diff --git a/docs/running_psalm/issues/ConstructorSignatureMismatch.md b/docs/running_psalm/issues/ConstructorSignatureMismatch.md
index 767375e14fa..710e313ea01 100644
--- a/docs/running_psalm/issues/ConstructorSignatureMismatch.md
+++ b/docs/running_psalm/issues/ConstructorSignatureMismatch.md
@@ -9,7 +9,7 @@ Emitted when a constructor parameter differs from a parent constructor parameter
  * @psalm-consistent-constructor
  */
 class A {
-    public function __construct(int $i) {}
+    public function __construct(int $s) {}
 }
 class B extends A {
     public function __construct(string $s) {}
diff --git a/src/Psalm/Internal/Analyzer/MethodComparator.php b/src/Psalm/Internal/Analyzer/MethodComparator.php
index 61726c5adbe..2ed47db5172 100644
--- a/src/Psalm/Internal/Analyzer/MethodComparator.php
+++ b/src/Psalm/Internal/Analyzer/MethodComparator.php
@@ -452,7 +452,9 @@ private static function compareMethodParams(
                 && $implementer_classlike_storage->user_defined
                 && $implementer_param->location
                 && $guide_method_storage->cased_name
-                && strpos($guide_method_storage->cased_name, '__') !== 0
+                && (strpos($guide_method_storage->cased_name, '__') !== 0
+                    || ($guide_classlike_storage->preserve_constructor_signature
+                        && $guide_method_storage->cased_name === '__construct'))
                 && $config->isInProjectDirs(
                     $implementer_param->location->file_path,
                 )
diff --git a/tests/ClassTest.php b/tests/ClassTest.php
index d245fb44fc9..1d1984d4b12 100644
--- a/tests/ClassTest.php
+++ b/tests/ClassTest.php
@@ -985,6 +985,29 @@ class A {}
                     echo A::HELLO;',
                 'error_message' => 'UndefinedConstant',
             ],
+            'consistentNamesConstructor' => [
+                'code' => '<?php
+                    /**
+                     * @psalm-consistent-constructor
+                     */
+                    class A
+                    {
+                        public function __construct(
+                            string $name,
+                            string $email,
+                        ) {}
+                    }
+
+                    class B extends A
+                    {
+                        public function __construct(
+                            string $names,
+                            string $email,
+                        ) {}
+                    }
+                    ',
+                'error_message' => 'ParamNameMismatch',
+            ],
             'overridePublicAccessLevelToPrivate' => [
                 'code' => '<?php
                     class A {