diff --git a/lldb/tools/lldb-vscode/JSONUtils.h b/lldb/tools/lldb-vscode/JSONUtils.h
--- a/lldb/tools/lldb-vscode/JSONUtils.h
+++ b/lldb/tools/lldb-vscode/JSONUtils.h
@@ -232,13 +232,21 @@
 ///     provided by the setBreakpoints request are returned to the IDE as a
 ///     fallback.
 ///
+/// \param[in] request_column
+///     An optional column to use when creating the resulting "Breakpoint" object.
+///     It is used if the breakpoint has no valid locations.
+///     It is useful to ensure the same column
+///     provided by the setBreakpoints request are returned to the IDE as a
+///     fallback.
+///
 /// \return
 ///     A "Breakpoint" JSON object with that follows the formal JSON
 ///     definition outlined by Microsoft.
 llvm::json::Value
 CreateBreakpoint(lldb::SBBreakpoint &bp,
                  std::optional<llvm::StringRef> request_path = std::nullopt,
-                 std::optional<uint32_t> request_line = std::nullopt);
+                 std::optional<uint32_t> request_line = std::nullopt,
+                 std::optional<uint32_t> request_column = std::nullopt);
 
 /// Converts a LLDB module to a VS Code DAP module for use in "modules" events.
 ///
diff --git a/lldb/tools/lldb-vscode/JSONUtils.cpp b/lldb/tools/lldb-vscode/JSONUtils.cpp
--- a/lldb/tools/lldb-vscode/JSONUtils.cpp
+++ b/lldb/tools/lldb-vscode/JSONUtils.cpp
@@ -308,7 +308,8 @@
 // }
 llvm::json::Value CreateBreakpoint(lldb::SBBreakpoint &bp,
                                    std::optional<llvm::StringRef> request_path,
-                                   std::optional<uint32_t> request_line) {
+                                   std::optional<uint32_t> request_line,
+                                   std::optional<uint32_t> request_column) {
   // Each breakpoint location is treated as a separate breakpoint for VS code.
   // They don't have the notion of a single breakpoint with multiple locations.
   llvm::json::Object object;
@@ -345,11 +346,16 @@
     const auto line = line_entry.GetLine();
     if (line != UINT32_MAX)
       object.try_emplace("line", line);
+    const auto column = line_entry.GetColumn();
+    if (column != 0)
+      object.try_emplace("column", column);
     object.try_emplace("source", CreateSource(line_entry));
   }
   // We try to add request_line as a fallback
   if (request_line)
     object.try_emplace("line", *request_line);
+  if (request_column)
+    object.try_emplace("column", *request_column);
   return llvm::json::Value(std::move(object));
 }
 
diff --git a/lldb/tools/lldb-vscode/SourceBreakpoint.cpp b/lldb/tools/lldb-vscode/SourceBreakpoint.cpp
--- a/lldb/tools/lldb-vscode/SourceBreakpoint.cpp
+++ b/lldb/tools/lldb-vscode/SourceBreakpoint.cpp
@@ -16,7 +16,9 @@
       column(GetUnsigned(obj, "column", 0)) {}
 
 void SourceBreakpoint::SetBreakpoint(const llvm::StringRef source_path) {
-  bp = g_vsc.target.BreakpointCreateByLocation(source_path.str().c_str(), line);
+  lldb::SBFileSpecList module_list;
+  bp = g_vsc.target.BreakpointCreateByLocation(source_path.str().c_str(), line,
+                                               column, 0, module_list);
   // See comments in BreakpointBase::GetBreakpointLabel() for details of why
   // we add a label to our breakpoints.
   bp.AddName(GetBreakpointLabel());