diff --git a/.github/workflows/docs-pages.yml b/.github/workflows/docs-pages.yml
index ef23559b..c70abfb1 100644
--- a/.github/workflows/docs-pages.yml
+++ b/.github/workflows/docs-pages.yml
@@ -1,4 +1,4 @@
-name: Docs: Build and deploy MkDocs site
+name: Docs Build and deploy MkDocs site
 
 on:
   push:
diff --git a/aredis_om/model/model.py b/aredis_om/model/model.py
index bf69acfb..a110af96 100644
--- a/aredis_om/model/model.py
+++ b/aredis_om/model/model.py
@@ -2378,8 +2378,25 @@ async def update(self, **field_values):
         raise NotImplementedError
 
     async def save(
-        self: "Model", pipeline: Optional[redis.client.Pipeline] = None
-    ) -> "Model":
+        self: "Model",
+        pipeline: Optional[redis.client.Pipeline] = None,
+        nx: bool = False,
+        xx: bool = False,
+    ) -> Optional["Model"]:
+        """Save the model instance to Redis.
+
+        Args:
+            pipeline: Optional Redis pipeline for batching operations.
+            nx: If True, only save if the key does NOT exist (insert-only).
+            xx: If True, only save if the key already exists (update-only).
+
+        Returns:
+            The model instance if saved successfully, None if nx/xx condition
+            was not met.
+
+        Raises:
+            ValueError: If both nx and xx are True.
+        """
         raise NotImplementedError
 
     async def expire(
@@ -2615,8 +2632,19 @@ def __init_subclass__(cls, **kwargs):
                 )
 
     async def save(
-        self: "Model", pipeline: Optional[redis.client.Pipeline] = None
-    ) -> "Model":
+        self: "Model",
+        pipeline: Optional[redis.client.Pipeline] = None,
+        nx: bool = False,
+        xx: bool = False,
+    ) -> Optional["Model"]:
+        if nx and xx:
+            raise ValueError("Cannot specify both nx and xx")
+        if pipeline and (nx or xx):
+            raise ValueError(
+                "Cannot use nx or xx with pipeline for HashModel. "
+                "Use JsonModel if you need conditional saves with pipelines."
+            )
+
         self.check()
         db = self._get_db(pipeline)
 
@@ -2636,9 +2664,23 @@ async def save(
             for k, v in document.items()
         }
 
+        key = self.key()
+
+        async def _do_save(conn):
+            # Check nx/xx conditions (HSET doesn't support these natively)
+            if nx or xx:
+                exists = await conn.exists(key)
+                if nx and exists:
+                    return None  # Key exists, nx means don't overwrite
+                if xx and not exists:
+                    return None  # Key doesn't exist, xx means only update existing
+
+            await conn.hset(key, mapping=document)
+            return self
+
         # TODO: Wrap any Redis response errors in a custom exception?
         try:
-            await db.hset(self.key(), mapping=document)
+            return await _do_save(db)
         except RuntimeError as e:
             if "Event loop is closed" in str(e):
                 # Connection is bound to closed event loop, refresh it and retry
@@ -2646,10 +2688,9 @@ async def save(
 
                 self.__class__._meta.database = get_redis_connection()
                 db = self._get_db(pipeline)
-                await db.hset(self.key(), mapping=document)
+                return await _do_save(db)
             else:
                 raise
-        return self
 
     @classmethod
     async def all_pks(cls):  # type: ignore
@@ -2835,8 +2876,14 @@ def __init__(self, *args, **kwargs):
         super().__init__(*args, **kwargs)
 
     async def save(
-        self: "Model", pipeline: Optional[redis.client.Pipeline] = None
-    ) -> "Model":
+        self: "Model",
+        pipeline: Optional[redis.client.Pipeline] = None,
+        nx: bool = False,
+        xx: bool = False,
+    ) -> Optional["Model"]:
+        if nx and xx:
+            raise ValueError("Cannot specify both nx and xx")
+
         self.check()
         db = self._get_db(pipeline)
 
@@ -2847,9 +2894,20 @@ async def save(
         # Apply JSON encoding for complex types (Enums, UUIDs, Sets, etc.)
         data = jsonable_encoder(data)
 
+        key = self.key()
+        path = Path.root_path()
+
+        async def _do_save(conn):
+            # JSON.SET supports nx and xx natively
+            result = await conn.json().set(key, path, data, nx=nx, xx=xx)
+            # JSON.SET returns None if nx/xx condition not met, "OK" otherwise
+            if result is None:
+                return None
+            return self
+
         # TODO: Wrap response errors in a custom exception?
         try:
-            await db.json().set(self.key(), Path.root_path(), data)
+            return await _do_save(db)
         except RuntimeError as e:
             if "Event loop is closed" in str(e):
                 # Connection is bound to closed event loop, refresh it and retry
@@ -2857,10 +2915,9 @@ async def save(
 
                 self.__class__._meta.database = get_redis_connection()
                 db = self._get_db(pipeline)
-                await db.json().set(self.key(), Path.root_path(), data)
+                return await _do_save(db)
             else:
                 raise
-        return self
 
     @classmethod
     async def all_pks(cls):  # type: ignore
diff --git a/tests/test_hash_model.py b/tests/test_hash_model.py
index af8a9f2a..22cd8366 100644
--- a/tests/test_hash_model.py
+++ b/tests/test_hash_model.py
@@ -1357,3 +1357,113 @@ class Meta:
 
     assert len(rematerialized) == 1
     assert rematerialized[0].pk == loc1.pk
+
+
+@py_test_mark_asyncio
+async def test_save_nx_only_saves_if_not_exists(m):
+    """Test that save(nx=True) only saves if the key doesn't exist."""
+    await Migrator().run()
+
+    member = m.Member(
+        id=1000,
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        bio="Original bio",
+    )
+
+    # First save should succeed with nx=True
+    result = await member.save(nx=True)
+    assert result is not None
+    assert result.pk == member.pk
+
+    # Second save with same pk should return None (key exists)
+    member2 = m.Member(
+        id=1000,
+        first_name="Different",
+        last_name="Name",
+        email="b@example.com",
+        join_date=today,
+        age=25,
+        bio="Different bio",
+    )
+    result = await member2.save(nx=True)
+    assert result is None
+
+    # Verify original data is unchanged
+    fetched = await m.Member.get(member.id)
+    assert fetched.first_name == "Andrew"
+
+
+@py_test_mark_asyncio
+async def test_save_xx_only_saves_if_exists(m):
+    """Test that save(xx=True) only saves if the key already exists."""
+    await Migrator().run()
+
+    member = m.Member(
+        id=2000,
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        bio="Original bio",
+    )
+
+    # First save with xx=True should return None (key doesn't exist)
+    result = await member.save(xx=True)
+    assert result is None
+
+    # Save without flags to create the key
+    await member.save()
+
+    # Now update with xx=True should succeed
+    member.first_name = "Updated"
+    result = await member.save(xx=True)
+    assert result is not None
+
+    # Verify data was updated
+    fetched = await m.Member.get(member.id)
+    assert fetched.first_name == "Updated"
+
+
+@py_test_mark_asyncio
+async def test_save_nx_xx_mutually_exclusive(m):
+    """Test that save() raises ValueError if both nx and xx are True."""
+    await Migrator().run()
+
+    member = m.Member(
+        id=3000,
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        bio="Some bio",
+    )
+
+    with pytest.raises(ValueError, match="Cannot specify both nx and xx"):
+        await member.save(nx=True, xx=True)
+
+
+@py_test_mark_asyncio
+async def test_save_nx_with_pipeline_raises_error(m):
+    """Test that save(nx=True) with pipeline raises an error for HashModel."""
+    await Migrator().run()
+
+    member = m.Member(
+        id=4000,
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        bio="Bio 1",
+    )
+
+    # HashModel doesn't support nx/xx with pipeline (HSET doesn't support it natively)
+    async with m.Member.db().pipeline(transaction=True) as pipe:
+        with pytest.raises(ValueError, match="Cannot use nx or xx with pipeline"):
+            await member.save(pipeline=pipe, nx=True)
diff --git a/tests/test_json_model.py b/tests/test_json_model.py
index 5a3d5ed1..a40179e7 100644
--- a/tests/test_json_model.py
+++ b/tests/test_json_model.py
@@ -1572,3 +1572,124 @@ class Meta:
     # Test sorting by NUMERIC field still works
     results = await Product.find().sort_by("price").all()
     assert results == [product3, product2, product1]  # 30, 50, 100
+
+
+@py_test_mark_asyncio
+async def test_save_nx_only_saves_if_not_exists(m, address):
+    """Test that save(nx=True) only saves if the key doesn't exist."""
+    await Migrator().run()
+
+    member = m.Member(
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        address=address,
+    )
+
+    # First save should succeed with nx=True
+    result = await member.save(nx=True)
+    assert result is not None
+    assert result.pk == member.pk
+
+    # Second save with same pk should return None (key exists)
+    member2 = m.Member(
+        pk=member.pk,
+        first_name="Different",
+        last_name="Name",
+        email="b@example.com",
+        join_date=today,
+        age=25,
+        address=address,
+    )
+    result = await member2.save(nx=True)
+    assert result is None
+
+    # Verify original data is unchanged
+    fetched = await m.Member.get(member.pk)
+    assert fetched.first_name == "Andrew"
+
+
+@py_test_mark_asyncio
+async def test_save_xx_only_saves_if_exists(m, address):
+    """Test that save(xx=True) only saves if the key already exists."""
+    await Migrator().run()
+
+    member = m.Member(
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        address=address,
+    )
+
+    # First save with xx=True should return None (key doesn't exist)
+    result = await member.save(xx=True)
+    assert result is None
+
+    # Save without flags to create the key
+    await member.save()
+
+    # Now update with xx=True should succeed
+    member.first_name = "Updated"
+    result = await member.save(xx=True)
+    assert result is not None
+
+    # Verify data was updated
+    fetched = await m.Member.get(member.pk)
+    assert fetched.first_name == "Updated"
+
+
+@py_test_mark_asyncio
+async def test_save_nx_xx_mutually_exclusive(m, address):
+    """Test that save() raises ValueError if both nx and xx are True."""
+    await Migrator().run()
+
+    member = m.Member(
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        address=address,
+    )
+
+    with pytest.raises(ValueError, match="Cannot specify both nx and xx"):
+        await member.save(nx=True, xx=True)
+
+
+@py_test_mark_asyncio
+async def test_save_nx_with_pipeline(m, address):
+    """Test that save(nx=True) works with pipeline."""
+    await Migrator().run()
+
+    member1 = m.Member(
+        first_name="Andrew",
+        last_name="Brookins",
+        email="a@example.com",
+        join_date=today,
+        age=38,
+        address=address,
+    )
+    member2 = m.Member(
+        first_name="Kim",
+        last_name="Brookins",
+        email="k@example.com",
+        join_date=today,
+        age=34,
+        address=address,
+    )
+
+    # Save both with nx=True via pipeline
+    async with m.Member.db().pipeline(transaction=True) as pipe:
+        await member1.save(pipeline=pipe, nx=True)
+        await member2.save(pipeline=pipe, nx=True)
+        await pipe.execute()
+
+    # Verify both were saved
+    fetched1 = await m.Member.get(member1.pk)
+    fetched2 = await m.Member.get(member2.pk)
+    assert fetched1.first_name == "Andrew"
+    assert fetched2.first_name == "Kim"