diff --git a/paperforge/worker/ocr_emit.py b/paperforge/worker/ocr_emit.py
new file mode 100644
index 00000000..544f1e47
--- /dev/null
+++ b/paperforge/worker/ocr_emit.py
@@ -0,0 +1,52 @@
+from __future__ import annotations
+
+
+def emit_page_markdown(
+    page_index: int,
+    ordered_spine: list,
+    attachments: list,
+    page_width: int = 0,
+    page_height: int = 0,
+) -> str:
+    lines: list[str] = [f"<!-- page {page_index} -->"]
+    attachment_by_anchor: dict[str, list] = {}
+
+    for att in attachments:
+        anchor = getattr(att, "anchor_node_id", "") if hasattr(att, "anchor_node_id") else att.get("anchor_node_id", "")
+        if anchor:
+            attachment_by_anchor.setdefault(anchor, []).append(att)
+
+    inserted_ids: set = set()
+
+    for node in ordered_spine:
+        node_id = (
+            getattr(node, "node_id", "")
+            if hasattr(node, "node_id")
+            else node.get("node_id", "")
+        )
+        node_type = (
+            getattr(node, "node_type", "paragraph")
+            if hasattr(node, "node_type")
+            else node.get("node_type", "paragraph")
+        )
+        text = (
+            getattr(node, "text", "")
+            if hasattr(node, "text")
+            else node.get("text", "")
+        )
+
+        if node_id in attachment_by_anchor:
+            for att in attachment_by_anchor[node_id]:
+                att_id = getattr(att, "attachment_id", id(att)) if hasattr(att, "attachment_id") else att.get("attachment_id", id(att))
+                if att_id not in inserted_ids:
+                    inserted_ids.add(att_id)
+                    kind = getattr(att, "kind", "figure") if hasattr(att, "kind") else att.get("kind", "figure")
+                    lines.append(f"[{kind.upper()} attached: {att_id}]")
+
+        if node_type in ("section_heading", "subsection_heading"):
+            lines.append(f"### {text}")
+        else:
+            if text:
+                lines.append(text)
+
+    return "\n".join(lines)
diff --git a/tests/test_ocr_emission_regressions.py b/tests/test_ocr_emission_regressions.py
new file mode 100644
index 00000000..7dd0e6c7
--- /dev/null
+++ b/tests/test_ocr_emission_regressions.py
@@ -0,0 +1,66 @@
+from __future__ import annotations
+
+
+def test_emission_keeps_headings_in_markdown() -> None:
+    from paperforge.worker.ocr_emit import emit_page_markdown
+
+    class Node:
+        def __init__(self, node_id, node_type, text=""):
+            self.node_id = node_id
+            self.node_type = node_type
+            self.text = text
+
+    spine = [
+        Node("h1", "section_heading", "5 In vitro PEMF studies"),
+        Node("p1", "paragraph", "Over the past few decades..."),
+    ]
+
+    result = emit_page_markdown(7, spine, [])
+
+    assert "### 5 In vitro PEMF studies" in result
+    assert "<!-- page 7 -->" in result
+    assert "Over the past few decades..." in result
+
+
+def test_emission_preserves_page_marker() -> None:
+    from paperforge.worker.ocr_emit import emit_page_markdown
+
+    result = emit_page_markdown(14, [], [])
+
+    assert result.startswith("<!-- page 14 -->")
+
+
+def test_emission_handles_empty_input() -> None:
+    from paperforge.worker.ocr_emit import emit_page_markdown
+
+    result = emit_page_markdown(1, [], [])
+
+    assert "<!-- page 1 -->" in result
+
+
+def test_emission_attachments_referenced_near_anchor() -> None:
+    from paperforge.worker.ocr_emit import emit_page_markdown
+
+    class Node:
+        def __init__(self, node_id, node_type, text=""):
+            self.node_id = node_id
+            self.node_type = node_type
+            self.text = text
+
+    class Att:
+        def __init__(self, attachment_id, kind, anchor_node_id):
+            self.attachment_id = attachment_id
+            self.kind = kind
+            self.anchor_node_id = anchor_node_id
+
+    spine = [
+        Node("sec-6-1", "section_heading", "6.1 Bone"),
+    ]
+    attachments = [
+        Att("a1", "figure", "sec-6-1"),
+    ]
+
+    result = emit_page_markdown(14, spine, attachments)
+
+    assert "### 6.1 Bone" in result
+    assert "[FIGURE attached: a1]" in result