diff --git a/doc/guix.texi b/doc/guix.texi
index 070528667fa..ddd23c4ced0 100644
--- a/doc/guix.texi
+++ b/doc/guix.texi
@@ -46436,6 +46436,12 @@ Invoking guix deploy
 provisioning phase. If false, the server will be kept in order to debug
 any issues.
 
+@item @code{ipv4} (default: @code{#t})
+@itemx @code{ipv6} (default: @code{#t})
+When false, no public IP address is attached.  Specify the name of an
+existing primary ip to attach it to the machine.  Other values would
+create a new address automatically.
+
 @item @code{labels} (default: @code{'()})
 A user defined alist of key/value pairs attached to the SSH key and the
 server on the Hetzner API.  Keys and values must be strings,
diff --git a/gnu/machine/hetzner.scm b/gnu/machine/hetzner.scm
index e8484e4d51e..ddac58dda0a 100644
--- a/gnu/machine/hetzner.scm
+++ b/gnu/machine/hetzner.scm
@@ -73,6 +73,8 @@ (define-module (gnu machine hetzner)
             hetzner-configuration-authorize?
             hetzner-configuration-build-locally?
             hetzner-configuration-delete?
+            hetzner-configuration-ipv4
+            hetzner-configuration-ipv6
             hetzner-configuration-labels
             hetzner-configuration-location
             hetzner-configuration-server-type
@@ -205,6 +207,10 @@ (define-record-type* <hetzner-configuration> hetzner-configuration
             (default "fsn1"))
   (server-type hetzner-configuration-server-type ; string
                (default "cx42"))
+  (ipv4 hetzner-configuration-ipv4      ; boolean | string
+        (default #t))
+  (ipv6 hetzner-configuration-ipv6      ; boolean | string
+        (default #t))
   (ssh-public-key hetzner-configuration-ssh-public-key ; public-key | string
                   (thunked)
                   (default (public-key-from-file (hetzner-configuration-ssh-key this-hetzner-configuration)))
@@ -445,6 +451,17 @@ (define (hetzner-machine-server machine)
            (hetzner-configuration-api config)
            #:params `(("name" . ,(machine-display-name machine)))))))
 
+(define (hetzner-resolve-ip api name)
+  "Find the NAME IP address on the Hetzner API."
+  (or
+   (find (lambda (primary-ip)
+           (equal? name (hetzner-primary-ip-name primary-ip)))
+         (hetzner-api-primary-ips api #:params `(("name" . ,name))))
+
+   (raise-exception
+    (formatted-message (G_ "primary ip '~a' does not exist.")
+                       name))))
+
 (define (hetzner-machine-create-server machine)
   "Create the Hetzner server for MACHINE."
   (let* ((config (machine-configuration machine))
@@ -452,11 +469,19 @@ (define (hetzner-machine-create-server machine)
          (server-type (hetzner-configuration-server-type config)))
     (format #t "creating '~a' server for '~a'...\n" server-type name)
     (let* ((ssh-key (hetzner-machine-ssh-key machine))
+           (ipv4 (hetzner-configuration-ipv4 config))
+           (ipv6 (hetzner-configuration-ipv6 config))
            (api (hetzner-configuration-api config))
            (server (hetzner-api-server-create
                     api
                     (machine-display-name machine)
                     (list ssh-key)
+                    #:ipv4 (if (string? ipv4)
+                               (hetzner-primary-ip-id (hetzner-resolve-ip api ipv4))
+                               ipv4)
+                    #:ipv6 (if (string? ipv6)
+                               (hetzner-primary-ip-id (hetzner-resolve-ip api ipv6))
+                               ipv6)
                     #:labels (hetzner-configuration-labels config)
                     #:location (hetzner-configuration-location config)
                     #:server-type (hetzner-configuration-server-type config)))
diff --git a/gnu/machine/hetzner/http.scm b/gnu/machine/hetzner/http.scm
index 51b4bff984f..bd12e8ee5eb 100644
--- a/gnu/machine/hetzner/http.scm
+++ b/gnu/machine/hetzner/http.scm
@@ -52,6 +52,7 @@ (define-module (gnu machine hetzner http)
             hetzner-api-actions
             hetzner-api-create-ssh-key
             hetzner-api-locations
+            hetzner-api-primary-ips
             hetzner-api-request-body
             hetzner-api-request-headers
             hetzner-api-request-method
@@ -100,6 +101,13 @@ (define-module (gnu machine hetzner http)
             hetzner-location-name
             hetzner-location-network-zone
             hetzner-location?
+            hetzner-primary-ip
+            hetzner-primary-ip-created
+            hetzner-primary-ip-id
+            hetzner-primary-ip-ip
+            hetzner-primary-ip-labels
+            hetzner-primary-ip-name
+            hetzner-primary-ip-type
             hetzner-public-net
             hetzner-public-net-ipv4
             hetzner-public-net-ipv6
@@ -144,6 +152,7 @@ (define-module (gnu machine hetzner http)
             make-hetzner-ipv6
             make-hetzner-location
             make-hetzner-public-net
+            make-hetzner-primary-ip
             make-hetzner-resource
             make-hetzner-server
             make-hetzner-server-type
@@ -296,6 +305,16 @@ (define-json-mapping <hetzner-server-type>
   (name hetzner-server-type-name) ; string
   (storage-type hetzner-server-type-storage-type "storage_type")) ; string
 
+;; Reserved IP address. https://docs.hetzner.cloud/#primary-ips
+(define-json-mapping <hetzner-primary-ip>
+  make-hetzner-primary-ip hetzner-primary-ip? json->hetzner-primary-ip
+  (created hetzner-primary-ip-created "created" string->time) ; time
+  (id hetzner-primary-ip-id) ; integer
+  (ip hetzner-primary-ip-ip) ; string
+  (labels hetzner-primary-ip-labels) ; alist of string/string
+  (name hetzner-primary-ip-name) ; string
+  (type hetzner-primary-ip-type))  ; string
+
 (define-json-mapping <hetzner-ssh-key>
   make-hetzner-ssh-key hetzner-ssh-key? json->hetzner-ssh-key
   (created hetzner-ssh-key-created "created" string->time) ; time
@@ -581,12 +600,11 @@ (define* (hetzner-api-locations api . options)
 (define* (hetzner-api-server-create
           api name ssh-keys
           #:key
-          (enable-ipv4? #t)
-          (enable-ipv6? #t)
+          (ipv4 #f)
+          (ipv6 #f)
           (image %hetzner-default-server-image)
           (labels '())
           (location %hetzner-default-server-location)
-          (public-net #f)
           (server-type %hetzner-default-server-type)
           (start-after-create? #f))
   "Create a server with the Hetzner API."
@@ -595,9 +613,11 @@ (define* (hetzner-api-server-create
                #:body `(("image" . ,image)
                         ("labels" . ,labels)
                         ("name" . ,name)
-                        ("public_net"
-                         . (("enable_ipv4" . ,enable-ipv4?)
-                            ("enable_ipv6" . ,enable-ipv6?)))
+                        ("public_net" .
+                         (("enable_ipv4" . ,(and ipv4 #t))
+                          ("enable_ipv6" . ,(and ipv6 #t))
+                          ,@(if (integer? ipv4) `(("ipv4" . ,ipv4)) '())
+                          ,@(if (integer? ipv6) `(("ipv6" . ,ipv6)) '())))
                         ("location" . ,location)
                         ("server_type" . ,server-type)
                         ("ssh_keys" . ,(apply vector (map hetzner-ssh-key-id ssh-keys)))
@@ -658,6 +678,11 @@ (define* (hetzner-api-ssh-keys api . options)
   (apply hetzner-api-list api "/ssh_keys" "ssh_keys"
          json->hetzner-ssh-key options))
 
+(define* (hetzner-api-primary-ips api . options)
+  "Get Primary IPs from the Hetzner API."
+  (apply hetzner-api-list api "/primary_ips" "primary_ips"
+         json->hetzner-primary-ip options))
+
 (define* (hetzner-api-server-types api . options)
   "Get server types from the Hetzner API."
   (apply hetzner-api-list api "/server_types" "server_types"
diff --git a/tests/machine/hetzner/http.scm b/tests/machine/hetzner/http.scm
index 618d9a4c94e..6c6d848a578 100644
--- a/tests/machine/hetzner/http.scm
+++ b/tests/machine/hetzner/http.scm
@@ -239,6 +239,30 @@ (define server-x86-alist
     ("status" . "running")
     ("volumes" . #())))
 
+(define primary-ip
+  (make-hetzner-primary-ip
+   #(55 2 19 28 9 123 6 300 -1 0 #f)
+   42
+   "131.232.99.1"
+   '()
+   "static-ip"
+   "ipv4"))
+
+(define primary-ip-alist
+  `(("created" . "2023-10-28T19:02:55+00:00")
+    ("id" . 42)
+    ("labels")
+    ("name" . "static-ip")
+    ("blocked" . #f)
+    ("ip" . "131.232.99.1")
+    ("datacenter")
+    ("dns_ptr")
+    ("protection" . (("delete" . #f)))
+    ("type" . "ipv4")
+    ("auto_delete" . #t)
+    ("assignee_type" . "server")
+    ("assignee_id" . 17)))
+
 (define ssh-key-root
   (make-hetzner-ssh-key
    #(55 2 19 28 9 123 6 300 -1 0 #f)
@@ -512,6 +536,20 @@ (define-syntax-rule (with-cleanup-api (api-sym api-init) body ...)
                     ("ssh_keys" . #(,ssh-key-root-alist)))))))
         (hetzner-api-ssh-keys (hetzner-api))))
 
+(test-equal "hetzner-api-primary-ips-unit"
+  (list primary-ip)
+  (mock ((gnu machine hetzner http) hetzner-api-request-send
+         (lambda* (request #:key expected)
+           (assert (equal? 'GET (hetzner-api-request-method request)))
+           (assert (equal? "https://api.hetzner.cloud/v1/primary_ips"
+                           (hetzner-api-request-url request)))
+           (assert (unspecified? (hetzner-api-request-body request)))
+           (assert (equal? '(("page" . 1)) (hetzner-api-request-params request)))
+           (hetzner-api-response
+            (body `(("meta" . ,meta-page-alist)
+                    ("primary_ips" . #(,primary-ip-alist)))))))
+        (hetzner-api-primary-ips (hetzner-api))))
+
 ;; Integration tests
 
 (test-skip %when-no-token)
