diff --git a/src/libraries/System.Private.CoreLib/src/System/Threading/ThreadPoolWorkQueue.cs b/src/libraries/System.Private.CoreLib/src/System/Threading/ThreadPoolWorkQueue.cs
index bc0fe4556bb311..89dac7492578fd 100644
--- a/src/libraries/System.Private.CoreLib/src/System/Threading/ThreadPoolWorkQueue.cs
+++ b/src/libraries/System.Private.CoreLib/src/System/Threading/ThreadPoolWorkQueue.cs
@@ -1393,7 +1393,11 @@ void IThreadPoolWorkItem.Execute()
                 currentThread.ResetThreadPoolThread();
             }
 
-            ThreadInt64PersistentCounter.Add(tl.threadLocalCompletionCountObject!, completedCount);
+            // Discount a work item here to avoid counting most of the queue processing work items
+            if (completedCount > 1)
+            {
+                ThreadInt64PersistentCounter.Add(tl.threadLocalCompletionCountObject!, completedCount - 1);
+            }
         }
     }
 
diff --git a/src/libraries/System.Threading.ThreadPool/tests/ThreadPoolTests.cs b/src/libraries/System.Threading.ThreadPool/tests/ThreadPoolTests.cs
index a182c7c583630c..a26b000055a7f7 100644
--- a/src/libraries/System.Threading.ThreadPool/tests/ThreadPoolTests.cs
+++ b/src/libraries/System.Threading.ThreadPool/tests/ThreadPoolTests.cs
@@ -1440,6 +1440,33 @@ static async Task RunAsyncIOTest()
             }, ioCompletionPortCount.ToString()).Dispose();
         }
 
+
+        [ConditionalFact(nameof(IsThreadingAndRemoteExecutorSupported))]
+        [PlatformSpecific(TestPlatforms.Windows)]
+        public static unsafe void ThreadPoolCompletedWorkItemCountTest()
+        {
+            // Run in a separate process to test in a clean thread pool environment such that we don't count external work items
+            RemoteExecutor.Invoke(() =>
+            {
+                using var manualResetEvent = new ManualResetEventSlim(false);
+
+                var overlapped = new Overlapped();
+                NativeOverlapped* nativeOverlapped = overlapped.Pack((errorCode, numBytes, innerNativeOverlapped) =>
+                {
+                    Overlapped.Free(innerNativeOverlapped);
+                    manualResetEvent.Set();
+                }, null);
+
+                ThreadPool.UnsafeQueueNativeOverlapped(nativeOverlapped);
+                manualResetEvent.Wait();
+
+                // Allow work item(s) to be marked as completed during this time, should be only one
+                ThreadTestHelpers.WaitForCondition(() => ThreadPool.CompletedWorkItemCount == 1);
+                Thread.Sleep(50);
+                Assert.Equal(1, ThreadPool.CompletedWorkItemCount);
+            }).Dispose();
+        }
+
         public static bool IsThreadingAndRemoteExecutorSupported =>
             PlatformDetection.IsThreadingSupported && RemoteExecutor.IsSupported;