diff --git a/packages/react-art/src/ReactART.js b/packages/react-art/src/ReactART.js
index a29f9cd23714d..9d1b6a16c2038 100644
--- a/packages/react-art/src/ReactART.js
+++ b/packages/react-art/src/ReactART.js
@@ -66,7 +66,15 @@ class Surface extends React.Component {
 
     this._surface = Mode.Surface(+width, +height, this._tagRef);
 
-    this._mountNode = createContainer(this._surface, LegacyRoot, false, null);
+    this._mountNode = createContainer(
+      this._surface,
+      LegacyRoot,
+      false,
+      null,
+      false,
+      false,
+      '',
+    );
     updateContainer(this.props.children, this._mountNode, this);
   }
 
diff --git a/packages/react-dom/src/__tests__/ReactDOMUseId-test.js b/packages/react-dom/src/__tests__/ReactDOMUseId-test.js
index dd7bbaa8b41fa..036c138d5e97a 100644
--- a/packages/react-dom/src/__tests__/ReactDOMUseId-test.js
+++ b/packages/react-dom/src/__tests__/ReactDOMUseId-test.js
@@ -94,7 +94,7 @@ describe('useId', () => {
 
   function normalizeTreeIdForTesting(id) {
     const [serverClientPrefix, base32, hookIndex] = id.split(':');
-    if (serverClientPrefix === 'r') {
+    if (serverClientPrefix.endsWith('r')) {
       // Client ids aren't stable. For testing purposes, strip out the counter.
       return (
         'CLIENT_GENERATED_ID' +
@@ -569,4 +569,66 @@ describe('useId', () => {
     // Should have hydrated successfully
     expect(span.current).toBe(dehydratedSpan);
   });
+
+  test('identifierPrefix option', async () => {
+    function Child() {
+      const id = useId();
+      return <div>{id}</div>;
+    }
+
+    function App({showMore}) {
+      return (
+        <>
+          <Child />
+          <Child />
+          {showMore && <Child />}
+        </>
+      );
+    }
+
+    await serverAct(async () => {
+      const {pipe} = ReactDOMFizzServer.renderToPipeableStream(<App />, {
+        identifierPrefix: 'custom-prefix-',
+      });
+      pipe(writable);
+    });
+    let root;
+    await clientAct(async () => {
+      root = ReactDOM.hydrateRoot(container, <App />, {
+        identifierPrefix: 'custom-prefix-',
+      });
+    });
+    expect(container).toMatchInlineSnapshot(`
+      <div
+        id="container"
+      >
+        <div>
+          custom-prefix-R:1
+        </div>
+        <div>
+          custom-prefix-R:2
+        </div>
+      </div>
+    `);
+
+    // Mount a new, client-only id
+    await clientAct(async () => {
+      root.render(<App showMore={true} />);
+    });
+    expect(container).toMatchInlineSnapshot(`
+      <div
+        id="container"
+      >
+        <div>
+          custom-prefix-R:1
+        </div>
+        <div>
+          custom-prefix-R:2
+        </div>
+        <div>
+          custom-prefix-r:0
+        </div>
+      </div>
+    `);
+  });
 });
diff --git a/packages/react-dom/src/client/ReactDOMLegacy.js b/packages/react-dom/src/client/ReactDOMLegacy.js
index ac12f18bee509..e3def8459e754 100644
--- a/packages/react-dom/src/client/ReactDOMLegacy.js
+++ b/packages/react-dom/src/client/ReactDOMLegacy.js
@@ -121,6 +121,7 @@ function legacyCreateRootFromDOMContainer(
     null, // hydrationCallbacks
     false, // isStrictMode
     false, // concurrentUpdatesByDefaultOverride,
+    '', // identiferPrefix
   );
   markContainerAsRoot(root.current, container);
 
diff --git a/packages/react-dom/src/client/ReactDOMRoot.js b/packages/react-dom/src/client/ReactDOMRoot.js
index d8794eec5bb1b..3c49a15fc14dc 100644
--- a/packages/react-dom/src/client/ReactDOMRoot.js
+++ b/packages/react-dom/src/client/ReactDOMRoot.js
@@ -32,6 +32,7 @@ export type CreateRootOptions = {
   // END OF TODO
   unstable_strictMode?: boolean,
   unstable_concurrentUpdatesByDefault?: boolean,
+  identifierPrefix?: string,
   ...
 };
 
@@ -43,6 +44,7 @@ export type HydrateRootOptions = {
   // Options for all roots
   unstable_strictMode?: boolean,
   unstable_concurrentUpdatesByDefault?: boolean,
+  identifierPrefix?: string,
   ...
 };
 
@@ -158,13 +160,22 @@ export function createRoot(
     null;
   // END TODO
 
-  const isStrictMode = options != null && options.unstable_strictMode === true;
-  let concurrentUpdatesByDefaultOverride = null;
-  if (allowConcurrentByDefault) {
-    concurrentUpdatesByDefaultOverride =
-      options != null && options.unstable_concurrentUpdatesByDefault != null
-        ? options.unstable_concurrentUpdatesByDefault
-        : null;
+  let isStrictMode = false;
+  let concurrentUpdatesByDefaultOverride = false;
+  let identifierPrefix = '';
+  if (options !== null && options !== undefined) {
+    if (options.unstable_strictMode === true) {
+      isStrictMode = true;
+    }
+    if (
+      allowConcurrentByDefault &&
+      options.unstable_concurrentUpdatesByDefault === true
+    ) {
+      concurrentUpdatesByDefaultOverride = true;
+    }
+    if (options.identifierPrefix !== undefined) {
+      identifierPrefix = options.identifierPrefix;
+    }
   }
 
   const root = createContainer(
@@ -174,6 +185,7 @@ export function createRoot(
     hydrationCallbacks,
     isStrictMode,
     concurrentUpdatesByDefaultOverride,
+    identifierPrefix,
   );
   markContainerAsRoot(root.current, container);
 
@@ -217,15 +229,25 @@ export function hydrateRoot(
   // For now we reuse the whole bag of options since they contain
   // the hydration callbacks.
   const hydrationCallbacks = options != null ? options : null;
+  // TODO: Delete this option
   const mutableSources = (options != null && options.hydratedSources) || null;
-  const isStrictMode = options != null && options.unstable_strictMode === true;
-
-  let concurrentUpdatesByDefaultOverride = null;
-  if (allowConcurrentByDefault) {
-    concurrentUpdatesByDefaultOverride =
-      options != null && options.unstable_concurrentUpdatesByDefault != null
-        ? options.unstable_concurrentUpdatesByDefault
-        : null;
+
+  let isStrictMode = false;
+  let concurrentUpdatesByDefaultOverride = false;
+  let identifierPrefix = '';
+  if (options !== null && options !== undefined) {
+    if (options.unstable_strictMode === true) {
+      isStrictMode = true;
+    }
+    if (
+      allowConcurrentByDefault &&
+      options.unstable_concurrentUpdatesByDefault === true
+    ) {
+      concurrentUpdatesByDefaultOverride = true;
+    }
+    if (options.identifierPrefix !== undefined) {
+      identifierPrefix = options.identifierPrefix;
+    }
   }
 
   const root = createContainer(
@@ -235,6 +257,7 @@ export function hydrateRoot(
     hydrationCallbacks,
     isStrictMode,
     concurrentUpdatesByDefaultOverride,
+    identifierPrefix,
   );
   markContainerAsRoot(root.current, container);
   // This can't be a comment node since hydration doesn't work on comment nodes anyway.
diff --git a/packages/react-dom/src/server/ReactDOMServerFormatConfig.js b/packages/react-dom/src/server/ReactDOMServerFormatConfig.js
index 65a10974b0196..c4f8d89a8c907 100644
--- a/packages/react-dom/src/server/ReactDOMServerFormatConfig.js
+++ b/packages/react-dom/src/server/ReactDOMServerFormatConfig.js
@@ -64,6 +64,7 @@ export type ResponseState = {
   placeholderPrefix: PrecomputedChunk,
   segmentPrefix: PrecomputedChunk,
   boundaryPrefix: string,
+  idPrefix: string,
   nextSuspenseID: number,
   sentCompleteSegmentFunction: boolean,
   sentCompleteBoundaryFunction: boolean,
@@ -125,6 +126,7 @@ export function createResponseState(
     placeholderPrefix: stringToPrecomputedChunk(idPrefix + 'P:'),
     segmentPrefix: stringToPrecomputedChunk(idPrefix + 'S:'),
     boundaryPrefix: idPrefix + 'B:',
+    idPrefix: idPrefix + 'R:',
     nextSuspenseID: 0,
     sentCompleteSegmentFunction: false,
     sentCompleteBoundaryFunction: false,
@@ -229,6 +231,25 @@ export function assignSuspenseBoundaryID(
   );
 }
 
+export function makeId(
+  responseState: ResponseState,
+  treeId: string,
+  localId: number,
+): string {
+  const idPrefix = responseState.idPrefix;
+
+  let id = idPrefix + treeId;
+
+  // Unless this is the first id at this level, append a number at the end
+  // that represents the position of this useId hook among all the useId
+  // hooks for this fiber.
+  if (localId > 0) {
+    id += ':' + localId.toString(32);
+  }
+
+  return id;
+}
+
 function encodeHTMLTextNode(text: string): string {
   return escapeTextForBrowser(text);
 }
diff --git a/packages/react-dom/src/server/ReactDOMServerLegacyFormatConfig.js b/packages/react-dom/src/server/ReactDOMServerLegacyFormatConfig.js
index 5b0798b737129..c3d09f481fb62 100644
--- a/packages/react-dom/src/server/ReactDOMServerLegacyFormatConfig.js
+++ b/packages/react-dom/src/server/ReactDOMServerLegacyFormatConfig.js
@@ -34,6 +34,7 @@ export type ResponseState = {
   placeholderPrefix: PrecomputedChunk,
   segmentPrefix: PrecomputedChunk,
   boundaryPrefix: string,
+  idPrefix: string,
   nextSuspenseID: number,
   sentCompleteSegmentFunction: boolean,
   sentCompleteBoundaryFunction: boolean,
@@ -54,6 +55,7 @@ export function createResponseState(
     placeholderPrefix: responseState.placeholderPrefix,
     segmentPrefix: responseState.segmentPrefix,
     boundaryPrefix: responseState.boundaryPrefix,
+    idPrefix: responseState.idPrefix,
     nextSuspenseID: responseState.nextSuspenseID,
     sentCompleteSegmentFunction: responseState.sentCompleteSegmentFunction,
     sentCompleteBoundaryFunction: responseState.sentCompleteBoundaryFunction,
@@ -79,6 +81,7 @@ export {
   getChildFormatContext,
   UNINITIALIZED_SUSPENSE_BOUNDARY_ID,
   assignSuspenseBoundaryID,
+  makeId,
   pushStartInstance,
   pushEndInstance,
   pushStartCompletedSuspenseBoundary,
diff --git a/packages/react-native-renderer/src/ReactFabric.js b/packages/react-native-renderer/src/ReactFabric.js
index 744c1c178397f..bf7754d6099c2 100644
--- a/packages/react-native-renderer/src/ReactFabric.js
+++ b/packages/react-native-renderer/src/ReactFabric.js
@@ -213,6 +213,7 @@ function render(
       null,
       false,
       null,
+      '',
     );
     roots.set(containerTag, root);
   }
diff --git a/packages/react-native-renderer/src/ReactNativeRenderer.js b/packages/react-native-renderer/src/ReactNativeRenderer.js
index a60683b47b2ee..fb539d8996811 100644
--- a/packages/react-native-renderer/src/ReactNativeRenderer.js
+++ b/packages/react-native-renderer/src/ReactNativeRenderer.js
@@ -202,7 +202,15 @@ function render(
   if (!root) {
     // TODO (bvaughn): If we decide to keep the wrapper component,
     // We could create a wrapper for containerTag as well to reduce special casing.
-    root = createContainer(containerTag, LegacyRoot, false, null, false, null);
+    root = createContainer(
+      containerTag,
+      LegacyRoot,
+      false,
+      null,
+      false,
+      null,
+      '',
+    );
     roots.set(containerTag, root);
   }
   updateContainer(element, root, null, callback);
diff --git a/packages/react-native-renderer/src/server/ReactNativeServerFormatConfig.js b/packages/react-native-renderer/src/server/ReactNativeServerFormatConfig.js
index 5b12d810bbe0f..20084731b5333 100644
--- a/packages/react-native-renderer/src/server/ReactNativeServerFormatConfig.js
+++ b/packages/react-native-renderer/src/server/ReactNativeServerFormatConfig.js
@@ -107,6 +107,14 @@ export function assignSuspenseBoundaryID(
   return responseState.nextSuspenseID++;
 }
 
+export function makeId(
+  responseState: ResponseState,
+  treeId: string,
+  localId: number,
+): string {
+  throw new Error('Not implemented');
+}
+
 const RAW_TEXT = stringToPrecomputedChunk('RCTRawText');
 
 export function pushTextInstance(
diff --git a/packages/react-noop-renderer/src/createReactNoop.js b/packages/react-noop-renderer/src/createReactNoop.js
index c5021d968939d..ef76b6610617f 100644
--- a/packages/react-noop-renderer/src/createReactNoop.js
+++ b/packages/react-noop-renderer/src/createReactNoop.js
@@ -973,6 +973,8 @@ function createReactNoop(reconciler: Function, useMutation: boolean) {
         false,
         null,
         null,
+        false,
+        '',
       );
       return {
         _Scheduler: Scheduler,
@@ -1000,6 +1002,8 @@ function createReactNoop(reconciler: Function, useMutation: boolean) {
         false,
         null,
         null,
+        false,
+        '',
       );
       return {
         _Scheduler: Scheduler,
diff --git a/packages/react-reconciler/src/ReactFiberHooks.new.js b/packages/react-reconciler/src/ReactFiberHooks.new.js
index 2ea341864642c..2c26859bafe70 100644
--- a/packages/react-reconciler/src/ReactFiberHooks.new.js
+++ b/packages/react-reconciler/src/ReactFiberHooks.new.js
@@ -2035,12 +2035,20 @@ export function getIsUpdatingOpaqueValueInRenderPhaseInDEV(): boolean | void {
 function mountId(): string {
   const hook = mountWorkInProgressHook();
 
+  const root = ((getWorkInProgressRoot(): any): FiberRoot);
+  // TODO: In Fizz, id generation is specific to each server config. Maybe we
+  // should do this in Fiber, too? Deferring this decision for now because
+  // there's no other place to store the prefix except for an internal field on
+  // the public createRoot object, which the fiber tree does not currently have
+  // a reference to.
+  const identifierPrefix = root.identifierPrefix;
+
   let id;
   if (getIsHydrating()) {
     const treeId = getTreeId();
 
     // Use a captial R prefix for server-generated ids.
-    id = 'R:' + treeId;
+    id = identifierPrefix + 'R:' + treeId;
 
     // Unless this is the first id at this level, append a number at the end
     // that represents the position of this useId hook among all the useId
@@ -2052,7 +2060,7 @@ function mountId(): string {
   } else {
     // Use a lowercase r prefix for client-generated ids.
     const globalClientId = globalClientIdCounter++;
-    id = 'r:' + globalClientId.toString(32);
+    id = identifierPrefix + 'r:' + globalClientId.toString(32);
   }
 
   hook.memoizedState = id;
diff --git a/packages/react-reconciler/src/ReactFiberHooks.old.js b/packages/react-reconciler/src/ReactFiberHooks.old.js
index ff6a9f652fb4d..077073bbeef3c 100644
--- a/packages/react-reconciler/src/ReactFiberHooks.old.js
+++ b/packages/react-reconciler/src/ReactFiberHooks.old.js
@@ -2035,12 +2035,20 @@ export function getIsUpdatingOpaqueValueInRenderPhaseInDEV(): boolean | void {
 function mountId(): string {
   const hook = mountWorkInProgressHook();
 
+  const root = ((getWorkInProgressRoot(): any): FiberRoot);
+  // TODO: In Fizz, id generation is specific to each server config. Maybe we
+  // should do this in Fiber, too? Deferring this decision for now because
+  // there's no other place to store the prefix except for an internal field on
+  // the public createRoot object, which the fiber tree does not currently have
+  // a reference to.
+  const identifierPrefix = root.identifierPrefix;
+
   let id;
   if (getIsHydrating()) {
     const treeId = getTreeId();
 
     // Use a captial R prefix for server-generated ids.
-    id = 'R:' + treeId;
+    id = identifierPrefix + 'R:' + treeId;
 
     // Unless this is the first id at this level, append a number at the end
     // that represents the position of this useId hook among all the useId
@@ -2052,7 +2060,7 @@ function mountId(): string {
   } else {
     // Use a lowercase r prefix for client-generated ids.
     const globalClientId = globalClientIdCounter++;
-    id = 'r:' + globalClientId.toString(32);
+    id = identifierPrefix + 'r:' + globalClientId.toString(32);
   }
 
   hook.memoizedState = id;
diff --git a/packages/react-reconciler/src/ReactFiberReconciler.new.js b/packages/react-reconciler/src/ReactFiberReconciler.new.js
index 6c42165a30347..1b8b9502de3ee 100644
--- a/packages/react-reconciler/src/ReactFiberReconciler.new.js
+++ b/packages/react-reconciler/src/ReactFiberReconciler.new.js
@@ -241,6 +241,7 @@ export function createContainer(
   hydrationCallbacks: null | SuspenseHydrationCallbacks,
   isStrictMode: boolean,
   concurrentUpdatesByDefaultOverride: null | boolean,
+  identifierPrefix: string,
 ): OpaqueRoot {
   return createFiberRoot(
     containerInfo,
@@ -249,6 +250,7 @@ export function createContainer(
     hydrationCallbacks,
     isStrictMode,
     concurrentUpdatesByDefaultOverride,
+    identifierPrefix,
   );
 }
 
diff --git a/packages/react-reconciler/src/ReactFiberReconciler.old.js b/packages/react-reconciler/src/ReactFiberReconciler.old.js
index 7693cc7fe4006..8649ff6989841 100644
--- a/packages/react-reconciler/src/ReactFiberReconciler.old.js
+++ b/packages/react-reconciler/src/ReactFiberReconciler.old.js
@@ -241,6 +241,7 @@ export function createContainer(
   hydrationCallbacks: null | SuspenseHydrationCallbacks,
   isStrictMode: boolean,
   concurrentUpdatesByDefaultOverride: null | boolean,
+  identifierPrefix: string,
 ): OpaqueRoot {
   return createFiberRoot(
     containerInfo,
@@ -249,6 +250,7 @@ export function createContainer(
     hydrationCallbacks,
     isStrictMode,
     concurrentUpdatesByDefaultOverride,
+    identifierPrefix,
   );
 }
 
diff --git a/packages/react-reconciler/src/ReactFiberRoot.new.js b/packages/react-reconciler/src/ReactFiberRoot.new.js
index 803adee1e22dd..9e9feb45d9b03 100644
--- a/packages/react-reconciler/src/ReactFiberRoot.new.js
+++ b/packages/react-reconciler/src/ReactFiberRoot.new.js
@@ -30,7 +30,7 @@ import {initializeUpdateQueue} from './ReactUpdateQueue.new';
 import {LegacyRoot, ConcurrentRoot} from './ReactRootTags';
 import {createCache, retainCache} from './ReactFiberCacheComponent.new';
 
-function FiberRootNode(containerInfo, tag, hydrate) {
+function FiberRootNode(containerInfo, tag, hydrate, identifierPrefix) {
   this.tag = tag;
   this.containerInfo = containerInfo;
   this.pendingChildren = null;
@@ -56,6 +56,8 @@ function FiberRootNode(containerInfo, tag, hydrate) {
   this.entangledLanes = NoLanes;
   this.entanglements = createLaneMap(NoLanes);
 
+  this.identifierPrefix = identifierPrefix;
+
   if (enableCache) {
     this.pooledCache = null;
     this.pooledCacheLanes = NoLanes;
@@ -101,8 +103,14 @@ export function createFiberRoot(
   hydrationCallbacks: null | SuspenseHydrationCallbacks,
   isStrictMode: boolean,
   concurrentUpdatesByDefaultOverride: null | boolean,
+  identifierPrefix: string,
 ): FiberRoot {
-  const root: FiberRoot = (new FiberRootNode(containerInfo, tag, hydrate): any);
+  const root: FiberRoot = (new FiberRootNode(
+    containerInfo,
+    tag,
+    hydrate,
+    identifierPrefix,
+  ): any);
   if (enableSuspenseCallback) {
     root.hydrationCallbacks = hydrationCallbacks;
   }
diff --git a/packages/react-reconciler/src/ReactFiberRoot.old.js b/packages/react-reconciler/src/ReactFiberRoot.old.js
index 504dac966ef22..d8d061297854f 100644
--- a/packages/react-reconciler/src/ReactFiberRoot.old.js
+++ b/packages/react-reconciler/src/ReactFiberRoot.old.js
@@ -30,7 +30,7 @@ import {initializeUpdateQueue} from './ReactUpdateQueue.old';
 import {LegacyRoot, ConcurrentRoot} from './ReactRootTags';
 import {createCache, retainCache} from './ReactFiberCacheComponent.old';
 
-function FiberRootNode(containerInfo, tag, hydrate) {
+function FiberRootNode(containerInfo, tag, hydrate, identifierPrefix) {
   this.tag = tag;
   this.containerInfo = containerInfo;
   this.pendingChildren = null;
@@ -56,6 +56,8 @@ function FiberRootNode(containerInfo, tag, hydrate) {
   this.entangledLanes = NoLanes;
   this.entanglements = createLaneMap(NoLanes);
 
+  this.identifierPrefix = identifierPrefix;
+
   if (enableCache) {
     this.pooledCache = null;
     this.pooledCacheLanes = NoLanes;
@@ -101,8 +103,14 @@ export function createFiberRoot(
   hydrationCallbacks: null | SuspenseHydrationCallbacks,
   isStrictMode: boolean,
   concurrentUpdatesByDefaultOverride: null | boolean,
+  identifierPrefix: string,
 ): FiberRoot {
-  const root: FiberRoot = (new FiberRootNode(containerInfo, tag, hydrate): any);
+  const root: FiberRoot = (new FiberRootNode(
+    containerInfo,
+    tag,
+    hydrate,
+    identifierPrefix,
+  ): any);
   if (enableSuspenseCallback) {
     root.hydrationCallbacks = hydrationCallbacks;
   }
diff --git a/packages/react-reconciler/src/ReactInternalTypes.js b/packages/react-reconciler/src/ReactInternalTypes.js
index db964103836da..13965720b7cd3 100644
--- a/packages/react-reconciler/src/ReactInternalTypes.js
+++ b/packages/react-reconciler/src/ReactInternalTypes.js
@@ -239,6 +239,13 @@ type BaseFiberRootProperties = {|
 
   pooledCache: Cache | null,
   pooledCacheLanes: Lanes,
+
+  // TODO: In Fizz, id generation is specific to each server config. Maybe we
+  // should do this in Fiber, too? Deferring this decision for now because
+  // there's no other place to store the prefix except for an internal field on
+  // the public createRoot object, which the fiber tree does not currently have
+  // a reference to.
+  identifierPrefix: string,
 |};
 
 // The following attributes are only used by DevTools and are only present in DEV builds.
diff --git a/packages/react-reconciler/src/__tests__/ReactFiberHostContext-test.internal.js b/packages/react-reconciler/src/__tests__/ReactFiberHostContext-test.internal.js
index ee4bd306481b0..4bf292df79f7a 100644
--- a/packages/react-reconciler/src/__tests__/ReactFiberHostContext-test.internal.js
+++ b/packages/react-reconciler/src/__tests__/ReactFiberHostContext-test.internal.js
@@ -74,6 +74,8 @@ describe('ReactFiberHostContext', () => {
       ConcurrentRoot,
       false,
       null,
+      false,
+      '',
     );
     act(() => {
       Renderer.updateContainer(
@@ -135,6 +137,8 @@ describe('ReactFiberHostContext', () => {
       ConcurrentRoot,
       false,
       null,
+      false,
+      '',
     );
     act(() => {
       Renderer.updateContainer(
diff --git a/packages/react-server/src/ReactFizzHooks.js b/packages/react-server/src/ReactFizzHooks.js
index 926a1969bb48a..5997f1b02b902 100644
--- a/packages/react-server/src/ReactFizzHooks.js
+++ b/packages/react-server/src/ReactFizzHooks.js
@@ -22,6 +22,8 @@ import type {Task} from './ReactFizzServer';
 import {readContext as readContextImpl} from './ReactFizzNewContext';
 import {getTreeId} from './ReactFizzTreeContext';
 
+import {makeId} from './ReactServerFormatConfig';
+
 import {enableCache} from 'shared/ReactFeatureFlags';
 import is from 'shared/objectIs';
 
@@ -512,18 +514,15 @@ function useId(): string {
   const task: Task = (currentlyRenderingTask: any);
   const treeId = getTreeId(task.treeContext);
 
-  // Use a captial R prefix for server-generated ids.
-  let id = 'R:' + treeId;
-
-  // Unless this is the first id at this level, append a number at the end
-  // that represents the position of this useId hook among all the useId
-  // hooks for this fiber.
-  const localId = localIdCounter++;
-  if (localId > 0) {
-    id += ':' + localId.toString(32);
+  const responseState = currentResponseState;
+  if (responseState === null) {
+    throw new Error(
+      'Invalid hook call. Hooks can only be called inside of the body of a function component.',
+    );
   }
 
-  return id;
+  const localId = localIdCounter++;
+  return makeId(responseState, treeId, localId);
 }
 
 function unsupportedRefresh() {
diff --git a/packages/react-server/src/forks/ReactServerFormatConfig.custom.js b/packages/react-server/src/forks/ReactServerFormatConfig.custom.js
index f246ddab8b5bf..035490fb3f65a 100644
--- a/packages/react-server/src/forks/ReactServerFormatConfig.custom.js
+++ b/packages/react-server/src/forks/ReactServerFormatConfig.custom.js
@@ -35,6 +35,7 @@ export const getChildFormatContext = $$$hostConfig.getChildFormatContext;
 export const UNINITIALIZED_SUSPENSE_BOUNDARY_ID =
   $$$hostConfig.UNINITIALIZED_SUSPENSE_BOUNDARY_ID;
 export const assignSuspenseBoundaryID = $$$hostConfig.assignSuspenseBoundaryID;
+export const makeId = $$$hostConfig.makeId;
 export const pushTextInstance = $$$hostConfig.pushTextInstance;
 export const pushStartInstance = $$$hostConfig.pushStartInstance;
 export const pushEndInstance = $$$hostConfig.pushEndInstance;
diff --git a/packages/react-test-renderer/src/ReactTestRenderer.js b/packages/react-test-renderer/src/ReactTestRenderer.js
index 2e49968e85ded..de6e4beffec5f 100644
--- a/packages/react-test-renderer/src/ReactTestRenderer.js
+++ b/packages/react-test-renderer/src/ReactTestRenderer.js
@@ -471,6 +471,7 @@ function create(element: React$Element<any>, options: TestRendererOptions) {
     null,
     isStrictMode,
     concurrentUpdatesByDefault,
+    '',
   );
 
   if (root == null) {