREATE TABLE #{@table_name} (\n
-    SQL
+  private def initial_table_statement(io)
+    io << "CREATE TABLE "
+    io << "IF NOT EXISTS " if if_not_exists?
+    io << @table_name
+    io << " (\n"
   end
 
   macro primary_key(type_declaration)
diff --git a/src/avram/migrator/statement_helpers.cr b/src/avram/migrator/statement_helpers.cr
index 5571c3b10..5342169c6 100644
--- a/src/avram/migrator/statement_helpers.cr
+++ b/src/avram/migrator/statement_helpers.cr
@@ -4,8 +4,8 @@ module Avram::Migrator::StatementHelpers
   include Avram::Migrator::IndexStatementHelpers
   include Avram::TableFor
 
-  macro create(table_name)
-    statements = Avram::Migrator::CreateTableStatement.new({{ table_name }}).build do
+  macro create(table_name, *, if_not_exists = false)
+    statements = Avram::Migrator::CreateTableStatement.new({{ table_name }}, if_not_exists: {{ if_not_exists }}).build do
       {{ yield }}
     end.statements
 
@@ -18,8 +18,8 @@ module Avram::Migrator::StatementHelpers
     prepared_statements << Avram::Migrator::DropTableStatement.new(table_name).build
   end
 
-  macro alter(table_name)
-    statements = Avram::Migrator::AlterTableStatement.new({{ table_name }}).build do
+  macro alter(table_name, *, if_exists = false)
+    statements = Avram::Migrator::AlterTableStatement.new({{ table_name }}, if_exists: {{ if_exists }}).build do
       {{ yield }}
     end.statements