diff --git a/ICSharpCode.Decompiler.Tests/ICSharpCode.Decompiler.Tests.csproj b/ICSharpCode.Decompiler.Tests/ICSharpCode.Decompiler.Tests.csproj
index f19374fd5..df5f31ec5 100644
--- a/ICSharpCode.Decompiler.Tests/ICSharpCode.Decompiler.Tests.csproj
+++ b/ICSharpCode.Decompiler.Tests/ICSharpCode.Decompiler.Tests.csproj
@@ -136,6 +136,7 @@
     <Compile Include="TestCases\ILPretty\MonoFixed.cs" />
     <Compile Include="TestCases\Pretty\Comparisons.cs" />
     <Compile Include="TestCases\Pretty\Issue3406.cs" />
+    <Compile Include="TestCases\Pretty\PointerArithmetic.cs" />
     <Compile Include="TestCases\Pretty\Issue3439.cs" />
     <Compile Include="TestCases\Pretty\Issue3442.cs" />
     <None Include="TestCases\VBPretty\VBAutomaticEvents.vb" />
diff --git a/ICSharpCode.Decompiler.Tests/PrettyTestRunner.cs b/ICSharpCode.Decompiler.Tests/PrettyTestRunner.cs
index ae6860798..9b4184aa7 100644
--- a/ICSharpCode.Decompiler.Tests/PrettyTestRunner.cs
+++ b/ICSharpCode.Decompiler.Tests/PrettyTestRunner.cs
@@ -730,6 +730,12 @@ namespace ICSharpCode.Decompiler.Tests
 			await RunForLibrary(cscOptions: cscOptions);
 		}
 
+		[Test]
+		public async Task PointerArithmetic([ValueSource(nameof(defaultOptions))] CompilerOptions cscOptions)
+		{
+			await RunForLibrary(cscOptions: cscOptions);
+		}
+
 		async Task RunForLibrary([CallerMemberName] string testName = null, AssemblerOptions asmOptions = AssemblerOptions.None, CompilerOptions cscOptions = CompilerOptions.None, Action<DecompilerSettings> configureDecompiler = null)
 		{
 			await Run(testName, asmOptions | AssemblerOptions.Library, cscOptions | CompilerOptions.Library, configureDecompiler);
diff --git a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/CS73_StackAllocInitializers.cs b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/CS73_StackAllocInitializers.cs
index 4beb7148b..179a6f85d 100644
--- a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/CS73_StackAllocInitializers.cs
+++ b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/CS73_StackAllocInitializers.cs
@@ -222,16 +222,16 @@ namespace ICSharpCode.Decompiler.Tests.TestCases.Pretty
 #if OPT
 			byte* num = stackalloc byte[12];
 			*(int*)num = 1;
-			*(int*)(num - 4) = 2;
-			*(int*)(num - 8) = 3;
+			*((int*)num - 1) = 2;
+			*((int*)num - 2) = 3;
 			int* ptr = (int*)num;
 			Console.WriteLine(*ptr);
 			return UsePointer((byte*)ptr);
 #else
 			byte* ptr = stackalloc byte[12];
 			*(int*)ptr = 1;
-			*(int*)(ptr - 4) = 2;
-			*(int*)(ptr - 8) = 3;
+			*((int*)ptr - 1) = 2;
+			*((int*)ptr - 2) = 3;
 			int* ptr2 = (int*)ptr;
 			Console.WriteLine(*ptr2);
 			return UsePointer((byte*)ptr2);
diff --git a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/PointerArithmetic.cs b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/PointerArithmetic.cs
new file mode 100644
index 000000000..07991187e
--- /dev/null
+++ b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/PointerArithmetic.cs
@@ -0,0 +1,87 @@
+using System;
+
+namespace ICSharpCode.Decompiler.Tests.TestCases.Pretty
+{
+	public class PointerArithmetic
+	{
+		public unsafe static void AssignmentVoidPointerToIntPointer(void* ptr)
+		{
+			((int*)ptr)[2] = 1;
+		}
+
+		public unsafe static int AccessVoidPointerToIntPointer(void* ptr)
+		{
+			return ((int*)ptr)[2];
+		}
+
+		public unsafe static void AssignmentLongPointerToIntPointer_2(long* ptr)
+		{
+			((int*)ptr)[2] = 1;
+		}
+
+		public unsafe static int AccessLongPointerToIntPointer_2(long* ptr)
+		{
+			return ((int*)ptr)[2];
+		}
+
+		public unsafe static void AssignmentLongPointerToIntPointer_3(long* ptr)
+		{
+			((int*)ptr)[3] = 1;
+		}
+
+		public unsafe static int AccessLongPointerToIntPointer_3(long* ptr)
+		{
+			return ((int*)ptr)[3];
+		}
+
+		public unsafe static void AssignmentGuidPointerToIntPointer(Guid* ptr)
+		{
+			((int*)ptr)[2] = 1;
+		}
+
+		public unsafe static int AccessGuidPointerToIntPointer(Guid* ptr)
+		{
+			return ((int*)ptr)[2];
+		}
+
+		public unsafe static void AssignmentIntPointer(int* ptr)
+		{
+			ptr[2] = 1;
+		}
+
+		public unsafe static int AccessIntPointer(int* ptr)
+		{
+			return ptr[2];
+		}
+
+		public unsafe static void AssignmentGuidPointer(Guid* ptr)
+		{
+			ptr[2] = Guid.NewGuid();
+		}
+
+		public unsafe static Guid AccessGuidPointer(Guid* ptr)
+		{
+			return ptr[2];
+		}
+
+		public unsafe static void AssignmentVoidPointerToGuidPointer(void* ptr)
+		{
+			((Guid*)ptr)[2] = Guid.NewGuid();
+		}
+
+		public unsafe static Guid AccessVoidPointerToGuidPointer(void* ptr)
+		{
+			return ((Guid*)ptr)[2];
+		}
+
+		public unsafe static void AssignmentIntPointerToGuidPointer(int* ptr)
+		{
+			((Guid*)ptr)[2] = Guid.NewGuid();
+		}
+
+		public unsafe static Guid AccessIntPointerToGuidPointer(int* ptr)
+		{
+			return ((Guid*)ptr)[2];
+		}
+	}
+}
\ No newline at end of file
diff --git a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/UnsafeCode.cs b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/UnsafeCode.cs
index 3b993096e..c0f738e1d 100644
--- a/ICSharpCode.Decompiler.Tests/TestCases/Pretty/UnsafeCode.cs
+++ b/ICSharpCode.Decompiler.Tests/TestCases/Pretty/UnsafeCode.cs
@@ -212,7 +212,8 @@ namespace ICSharpCode.Decompiler.Tests.TestCases.Pretty
 		{
 			int result = 0;
 			*(float*)(&result) = 0.5f;
-			((byte*)(&result))[3] = 3;
+			((sbyte*)(&result))[3] = 3;
+			((sbyte*)(&result))[3] = -1;
 			return result;
 		}
 
diff --git a/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs b/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
index 90df1890a..4d046fbf2 100644
--- a/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
+++ b/ICSharpCode.Decompiler/CSharp/ExpressionBuilder.cs
@@ -1220,7 +1220,7 @@ namespace ICSharpCode.Decompiler.CSharp
 		/// Returns null if 'inst' is not performing pointer arithmetic.
 		/// 'ptr - ptr' is not handled here, but in HandlePointerSubtraction()!
 		/// </summary>
-		TranslatedExpression? HandlePointerArithmetic(BinaryNumericInstruction inst, TranslatedExpression left, TranslatedExpression right)
+		TranslatedExpression? HandlePointerArithmetic(BinaryNumericInstruction inst, TranslatedExpression left, TranslatedExpression right, TranslationContext context)
 		{
 			if (!(inst.Operator == BinaryNumericOperator.Add || inst.Operator == BinaryNumericOperator.Sub))
 				return null;
@@ -1249,6 +1249,20 @@ namespace ICSharpCode.Decompiler.CSharp
 			{
 				return null;
 			}
+			if (context.TypeHint.Kind == TypeKind.Pointer)
+			{
+				// We use the type hint if one of the following is true:
+				// * The current element type is a non-primitive struct.
+				// * The current element type has a different size than the type hint element type.
+				// This prevents the type hint from overriding in undesirable situations (eg changing char* to short*).
+
+				var typeHint = (PointerType)context.TypeHint;
+				int elementTypeSize = pointerType.ElementType.GetSize();
+				if (elementTypeSize == 0 || typeHint.ElementType.GetSize() != elementTypeSize)
+				{
+					pointerType = typeHint;
+				}
+			}
 			TranslatedExpression offsetExpr = GetPointerArithmeticOffset(byteOffsetInst, byteOffsetExpr, pointerType.ElementType, inst.CheckForOverflow)
 				?? FallBackToBytePointer();
 
@@ -1534,7 +1548,7 @@ namespace ICSharpCode.Decompiler.CSharp
 			}
 			if (left.Type.Kind == TypeKind.Pointer || right.Type.Kind == TypeKind.Pointer)
 			{
-				var ptrResult = HandlePointerArithmetic(inst, left, right);
+				var ptrResult = HandlePointerArithmetic(inst, left, right, context);
 				if (ptrResult != null)
 					return ptrResult.Value;
 			}