<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001809613</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>


    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001811623</issuerCik>
      <issuerName>PaxMedica, Inc.</issuerName>
      <secFileNumber>001-41475</secFileNumber>
      <issuerAddress>
        <com:street1>303 SOUTH BROADWAY, SUITE 125</com:street1>
        <com:city>TARRYTOWN</com:city>
        <com:stateOrCountry>NY</com:stateOrCountry>
        <com:zipCode>10591</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>914-987-2876</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Derby Michael</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
        <relationshipToIssuer>Executive Chairman</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Georgeson Securities Corp</name>
        <address>
          <com:street1>144 Fernwood Avenue</com:street1>
          <com:city>Edison</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08837</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>13540</noOfUnitsSold>
      <aggregateMarketValue>6620.00</aggregateMarketValue>
      <noOfUnitsOutstanding>16436509</noOfUnitsOutstanding>
      <approxSaleDate>08/28/2023</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <acquiredDate>08/28/2023</acquiredDate>
      <natureOfAcquisitionTransaction>Restricted Stock Vesting</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Paxmedica, Inc.</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>40000</amountOfSecuritiesAcquired>
      <paymentDate>08/28/2023</paymentDate>
      <natureOfPayment>Services Rendered</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <remarks>Date of sale includes sales done on 8/28/23 &amp; 8/29/23.</remarks>
    <noticeSignature>
      <noticeDate>08/30/2023</noticeDate>
      <signature>Conformed Signature on File</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
