diff --git a/datasette/app.py b/datasette/app.py
index ce4e2e95..b5a612c2 100644
--- a/datasette/app.py
+++ b/datasette/app.py
@@ -20,6 +20,7 @@ from .utils import (
     Filters,
     compound_pks_from_path,
     CustomJSONEncoder,
+    compound_keys_after_sql,
     detect_fts_sql,
     escape_css_string,
     escape_sqlite_table_name,
@@ -592,15 +593,10 @@ class TableView(RowTableShared):
             else:
                 pk_values = compound_pks_from_path(next)
                 if len(pk_values) == len(pks):
-                    param_counter = len(params)
-                    for pk, value in zip(pks, pk_values):
-                        where_clauses.append(
-                            '"{}" > :p{}'.format(
-                                pk, param_counter,
-                            )
-                        )
-                        params['p{}'.format(param_counter)] = value
-                        param_counter += 1
+                    where_clauses.append(compound_keys_after_sql(pks))
+                    param_len = len(params)
+                    for i, pk_value in enumerate(pk_values):
+                        params['p{}'.format(param_len + i)] = pk_value
 
         where_clause = ''
         if where_clauses:
diff --git a/datasette/utils.py b/datasette/utils.py
index 669f0e52..74bf68db 100644
--- a/datasette/utils.py
+++ b/datasette/utils.py
@@ -29,6 +29,34 @@ def path_from_row_pks(row, pks, use_rowid):
     return ','.join(bits)
 
 
+def compound_keys_after_sql(pks):
+    # Implementation of keyset pagination
+    # See https://github.com/simonw/datasette/issues/190
+    # For pk1/pk2/pk3 returns:
+    #
+    # ([pk1] > :p0)
+    #   or
+    # ([pk1] = :p0 and [pk2] > :p1)
+    #   or
+    # ([pk1] = :p0 and [pk2] = :p1 and [pk3] > :p2)
+    or_clauses = []
+    pks_left = pks[:]
+    while pks_left:
+        and_clauses = []
+        last = pks_left[-1]
+        rest = pks_left[:-1]
+        and_clauses = ['[{}] = :p{}'.format(
+            pk, i
+        ) for i, pk in enumerate(rest)]
+        and_clauses.append('[{}] > :p{}'.format(
+            last, len(rest)
+        ))
+        or_clauses.append('({})'.format(' and '.join(and_clauses)))
+        pks_left.pop()
+    or_clauses.reverse()
+    return '\n  or\n'.join(or_clauses)
+
+
 class CustomJSONEncoder(json.JSONEncoder):
     def default(self, obj):
         if isinstance(obj, sqlite3.Row):
diff --git a/tests/fixtures.py b/tests/fixtures.py
index d5a53d8f..6dcb346b 100644
--- a/tests/fixtures.py
+++ b/tests/fixtures.py
@@ -1,6 +1,8 @@
 from datasette.app import Datasette
+import itertools
 import os
 import sqlite3
+import string
 import tempfile
 import time
 
@@ -60,6 +62,16 @@ CREATE TABLE compound_primary_key (
 
 INSERT INTO compound_primary_key VALUES ('a', 'b', 'c');
 
+
+CREATE TABLE compound_three_primary_keys (
+  pk1 varchar(30),
+  pk2 varchar(30),
+  pk3 varchar(30),
+  content text,
+  PRIMARY KEY (pk1, pk2, pk3)
+);
+
+
 CREATE TABLE no_primary_key (
   content text,
   a text,
@@ -111,4 +123,10 @@ CREATE VIEW simple_view AS
 ''' + '\n'.join([
     'INSERT INTO no_primary_key VALUES ({i}, "a{i}", "b{i}", "c{i}");'.format(i=i + 1)
     for i in range(201)
+]) + '\n'.join([
+    'INSERT INTO compound_three_primary_keys VALUES ("{a}", "{b}", "{c}", "{a}-{b}-{c}");'.format(
+        a=a, b=b, c=c
+    ) for a, b, c in itertools.islice(
+        itertools.product(string.ascii_lowercase, repeat=3), 301
+    )
 ])
diff --git a/tests/test_api.py b/tests/test_api.py
index d717d9d4..d686ab14 100644
--- a/tests/test_api.py
+++ b/tests/test_api.py
@@ -10,7 +10,7 @@ def test_homepage(app_client):
     assert response.json.keys() == {'test_tables': 0}.keys()
     d = response.json['test_tables']
     assert d['name'] == 'test_tables'
-    assert d['tables_count'] == 7
+    assert d['tables_count'] == 8
 
 
 def test_database_page(app_client):
@@ -60,6 +60,13 @@ def test_database_page(app_client):
         'hidden': False,
         'foreign_keys': {'incoming': [], 'outgoing': []},
         'label_column': None,
+    }, {
+        'columns': ['pk1', 'pk2', 'pk3', 'content'],
+        'name': 'compound_three_primary_keys',
+        'count': 301,
+        'hidden': False,
+        'foreign_keys': {'incoming': [], 'outgoing': []},
+        'label_column': None,
     }, {
         'columns': ['content', 'a', 'b', 'c'],
         'name': 'no_primary_key',
@@ -201,6 +208,19 @@ def test_paginate_tables_and_views(app_client, path, expected_rows, expected_pag
     assert expected_pages == count
 
 
+def test_paginate_compound_keys(app_client):
+    fetched = []
+    path = '/test_tables/compound_three_primary_keys.jsono'
+    while path:
+        response = app_client.get(path, gather_request=False)
+        fetched.extend(response.json['rows'])
+        path = response.json['next_url']
+    assert 301 == len(fetched)
+    # Should be correctly ordered
+    contents = [f['content'] for f in fetched]
+    assert list(sorted(contents)) == contents
+
+
 @pytest.mark.parametrize('path,expected_rows', [
     ('/test_tables/simple_primary_key.json?content=hello', [
         ['1', 'hello'],
diff --git a/tests/test_utils.py b/tests/test_utils.py
index c95fdaee..5871d39b 100644
--- a/tests/test_utils.py
+++ b/tests/test_utils.py
@@ -224,3 +224,19 @@ def test_temporary_docker_directory_uses_copy_if_hard_link_fails(mock_link):
             assert 'world' == open(hello).read()
             # It should be a copy, not a hard link
             assert 1 == os.stat(hello).st_nlink
+
+
+def test_compound_keys_after_sql():
+    assert '([a] > :p0)' == utils.compound_keys_after_sql(['a'])
+    assert '''
+([a] > :p0)
+  or
+([a] = :p0 and [b] > :p1)
+    '''.strip() == utils.compound_keys_after_sql(['a', 'b'])
+    assert '''
+([a] > :p0)
+  or
+([a] = :p0 and [b] > :p1)
+  or
+([a] = :p0 and [b] = :p1 and [c] > :p2)
+    '''.strip() == utils.compound_keys_after_sql(['a', 'b', 'c'])