diff --git a/include/verilated.mk.in b/include/verilated.mk.in
index 4c97a82e4..49837598b 100644
--- a/include/verilated.mk.in
+++ b/include/verilated.mk.in
@@ -35,6 +35,12 @@ CFG_CXXFLAGS_NO_UNUSED = @CFG_CXXFLAGS_NO_UNUSED@
 CFG_CXXFLAGS_WEXTRA = @CFG_CXXFLAGS_WEXTRA@
 # Compiler flags that enable coroutine support
 CFG_CXXFLAGS_COROUTINES = @CFG_CXXFLAGS_COROUTINES@
+# Compiler flags when creating a precompiled header
+CFG_CXXFLAGS_PCH = -x c++-header
+# Compiler option to put in front of filename to read precompiled header
+CFG_CXXFLAGS_PCH_I = @CFG_CXXFLAGS_PCH_I@
+# Compiler's filename prefix for precompiled headers, .gch if clang, empty if GCC
+CFG_GCH_IF_CLANG = @CFG_GCH_IF_CLANG@
 # Linker flags
 CFG_LDFLAGS_VERILATED = @CFG_LDFLAGS_VERILATED@
 # Linker libraries for multithreading
@@ -47,6 +53,12 @@ VERILATOR_COVERAGE = $(PERL) $(VERILATOR_ROOT)/bin/verilator_coverage
 VERILATOR_INCLUDER = $(PYTHON3) $(VERILATOR_ROOT)/bin/verilator_includer
 VERILATOR_CCACHE_REPORT = $(PYTHON3) $(VERILATOR_ROOT)/bin/verilator_ccache_report
 
+######################################################################
+# CCACHE flags (via environment as no command line option available)
+
+CCACHE_SLOPPINESS ?= pch_defines,time_macros
+export CCACHE_SLOPPINESS
+
 ######################################################################
 # Make checks
 
@@ -166,11 +178,17 @@ endif
 VM_FAST += $(VM_CLASSES_FAST) $(VM_SUPPORT_FAST)
 VM_SLOW += $(VM_CLASSES_SLOW) $(VM_SUPPORT_SLOW)
 
+# Precompiled header filename
+VK_PCH_H = $(VM_PREFIX)__pch.h
+# Compiler read-a-precompiled-header option for precompiled header filename
+VK_PCH_I_FAST = $(CFG_CXXFLAGS_PCH_I) $(VM_PREFIX)__pch.h.fast$(CFG_GCH_IF_CLANG)
+VK_PCH_I_SLOW = $(CFG_CXXFLAGS_PCH_I) $(VM_PREFIX)__pch.h.slow$(CFG_GCH_IF_CLANG)
+
 #######################################################################
 ### Overall Objects Linking
 
-VK_FAST_OBJS = $(addsuffix .o, $(VM_FAST))
-VK_SLOW_OBJS = $(addsuffix .o, $(VM_SLOW))
+VK_OBJS_FAST = $(addsuffix .o, $(VM_FAST))
+VK_OBJS_SLOW = $(addsuffix .o, $(VM_SLOW))
 
 VK_USER_OBJS = $(addsuffix .o, $(VM_USER_CLASSES))
 
@@ -197,7 +215,7 @@ else
   # Parallel build: Each .cpp file by itself. This can be somewhat slower for
   # very small designs and examples, but is a lot faster for large designs.
 
-  VK_OBJS += $(VK_FAST_OBJS) $(VK_SLOW_OBJS)
+  VK_OBJS += $(VK_OBJS_FAST) $(VK_OBJS_SLOW)
 endif
 
 # When archiving just objects (.o), use single $(AR) run
@@ -241,18 +259,30 @@ $(VM_PREFIX)__ALL.a: $(VK_OBJS) $(VM_HIER_LIBS)
 ### Compile rules
 
 ifneq ($(VM_DEFAULT_RULES),0)
-# Anything not in $(VK_SLOW_OBJS) or $(VK_GLOBAL_OBJS), including verilated.o
+# Anything not in $(VK_OBJS_SLOW) or $(VK_GLOBAL_OBJS), including verilated.o
 # and user files passed on the Verilator command line use this rule.
 # We put OPT_FAST/OPT_SLOW/OPT_GLOBAL before the other flags to
 # allow USER_CPPFLAGS to override them
 %.o: %.cpp
 	$(OBJCACHE) $(CXX) $(OPT_FAST) $(CXXFLAGS) $(CPPFLAGS) -c -o $@ $<
 
-$(VK_SLOW_OBJS): %.o: %.cpp
-	$(OBJCACHE) $(CXX) $(OPT_SLOW) $(CXXFLAGS) $(CPPFLAGS) -c -o $@ $<
+$(VK_OBJS_FAST): %.o: %.cpp $(VK_PCH_H).fast.gch
+	$(OBJCACHE) $(CXX) $(OPT_FAST) $(CXXFLAGS) $(CPPFLAGS) $(VK_PCH_I_FAST) -c -o $@ $<
+
+$(VK_OBJS_SLOW): %.o: %.cpp $(VK_PCH_H).slow.gch
+	$(OBJCACHE) $(CXX) $(OPT_SLOW) $(CXXFLAGS) $(CPPFLAGS) $(VK_PCH_I_SLOW) -c -o $@ $<
 
 $(VK_GLOBAL_OBJS): %.o: %.cpp
 	$(OBJCACHE) $(CXX) $(OPT_GLOBAL) $(CXXFLAGS) $(CPPFLAGS) -c -o $@ $<
+
+# Precompile a header file
+# PCH's compiler flags must match exactly the fast/slow arguments used in the .cpp file,
+# or the PCH file won't be used.
+%.fast.gch: %
+	$(OBJCACHE) $(CXX) $(OPT_FAST) $(CXXFLAGS) $(CPPFLAGS) $(CFG_CXXFLAGS_PCH) $< -o $@
+%.slow.gch: %
+	$(OBJCACHE) $(CXX) $(OPT_SLOW) $(CXXFLAGS) $(CPPFLAGS) $(CFG_CXXFLAGS_PCH) $< -o $@
+
 endif
 
 #Default rule embedded in make:
@@ -300,19 +330,21 @@ endif
 
 debug-make::
 	@echo
-	@echo CXXFLAGS: $(CXXFLAGS)
 	@echo CPPFLAGS: $(CPPFLAGS)
+	@echo CXXFLAGS: $(CXXFLAGS)
 	@echo OPT_FAST: $(OPT_FAST)
 	@echo OPT_SLOW: $(OPT_SLOW)
-	@echo VM_PREFIX:  $(VM_PREFIX)
-	@echo VM_PARALLEL_BUILDS:  $(VM_PARALLEL_BUILDS)
+	@echo VK_OBJS: $(VK_OBJS)
+	@echo VK_OBJS_FAST: $(VK_OBJS_FAST)
+	@echo VK_OBJS_SLOW: $(VK_OBJS_SLOW)
 	@echo VM_CLASSES_FAST: $(VM_CLASSES_FAST)
 	@echo VM_CLASSES_SLOW: $(VM_CLASSES_SLOW)
-	@echo VM_SUPPORT_FAST: $(VM_SUPPORT_FAST)
-	@echo VM_SUPPORT_SLOW: $(VM_SUPPORT_SLOW)
 	@echo VM_GLOBAL_FAST: $(VM_GLOBAL_FAST)
 	@echo VM_GLOBAL_SLOW: $(VM_GLOBAL_SLOW)
-	@echo VK_OBJS: $(VK_OBJS)
+	@echo VM_PARALLEL_BUILDS:  $(VM_PARALLEL_BUILDS)
+	@echo VM_PREFIX:  $(VM_PREFIX)
+	@echo VM_SUPPORT_FAST: $(VM_SUPPORT_FAST)
+	@echo VM_SUPPORT_SLOW: $(VM_SUPPORT_SLOW)
 	@echo
 
 ######################################################################
diff --git a/src/CMakeLists.txt b/src/CMakeLists.txt
index f31871b65..8124e0ee3 100644
--- a/src/CMakeLists.txt
+++ b/src/CMakeLists.txt
@@ -228,6 +228,7 @@ set(COMMON_SOURCES
     V3EmitCMain.cpp
     V3EmitCMake.cpp
     V3EmitCModel.cpp
+    V3EmitCPch.cpp
     V3EmitCSyms.cpp
     V3EmitMk.cpp
     V3EmitV.cpp
diff --git a/src/Makefile_obj.in b/src/Makefile_obj.in
index 4efc14c87..8c79c0066 100644
--- a/src/Makefile_obj.in
+++ b/src/Makefile_obj.in
@@ -193,6 +193,7 @@ RAW_OBJS_PCH_ASTMT = \
 	V3EmitCHeaders.o \
 	V3EmitCImp.o \
 	V3EmitCInlines.o \
+	V3EmitCPch.o \
 	V3EmitV.o \
 	V3File.o \
 	V3Global.o \
diff --git a/src/V3EmitC.h b/src/V3EmitC.h
index 4ee9460cf..bbca3be0d 100644
--- a/src/V3EmitC.h
+++ b/src/V3EmitC.h
@@ -27,12 +27,13 @@
 class V3EmitC final {
 public:
     static void emitcConstPool() VL_MT_DISABLED;
+    static void emitcFiles() VL_MT_DISABLED;
     static void emitcHeaders() VL_MT_DISABLED;
     static void emitcImp();
     static void emitcInlines() VL_MT_DISABLED;
     static void emitcModel() VL_MT_DISABLED;
+    static void emitcPch() VL_MT_DISABLED;
     static void emitcSyms(bool dpiHdrOnly = false) VL_MT_DISABLED;
-    static void emitcFiles() VL_MT_DISABLED;
 };
 
 #endif  // Guard
diff --git a/src/V3EmitCBase.h b/src/V3EmitCBase.h
index 5abf33271..7067f8ed6 100644
--- a/src/V3EmitCBase.h
+++ b/src/V3EmitCBase.h
@@ -55,6 +55,7 @@ public:
         return className + "* const __restrict vlSelf VL_ATTR_UNUSED = static_cast<" + className
                + "*>(voidSelf);\n";
     }
+    static string pchClassName() VL_MT_STABLE { return v3Global.opt.prefix() + "__pch"; }
     static string symClassName() VL_MT_STABLE {
         return v3Global.opt.prefix() + "_" + VIdProtect::protect("_Syms");
     }
@@ -62,6 +63,9 @@ public:
     static string symClassAssign() {
         return symClassName() + "* const __restrict vlSymsp VL_ATTR_UNUSED = vlSelf->vlSymsp;\n";
     }
+    static string topClassName() VL_MT_SAFE {  // Return name of top wrapper module
+        return v3Global.opt.prefix();
+    }
     static string prefixNameProtect(const AstNode* nodep) {  // C++ name with prefix
         return v3Global.opt.modPrefix() + "_" + VIdProtect::protect(nodep->name());
     }
@@ -104,9 +108,6 @@ public:
         return v3Global.opt.protectIds() ? "" : in;
     }
     static string funcNameProtect(const AstCFunc* nodep, const AstNodeModule* modp = nullptr);
-    static string topClassName() VL_MT_SAFE {  // Return name of top wrapper module
-        return v3Global.opt.prefix();
-    }
     static AstCFile* newCFile(const string& filename, bool slow, bool source);
     static AstCFile* createCFile(const string& filename, bool slow, bool source) VL_MT_SAFE;
     string cFuncArgs(const AstCFunc* nodep);
diff --git a/src/V3EmitCImp.cpp b/src/V3EmitCImp.cpp
index e640634c9..e20320052 100644
--- a/src/V3EmitCImp.cpp
+++ b/src/V3EmitCImp.cpp
@@ -190,11 +190,8 @@ class EmitCImp final : EmitCFunc {
         puts("// DESCRIPTION: Verilator output: Design implementation internals\n");
         puts("// See " + topClassName() + ".h for the primary calling header\n");
 
-        // Include files
-        puts("\n#include \"verilated.h\"\n");
-        if (v3Global.dpi()) puts("#include \"verilated_dpi.h\"\n");
         puts("\n");
-        puts("#include \"" + symClassName() + ".h\"\n");
+        puts("#include \"" + pchClassName() + ".h\"\n");
         for (const string& name : headers) puts("#include \"" + name + ".h\"\n");
 
         emitTextSection(m_modp, VNType::atScImpHdr);
diff --git a/src/V3EmitCModel.cpp b/src/V3EmitCModel.cpp
index 53c5339fb..5abad82d7 100644
--- a/src/V3EmitCModel.cpp
+++ b/src/V3EmitCModel.cpp
@@ -627,14 +627,10 @@ class EmitCModel final : public EmitCFunc {
              "Model implementation (design independent parts)\n");
 
         puts("\n");
-        puts("#include \"" + topClassName() + ".h\"\n");
-        puts("#include \"" + symClassName() + ".h\"\n");
+        puts("#include \"" + pchClassName() + ".h\"\n");
         if (v3Global.opt.trace()) {
             puts("#include \"" + v3Global.opt.traceSourceLang() + ".h\"\n");
         }
-        if (v3Global.dpi()) {  //
-            puts("#include \"verilated_dpi.h\"\n");
-        }
 
         emitConstructorImplementation(modp);
         emitDestructorImplementation();
diff --git a/src/V3EmitCPch.cpp b/src/V3EmitCPch.cpp
new file mode 100644
index 000000000..1cd6ed965
--- /dev/null
+++ b/src/V3EmitCPch.cpp
@@ -0,0 +1,73 @@
+// -*- mode: C++; c-file-style: "cc-mode" -*-
+//*************************************************************************
+// Code available from: https://verilator.org
+//
+// Copyright 2003-2023 by Wilson Snyder. This program is free software; you
+// can redistribute it and/or modify it under the terms of either the GNU
+// Lesser General Public License Version 3 or the Perl Artistic License
+// Version 2.0.
+// SPDX-License-Identifier: LGPL-3.0-only OR Artistic-2.0
+//
+//*************************************************************************
+// DESCRIPTION: Verilator: Emit C++ for precompiled header include
+//
+
+#include "V3PchAstMT.h"
+
+#include "V3EmitC.h"
+#include "V3EmitCBase.h"
+#include "V3File.h"
+
+VL_DEFINE_DEBUG_FUNCTIONS;
+
+//######################################################################
+// Precompiled header emitter
+
+class EmitCPch final : EmitCBase {
+public:
+    // METHODS
+
+    void emitPch() {
+        // Generate the makefile
+        V3OutCFile of{v3Global.opt.makeDir() + "/" + pchClassName() + ".h"};
+        of.putsHeader();
+        of.puts("// DESCRIPTION: Verilator output: Precompiled header\n");
+        of.puts("//\n");
+        of.puts("// Internal details; most user sources do not need this header,\n");
+        of.puts("// unless using verilator public meta comments.\n");
+        of.puts("// Suggest use " + topClassName() + ".h instead.\n");
+        of.puts("\n");
+
+        of.putsGuard();
+
+        of.puts("\n");
+        of.puts("// GCC and Clang only will precompile headers (PCH) for the first header.\n");
+        of.puts("// So, make sure this is the one and only PCH.\n");
+        of.puts("// If multiple module's includes are needed, use individual includes.\n");
+        of.puts("#ifdef VL_PCH_INCLUDED\n");
+        of.puts("# error \"Including multiple precompiled header files\"\n");
+        of.puts("#endif\n");
+        of.puts("#define VL_PCH_INCLUDED\n");
+
+        of.puts("\n");
+        of.puts("\n#include \"verilated.h\"\n");
+        if (v3Global.dpi()) of.puts("#include \"verilated_dpi.h\"\n");
+
+        of.puts("\n");
+        of.puts("#include \"" + symClassName() + ".h\"\n");
+        of.puts("#include \"" + topClassName() + ".h\"\n");
+
+        of.putsEndGuard();
+    }
+
+public:
+    explicit EmitCPch() { emitPch(); }
+};
+
+//######################################################################
+// EmitC static functions
+
+void V3EmitC::emitcPch() {
+    UINFO(2, __FUNCTION__ << ": " << endl);
+    EmitCPch{};
+}
diff --git a/src/V3EmitCSyms.cpp b/src/V3EmitCSyms.cpp
index 4642ac016..8ac652a4b 100644
--- a/src/V3EmitCSyms.cpp
+++ b/src/V3EmitCSyms.cpp
@@ -606,7 +606,7 @@ void EmitCSyms::emitSymImpPreamble() {
     puts("\n");
 
     // Includes
-    puts("#include \"" + symClassName() + ".h\"\n");
+    puts("#include \"" + pchClassName() + ".h\"\n");
     puts("#include \"" + topClassName() + ".h\"\n");
     for (AstNodeModule* nodep = v3Global.rootp()->modulesp(); nodep;
          nodep = VN_AS(nodep->nextp(), NodeModule)) {
diff --git a/src/Verilator.cpp b/src/Verilator.cpp
index e5ba41c55..1a4c0bdc6 100644
--- a/src/Verilator.cpp
+++ b/src/Verilator.cpp
@@ -559,6 +559,7 @@ static void process() {
             V3EmitC::emitcSyms();
             V3EmitC::emitcConstPool();
             V3EmitC::emitcModel();
+            V3EmitC::emitcPch();
             V3EmitC::emitcHeaders();
         } else if (v3Global.opt.dpiHdrOnly()) {
             V3EmitC::emitcSyms(true);
diff --git a/test_regress/t/t_trace_noflag_bad.out b/test_regress/t/t_trace_noflag_bad.out
index e8156e0c9..66a2974a8 100644
--- a/test_regress/t/t_trace_noflag_bad.out
+++ b/test_regress/t/t_trace_noflag_bad.out
@@ -1,2 +1,2 @@
-%Error: Vt_trace_noflag_bad.cpp:106: 'Vt_trace_noflag_bad::trace()' called on model that was Verilated without --trace option
+%Error: Vt_trace_noflag_bad.cpp:105: 'Vt_trace_noflag_bad::trace()' called on model that was Verilated without --trace option
 Aborting...