diff --git a/src/core/analyzer.ts b/src/core/analyzer.ts
index 2bbc4ac..5822052 100644
--- a/src/core/analyzer.ts
+++ b/src/core/analyzer.ts
@@ -8,6 +8,7 @@ import {
   collectRecognizedNames,
   collectStringVariables,
   decoratorExtractor,
+  factoryCallExtractor,
   getNodesByType,
   importExtractor,
   includeRouterExtractor,
@@ -46,6 +47,10 @@ export function analyzeTree(tree: Tree, filePath: string): FileAnalysis {
   // Get all router assignments
   const assignments = nodesByType.get("assignment") ?? []
   const { fastAPINames, apiRouterNames } = collectRecognizedNames(nodesByType)
+  const knownConstructors = new Set([...fastAPINames, ...apiRouterNames])
+  const factoryCalls = assignments
+    .map((node) => factoryCallExtractor(node, knownConstructors))
+    .filter(notNull)
   const routers = assignments
     .map((node) => routerExtractor(node, apiRouterNames, fastAPINames))
     .filter(notNull)
@@ -84,6 +89,7 @@ export function analyzeTree(tree: Tree, filePath: string): FileAnalysis {
     includeRouters,
     mounts,
     imports,
+    factoryCalls,
   }
 }
 
diff --git a/src/core/extractors.ts b/src/core/extractors.ts
index c306b6d..a9cc2df 100644
--- a/src/core/extractors.ts
+++ b/src/core/extractors.ts
@@ -4,6 +4,7 @@
 
 import type { Node } from "web-tree-sitter"
 import type {
+  FactoryCallInfo,
   ImportedName,
   ImportInfo,
   IncludeRouterInfo,
@@ -582,3 +583,41 @@ export function mountExtractor(node: Node): MountInfo | null {
     app: appNode?.text ?? "",
   }
 }
+
+export function factoryCallExtractor(
+  node: Node,
+  knownConstructors: Set<string>,
+): FactoryCallInfo | null {
+  if (node.type !== "assignment") {
+    return null
+  }
+
+  const variableNameNode = node.childForFieldName("left")
+  const valueNode = node.childForFieldName("right")
+  if (!variableNameNode || valueNode?.type !== "call") {
+    return null
+  }
+
+  const functionNode = valueNode.childForFieldName("function")
+  if (functionNode?.type !== "identifier") {
+    return null
+  }
+
+  const functionName = functionNode.text
+  if (knownConstructors.has(functionName)) {
+    return null
+  }
+
+  // Skip function and class-local variables to avoid false positives
+  if (
+    hasAncestor(node, "function_definition") ||
+    hasAncestor(node, "class_definition")
+  ) {
+    return null
+  }
+
+  return {
+    variableName: variableNameNode.text,
+    functionName: functionName,
+  }
+}
diff --git a/src/core/internal.ts b/src/core/internal.ts
index 4720cfc..ede8b20 100644
--- a/src/core/internal.ts
+++ b/src/core/internal.ts
@@ -77,6 +77,11 @@ export interface MountInfo {
   app: string
 }
 
+export interface FactoryCallInfo {
+  variableName: string
+  functionName: string
+}
+
 export interface FileAnalysis {
   filePath: string
   routes: RouteInfo[]
@@ -84,6 +89,7 @@ export interface FileAnalysis {
   includeRouters: IncludeRouterInfo[]
   mounts: MountInfo[]
   imports: ImportInfo[]
+  factoryCalls: FactoryCallInfo[]
 }
 
 export interface RouterNode {
diff --git a/src/core/routerResolver.ts b/src/core/routerResolver.ts
index 54a3262..c7a11bd 100644
--- a/src/core/routerResolver.ts
+++ b/src/core/routerResolver.ts
@@ -197,7 +197,52 @@ async function buildRouterGraphInternal(
     }
   }
 
-  if (!appRouter || !analysis) {
+  // Factory function in another module: if the entrypoint variable is assigned via
+  // `app = create_app()` where `create_app` is imported, follow the import to the
+  // factory file and build the router graph from there. This works because
+  // routerExtractor and includeRouterExtractor recurse into function bodies, so
+  // `app = FastAPI()` and `app.include_router(...)` inside `create_app` are visible
+  // when analyzing the factory file directly.
+  if (!appRouter && targetVariable) {
+    const factoryCall = analysis.factoryCalls.find(
+      (fc) => fc.variableName === targetVariable,
+    )
+    if (factoryCall) {
+      const matchingImport = analysis.imports.find((imp) =>
+        imp.names.includes(factoryCall.functionName),
+      )
+      if (matchingImport) {
+        const namedImport = matchingImport.namedImports.find(
+          (ni) => (ni.alias ?? ni.name) === factoryCall.functionName,
+        )
+        const originalName = namedImport?.name ?? factoryCall.functionName
+        const factoryFileUri = await resolveNamedImport(
+          {
+            modulePath: matchingImport.modulePath,
+            names: [originalName],
+            isRelative: matchingImport.isRelative,
+            relativeDots: matchingImport.relativeDots,
+          },
+          entryFileUri,
+          projectRootUri,
+          fs,
+          analyzeFileFn,
+        )
+        if (factoryFileUri && !visited.has(factoryFileUri)) {
+          const factoryGraph = await buildRouterGraphInternal(
+            factoryFileUri,
+            ctx,
+          )
+          if (factoryGraph) {
+            factoryGraph.variableName = targetVariable
+            return factoryGraph
+          }
+        }
+      }
+    }
+  }
+
+  if (!appRouter) {
     return null
   }
 
diff --git a/src/test/core/routerResolver.test.ts b/src/test/core/routerResolver.test.ts
index 3e92675..3512c51 100644
--- a/src/test/core/routerResolver.test.ts
+++ b/src/test/core/routerResolver.test.ts
@@ -571,6 +571,39 @@ suite("routerResolver", () => {
       assert.strictEqual(result, null)
     })
 
+    test("follows imported factory function to resolve include_router calls", async () => {
+      const result = await buildRouterGraph(
+        fixtures.factoryFunc.factoryMainPy,
+        parser,
+        fixtures.factoryFunc.root,
+        nodeFileSystem,
+        "app",
+      )
+
+      assert.ok(result, "Should find app via imported factory function")
+      assert.strictEqual(result.type, "FastAPI")
+      assert.strictEqual(result.variableName, "app")
+      assert.strictEqual(
+        result.children.length,
+        1,
+        "Should have one included router",
+      )
+      assert.ok(
+        result.children[0].router.routes.length >= 2,
+        "Should have routes from routers.py",
+      )
+    })
+
+    test("returns null without targetVariable when factory function has no local routes", async () => {
+      const result = await buildRouterGraph(
+        fixtures.factoryFunc.factoryMainPy,
+        parser,
+        fixtures.factoryFunc.root,
+        nodeFileSystem,
+      )
+      assert.strictEqual(result, null)
+    })
+
     test("resolves custom APIRouter subclass as child router", async () => {
       const result = await buildRouterGraph(
         fixtures.customSubclass.mainPy,
diff --git a/src/test/fixtures/factory-func/app.py b/src/test/fixtures/factory-func/app.py
index a7f51c6..1234c9c 100644
--- a/src/test/fixtures/factory-func/app.py
+++ b/src/test/fixtures/factory-func/app.py
@@ -1,5 +1,12 @@
 from fastapi import FastAPI
+from routers import router
 
 
 def get_fastapi_app() -> FastAPI:
     return FastAPI()
+
+
+def create_app() -> FastAPI:
+    app = FastAPI()
+    app.include_router(router, prefix="/users")
+    return app
diff --git a/src/test/fixtures/factory-func/factory_main.py b/src/test/fixtures/factory-func/factory_main.py
new file mode 100644
index 0000000..0a23b5a
--- /dev/null
+++ b/src/test/fixtures/factory-func/factory_main.py
@@ -0,0 +1,3 @@
+from app import create_app
+
+app = create_app()
diff --git a/src/test/fixtures/factory-func/routers.py b/src/test/fixtures/factory-func/routers.py
new file mode 100644
index 0000000..27fb4c4
--- /dev/null
+++ b/src/test/fixtures/factory-func/routers.py
@@ -0,0 +1,13 @@
+from fastapi import APIRouter
+
+router = APIRouter()
+
+
+@router.get("/")
+def list_users():
+    return []
+
+
+@router.get("/{user_id}")
+def get_user(user_id: int):
+    return {"id": user_id}
diff --git a/src/test/testUtils.ts b/src/test/testUtils.ts
index 3df3bb0..a146b0a 100644
--- a/src/test/testUtils.ts
+++ b/src/test/testUtils.ts
@@ -50,6 +50,7 @@ export const fixtures = {
   factoryFunc: {
     root: uri(join(fixturesPath, "factory-func")),
     mainPy: uri(join(fixturesPath, "factory-func", "main.py")),
+    factoryMainPy: uri(join(fixturesPath, "factory-func", "factory_main.py")),
   },
   flat: {
     root: uri(join(fixturesPath, "flat")),