diff --git a/dictionaries/CallMap.php b/dictionaries/CallMap.php
index 5c8237d3831..7fff4094083 100644
--- a/dictionaries/CallMap.php
+++ b/dictionaries/CallMap.php
@@ -9892,7 +9892,7 @@
 'PDO::sqliteCreateCollation' => ['bool', 'name'=>'string', 'callback'=>'callable'],
 'PDO::sqliteCreateFunction' => ['bool', 'function_name'=>'string', 'callback'=>'callable', 'num_args='=>'int'],
 'pdo_drivers' => ['array'],
-'PDOException::getCode' => ['string'],
+'PDOException::getCode' => ['int|string'],
 'PDOException::getFile' => ['string'],
 'PDOException::getLine' => ['int'],
 'PDOException::getMessage' => ['string'],
diff --git a/dictionaries/CallMap_historical.php b/dictionaries/CallMap_historical.php
index 8ca16b883dc..eca9d13fb40 100644
--- a/dictionaries/CallMap_historical.php
+++ b/dictionaries/CallMap_historical.php
@@ -4890,7 +4890,7 @@
     'PDO::sqliteCreateAggregate' => ['bool', 'function_name'=>'string', 'step_func'=>'callable', 'finalize_func'=>'callable', 'num_args='=>'int'],
     'PDO::sqliteCreateCollation' => ['bool', 'name'=>'string', 'callback'=>'callable'],
     'PDO::sqliteCreateFunction' => ['bool', 'function_name'=>'string', 'callback'=>'callable', 'num_args='=>'int'],
-    'PDOException::getCode' => ['string'],
+    'PDOException::getCode' => ['int|string'],
     'PDOException::getFile' => ['string'],
     'PDOException::getLine' => ['int'],
     'PDOException::getMessage' => ['string'],
diff --git a/dictionaries/PropertyMap.php b/dictionaries/PropertyMap.php
index e0f91665df6..1b2ffd01f0d 100644
--- a/dictionaries/PropertyMap.php
+++ b/dictionaries/PropertyMap.php
@@ -366,7 +366,7 @@
     ],
     'pdoexception' => [
         'errorinfo' => 'array',
-        'code' => 'string',
+        'code' => 'int|string',
     ],
     'domnode' => [
         'nodeName' => 'string',
diff --git a/src/Psalm/Internal/Analyzer/Statements/Expression/Call/Method/MethodCallReturnTypeFetcher.php b/src/Psalm/Internal/Analyzer/Statements/Expression/Call/Method/MethodCallReturnTypeFetcher.php
index a5dc24d171c..76d3dfa8e25 100644
--- a/src/Psalm/Internal/Analyzer/Statements/Expression/Call/Method/MethodCallReturnTypeFetcher.php
+++ b/src/Psalm/Internal/Analyzer/Statements/Expression/Call/Method/MethodCallReturnTypeFetcher.php
@@ -29,6 +29,7 @@
 use Psalm\Type\Atomic\TNamedObject;
 use Psalm\Type\Atomic\TTemplateParam;
 use Psalm\Type\Union;
+use RuntimeException;
 use Throwable;
 use UnexpectedValueException;
 
@@ -97,16 +98,14 @@ public static function fetch(
 
         if ($premixin_method_id->method_name === 'getcode'
             && $premixin_method_id->fq_class_name !== Exception::class
+            && $premixin_method_id->fq_class_name !== RuntimeException::class
+            && $premixin_method_id->fq_class_name !== PDOException::class
             && (
                 $codebase->classImplements($premixin_method_id->fq_class_name, Throwable::class)
                 || $codebase->interfaceExtends($premixin_method_id->fq_class_name, Throwable::class)
             )
         ) {
-            if ($premixin_method_id->fq_class_name === PDOException::class) {
-                return Type::getString();
-            } else {
-                return Type::getInt(true); // TODO: Remove the flag in Psalm 5
-            }
+            return Type::getInt(true); // TODO: Remove the flag in Psalm 5
         }
 
         if ($declaring_method_id && $declaring_method_id !== $method_id) {
diff --git a/tests/ReturnTypeProvider/ExceptionCodeTest.php b/tests/ReturnTypeProvider/ExceptionCodeTest.php
index 84e8acb28e5..a6aa3b8ee7a 100644
--- a/tests/ReturnTypeProvider/ExceptionCodeTest.php
+++ b/tests/ReturnTypeProvider/ExceptionCodeTest.php
@@ -13,27 +13,33 @@ public function providerValidCodeParse(): iterable
     {
         yield 'RuntimeException' => [
             '<?php
-                function f(\RuntimeException $e): int {
-                    return $e->getCode();
-                }
+                /** @var \RuntimeException $e */
+                $code = $e->getCode();
+            ',
+            ['$code' => 'int|string'],
+        ];
+        yield 'CustomRuntimeException' => [
+            '<?php
+                class CustomRuntimeException extends \RuntimeException {}
+
+                /** @var CustomRuntimeException $e */
+                $code = $e->getCode();
             ',
-            [],
+            ['$code' => 'int'],
         ];
         yield 'LogicException' => [
             '<?php
-                function f(\LogicException $e): int {
-                    return $e->getCode();
-                }
+                /** @var \LogicException $e */
+                $code = $e->getCode();
             ',
-            [],
+            ['$code' => 'int'],
         ];
         yield 'PDOException' => [
             '<?php
-                function f(\PDOException $e): string {
-                    return $e->getCode();
-                }
+                /** @var \PDOException $e */
+                $code = $e->getCode();
             ',
-            [],
+            ['$code' => 'int|string'],
         ];
         yield 'CustomThrowable' => [
             '<?php