diff --git a/src/PathautoState.php b/src/PathautoState.php
index 4e1f63b..c25807c 100644
--- a/src/PathautoState.php
+++ b/src/PathautoState.php
@@ -42,11 +42,23 @@ class PathautoState extends TypedData {
       $this->value = \Drupal::keyValue($this->getCollection())
         ->get(static::getPathautoStateKey($this->parent->getEntity()->id()));
       // If it was not yet saved or no value was found, then set the flag to
-      // create the alias if there is a matching pattern.
+      // create the alias if there is a matching pattern an no alias already
+      // exists.
       if ($this->value === NULL) {
         $entity = $this->parent->getEntity();
         $pattern = \Drupal::service('pathauto.generator')->getPatternByEntity($entity);
-        $this->value = !empty($pattern) ? static::CREATE : static::SKIP;
+
+        // If an entity is new, it will not have a node id or internal path set.
+        // Only apply the following logic to an entity if it is not new.
+        if (!$entity->isNew()) {
+          // Compare internal path to alias to determine if an manual alias has
+          // already been created.
+          $internal_path = '/' . $entity->toUrl()->getInternalPath();
+          $path = $entity->toUrl()->toString();
+          $create = !empty($pattern) && ($internal_path === $path);
+
+          $this->value = $create ? static::CREATE : static::SKIP;
+        }
       }
     }
     return $this->value;