diff --git a/Doc/c-api/typeobj.rst b/Doc/c-api/typeobj.rst
index 4000f8aa1d4c0c7..097596db6840aa0 100644
--- a/Doc/c-api/typeobj.rst
+++ b/Doc/c-api/typeobj.rst
@@ -1565,6 +1565,15 @@ and :c:data:`PyType_Type` effectively act as defaults.)
    type object.  This is exposed as the :attr:`~type.__doc__` attribute on the
    type and instances of the type.
 
+   For a heap type (:c:macro:`Py_TPFLAGS_HEAPTYPE`), if this field is set
+   directly rather than through the :c:data:`Py_tp_doc` slot, the string
+   must be allocated with :c:func:`PyMem_Malloc`, since CPython frees it
+   with :c:func:`PyMem_Free` when the type is deallocated. (As a
+   backwards-compatibility fallback, a string allocated with
+   :c:func:`PyObject_Malloc` is also detected and freed correctly, but
+   this fallback is not guaranteed and may be removed in a future
+   version -- see :gh:`118909`.)
+
    **Inheritance:**
 
    This field is *not* inherited by subtypes.
diff --git a/Lib/test/test_capi/test_mem.py b/Lib/test/test_capi/test_mem.py
index e6389b4e0c1e924..e21043c2df3eb5a 100644
--- a/Lib/test/test_capi/test_mem.py
+++ b/Lib/test/test_capi/test_mem.py
@@ -92,6 +92,17 @@ def test_pyobject_malloc_without_gil(self):
         code = 'import _testcapi; _testcapi.pyobject_malloc_without_gil()'
         self.check_malloc_without_gil(code)
 
+    def test_pyobject_malloc_tp_doc(self):
+        # gh-118909: tp_doc allocated with PyObject_Malloc() (as some
+        # extensions do) must still be freeable when the type is
+        # deallocated, even with debug allocator hooks enabled.
+        assert_python_ok(
+            '-c', 'import _testcapi; _testcapi.test_pyobject_malloc_tp_doc()',
+            PYTHONMALLOC=self.PYTHONMALLOC,
+            MALLOC_CONF="junk:false",
+            MALLOC_OPTIONS="j",
+        )
+
     def check_pyobject_is_freed(self, func_name):
         code = textwrap.dedent(f'''
             import gc, os, sys, _testinternalcapi
diff --git a/Misc/NEWS.d/next/Core_and_Builtins/2026-09-05-15-13-15.gh-issue-118909.p3Zk8q.rst b/Misc/NEWS.d/next/Core_and_Builtins/2026-09-05-15-13-15.gh-issue-118909.p3Zk8q.rst
new file mode 100644
index 000000000000000..e8affbe6b46fdee
--- /dev/null
+++ b/Misc/NEWS.d/next/Core_and_Builtins/2026-09-05-15-13-15.gh-issue-118909.p3Zk8q.rst
@@ -0,0 +1,4 @@
+Fix a crash in debug builds (or with :envvar:`PYTHONMALLOC=debug <PYTHONMALLOC>`)
+when deallocating a heap type whose :c:member:`~PyTypeObject.tp_doc` was
+allocated with :c:func:`PyObject_Malloc` instead of :c:func:`PyMem_Malloc`,
+as some C extensions do.
diff --git a/Modules/_testcapi/heaptype.c b/Modules/_testcapi/heaptype.c
index 963f464c47b9029..50c79cee8c2bc20 100644
--- a/Modules/_testcapi/heaptype.c
+++ b/Modules/_testcapi/heaptype.c
@@ -578,6 +578,46 @@ create_heapctype_with_none_bases_slot(PyObject *self, PyObject *Py_UNUSED(ignore
 }
 
 
+static PyType_Slot NoDocSlots_slots[] = {
+    {0, 0},
+};
+
+static PyType_Spec NoDocSlots_spec = {
+    .name = "_testcapi.PyObjectMallocDocType",
+    .basicsize = sizeof(PyObject),
+    .flags = Py_TPFLAGS_DEFAULT,
+    .slots = NoDocSlots_slots,
+};
+
+static PyObject *
+test_pyobject_malloc_tp_doc(PyObject *self, PyObject *Py_UNUSED(ignored))
+{
+    /* Regression test for gh-118909: some C extensions (e.g. older
+     * pybind11/nanobind versions) allocate tp_doc with PyObject_Malloc()
+     * directly instead of going through PyType_FromSpec()'s Py_tp_doc
+     * slot, relying on CPython to free it when the type is deallocated.
+     * Make sure that still works when debug allocator hooks are
+     * enabled (PYTHONMALLOC=debug). */
+    PyObject *type = PyType_FromSpec(&NoDocSlots_spec);
+    if (type == NULL) {
+        return NULL;
+    }
+    assert(((PyTypeObject *)type)->tp_doc == NULL);
+
+    static const char doc[] = "some docstring";
+    char *tp_doc = PyObject_Malloc(sizeof(doc));
+    if (tp_doc == NULL) {
+        Py_DECREF(type);
+        return PyErr_NoMemory();
+    }
+    memcpy(tp_doc, doc, sizeof(doc));
+    ((PyTypeObject *)type)->tp_doc = tp_doc;
+
+    Py_DECREF(type);  // triggers type_dealloc(), which frees tp_doc
+    Py_RETURN_NONE;
+}
+
+
 static PyMethodDef TestMethods[] = {
     {"pytype_fromspec_meta",    pytype_fromspec_meta,            METH_O},
     {"test_type_from_ephemeral_spec", test_type_from_ephemeral_spec, METH_NOARGS},
@@ -598,6 +638,7 @@ static PyMethodDef TestMethods[] = {
     {"pytype_getmodulebytoken", pytype_getmodulebytoken, METH_VARARGS},
     {"create_heapctype_with_none_bases_slot",
         create_heapctype_with_none_bases_slot, METH_NOARGS},
+    {"test_pyobject_malloc_tp_doc", test_pyobject_malloc_tp_doc, METH_NOARGS},
     {NULL},
 };
 
diff --git a/Objects/typeobject.c b/Objects/typeobject.c
index 572e302df8d80d5..7acb20b1c02cbf8 100644
--- a/Objects/typeobject.c
+++ b/Objects/typeobject.c
@@ -16,6 +16,7 @@
 #include "pycore_object_alloc.h"  // _PyObject_MallocWithType()
 #include "pycore_pyatomic_ft_wrappers.h"
 #include "pycore_pyerrors.h"      // _PyErr_Occurred()
+#include "pycore_pymem.h"         // _PyMem_DebugEnabled()
 #include "pycore_pystate.h"       // _PyThreadState_GET()
 #include "pycore_slots.h"         // _PySlotIterator_Init
 #include "pycore_symtable.h"      // _Py_Mangle()
@@ -6857,6 +6858,38 @@ _PyTypes_FiniCachedDescriptors(PyInterpreterState *interp)
 }
 
 
+/* Free a heap type's tp_doc.
+ *
+ * tp_doc is documented as being allocated by the type's creator, and
+ * historically some C extensions (e.g. older versions of pybind11 and
+ * nanobind) set it directly with PyObject_Malloc(), relying on CPython
+ * to free it here. gh-114574 switched CPython's own allocation of
+ * tp_doc from PyObject_Malloc() to PyMem_Malloc(). The two domains
+ * share the same underlying allocator in a release build, so this
+ * didn't matter in practice, but a build with the debug allocator
+ * hooks enabled (Py_DEBUG, or PYTHONMALLOC=debug) tags each domain's
+ * blocks and aborts if a block is freed with the wrong one.
+ *
+ * Detect which allocator was actually used, from the tag debug builds
+ * write just before the returned pointer, and free with the matching
+ * function so extensions written against the old contract keep
+ * working. This is a backwards-compatibility fallback, not a stable
+ * API: extensions should allocate tp_doc with PyMem_Malloc() (see
+ * gh-118909).
+ */
+static void
+type_free_tp_doc(char *tp_doc)
+{
+    if (tp_doc != NULL && _PyMem_DebugEnabled()) {
+        char api_id = ((char *)tp_doc)[-(Py_ssize_t)SIZEOF_SIZE_T];
+        if (api_id == 'o') {
+            PyObject_Free(tp_doc);
+            return;
+        }
+    }
+    PyMem_Free(tp_doc);
+}
+
 static void
 type_dealloc(PyObject *self)
 {
@@ -6910,7 +6943,7 @@ type_dealloc(PyObject *self)
     /* A type's tp_doc is heap allocated, unlike the tp_doc slots
      * of most other objects.  It's okay to cast it to char *.
      */
-    PyMem_Free((char *)type->tp_doc);
+    type_free_tp_doc((char *)type->tp_doc);
 
     PyHeapTypeObject *et = (PyHeapTypeObject *)type;
     Py_XDECREF(et->ht_name);