diff --git a/src/libraries/System.Diagnostics.Process/ref/System.Diagnostics.Process.cs b/src/libraries/System.Diagnostics.Process/ref/System.Diagnostics.Process.cs
index 52dfab59a18f05..552e7367026faa 100644
--- a/src/libraries/System.Diagnostics.Process/ref/System.Diagnostics.Process.cs
+++ b/src/libraries/System.Diagnostics.Process/ref/System.Diagnostics.Process.cs
@@ -16,8 +16,6 @@ public SafeProcessHandle(System.IntPtr existingHandle, bool ownsHandle) : base (
         public void Kill() { }
         public int ProcessId { get { throw null; } }
         protected override bool ReleaseHandle() { throw null; }
-        [System.Runtime.Versioning.SupportedOSPlatformAttribute("windows")]
-        [System.Runtime.Versioning.SupportedOSPlatformAttribute("macos")]
         public void Resume() { }
         [System.Runtime.Versioning.UnsupportedOSPlatformAttribute("ios")]
         [System.Runtime.Versioning.UnsupportedOSPlatformAttribute("tvos")]
@@ -356,8 +354,6 @@ public ProcessStartInfo(string fileName, System.Collections.Generic.IEnumerable<
         public System.Text.Encoding? StandardOutputEncoding { get { throw null; } set { } }
         public Microsoft.Win32.SafeHandles.SafeFileHandle? StandardOutputHandle { get { throw null; } set { } }
         public bool StartDetached { get { throw null; } set { } }
-        [System.Runtime.Versioning.SupportedOSPlatformAttribute("windows")]
-        [System.Runtime.Versioning.SupportedOSPlatformAttribute("macos")]
         public bool StartSuspended { get { throw null; } set { } }
         [System.Runtime.Versioning.SupportedOSPlatformAttribute("windows")]
         public bool UseCredentialsForNetworkingOnly { get { throw null; } set { } }
diff --git a/src/libraries/System.Diagnostics.Process/src/Microsoft/Win32/SafeHandles/SafeProcessHandle.cs b/src/libraries/System.Diagnostics.Process/src/Microsoft/Win32/SafeHandles/SafeProcessHandle.cs
index ad3ade2fa5b5b3..2f7fdacebcf0e3 100644
--- a/src/libraries/System.Diagnostics.Process/src/Microsoft/Win32/SafeHandles/SafeProcessHandle.cs
+++ b/src/libraries/System.Diagnostics.Process/src/Microsoft/Win32/SafeHandles/SafeProcessHandle.cs
@@ -210,20 +210,12 @@ internal static SafeProcessHandle Start(ProcessStartInfo startInfo, bool fallbac
         /// </summary>
         /// <remarks>
         /// On Windows, this calls <c>ResumeThread</c> on the main thread of the process.
-        /// On macOS, this sends <c>SIGCONT</c> to the process.
+        /// On Unix, this sends <c>SIGCONT</c> to the process.
         /// </remarks>
         /// <exception cref="InvalidOperationException">The handle is invalid.</exception>
-        /// <exception cref="PlatformNotSupportedException">The current operating system is not supported.</exception>
         /// <exception cref="Win32Exception">The OS call to resume the process failed.</exception>
-        [SupportedOSPlatform("windows")]
-        [SupportedOSPlatform("macos")]
         public void Resume()
         {
-            if (!OperatingSystem.IsWindows() && !OperatingSystem.IsMacOS())
-            {
-                throw new PlatformNotSupportedException();
-            }
-
             Validate();
             ResumeCore();
         }
diff --git a/src/libraries/System.Diagnostics.Process/src/System/Diagnostics/ProcessStartInfo.cs b/src/libraries/System.Diagnostics.Process/src/System/Diagnostics/ProcessStartInfo.cs
index 96009d99e1054a..081e1bbe60a94a 100644
--- a/src/libraries/System.Diagnostics.Process/src/System/Diagnostics/ProcessStartInfo.cs
+++ b/src/libraries/System.Diagnostics.Process/src/System/Diagnostics/ProcessStartInfo.cs
@@ -161,11 +161,13 @@ public string Arguments
         /// On macOS, the process is started with the <c>POSIX_SPAWN_START_SUSPENDED</c> flag.
         /// </para>
         /// <para>
+        /// On other Unix platforms, the child process raises <c>SIGSTOP</c> against itself before calling <c>execve</c>,
+        /// so the process has not yet transitioned to the target program image when it is suspended.
+        /// </para>
+        /// <para>
         /// This property cannot be used together with <see cref="UseShellExecute" /> set to <see langword="true" />.
         /// </para>
         /// </remarks>
-        [SupportedOSPlatform("windows")]
-        [SupportedOSPlatform("macos")]
         public bool StartSuspended { get; set; }
 
         /// <summary>
@@ -473,17 +475,10 @@ internal void ThrowIfInvalid(out bool anyRedirection, out SafeHandle[]? inherite
                 throw new InvalidOperationException(SR.StartDetachedNotCompatible);
             }
 
-#pragma warning disable CA1416 // StartSuspended getter works on all platforms; the attribute guards the actual effect
-            if (StartSuspended && !OperatingSystem.IsWindows() && !OperatingSystem.IsMacOS())
-            {
-                throw new PlatformNotSupportedException();
-            }
-
             if (StartSuspended && UseShellExecute)
             {
                 throw new InvalidOperationException(SR.StartSuspendedNotCompatible);
             }
-#pragma warning restore CA1416
 
             if (InheritedHandles is not null && (UseShellExecute || !string.IsNullOrEmpty(UserName)))
             {
diff --git a/src/libraries/System.Diagnostics.Process/tests/StartSuspendedTests.cs b/src/libraries/System.Diagnostics.Process/tests/StartSuspendedTests.cs
index d748ed1b272370..7d134824c76ac3 100644
--- a/src/libraries/System.Diagnostics.Process/tests/StartSuspendedTests.cs
+++ b/src/libraries/System.Diagnostics.Process/tests/StartSuspendedTests.cs
@@ -12,9 +12,21 @@
 namespace System.Diagnostics.Tests
 {
     [ConditionalClass(typeof(RemoteExecutor), nameof(RemoteExecutor.IsSupported))]
-    [PlatformSpecific(TestPlatforms.Windows | TestPlatforms.OSX)]
     public class StartSuspendedTests : ProcessTestBase
     {
+        [ConditionalFact]
+        public void StartSuspended_ResumeImmediately_Succeeds()
+        {
+            using Process process = CreateProcess(static () => RemoteExecutor.SuccessExitCode);
+            process.StartInfo.StartSuspended = true;
+
+            using SafeProcessHandle processHandle = SafeProcessHandle.Start(process.StartInfo);
+            processHandle.Resume();
+
+            ProcessExitStatus exitStatus = processHandle.WaitForExitOrKillOnTimeout(TimeSpan.FromMilliseconds(WaitInMS));
+            Assert.Equal(RemoteExecutor.SuccessExitCode, exitStatus.ExitCode);
+        }
+
         [ConditionalFact]
         public void StartSuspended_ResumeCompletes()
         {
@@ -176,15 +188,4 @@ public async Task StartSuspended_WithPipeRedirection_Works()
             }
         }
     }
-
-    public class StartSuspendedTests_NonWindowsNonMacOS : ProcessTestBase
-    {
-        [Fact]
-        [SkipOnPlatform(TestPlatforms.Windows | TestPlatforms.OSX | TestPlatforms.iOS | TestPlatforms.tvOS, "Resume is supported on Windows and macOS, and SafeProcessHandle.Open is not supported on iOS and tvOS")]
-        public void Resume_OnNonSupportedOS_ThrowsPlatformNotSupportedException()
-        {
-            using SafeProcessHandle handle = SafeProcessHandle.Open(Environment.ProcessId);
-            Assert.Throws<PlatformNotSupportedException>(() => handle.Resume());
-        }
-    }
 }
diff --git a/src/native/libs/System.Native/pal_process.c b/src/native/libs/System.Native/pal_process.c
index c5af90e397287e..6ec871286145ea 100644
--- a/src/native/libs/System.Native/pal_process.c
+++ b/src/native/libs/System.Native/pal_process.c
@@ -729,13 +729,6 @@ static int32_t ForkAndExecProcessInternal(
 #endif
 
 #if HAVE_FORK
-    if (startSuspended)
-    {
-        // POSIX_SPAWN_START_SUSPENDED is only available in the posix_spawn() path (macOS, !setCredentials).
-        // The fork() path does not support startSuspended.
-        errno = ENOTSUP;
-        return -1;
-    }
     bool success = true;
     int waitForChildToExecPipe[2] = {-1, -1};
     pid_t processId = -1;
@@ -811,11 +804,23 @@ static int32_t ForkAndExecProcessInternal(
     // on another thread while a vfork() child is still pending, bad things are possible; however we
     // do not do that.
 
+    // When startSuspended is true, we must use fork() instead of vfork() because we need to
+    // stop the child process before calling execve(), which is not safe with vfork() (the parent
+    // is blocked until the child calls execve or exits).
+
 #if defined (__GLIBC__)
-    if ((processId = vfork()) == 0) // processId == 0 if this is child process
+    if (startSuspended)
+    {
+        processId = fork();
+    }
+    else
+    {
+        processId = vfork();
+    }
+    if (processId == 0)
 #else
     // musl libc has an undocumented failure mode around setuid(); we must exclude it.
-    if (setCredentials)
+    if (setCredentials || startSuspended)
     {
         processId = fork();
     }
@@ -933,6 +938,22 @@ static int32_t ForkAndExecProcessInternal(
         }
 #endif
 
+        // If startSuspended is requested, stop the child process before exec.
+        // The parent will send SIGCONT (via Resume()) when ready.
+        if (startSuspended)
+        {
+            // Close the write end of the exec-waiting pipe before stopping.
+            // This signals to the parent that the child has been set up successfully
+            // (no error written to the pipe), allowing the parent to return the child PID.
+            // When the child is later resumed with SIGCONT, it will proceed to execve.
+            close(waitForChildToExecPipe[WRITE_END_OF_PIPE]);
+            waitForChildToExecPipe[WRITE_END_OF_PIPE] = -1;
+
+            // Send SIGSTOP to the current process. raise() sends the signal to the
+            // calling thread. This is safe because after fork the child is single-threaded.
+            raise(SIGSTOP);
+        }
+
         // Finally, execute the new process.  execve will not return if it's successful.
         execve(filename, argv, envp);
         ExitChild(waitForChildToExecPipe[WRITE_END_OF_PIPE], errno); // execve failed
@@ -974,6 +995,34 @@ done:;
         CloseIfOpen(waitForChildToExecPipe[READ_END_OF_PIPE]);
     }
 
+    // When startSuspended is requested, the child closes the exec-waiting pipe just before
+    // calling raise(SIGSTOP). Wait here until the child is truly in the stopped state so that
+    // the caller cannot send SIGCONT (via Resume()) before the child has delivered SIGSTOP.
+    // Without this synchronization, SIGCONT may arrive before SIGSTOP, causing the child to
+    // stop permanently on the subsequent SIGSTOP.
+    if (startSuspended && success)
+    {
+        int childStatus;
+        pid_t waitResult;
+        do
+        {
+            waitResult = waitpid(processId, &childStatus, WUNTRACED);
+        }
+        while (waitResult == -1 && errno == EINTR);
+
+        if (waitResult == -1)
+        {
+            success = false;
+            priorErrno = errno;
+        }
+        else if (!WIFSTOPPED(childStatus))
+        {
+            // Child exited (WIFEXITED) or was killed by a signal (WIFSIGNALED) before stopping.
+            success = false;
+            priorErrno = ECHILD;
+        }
+    }
+
     // If we failed, give back error values in all out arguments.
     if (!success)
     {