diff --git a/Fix-tests-for-Sphinx-5.3.0.patch b/Fix-tests-for-Sphinx-5.3.0.patch
new file mode 100644
index 0000000..aee427f
--- /dev/null
+++ b/Fix-tests-for-Sphinx-5.3.0.patch
@@ -0,0 +1,43 @@
+From de3504c81c7cefc87c8229743f93232ca00a685d Mon Sep 17 00:00:00 2001
+From: Daniel Garcia Moreno <daniel.garcia@suse.com>
+Date: Fri, 28 Oct 2022 08:45:33 +0200
+Subject: [PATCH] Fix tests for Sphinx 5.3.0
+
+Fix https://github.com/breathe-doc/breathe/issues/863
+---
+ tests/test_renderer.py | 12 +++++++++++-
+ 1 file changed, 11 insertions(+), 1 deletion(-)
+
+diff --git a/tests/test_renderer.py b/tests/test_renderer.py
+index 1688981..a858c65 100644
+--- a/tests/test_renderer.py
++++ b/tests/test_renderer.py
+@@ -109,6 +109,12 @@ class WrappedCompoundDef(compounddefTypeSub, WrappedDoxygenNode):
+         WrappedDoxygenNode.__init__(self, compounddefTypeSub, **kwargs)
+ 
+ 
++class MockMemo:
++    def __init__(self):
++        self.title_styles = ""
++        self.section_level = ""
++
++
+ class MockState:
+     def __init__(self, app):
+         from breathe.project import ProjectInfoFactory
+@@ -123,7 +129,11 @@ class MockState:
+         settings.env = env
+         self.document = utils.new_document("", settings)
+ 
+-    def nested_parse(self, content, content_offset, contentnode):
++        # In sphinx 5.3.0 the method state.nested_parse is not called directly
++        # so this memo object should exists here
++        self.memo = MockMemo()
++
++    def nested_parse(self, content, content_offset, contentnode, match_titles=1):
+         pass
+ 
+ 
+-- 
+2.38.0
+
diff --git a/python-breathe.changes b/python-breathe.changes
index 21f998b..a6f893b 100644
--- a/python-breathe.changes
+++ b/python-breathe.changes
@@ -1,3 +1,9 @@
+-------------------------------------------------------------------
+Fri Oct 28 06:53:44 UTC 2022 - Daniel Garcia <daniel.garcia@suse.com>
+
+- Add Fix-tests-for-Sphinx-5.3.0.patch to make the package compatible with
+  Sphinx 5.0.3
+
 -------------------------------------------------------------------
 Tue Oct 25 12:46:34 UTC 2022 - ecsos <ecsos@opensuse.org>
 
diff --git a/python-breathe.spec b/python-breathe.spec
index a424f68..75b04eb 100644
--- a/python-breathe.spec
+++ b/python-breathe.spec
@@ -25,6 +25,8 @@ Summary:        Sphinx Doxygen renderer
 License:        BSD-3-Clause
 URL:            https://github.com/michaeljones/breathe
 Source:         https://github.com/michaeljones/%{modname}/archive/v%{version}.tar.gz#/%{modname}-%{version}.tar.gz
+# PATCH-FIX-UPSTREAM Fix-tests-for-Sphinx-5.3.0.patch gh#breathe-doc/breathe#865
+Patch0:         Fix-tests-for-Sphinx-5.3.0.patch
 BuildRequires:  %{python_module Sphinx >= 4.0}
 BuildRequires:  %{python_module docutils >= 0.12}
 BuildRequires:  %{python_module pytest}