diff --git a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/ConstructorInitializers.cs b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/ConstructorInitializers.cs
index 6d2d4041a..0be38a28c 100644
--- a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/ConstructorInitializers.cs
+++ b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/ConstructorInitializers.cs
@@ -134,6 +134,36 @@ namespace ICSharpCode.Decompiler.Tests.TestCases.Pretty
 
 			public int B = b;
 		}
+
+		private struct StructInitializerDependsOnField
+		{
+			public int A;
+
+			public int B;
+
+			public StructInitializerDependsOnField(int value)
+			{
+				A = value;
+				B = A + 1;
+			}
+		}
+
+		private struct StructInitializerDependsOnQualifiedField
+		{
+			public int value;
+
+			public int b;
+
+			// The parameter shadows the field, so reading the field keeps its qualifier. A
+			// field initializer cannot name the instance, so this has to stay a constructor
+			// rather than becoming a primary one - the same rule as the fixture above, which
+			// only differs in how the read happens to be spelled.
+			public StructInitializerDependsOnQualifiedField(int value)
+			{
+				this.value = value;
+				b = this.value + 1;
+			}
+		}
 #endif
 
 		public class ClassWithConstant
diff --git a/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs b/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
index 3df219962..6d1e9ef7a 100644
--- a/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
+++ b/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
@@ -2788,6 +2788,20 @@ namespace ICSharpCode.Decompiler.CSharp
 							.WithoutILInstruction();
 					}
 					translatedTarget = EnsureTargetNotNullable(translatedTarget, target);
+					if (translatedTarget.Expression is ThisReferenceExpression)
+					{
+						// Give an explicit `this` the same resolve result the base-reference branch
+						// above gives `base`, and that the resolver gives the unqualified spelling of
+						// the same access. ConvertVariable annotates it as an ordinary local, so
+						// without this a consumer asking "does this expression reach instance state"
+						// gets a different answer depending on whether the qualifier happened to be
+						// printed - and the qualifier is printed for reasons (a parameter of the same
+						// name, AlwaysQualifyMemberReferences) that have nothing to do with the
+						// question being asked.
+						translatedTarget = new ThisReferenceExpression()
+							.WithILInstruction(target)
+							.WithRR(new ThisResolveResult(translatedTarget.Type, nonVirtualInvocation));
+					}
 					return translatedTarget;
 				}
 			}
diff --git a/ICSharpCode.Decompiler/CSharp/Transforms/TransformFieldAndConstructorInitializers.cs b/ICSharpCode.Decompiler/CSharp/Transforms/TransformFieldAndConstructorInitializers.cs
index 63da3e010..09af9bbfc 100644
--- a/ICSharpCode.Decompiler/CSharp/Transforms/TransformFieldAndConstructorInitializers.cs
+++ b/ICSharpCode.Decompiler/CSharp/Transforms/TransformFieldAndConstructorInitializers.cs
@@ -356,6 +356,7 @@ namespace ICSharpCode.Decompiler.CSharp.Transforms
 					var initializer = InitializerSequence.Analyze(this, ctor, ctorMethod);
 
 					if (initializer is { CoversFullBody: true, HasDuplicateAssignments: false, Statements.Count: > 0 }
+						&& !initializer.Statements.Any(statement => ReferencesInstanceMember(statement.Initializer))
 						&& ctorMethod.Accessibility == expectedCtorAccessibility)
 					{
 						bool transformToPrimaryConstructor = MetadataTokens.GetRowNumber(ctorMethod.MetadataToken) == firstMethodRowNumber;
@@ -403,6 +404,24 @@ namespace ICSharpCode.Decompiler.CSharp.Transforms
 					}
 				}
 
+				bool ReferencesInstanceMember(Expression expression)
+				{
+					foreach (var node in expression.DescendantsAndSelf.OfType<Expression>())
+					{
+						switch (node.GetResolveResult())
+						{
+							case ThisResolveResult:
+								return true;
+							case MemberResolveResult {
+								TargetResult: ThisResolveResult,
+								Member: { IsStatic: false } member
+							} when member is not IField field || !IsGeneratedPrimaryConstructorBackingField(field):
+								return true;
+						}
+					}
+					return false;
+				}
+
 				if (StaticConstructor != null)
 				{
 					StaticInitializers = InitializerSequence.Analyze(this, StaticConstructorDecl!, StaticConstructor);