diff --git a/temporalio/worker/_workflow_instance.py b/temporalio/worker/_workflow_instance.py
index fea97564b..43091d100 100644
--- a/temporalio/worker/_workflow_instance.py
+++ b/temporalio/worker/_workflow_instance.py
@@ -2025,6 +2025,7 @@ async def run_child() -> Any:
                 return handle
             except asyncio.CancelledError:
                 apply_child_cancel_error()
+                raise
 
     async def _outbound_start_nexus_operation(
         self, input: StartNexusOperationInput[Any, OutputT]
diff --git a/tests/worker/test_workflow.py b/tests/worker/test_workflow.py
index 71f48cc63..214e8d3bb 100644
--- a/tests/worker/test_workflow.py
+++ b/tests/worker/test_workflow.py
@@ -1216,6 +1216,89 @@ async def test_workflow_cancel_child_unstarted(_client: Client):
     raise NotImplementedError
 
 
+@workflow.defn
+class CancelDuringChildStartWorkflow:
+    @workflow.run
+    async def run(self) -> None:
+        await workflow.start_child_workflow("child-workflow", id="child-id")
+        await workflow.wait_condition(lambda: False)
+
+
+async def test_workflow_cancelled_during_child_workflow_start():
+    now = datetime.now(timezone.utc)
+    timestamp = Timestamp()
+    timestamp.FromDatetime(now)
+    workflow_id = f"workflow-{uuid.uuid4()}"
+    run_id = str(uuid.uuid4())
+    instance = UnsandboxedWorkflowRunner().create_instance(
+        WorkflowInstanceDetails(
+            payload_converter_class=DefaultPayloadConverter,
+            failure_converter_class=DefaultFailureConverter,
+            interceptor_classes=[],
+            defn=workflow._Definition.must_from_class(CancelDuringChildStartWorkflow),
+            info=workflow.Info(
+                attempt=1,
+                continued_run_id=None,
+                cron_schedule=None,
+                execution_timeout=None,
+                first_execution_run_id=run_id,
+                headers={},
+                namespace="default",
+                parent=None,
+                root=None,
+                priority=Priority.default,
+                raw_memo={},
+                retry_policy=None,
+                run_id=run_id,
+                run_timeout=None,
+                search_attributes={},
+                start_time=now,
+                task_queue="task-queue",
+                task_timeout=timedelta(seconds=10),
+                typed_search_attributes=TypedSearchAttributes([]),
+                workflow_id=workflow_id,
+                workflow_start_time=now,
+                workflow_type="CancelDuringChildStartWorkflow",
+            ),
+            randomness_seed=123,
+            extern_functions={},
+            disable_eager_activity_execution=False,
+            worker_level_failure_exception_types=[],
+            last_completion_result=Payloads(),
+            last_failure=None,
+        )
+    )
+
+    start_activation = WorkflowActivation(run_id=run_id, timestamp=timestamp)
+    initialize = start_activation.jobs.add().initialize_workflow
+    initialize.workflow_type = "CancelDuringChildStartWorkflow"
+    initialize.workflow_id = workflow_id
+    initialize.randomness_seed = 123
+    start_completion = instance.activate(start_activation)
+    start_commands = start_completion.successful.commands
+
+    assert not start_completion.HasField("failed")
+    assert len(start_commands) == 1
+    assert start_commands[0].HasField("start_child_workflow_execution")
+    child_seq = start_commands[0].start_child_workflow_execution.seq
+
+    cancel_activation = WorkflowActivation(run_id=run_id, timestamp=timestamp)
+    cancel_activation.jobs.add().cancel_workflow.SetInParent()
+    child_start = cancel_activation.jobs.add().resolve_child_workflow_execution_start
+    child_start.seq = child_seq
+    child_start.succeeded.run_id = str(uuid.uuid4())
+    cancel_completion = instance.activate(cancel_activation)
+    cancel_command_variants = [
+        command.WhichOneof("variant")
+        for command in cancel_completion.successful.commands
+    ]
+
+    assert not cancel_completion.HasField("failed")
+    assert "cancel_child_workflow_execution" in cancel_command_variants
+    assert "cancel_workflow_execution" in cancel_command_variants
+    assert "start_timer" not in cancel_command_variants
+
+
 @workflow.defn
 class ReturnSignalWorkflow:
     def __init__(self) -> None: