To set up TypeScript path aliases in a pnpm monorepo, configure the `paths` field in your root `tsconfig.json` and ensure `baseUrl` is set to `./`. Use `@` as a common alias, e.g., `@/utils` for `./packages/utils`. Ensure `tsconfig.json` is shared across packages using `tsconfig.json` in the root and individual `tsconfig.json` files in each package with `extends` to the root config. Also, configure your build tool (e.g., Vite, Webpack) to recognize these aliases.

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