diff --git a/clang-tools-extra/clangd/XRefs.cpp b/clang-tools-extra/clangd/XRefs.cpp
--- a/clang-tools-extra/clangd/XRefs.cpp
+++ b/clang-tools-extra/clangd/XRefs.cpp
@@ -1140,11 +1140,22 @@
   } else {
     // Handle references to Decls.
 
-    // We also show references to the targets of using-decls, so we include
-    // DeclRelation::Underlying.
-    DeclRelationSet Relations = DeclRelation::TemplatePattern |
-                                DeclRelation::Alias | DeclRelation::Underlying;
-    auto Decls = getDeclAtPosition(AST, *CurLoc, Relations);
+    DeclRelationSet Relations =
+        DeclRelation::TemplatePattern | DeclRelation::Alias;
+    std::vector<const NamedDecl *> Decls =
+        getDeclAtPosition(AST, *CurLoc, Relations);
+    std::vector<const NamedDecl *> AdditionalDecls;
+    // If the results include a *non-renaming* alias, get its
+    // underlying decls as well. (See similar logic in locateASTReferent()).
+    for (const NamedDecl *D : Decls) {
+      if (llvm::isa<UsingDecl>(D) || llvm::isa<UnresolvedUsingValueDecl>(D)) {
+        for (const NamedDecl *AD :
+             getDeclAtPosition(AST, *CurLoc, DeclRelation::Underlying))
+          AdditionalDecls.push_back(AD);
+        break;
+      }
+    }
+    llvm::copy(AdditionalDecls, std::back_inserter(Decls));
 
     // We traverse the AST to find references in the main file.
     auto MainFileRefs = findRefs(Decls, AST);
diff --git a/clang-tools-extra/clangd/unittests/XRefsTests.cpp b/clang-tools-extra/clangd/unittests/XRefsTests.cpp
--- a/clang-tools-extra/clangd/unittests/XRefsTests.cpp
+++ b/clang-tools-extra/clangd/unittests/XRefsTests.cpp
@@ -1582,6 +1582,13 @@
           f.[[^~]]Foo();
         }
       )cpp",
+      R"cpp(// Renaming alias
+        template <typename> class Vector {};
+        using [[^X]] = Vector<int>;
+        [[X]] x1;
+        Vector<int> x2;
+        Vector<double> y;
+      )cpp",
   };
   for (const char *Test : Tests) {
     Annotations T(Test);