diff --git a/Lib/test/test_capi.py b/Lib/test/test_capi.py
index 1ff14e7bc56..e4d20355d43 100644
--- a/Lib/test/test_capi.py
+++ b/Lib/test/test_capi.py
@@ -539,6 +539,30 @@ class CAPITest(unittest.TestCase):
         inst = _testcapi.HeapCTypeWithDict()
         self.assertEqual({}, inst.__dict__)
 
+    def test_heaptype_with_managed_dict(self):
+        inst = _testcapi.HeapCTypeWithManagedDict()
+        inst.foo = 42
+        self.assertEqual(inst.foo, 42)
+        self.assertEqual(inst.__dict__, {"foo": 42})
+
+        inst = _testcapi.HeapCTypeWithManagedDict()
+        self.assertEqual({}, inst.__dict__)
+
+        a = _testcapi.HeapCTypeWithManagedDict()
+        b = _testcapi.HeapCTypeWithManagedDict()
+        a.b = b
+        b.a = a
+        del a, b
+
+    def test_sublclassing_managed_dict(self):
+
+        class C(_testcapi.HeapCTypeWithManagedDict):
+            pass
+
+        i = C()
+        i.spam = i
+        del i
+
     def test_heaptype_with_negative_dict(self):
         inst = _testcapi.HeapCTypeWithNegativeDict()
         inst.foo = 42
diff --git a/Lib/test/test_sys.py b/Lib/test/test_sys.py
index 05fbcc19b6b..78da09d6abc 100644
--- a/Lib/test/test_sys.py
+++ b/Lib/test/test_sys.py
@@ -1287,7 +1287,7 @@ class SizeofTest(unittest.TestCase):
             def __sizeof__(self):
                 return int(self)
         self.assertEqual(sys.getsizeof(OverflowSizeof(sys.maxsize)),
-                         sys.maxsize + self.gc_headsize)
+                         sys.maxsize + self.gc_headsize*2)
         with self.assertRaises(OverflowError):
             sys.getsizeof(OverflowSizeof(sys.maxsize + 1))
         with self.assertRaises(ValueError):
diff --git a/Misc/NEWS.d/next/C API/2022-08-03-13-01-57.gh-issue-92678.DLwONN.rst b/Misc/NEWS.d/next/C API/2022-08-03-13-01-57.gh-issue-92678.DLwONN.rst
new file mode 100644
index 00000000000..a3a209f5e41
--- /dev/null
+++ b/Misc/NEWS.d/next/C API/2022-08-03-13-01-57.gh-issue-92678.DLwONN.rst	
@@ -0,0 +1,2 @@
+Support C extensions using managed dictionaries by setting the
+``Py_TPFLAGS_MANAGED_DICT`` flag.
diff --git a/Modules/_testcapi/heaptype.c b/Modules/_testcapi/heaptype.c
index 514541ce348..de990bac51d 100644
--- a/Modules/_testcapi/heaptype.c
+++ b/Modules/_testcapi/heaptype.c
@@ -761,6 +761,45 @@ static PyType_Spec HeapCTypeWithDict2_spec = {
     HeapCTypeWithDict_slots
 };
 
+static int
+heapmanaged_traverse(HeapCTypeObject *self, visitproc visit, void *arg)
+{
+    Py_VISIT(Py_TYPE(self));
+    return _PyObject_VisitManagedDict((PyObject *)self, visit, arg);
+}
+
+static void
+heapmanaged_clear(HeapCTypeObject *self)
+{
+    _PyObject_ClearManagedDict((PyObject *)self);
+}
+
+static void
+heapmanaged_dealloc(HeapCTypeObject *self)
+{
+    PyTypeObject *tp = Py_TYPE(self);
+    _PyObject_ClearManagedDict((PyObject *)self);
+    PyObject_GC_UnTrack(self);
+    PyObject_GC_Del(self);
+    Py_DECREF(tp);
+}
+
+static PyType_Slot HeapCTypeWithManagedDict_slots[] = {
+    {Py_tp_traverse, heapmanaged_traverse},
+    {Py_tp_getset, heapctypewithdict_getsetlist},
+    {Py_tp_clear, heapmanaged_clear},
+    {Py_tp_dealloc, heapmanaged_dealloc},
+    {0, 0},
+};
+
+static PyType_Spec  HeapCTypeWithManagedDict_spec = {
+    "_testcapi.HeapCTypeWithManagedDict",
+    sizeof(PyObject),
+    0,
+    Py_TPFLAGS_DEFAULT | Py_TPFLAGS_BASETYPE | Py_TPFLAGS_HAVE_GC | Py_TPFLAGS_MANAGED_DICT,
+    HeapCTypeWithManagedDict_slots
+};
+
 static struct PyMemberDef heapctypewithnegativedict_members[] = {
     {"dictobj", T_OBJECT, offsetof(HeapCTypeWithDictObject, dict)},
     {"__dictoffset__", T_PYSSIZET, -(Py_ssize_t)sizeof(void*), READONLY},
@@ -963,6 +1002,12 @@ _PyTestCapi_Init_Heaptype(PyObject *m) {
     }
     PyModule_AddObject(m, "HeapCTypeWithNegativeDict", HeapCTypeWithNegativeDict);
 
+    PyObject *HeapCTypeWithManagedDict = PyType_FromSpec(&HeapCTypeWithManagedDict_spec);
+    if (HeapCTypeWithManagedDict == NULL) {
+        return -1;
+    }
+    PyModule_AddObject(m, "HeapCTypeWithManagedDict", HeapCTypeWithManagedDict);
+
     PyObject *HeapCTypeWithWeakref = PyType_FromSpec(&HeapCTypeWithWeakref_spec);
     if (HeapCTypeWithWeakref == NULL) {
         return -1;
diff --git a/Objects/object.c b/Objects/object.c
index a90c6faf99d..9bbe0eef308 100644
--- a/Objects/object.c
+++ b/Objects/object.c
@@ -1064,6 +1064,7 @@ _PyObject_ComputedDictPointer(PyObject *obj)
     if (dictoffset == 0)
         return NULL;
     if (dictoffset < 0) {
+        assert(dictoffset != -1);
         Py_ssize_t tsize = Py_SIZE(obj);
         if (tsize < 0) {
             tsize = -tsize;
diff --git a/Objects/typeobject.c b/Objects/typeobject.c
index 27b12a00d77..67dfc6f8483 100644
--- a/Objects/typeobject.c
+++ b/Objects/typeobject.c
@@ -1312,16 +1312,21 @@ subtype_traverse(PyObject *self, visitproc visit, void *arg)
         assert(base);
     }
 
-    if (type->tp_flags & Py_TPFLAGS_MANAGED_DICT) {
-        int err = _PyObject_VisitManagedDict(self, visit, arg);
-        if (err) {
-            return err;
+    if (type->tp_dictoffset != base->tp_dictoffset) {
+        assert(base->tp_dictoffset == 0);
+        if (type->tp_flags & Py_TPFLAGS_MANAGED_DICT) {
+            assert(type->tp_dictoffset == -1);
+            int err = _PyObject_VisitManagedDict(self, visit, arg);
+            if (err) {
+                return err;
+            }
+        }
+        else {
+            PyObject **dictptr = _PyObject_ComputedDictPointer(self);
+            if (dictptr && *dictptr) {
+                Py_VISIT(*dictptr);
+            }
         }
-    }
-    else if (type->tp_dictoffset != base->tp_dictoffset) {
-        PyObject **dictptr = _PyObject_ComputedDictPointer(self);
-        if (dictptr && *dictptr)
-            Py_VISIT(*dictptr);
     }
 
     if (type->tp_flags & Py_TPFLAGS_HEAPTYPE
@@ -1380,7 +1385,9 @@ subtype_clear(PyObject *self)
     /* Clear the instance dict (if any), to break cycles involving only
        __dict__ slots (as in the case 'self.__dict__ is self'). */
     if (type->tp_flags & Py_TPFLAGS_MANAGED_DICT) {
-        _PyObject_ClearManagedDict(self);
+        if ((base->tp_flags & Py_TPFLAGS_MANAGED_DICT) == 0) {
+            _PyObject_ClearManagedDict(self);
+        }
     }
     else if (type->tp_dictoffset != base->tp_dictoffset) {
         PyObject **dictptr = _PyObject_ComputedDictPointer(self);
@@ -3085,20 +3092,15 @@ type_new_descriptors(const type_new_ctx *ctx, PyTypeObject *type)
         }
     }
 
-    if (ctx->add_dict && ctx->base->tp_itemsize) {
-        type->tp_dictoffset = -(long)sizeof(PyObject *);
-        slotoffset += sizeof(PyObject *);
-    }
-
     if (ctx->add_weak) {
         assert(!ctx->base->tp_itemsize);
         type->tp_weaklistoffset = slotoffset;
         slotoffset += sizeof(PyObject *);
     }
-    if (ctx->add_dict && ctx->base->tp_itemsize == 0) {
+    if (ctx->add_dict) {
         assert((type->tp_flags & Py_TPFLAGS_MANAGED_DICT) == 0);
         type->tp_flags |= Py_TPFLAGS_MANAGED_DICT;
-        type->tp_dictoffset = -slotoffset - sizeof(PyObject *)*3;
+        type->tp_dictoffset = -1;
     }
 
     type->tp_basicsize = slotoffset;
@@ -6161,6 +6163,7 @@ inherit_special(PyTypeObject *type, PyTypeObject *base)
     COPYVAL(tp_itemsize);
     COPYVAL(tp_weaklistoffset);
     COPYVAL(tp_dictoffset);
+
 #undef COPYVAL
 
     /* Setup fast subclass flags */
@@ -6567,6 +6570,21 @@ type_ready_fill_dict(PyTypeObject *type)
     return 0;
 }
 
+static int
+type_ready_dict_offset(PyTypeObject *type)
+{
+    if (type->tp_flags & Py_TPFLAGS_MANAGED_DICT) {
+        if (type->tp_dictoffset > 0 || type->tp_dictoffset < -1) {
+            PyErr_Format(PyExc_TypeError,
+                        "type %s has the Py_TPFLAGS_MANAGED_DICT flag "
+                        "but tp_dictoffset is set",
+                        type->tp_name);
+            return -1;
+        }
+        type->tp_dictoffset = -1;
+    }
+    return 0;
+}
 
 static int
 type_ready_mro(PyTypeObject *type)
@@ -6775,6 +6793,21 @@ type_ready_post_checks(PyTypeObject *type)
                      type->tp_name);
         return -1;
     }
+    if (type->tp_flags & Py_TPFLAGS_MANAGED_DICT) {
+        if (type->tp_dictoffset != -1) {
+            PyErr_Format(PyExc_SystemError,
+                        "type %s has the Py_TPFLAGS_MANAGED_DICT flag "
+                        "but tp_dictoffset is set to incompatible value",
+                        type->tp_name);
+            return -1;
+        }
+    }
+    else if (type->tp_dictoffset < sizeof(PyObject)) {
+        if (type->tp_dictoffset + type->tp_basicsize <= 0) {
+            PyErr_Format(PyExc_SystemError,
+                         "type %s has a tp_dictoffset that is too small");
+        }
+    }
     return 0;
 }
 
@@ -6814,6 +6847,9 @@ type_ready(PyTypeObject *type)
     if (type_ready_inherit(type) < 0) {
         return -1;
     }
+    if (type_ready_dict_offset(type) < 0) {
+        return -1;
+    }
     if (type_ready_set_hash(type) < 0) {
         return -1;
     }
diff --git a/Tools/gdb/libpython.py b/Tools/gdb/libpython.py
index d03c6379125..899cb6c7dea 100755
--- a/Tools/gdb/libpython.py
+++ b/Tools/gdb/libpython.py
@@ -478,13 +478,17 @@ class HeapTypeObjectPtr(PyObjectPtr):
             dictoffset = int_from_int(typeobj.field('tp_dictoffset'))
             if dictoffset != 0:
                 if dictoffset < 0:
-                    type_PyVarObject_ptr = gdb.lookup_type('PyVarObject').pointer()
-                    tsize = int_from_int(self._gdbval.cast(type_PyVarObject_ptr)['ob_size'])
-                    if tsize < 0:
-                        tsize = -tsize
-                    size = _PyObject_VAR_SIZE(typeobj, tsize)
-                    dictoffset += size
-                    assert dictoffset % _sizeof_void_p() == 0
+                    if int_from_int(typeobj.field('tp_flags')) & Py_TPFLAGS_MANAGED_DICT:
+                        assert dictoffset == -1
+                        dictoffset = -3 * _sizeof_void_p()
+                    else:
+                        type_PyVarObject_ptr = gdb.lookup_type('PyVarObject').pointer()
+                        tsize = int_from_int(self._gdbval.cast(type_PyVarObject_ptr)['ob_size'])
+                        if tsize < 0:
+                            tsize = -tsize
+                        size = _PyObject_VAR_SIZE(typeobj, tsize)
+                        dictoffset += size
+                        assert dictoffset % _sizeof_void_p() == 0
 
                 dictptr = self._gdbval.cast(_type_char_ptr()) + dictoffset
                 PyObjectPtrPtr = PyObjectPtr.get_gdb_type().pointer()