diff --git a/test/t/040_hnsw_intvec_insert_recall.pl b/test/t/040_hnsw_intvec_insert_recall.pl
new file mode 100644
index 0000000..ed1f4ec
--- /dev/null
+++ b/test/t/040_hnsw_intvec_insert_recall.pl
@@ -0,0 +1,113 @@
+use strict;
+use warnings FATAL => 'all';
+use PostgreSQL::Test::Cluster;
+use PostgreSQL::Test::Utils;
+use Test::More;
+
+my $node;
+my @queries = ();
+my @expected;
+my $limit = 20;
+my $dim = 10;
+my $array_sql = join(",", ('(random() * 255)::int - 128') x $dim);
+
+sub test_recall
+{
+	my ($min, $operator) = @_;
+	my $correct = 0;
+	my $total = 0;
+
+	my $explain = $node->safe_psql("postgres", qq(
+		SET enable_seqscan = off;
+		EXPLAIN ANALYZE SELECT i FROM tst ORDER BY v $operator '$queries[0]' LIMIT $limit;
+	));
+	like($explain, qr/Index Scan/);
+
+	for my $i (0 .. $#queries)
+	{
+		my $actual = $node->safe_psql("postgres", qq(
+			SET enable_seqscan = off;
+			SELECT i FROM tst ORDER BY v $operator '$queries[$i]' LIMIT $limit;
+		));
+		my @actual_ids = split("\n", $actual);
+		my %actual_set = map { $_ => 1 } @actual_ids;
+
+		my @expected_ids = split("\n", $expected[$i]);
+
+		foreach (@expected_ids)
+		{
+			if (exists($actual_set{$_}))
+			{
+				$correct++;
+			}
+			$total++;
+		}
+	}
+
+	cmp_ok($correct / $total, ">=", $min, $operator);
+}
+
+# Initialize node
+$node = PostgreSQL::Test::Cluster->new('node');
+$node->init;
+$node->start;
+
+# Create table
+$node->safe_psql("postgres", "CREATE EXTENSION vector;");
+$node->safe_psql("postgres", "CREATE TABLE tst (i serial, v intvec($dim));");
+
+# Generate queries
+for (1 .. 20)
+{
+	my @r = ();
+	for (1 .. $dim)
+	{
+		push(@r, int(rand(256)) - 128);
+	}
+	push(@queries, "[" . join(",", @r) . "]");
+}
+
+# Check each index type
+my @operators = ("<->", "<#>", "<=>", "<+>");
+my @opclasses = ("intvec_l2_ops", "intvec_ip_ops", "intvec_cosine_ops", "intvec_l1_ops");
+
+for my $i (0 .. $#operators)
+{
+	my $operator = $operators[$i];
+	my $opclass = $opclasses[$i];
+
+	# Add index
+	$node->safe_psql("postgres", "CREATE INDEX idx ON tst USING hnsw (v $opclass);");
+
+	# Use concurrent inserts
+	$node->pgbench(
+		"--no-vacuum --client=10 --transactions=1000",
+		0,
+		[qr{actually processed}],
+		[qr{^$}],
+		"concurrent INSERTs",
+		{
+			"040_hnsw_intvec_insert_recall_$opclass" => "INSERT INTO tst (v) VALUES (ARRAY[$array_sql]);"
+		}
+	);
+
+	# Get exact results
+	@expected = ();
+	foreach (@queries)
+	{
+		my $res = $node->safe_psql("postgres", qq(
+			SET enable_indexscan = off;
+			SELECT i FROM tst ORDER BY v $operator '$_' LIMIT $limit;
+		));
+		push(@expected, $res);
+	}
+
+	# Test approximate results
+	my $min = 0.98;
+	test_recall($min, $operator);
+
+	$node->safe_psql("postgres", "DROP INDEX idx;");
+	$node->safe_psql("postgres", "TRUNCATE tst;");
+}
+
+done_testing();
diff --git a/test/t/041_hnsw_intvec_vacuum_recall.pl b/test/t/041_hnsw_intvec_vacuum_recall.pl
new file mode 100644
index 0000000..94e6ebd
--- /dev/null
+++ b/test/t/041_hnsw_intvec_vacuum_recall.pl
@@ -0,0 +1,101 @@
+use strict;
+use warnings FATAL => 'all';
+use PostgreSQL::Test::Cluster;
+use PostgreSQL::Test::Utils;
+use Test::More;
+
+my $node;
+my @queries = ();
+my @expected;
+my $limit = 20;
+my $dim = 10;
+my $array_sql = join(",", ('(random() * 255)::int - 128') x $dim);
+
+sub test_recall
+{
+	my ($min, $ef_search, $test_name) = @_;
+	my $correct = 0;
+	my $total = 0;
+
+	my $explain = $node->safe_psql("postgres", qq(
+		SET enable_seqscan = off;
+		SET hnsw.ef_search = $ef_search;
+		EXPLAIN ANALYZE SELECT i FROM tst ORDER BY v <-> '$queries[0]' LIMIT $limit;
+	));
+	like($explain, qr/Index Scan/);
+
+	for my $i (0 .. $#queries)
+	{
+		my $actual = $node->safe_psql("postgres", qq(
+			SET enable_seqscan = off;
+			SET hnsw.ef_search = $ef_search;
+			SELECT i FROM tst ORDER BY v <-> '$queries[$i]' LIMIT $limit;
+		));
+		my @actual_ids = split("\n", $actual);
+		my %actual_set = map { $_ => 1 } @actual_ids;
+
+		my @expected_ids = split("\n", $expected[$i]);
+
+		foreach (@expected_ids)
+		{
+			if (exists($actual_set{$_}))
+			{
+				$correct++;
+			}
+			$total++;
+		}
+	}
+
+	cmp_ok($correct / $total, ">=", $min, $test_name);
+}
+
+# Initialize node
+$node = PostgreSQL::Test::Cluster->new('node');
+$node->init;
+$node->start;
+
+# Create table
+$node->safe_psql("postgres", "CREATE EXTENSION vector;");
+$node->safe_psql("postgres", "CREATE TABLE tst (i int4, v intvec($dim));");
+$node->safe_psql("postgres", "ALTER TABLE tst SET (autovacuum_enabled = false);");
+$node->safe_psql("postgres",
+	"INSERT INTO tst SELECT i, ARRAY[$array_sql] FROM generate_series(1, 10000) i;"
+);
+
+# Add index
+$node->safe_psql("postgres", "CREATE INDEX ON tst USING hnsw (v intvec_l2_ops) WITH (m = 4, ef_construction = 8);");
+
+# Delete data
+$node->safe_psql("postgres", "DELETE FROM tst WHERE i > 2500;");
+
+# Generate queries
+for (1 .. 20)
+{
+	my @r = ();
+	for (1 .. $dim)
+	{
+		push(@r, int(rand(256)) - 128);
+	}
+	push(@queries, "[" . join(",", @r) . "]");
+}
+
+# Get exact results
+@expected = ();
+foreach (@queries)
+{
+	my $res = $node->safe_psql("postgres", qq(
+		SET enable_indexscan = off;
+		SELECT i FROM tst ORDER BY v <-> '$_' LIMIT $limit;
+	));
+	push(@expected, $res);
+}
+
+test_recall(0.18, $limit, "before vacuum");
+test_recall(0.85, 100, "before vacuum");
+
+# TODO Test concurrent inserts with vacuum
+$node->safe_psql("postgres", "VACUUM tst;");
+
+test_recall(0.85, $limit, "after vacuum");
+
+done_testing();
diff --git a/test/t/042_hnsw_intvec_duplicates.pl b/test/t/042_hnsw_intvec_duplicates.pl
new file mode 100644
index 0000000..478d2cc
--- /dev/null
+++ b/test/t/042_hnsw_intvec_duplicates.pl
@@ -0,0 +1,58 @@
+use strict;
+use warnings FATAL => 'all';
+use PostgreSQL::Test::Cluster;
+use PostgreSQL::Test::Utils;
+use Test::More;
+
+# Initialize node
+my $node = PostgreSQL::Test::Cluster->new('node');
+$node->init;
+$node->start;
+
+# Create table
+$node->safe_psql("postgres", "CREATE EXTENSION vector;");
+$node->safe_psql("postgres", "CREATE TABLE tst (v intvec(3));");
+
+sub insert_vectors
+{
+	for my $i (1 .. 20)
+	{
+		$node->safe_psql("postgres", "INSERT INTO tst VALUES ('[1,1,1]');");
+	}
+}
+
+sub test_duplicates
+{
+	my $res = $node->safe_psql("postgres", qq(
+		SET enable_seqscan = off;
+		SET hnsw.ef_search = 1;
+		SELECT COUNT(*) FROM (SELECT * FROM tst ORDER BY v <-> '[1,1,1]') t;
+	));
+	is($res, 10);
+}
+
+# Test duplicates with build
+insert_vectors();
+$node->safe_psql("postgres", "CREATE INDEX idx ON tst USING hnsw (v intvec_l2_ops);");
+test_duplicates();
+
+# Reset
+$node->safe_psql("postgres", "TRUNCATE tst;");
+
+# Test duplicates with inserts
+insert_vectors();
+test_duplicates();
+
+# Test fallback path for inserts
+$node->pgbench(
+	"--no-vacuum --client=5 --transactions=100",
+	0,
+	[qr{actually processed}],
+	[qr{^$}],
+	"concurrent INSERTs",
+	{
+		"042_hnsw_intvec_duplicates" => "INSERT INTO tst VALUES ('[1,1,1]');"
+	}
+);
+
+done_testing();