diff --git a/benchmark/crypto/randomUUID.js b/benchmark/crypto/randomUUID.js
new file mode 100644
index 00000000000000..cca05242874738
--- /dev/null
+++ b/benchmark/crypto/randomUUID.js
@@ -0,0 +1,17 @@
+'use strict';
+
+const common = require('../common.js');
+const { randomUUID } = require('crypto');
+
+const bench = common.createBenchmark(main, {
+  n: [1e7],
+  disableEntropyCache: [0, 1],
+});
+
+function main({ n, disableEntropyCache }) {
+  disableEntropyCache = !!disableEntropyCache;
+  bench.start();
+  for (let i = 0; i < n; ++i)
+    randomUUID({ disableEntropyCache });
+  bench.end(n);
+}
diff --git a/doc/api/crypto.md b/doc/api/crypto.md
index fb4d7977b17ff8..5ae5ad6b7a99ee 100644
--- a/doc/api/crypto.md
+++ b/doc/api/crypto.md
@@ -2841,6 +2841,20 @@ const n = crypto.randomInt(1, 7);
 console.log(`The dice rolled: ${n}`);
 ```
 
+### `crypto.randomUUID([options])`
+<!-- YAML
+added: REPLACEME
+-->
+
+* `options` {Object}
+  * `disableEntropyCache` {boolean} By default, to improve performance,
+    Node.js generates and caches enough random data to generate up to
+    128 random UUIDs. To generate a UUID without using the cache, set
+    `disableEntropyCache` to `true`. **Defaults**: `false`.
+* Returns: {string}
+
+Generates a random [RFC 4122][] Version 4 UUID.
+
 ### `crypto.scrypt(password, salt, keylen[, options], callback)`
 <!-- YAML
 added: v10.5.0
@@ -3582,6 +3596,7 @@ See the [list of SSL OP Flags][] for details.
 [RFC 3526]: https://www.rfc-editor.org/rfc/rfc3526.txt
 [RFC 3610]: https://www.rfc-editor.org/rfc/rfc3610.txt
 [RFC 4055]: https://www.rfc-editor.org/rfc/rfc4055.txt
+[RFC 4122]: https://www.rfc-editor.org/rfc/rfc4122.txt
 [RFC 5208]: https://www.rfc-editor.org/rfc/rfc5208.txt
 [`Buffer`]: buffer.md
 [`EVP_BytesToKey`]: https://www.openssl.org/docs/man1.1.0/crypto/EVP_BytesToKey.html
diff --git a/doc/api/errors.md b/doc/api/errors.md
index 4c963210ad9c56..19176c54964912 100644
--- a/doc/api/errors.md
+++ b/doc/api/errors.md
@@ -1704,6 +1704,12 @@ compiled with ICU support.
 
 A non-context-aware native addon was loaded in a process that disallows them.
 
+<a id="ERR_OPERATION_FAILED"></a>
+### `ERR_OPERATION_FAILED`
+
+An operation failed. This is typically used to signal the general failure of an
+asynchronous operation.
+
 <a id="ERR_OUT_OF_RANGE"></a>
 ### `ERR_OUT_OF_RANGE`
 
diff --git a/lib/crypto.js b/lib/crypto.js
index b2bcc4d0a44592..a41b02d97a70ad 100644
--- a/lib/crypto.js
+++ b/lib/crypto.js
@@ -53,7 +53,8 @@ const {
   randomBytes,
   randomFill,
   randomFillSync,
-  randomInt
+  randomInt,
+  randomUUID,
 } = require('internal/crypto/random');
 const {
   pbkdf2,
@@ -186,6 +187,7 @@ module.exports = {
   randomFill,
   randomFillSync,
   randomInt,
+  randomUUID,
   scrypt,
   scryptSync,
   sign: signOneShot,
diff --git a/lib/internal/crypto/random.js b/lib/internal/crypto/random.js
index 9e0500ea3a67bb..8ea9f4cee76a48 100644
--- a/lib/internal/crypto/random.js
+++ b/lib/internal/crypto/random.js
@@ -7,14 +7,27 @@ const {
 } = primordials;
 
 const { AsyncWrap, Providers } = internalBinding('async_wrap');
-const { kMaxLength } = require('buffer');
-const { randomBytes: _randomBytes } = internalBinding('crypto');
 const {
-  ERR_INVALID_ARG_TYPE,
-  ERR_INVALID_CALLBACK,
-  ERR_OUT_OF_RANGE
-} = require('internal/errors').codes;
-const { validateNumber } = require('internal/validators');
+  Buffer,
+  kMaxLength,
+} = require('buffer');
+const {
+  randomBytes: _randomBytes,
+  secureBuffer,
+} = internalBinding('crypto');
+const {
+  codes: {
+    ERR_INVALID_ARG_TYPE,
+    ERR_INVALID_CALLBACK,
+    ERR_OUT_OF_RANGE,
+    ERR_OPERATION_FAILED,
+  }
+} = require('internal/errors');
+const {
+  validateBoolean,
+  validateNumber,
+  validateObject,
+} = require('internal/validators');
 const { isArrayBufferView } = require('internal/util/types');
 const { FastBuffer } = require('internal/buffer');
 
@@ -203,9 +216,113 @@ function handleError(ex, buf) {
   return buf;
 }
 
+// Implements an RFC 4122 version 4 random UUID.
+// To improve performance, random data is generated in batches
+// large enough to cover kBatchSize UUID's at a time. The uuidData
+// and uuid buffers are reused. Each call to randomUUID() consumes
+// 16 bytes from the buffer.
+
+const kHexDigits = [
+  48, 49, 50, 51, 52, 53, 54, 55,
+  56, 57, 97, 98, 99, 100, 101, 102
+];
+
+const kBatchSize = 128;
+let uuidData;
+let uuidNotBuffered;
+let uuid;
+let uuidBatch = 0;
+
+function getBufferedUUID() {
+  if (uuidData === undefined) {
+    uuidData = secureBuffer(16 * kBatchSize);
+    if (uuidData === undefined)
+      throw new ERR_OPERATION_FAILED('Out of memory');
+  }
+
+  if (uuidBatch === 0) randomFillSync(uuidData);
+  uuidBatch = (uuidBatch + 1) % kBatchSize;
+  return uuidData.slice(uuidBatch * 16, (uuidBatch * 16) + 16);
+}
+
+function randomUUID(options) {
+  if (options !== undefined)
+    validateObject(options, 'options');
+  const {
+    disableEntropyCache = false,
+  } = { ...options };
+
+  validateBoolean(disableEntropyCache, 'options.disableEntropyCache');
+
+  if (uuid === undefined) {
+    uuid = Buffer.alloc(36, '-');
+    uuid[14] = 52; // '4', identifies the UUID version
+  }
+
+  let uuidBuf;
+  if (!disableEntropyCache) {
+    uuidBuf = getBufferedUUID();
+  } else {
+    uuidBuf = uuidNotBuffered;
+    if (uuidBuf === undefined)
+      uuidBuf = uuidNotBuffered = secureBuffer(16);
+    if (uuidBuf === undefined)
+      throw new ERR_OPERATION_FAILED('Out of memory');
+    randomFillSync(uuidBuf);
+  }
+
+  // Variant byte: 10xxxxxx (variant 1)
+  uuidBuf[8] = (uuidBuf[8] & 0x3f) | 0x80;
+
+  // This function is structured the way it is for performance.
+  // The uuid buffer stores the serialization of the random
+  // bytes from uuidData.
+  // xxxxxxxx-xxxx-xxxx-xxxx-xxxxxxxxxxxx
+  let n = 0;
+  uuid[0] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[1] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[2] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[3] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[4] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[5] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[6] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[7] = kHexDigits[uuidBuf[n++] & 0xf];
+  // -
+  uuid[9] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[10] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[11] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[12] = kHexDigits[uuidBuf[n++] & 0xf];
+  // -
+  // 4, uuid[14] is set already...
+  uuid[15] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[16] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[17] = kHexDigits[uuidBuf[n++] & 0xf];
+  // -
+  uuid[19] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[20] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[21] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[22] = kHexDigits[uuidBuf[n++] & 0xf];
+  // -
+  uuid[24] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[25] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[26] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[27] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[28] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[29] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[30] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[31] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[32] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[33] = kHexDigits[uuidBuf[n++] & 0xf];
+  uuid[34] = kHexDigits[uuidBuf[n] >> 4];
+  uuid[35] = kHexDigits[uuidBuf[n] & 0xf];
+
+  return uuid.latin1Slice(0, 36);
+}
+
 module.exports = {
   randomBytes,
   randomFill,
   randomFillSync,
-  randomInt
+  randomInt,
+  randomUUID,
 };
diff --git a/lib/internal/errors.js b/lib/internal/errors.js
index ea3e0cc19eade7..b0c8c0a130259e 100644
--- a/lib/internal/errors.js
+++ b/lib/internal/errors.js
@@ -1259,6 +1259,7 @@ E('ERR_NO_CRYPTO',
   'Node.js is not compiled with OpenSSL crypto support', Error);
 E('ERR_NO_ICU',
   '%s is not supported on Node.js compiled without ICU', TypeError);
+E('ERR_OPERATION_FAILED', 'Operation failed: %s', Error);
 E('ERR_OUT_OF_RANGE',
   (str, range, input, replaceDefaultBoolean = false) => {
     assert(range, 'Missing "range" argument');
diff --git a/src/node_crypto.cc b/src/node_crypto.cc
index ed886abd749661..bd40705e6b1ae0 100644
--- a/src/node_crypto.cc
+++ b/src/node_crypto.cc
@@ -67,7 +67,9 @@ namespace crypto {
 using node::THROW_ERR_TLS_INVALID_PROTOCOL_METHOD;
 
 using v8::Array;
+using v8::ArrayBuffer;
 using v8::ArrayBufferView;
+using v8::BackingStore;
 using v8::Boolean;
 using v8::ConstructorBehavior;
 using v8::Context;
@@ -97,6 +99,7 @@ using v8::SideEffectType;
 using v8::Signature;
 using v8::String;
 using v8::Uint32;
+using v8::Uint8Array;
 using v8::Undefined;
 using v8::Value;
 
@@ -6944,6 +6947,35 @@ void SetFipsCrypto(const FunctionCallbackInfo<Value>& args) {
 }
 #endif /* NODE_FIPS_MODE */
 
+namespace {
+// SecureBuffer uses openssl to allocate a Uint8Array using
+// OPENSSL_secure_malloc. Because we do not yet actually
+// make use of secure heap, this has the same semantics as
+// using OPENSSL_malloc. However, if the secure heap is
+// initialized, SecureBuffer will automatically use it.
+void SecureBuffer(const FunctionCallbackInfo<Value>& args) {
+  CHECK(args[0]->IsUint32());
+  Environment* env = Environment::GetCurrent(args);
+  uint32_t len = args[0].As<Uint32>()->Value();
+  char* data = static_cast<char*>(OPENSSL_secure_malloc(len));
+  if (data == nullptr) {
+    // There's no memory available for the allocation.
+    // Return nothing.
+    return;
+  }
+  memset(data, 0, len);
+  std::shared_ptr<BackingStore> store =
+      ArrayBuffer::NewBackingStore(
+          data,
+          len,
+          [](void* data, size_t len, void* deleter_data) {
+            OPENSSL_secure_clear_free(data, len);
+          },
+          data);
+  Local<ArrayBuffer> buffer = ArrayBuffer::New(env->isolate(), store);
+  args.GetReturnValue().Set(Uint8Array::New(buffer, 0, len));
+}
+}  // namespace
 
 void Initialize(Local<Object> target,
                 Local<Value> unused,
@@ -7038,6 +7070,8 @@ void Initialize(Local<Object> target,
 #ifndef OPENSSL_NO_SCRYPT
   env->SetMethod(target, "scrypt", Scrypt);
 #endif  // OPENSSL_NO_SCRYPT
+
+  env->SetMethod(target, "secureBuffer", SecureBuffer);
 }
 
 }  // namespace crypto
diff --git a/test/parallel/test-crypto-randomuuid.js b/test/parallel/test-crypto-randomuuid.js
new file mode 100644
index 00000000000000..232dcec62c8f2e
--- /dev/null
+++ b/test/parallel/test-crypto-randomuuid.js
@@ -0,0 +1,58 @@
+'use strict';
+
+const common = require('../common');
+
+if (!common.hasCrypto)
+  common.skip('missing crypto');
+
+const assert = require('assert');
+const {
+  randomUUID,
+} = require('crypto');
+
+const last = new Set([
+  '00000000-0000-0000-0000-000000000000'
+]);
+
+function testMatch(uuid) {
+  assert.match(
+    uuid,
+    /^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$/);
+}
+
+// Generate a number of UUID's to make sure we're
+// not just generating the same value over and over
+// and to make sure the batching changes the random
+// bytes.
+for (let n = 0; n < 130; n++) {
+  const uuid = randomUUID();
+  assert(!last.has(uuid));
+  last.add(uuid);
+  assert.strictEqual(typeof uuid, 'string');
+  assert.strictEqual(uuid.length, 36);
+  testMatch(uuid);
+
+  // Check that version 4 identifier was populated.
+  assert.strictEqual(
+    Buffer.from(uuid.substr(14, 2), 'hex')[0] & 0x40, 0x40);
+
+  // Check that clock_seq_hi_and_reserved was populated with reserved bits.
+  assert.strictEqual(
+    Buffer.from(uuid.substr(19, 2), 'hex')[0] & 0b1100_0000, 0b1000_0000);
+}
+
+// Test non-buffered UUID's
+{
+  testMatch(randomUUID({ disableEntropyCache: true }));
+  testMatch(randomUUID({ disableEntropyCache: true }));
+  testMatch(randomUUID({ disableEntropyCache: true }));
+  testMatch(randomUUID({ disableEntropyCache: true }));
+
+  assert.throws(() => randomUUID(1), {
+    code: 'ERR_INVALID_ARG_TYPE'
+  });
+
+  assert.throws(() => randomUUID({ disableEntropyCache: '' }), {
+    code: 'ERR_INVALID_ARG_TYPE'
+  });
+}