diff --git a/packages/rule-tester/src/RuleTester.ts b/packages/rule-tester/src/RuleTester.ts
index f0ac7ca3dcac..324700fa264a 100644
--- a/packages/rule-tester/src/RuleTester.ts
+++ b/packages/rule-tester/src/RuleTester.ts
@@ -704,6 +704,23 @@ export class RuleTester extends TestFramework {
     const result = this.runRuleForItem(ruleName, rule, item);
     const messages = result.messages;
 
+    for (const message of messages) {
+      if (hasOwnProperty(message, 'suggestions')) {
+        const seenMessageIndices = new Map<string, number>();
+
+        for (let i = 0; i < message.suggestions.length; i += 1) {
+          const suggestionMessage = message.suggestions[i].desc;
+          const previous = seenMessageIndices.get(suggestionMessage);
+
+          assert.ok(
+            !seenMessageIndices.has(suggestionMessage),
+            `Suggestion message '${suggestionMessage}' reported from suggestion ${i} was previously reported by suggestion ${previous}. Suggestion messages should be unique within an error.`,
+          );
+          seenMessageIndices.set(suggestionMessage, i);
+        }
+      }
+    }
+
     if (typeof item.errors === 'number') {
       if (item.errors === 0) {
         assert.fail("Invalid cases must have 'error' value greater than 0");
diff --git a/packages/rule-tester/tests/eslint-base/eslint-base.test.js b/packages/rule-tester/tests/eslint-base/eslint-base.test.js
index b1dabac0bb4c..8304dee78f95 100644
--- a/packages/rule-tester/tests/eslint-base/eslint-base.test.js
+++ b/packages/rule-tester/tests/eslint-base/eslint-base.test.js
@@ -2226,6 +2226,39 @@ describe("RuleTester", () => {
             }, /Invalid suggestion property name 'outpt'/u);
         });
 
+        it("should fail if a rule produces two suggestions with the same description", () => {
+          assert.throws(() => {
+              ruleTester.run("suggestions-with-duplicate-descriptions", require("../../fixtures/testers/rule-tester/suggestions").withDuplicateDescriptions, {
+                  valid: [],
+                  invalid: [
+                      { code: "var foo = bar;", errors: 1 }
+                  ]
+              });
+          }, "Suggestion message 'Rename 'foo' to 'bar'' reported from suggestion 1 was previously reported by suggestion 0. Suggestion messages should be unique within an error.");
+      });
+
+      it("should fail if a rule produces two suggestions with the same messageId without data", () => {
+          assert.throws(() => {
+              ruleTester.run("suggestions-with-duplicate-messageids-no-data", require("../../fixtures/testers/rule-tester/suggestions").withDuplicateMessageIdsNoData, {
+                  valid: [],
+                  invalid: [
+                      { code: "var foo = bar;", errors: 1 }
+                  ]
+              });
+          }, "Suggestion message 'Rename identifier' reported from suggestion 1 was previously reported by suggestion 0. Suggestion messages should be unique within an error.");
+      });
+
+      it("should fail if a rule produces two suggestions with the same messageId with data", () => {
+          assert.throws(() => {
+              ruleTester.run("suggestions-with-duplicate-messageids-with-data", require("../../fixtures/testers/rule-tester/suggestions").withDuplicateMessageIdsWithData, {
+                  valid: [],
+                  invalid: [
+                      { code: "var foo = bar;", errors: 1 }
+                  ]
+              });
+          }, "Suggestion message 'Rename identifier 'foo' to 'bar'' reported from suggestion 1 was previously reported by suggestion 0. Suggestion messages should be unique within an error.");
+      });
+
         it("should throw an error if a rule that doesn't have `meta.hasSuggestions` enabled produces suggestions", () => {
             assert.throws(() => {
                 ruleTester.run("suggestions-missing-hasSuggestions-property", require("./fixtures/suggestions").withoutHasSuggestionsProperty, {
diff --git a/packages/rule-tester/tests/eslint-base/fixtures/suggestions.js b/packages/rule-tester/tests/eslint-base/fixtures/suggestions.js
index 4638ac2cacbf..d883167889e0 100644
--- a/packages/rule-tester/tests/eslint-base/fixtures/suggestions.js
+++ b/packages/rule-tester/tests/eslint-base/fixtures/suggestions.js
@@ -61,6 +61,98 @@ module.exports.withMessageIds = {
     }
 };
 
+module.exports.withDuplicateDescriptions = {
+  meta: {
+      hasSuggestions: true
+  },
+  create(context) {
+      return {
+          Identifier(node) {
+              if (node.name === "foo") {
+                  context.report({
+                      node,
+                      message: "Avoid using identifiers name 'foo'.",
+                      suggest: [{
+                          desc: "Rename 'foo' to 'bar'",
+                          fix: fixer => fixer.replaceText(node, "bar")
+                      }, {
+                          desc: "Rename 'foo' to 'bar'",
+                          fix: fixer => fixer.replaceText(node, "baz")
+                      }]
+                  });
+              }
+          }
+      };
+  }
+};
+
+module.exports.withDuplicateMessageIdsNoData = {
+  meta: {
+      messages: {
+          avoidFoo: "Avoid using identifiers named '{{ name }}'.",
+          renameFoo: "Rename identifier"
+      },
+      hasSuggestions: true
+  },
+  create(context) {
+      return {
+          Identifier(node) {
+              if (node.name === "foo") {
+                  context.report({
+                      node,
+                      messageId: "avoidFoo",
+                      data: {
+                          name: "foo"
+                      },
+                      suggest: [{
+                          messageId: "renameFoo",
+                          fix: fixer => fixer.replaceText(node, "bar")
+                      }, {
+                          messageId: "renameFoo",
+                          fix: fixer => fixer.replaceText(node, "baz")
+                      }]
+                  });
+              }
+          }
+      };
+  }
+};
+
+module.exports.withDuplicateMessageIdsWithData = {
+  meta: {
+      messages: {
+          avoidFoo: "Avoid using identifiers named foo.",
+          renameFoo: "Rename identifier 'foo' to '{{ newName }}'"
+      },
+      hasSuggestions: true
+  },
+  create(context) {
+      return {
+          Identifier(node) {
+              if (node.name === "foo") {
+                  context.report({
+                      node,
+                      messageId: "avoidFoo",
+                      suggest: [{
+                          messageId: "renameFoo",
+                          data: {
+                              newName: "bar"
+                          },
+                          fix: fixer => fixer.replaceText(node, "bar")
+                      }, {
+                          messageId: "renameFoo",
+                          data: {
+                              newName: "bar"
+                          },
+                          fix: fixer => fixer.replaceText(node, "baz")
+                      }]
+                  });
+              }
+          }
+      };
+  }
+};
+
 module.exports.withoutHasSuggestionsProperty = {
     create(context) {
         return {