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Node-API is an interface for building native add-ons to Node.js. Bun implements this interface from scratch, so most existing Node-API extensions work with Bun out of the box. As in Node.js, you can require() .node files (Node-API modules) directly. 
const napi = require("./my-node-module.node");
Alternatively, use process.dlopen: 
let mod = { exports: {} };
process.dlopen(mod, "./my-node-module.node");