diff --git a/packages/mermaid/src/diagrams/er/erRenderer.js b/packages/mermaid/src/diagrams/er/erRenderer.js
index ebf338ae16..08b448219c 100644
--- a/packages/mermaid/src/diagrams/er/erRenderer.js
+++ b/packages/mermaid/src/diagrams/er/erRenderer.js
@@ -7,7 +7,7 @@ import utils from '../../utils';
 import erMarkers from './erMarkers';
 import { configureSvgSize } from '../../setupGraphViewbox';
 import { parseGenericTypes } from '../common/common';
-import { v4 as uuid4 } from 'uuid';
+import { v5 as uuid5 } from 'uuid';
 
 /** Regex used to remove chars from the entity name so the result can be used in an id */
 const BAD_ID_CHARS_REGEXP = /[^\dA-Za-z](\W)*/g;
@@ -643,9 +643,24 @@ export const draw = function (text, id, _version, diagObj) {
   svg.attr('viewBox', `${svgBounds.x - padding} ${svgBounds.y - padding} ${width} ${height}`);
 }; // draw
 
+/**
+ * UUID namespace for ER diagram IDs
+ *
+ * This can be generated via running:
+ *
+ * ```js
+ * const { v5: uuid5 } = await import('uuid');
+ * uuid5(
+ *   'https://mermaid-js.github.io/mermaid/syntax/entityRelationshipDiagram.html',
+ *   uuid5.URL
+ * );
+ * ```
+ */
+const MERMAID_ERDIAGRAM_UUID = '28e9f9db-3c8d-5aa5-9faf-44286ae5937c';
+
 /**
  * Return a unique id based on the given string. Start with the prefix, then a hyphen, then the
- * simplified str, then a hyphen, then a unique uuid. (Hyphens are only included if needed.)
+ * simplified str, then a hyphen, then a unique uuid based on the str. (Hyphens are only included if needed.)
  * Although the official XML standard for ids says that many more characters are valid in the id,
  * this keeps things simple by accepting only A-Za-z0-9.
  *
@@ -656,7 +671,11 @@ export const draw = function (text, id, _version, diagObj) {
  */
 export function generateId(str = '', prefix = '') {
   const simplifiedStr = str.replace(BAD_ID_CHARS_REGEXP, '');
-  return `${strWithHyphen(prefix)}${strWithHyphen(simplifiedStr)}${uuid4()}`;
+  // we use `uuid v5` so that UUIDs are consistent given a string.
+  return `${strWithHyphen(prefix)}${strWithHyphen(simplifiedStr)}${uuid5(
+    str,
+    MERMAID_ERDIAGRAM_UUID
+  )}`;
 }
 
 /**
diff --git a/packages/mermaid/src/diagrams/er/erRenderer.spec.ts b/packages/mermaid/src/diagrams/er/erRenderer.spec.ts
new file mode 100644
index 0000000000..ca0f62bd28
--- /dev/null
+++ b/packages/mermaid/src/diagrams/er/erRenderer.spec.ts
@@ -0,0 +1,12 @@
+import { generateId } from './erRenderer';
+
+describe('erRenderer', () => {
+  describe('generateId', () => {
+    it('should be deterministic', () => {
+      const id1 = generateId('hello world', 'my-prefix');
+      const id2 = generateId('hello world', 'my-prefix');
+
+      expect(id1).toBe(id2);
+    });
+  });
+});