diff --git a/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.h b/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.h
--- a/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.h
+++ b/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.h
@@ -84,6 +84,8 @@
 
   bool IsDynamicLoader() const;
 
+  bool IsSharedCacheBinary() const;
+
   uint32_t GetAddressByteSize() const override;
 
   lldb_private::AddressClass GetAddressClass(lldb::addr_t file_addr) override;
diff --git a/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.cpp b/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.cpp
--- a/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.cpp
+++ b/lldb/source/Plugins/ObjectFile/Mach-O/ObjectFileMachO.cpp
@@ -1127,6 +1127,10 @@
   return m_header.filetype == MH_DYLINKER;
 }
 
+bool ObjectFileMachO::IsSharedCacheBinary() const {
+  return m_header.flags & MH_DYLIB_IN_CACHE;
+}
+
 uint32_t ObjectFileMachO::GetAddressByteSize() const {
   return m_data.GetAddressByteSize();
 }
@@ -1377,7 +1381,7 @@
   if (m_length == 0 || seg_cmd.filesize == 0)
     return;
 
-  if ((m_header.flags & MH_DYLIB_IN_CACHE) && !IsInMemory()) {
+  if (IsSharedCacheBinary() && !IsInMemory()) {
     // In shared cache images, the load commands are relative to the
     // shared cache file, and not the specific image we are
     // examining. Let's fix this up so that it looks like a normal
@@ -1675,14 +1679,15 @@
     if (add_to_unified)
       context.UnifiedList.AddSection(segment_sp);
   } else if (unified_section_sp) {
+    // If this is a dSYM and the file addresses in the dSYM differ from the
+    // file addresses in the ObjectFile, we must use the file base address for
+    // the Section from the dSYM for the DWARF to resolve correctly.  This
+    // only happens with binaries in the shared cache in practice; normally a
+    // mismatch like this would give a binary & dSYM that do not match UUIDs.
+    // When a binary is included in the shared cache, its segments are
+    // rearranged to optimize the shared cache, so its file addresses will
+    // differ from what the ObjectFile had originally, and what the dSYM has.
     if (is_dsym && unified_section_sp->GetFileAddress() != load_cmd.vmaddr) {
-      // Check to see if the module was read from memory?
-      if (module_sp->GetObjectFile()->IsInMemory()) {
-        // We have a module that is in memory and needs to have its file
-        // address adjusted. We need to do this because when we load a file
-        // from memory, its addresses will be slid already, yet the addresses
-        // in the new symbol file will still be unslid.  Since everything is
-        // stored as section offset, this shouldn't cause any problems.
 
         // Make sure we've parsed the symbol table from the ObjectFile before
         // we go around changing its Sections.
@@ -1698,7 +1703,6 @@
         // we're done so any file-address caches can be updated.
         context.FileAddressesChanged = true;
       }
-    }
     m_sections_up->AddSection(unified_section_sp);
   }
 
@@ -1726,7 +1730,7 @@
     if (m_data.GetU32(&offset, &sect64.offset, num_u32s) == nullptr)
       break;
 
-    if ((m_header.flags & MH_DYLIB_IN_CACHE) && !IsInMemory()) {
+    if (IsSharedCacheBinary() && !IsInMemory()) {
       sect64.offset = sect64.addr - m_text_address;
     }
 
@@ -2352,7 +2356,7 @@
   Process *process = process_sp.get();
 
   uint32_t memory_module_load_level = eMemoryModuleLoadLevelComplete;
-  bool is_shared_cache_image = m_header.flags & MH_DYLIB_IN_CACHE;
+  bool is_shared_cache_image = IsSharedCacheBinary();
   bool is_local_shared_cache_image = is_shared_cache_image && !IsInMemory();
   SectionSP linkedit_section_sp(
       section_list->FindSectionByName(GetSegmentNameLINKEDIT()));
@@ -2668,7 +2672,7 @@
   // to parse any DSC unmapped symbol information. If we find any, we set a
   // flag that tells the normal nlist parser to ignore all LOCAL symbols.
 
-  if (m_header.flags & MH_DYLIB_IN_CACHE) {
+  if (IsSharedCacheBinary()) {
     // Before we can start mapping the DSC, we need to make certain the
     // target process is actually using the cache we can find.