diff --git a/prisma/migrations/0298_notification_delivery_identity/migration.sql b/prisma/migrations/0298_notification_delivery_identity/migration.sql
new file mode 100644
index 000000000..4e7e27ea2
--- /dev/null
+++ b/prisma/migrations/0298_notification_delivery_identity/migration.sql
@@ -0,0 +1,77 @@
+-- v1.37.0 — a notification names the health record it concerns and the
+-- account whose channels receive it. The former remains the source of health
+-- calculations and content; the latter owns delivery preferences and reach.
+--
+-- `user_id` remains as a legacy recipient mirror so established self-delivery
+-- writers and bounded historical readers stay valid while every row gains the
+-- explicit pair. The trigger maps an omitted pair to self-delivery, rejects a
+-- partial or inconsistent pair, and refuses a managed profile as recipient.
+
+ALTER TABLE "push_attempts"
+    ADD COLUMN "record_user_id" TEXT,
+    ADD COLUMN "recipient_user_id" TEXT;
+
+UPDATE "push_attempts"
+SET
+    "record_user_id" = "user_id",
+    "recipient_user_id" = "user_id";
+
+ALTER TABLE "push_attempts"
+    ALTER COLUMN "record_user_id" SET NOT NULL,
+    ALTER COLUMN "recipient_user_id" SET NOT NULL;
+
+ALTER TABLE "push_attempts"
+    ADD CONSTRAINT "push_attempts_record_user_id_fkey"
+    FOREIGN KEY ("record_user_id") REFERENCES "users"("id")
+    ON DELETE CASCADE ON UPDATE CASCADE,
+    ADD CONSTRAINT "push_attempts_recipient_user_id_fkey"
+    FOREIGN KEY ("recipient_user_id") REFERENCES "users"("id")
+    ON DELETE CASCADE ON UPDATE CASCADE;
+
+CREATE INDEX "push_attempts_recipient_user_id_created_at_desc_idx"
+    ON "push_attempts" ("recipient_user_id", "created_at" DESC);
+
+CREATE INDEX "push_attempts_record_user_id_created_at_desc_idx"
+    ON "push_attempts" ("record_user_id", "created_at" DESC);
+
+CREATE FUNCTION enforce_push_attempt_attribution()
+RETURNS TRIGGER
+LANGUAGE plpgsql
+AS $$
+BEGIN
+    IF NEW.record_user_id IS NULL AND NEW.recipient_user_id IS NULL THEN
+        NEW.record_user_id := NEW.user_id;
+        NEW.recipient_user_id := NEW.user_id;
+    ELSIF NEW.record_user_id IS NULL OR NEW.recipient_user_id IS NULL THEN
+        RAISE EXCEPTION 'push attempt attribution requires both principals';
+    ELSIF NEW.user_id <> NEW.recipient_user_id THEN
+        RAISE EXCEPTION 'push attempt recipient must match user_id';
+    END IF;
+
+    IF EXISTS (
+        SELECT 1
+        FROM "users"
+        WHERE "id" = NEW.recipient_user_id
+          AND "managed_profile_at" IS NOT NULL
+    ) THEN
+        RAISE EXCEPTION 'managed profile cannot receive notification delivery';
+    END IF;
+
+    IF NEW.record_user_id <> NEW.recipient_user_id
+       AND NOT EXISTS (
+           SELECT 1
+           FROM "users"
+           WHERE "id" = NEW.record_user_id
+             AND "managed_profile_at" IS NOT NULL
+       ) THEN
+        RAISE EXCEPTION 'cross-principal delivery requires a managed record';
+    END IF;
+
+    RETURN NEW;
+END;
+$$;
+
+CREATE TRIGGER push_attempt_attribution_guard
+BEFORE INSERT OR UPDATE ON "push_attempts"
+FOR EACH ROW
+EXECUTE FUNCTION enforce_push_attempt_attribution();
diff --git a/prisma/schema.prisma b/prisma/schema.prisma
index 457e3a151..a6dfcaab5 100644
--- a/prisma/schema.prisma
+++ b/prisma/schema.prisma
@@ -860,7 +860,8 @@ model User {
   // 20 attempts ordered by recency. Daily prune at 03:35 Europe/Berlin
   // retires rows older than 90 days (see `handlePushAttemptCleanup` in
   // `reminder-worker.ts`).
-  pushAttempts                   PushAttempt[]
+  pushAttemptsForRecord          PushAttempt[]                  @relation("PushAttemptRecordUser")
+  pushAttemptsReceived           PushAttempt[]                  @relation("PushAttemptRecipientUser")
   // v1.10.3 — per-(user, day) Strain personal-anchor cache (day-total
   // TRIMP + running EWMA reference) so the nightly Strain engine anchors
   // the 0–100 map to the user's own training load without re-integrating
@@ -5812,17 +5813,26 @@ model ConsentReceipt {
 // classified `web_push_*` reason; Telegram / NTFY likewise mirror
 // their sender-side `SendOutcome.reason`.
 model PushAttempt {
-  id        String   @id @default(cuid())
-  userId    String   @map("user_id")
-  channel   String // "APNS" | "WEB_PUSH" | "TELEGRAM" | "NTFY"
-  eventType String   @map("event_type") // dispatcher event-type string
-  result    String // "ok" | "error" | "skipped"
-  reason    String? // sender-side reason on error/skip; null on ok
-  createdAt DateTime @default(now()) @map("created_at")
+  id              String   @id @default(cuid())
+  /// Legacy recipient mirror. Migration 0298 preserves established writers
+  /// while the database trigger requires it to equal `recipientUserId`.
+  userId          String   @map("user_id")
+  /// The health-record subject. This supplies calculation context and content.
+  recordUserId    String?  @map("record_user_id")
+  /// The account whose channel, preferences, and locale receive the delivery.
+  recipientUserId String?  @map("recipient_user_id")
+  channel         String // "APNS" | "WEB_PUSH" | "TELEGRAM" | "NTFY"
+  eventType       String   @map("event_type") // dispatcher event-type string
+  result          String // "ok" | "error" | "skipped"
+  reason          String? // sender-side reason on error/skip; null on ok
+  createdAt       DateTime @default(now()) @map("created_at")
 
-  user User @relation(fields: [userId], references: [id], onDelete: Cascade)
+  recordUser    User? @relation("PushAttemptRecordUser", fields: [recordUserId], references: [id], onDelete: Cascade)
+  recipientUser User? @relation("PushAttemptRecipientUser", fields: [recipientUserId], references: [id], onDelete: Cascade)
 
   @@index([userId, createdAt(sort: Desc)])
+  @@index([recordUserId, createdAt(sort: Desc)])
+  @@index([recipientUserId, createdAt(sort: Desc)])
   @@map("push_attempts")
 }
 
diff --git a/src/lib/notifications/senders/push-attempt-record.ts b/src/lib/notifications/senders/push-attempt-record.ts
index 78b9bfcac..a0aac6acf 100644
--- a/src/lib/notifications/senders/push-attempt-record.ts
+++ b/src/lib/notifications/senders/push-attempt-record.ts
@@ -31,22 +31,51 @@ import { getEvent } from "@/lib/logging/context";
  *                    the sender contracts surface without contacting
  *                    the upstream provider.
  */
-export interface PushAttemptRecord {
-  userId: string;
+interface PushAttemptRecordBase {
   channel: "APNS" | "WEB_PUSH" | "TELEGRAM" | "NTFY" | "WEBHOOK" | "EMAIL";
   eventType: string;
   result: "ok" | "error" | "skipped";
   reason?: string | null;
 }
 
+/** Existing self-delivery callers map the record and recipient to one account. */
+interface SelfPushAttemptRecord extends PushAttemptRecordBase {
+  userId: string;
+  recordUserId?: never;
+  recipientUserId?: never;
+}
+
+/** Managed delivery always supplies both principals without inference. */
+interface AttributedPushAttemptRecord extends PushAttemptRecordBase {
+  userId?: never;
+  recordUserId: string;
+  recipientUserId: string;
+}
+
+export type PushAttemptRecord =
+  SelfPushAttemptRecord | AttributedPushAttemptRecord;
+
 export function recordPushAttempt(record: PushAttemptRecord): void {
+  const recordUserId = "userId" in record ? record.userId : record.recordUserId;
+  const recipientUserId =
+    "userId" in record ? record.userId : record.recipientUserId;
+
+  if (!recordUserId || !recipientUserId) {
+    getEvent()?.addWarning(
+      "push_attempt_ledger_write_failed invalid_attribution",
+    );
+    return;
+  }
+
   // The `void` here is the doubly-explicit form: we want neither the
   // caller nor a linter to wait on this promise. The `.catch` traps
   // a rejected promise without surfacing it to the caller.
   void prisma.pushAttempt
     .create({
       data: {
-        userId: record.userId,
+        userId: recipientUserId,
+        recordUserId,
+        recipientUserId,
         channel: record.channel,
         eventType: record.eventType,
         result: record.result,
diff --git a/tests/integration/notification-attribution.test.ts b/tests/integration/notification-attribution.test.ts
index e7a08e801..b522735a9 100644
--- a/tests/integration/notification-attribution.test.ts
+++ b/tests/integration/notification-attribution.test.ts
@@ -5,12 +5,13 @@ import { recordPushAttempt } from "@/lib/notifications/senders/push-attempt-reco
 
 let sequence = 0;
 
-async function createUser(label: string) {
+async function createUser(label: string, managed = false) {
   const suffix = sequence++;
   return getPrismaClient().user.create({
     data: {
       username: `${label}-${suffix}`,
       email: `${label}-${suffix}@example.test`,
+      managedProfileAt: managed ? new Date() : null,
     },
   });
 }
@@ -21,7 +22,7 @@ beforeEach(async () => {
 
 describe("notification attribution (real Postgres)", () => {
   it("persistence retains distinct record and recipient principals", async () => {
-    const recordUser = await createUser("record");
+    const recordUser = await createUser("record", true);
     const recipientUser = await createUser("recipient");
 
     recordPushAttempt({