diff --git a/apps/vscode/CHANGELOG.md b/apps/vscode/CHANGELOG.md
index 8b31812d..cd2f68c7 100644
--- a/apps/vscode/CHANGELOG.md
+++ b/apps/vscode/CHANGELOG.md
@@ -2,6 +2,7 @@
 
 ## 1.117.0 (unreleased)
 
+- Fix issue with temp files for LSP request virtual documents (<https://github.com/quarto-dev/quarto/pull/585>)
 - Improved statement execution for Python `.qmd` files in Positron (<https://github.com/quarto-dev/quarto/pull/589>)
 
 ## 1.116.0 (Release on 2024-10-08)
diff --git a/apps/vscode/src/lsp/client.ts b/apps/vscode/src/lsp/client.ts
index c527b2d1..d7384000 100644
--- a/apps/vscode/src/lsp/client.ts
+++ b/apps/vscode/src/lsp/client.ts
@@ -53,7 +53,6 @@ import {
   virtualDocUri,
 } from "../vdoc/vdoc";
 import { activateVirtualDocEmbeddedContent } from "../vdoc/vdoc-content";
-import { deactivateVirtualDocTempFiles, isLanguageVirtualDoc } from "../vdoc/vdoc-tempfile";
 import { vdocCompletions } from "../vdoc/vdoc-completion";
 
 import {
@@ -160,8 +159,6 @@ export async function activateLsp(
 }
 
 export function deactivate(): Thenable<void> | undefined {
-  deactivateVirtualDocTempFiles();
-
   if (!client) {
     return undefined;
   }
@@ -289,8 +286,7 @@ function embeddedGoToDefinitionProvider(engine: MarkdownEngine) {
           adjustedPosition(vdoc.language, position)
         );
         const resolveLocation = (location: Location) => {
-          if (isLanguageVirtualDoc(vdoc.language, location.uri) ||
-            location.uri.toString() === vdocUri.uri.toString()) {
+          if (location.uri.toString() === vdocUri.uri.toString()) {
             return new Location(
               document.uri,
               unadjustedRange(vdoc.language, location.range)
@@ -300,8 +296,7 @@ function embeddedGoToDefinitionProvider(engine: MarkdownEngine) {
           }
         };
         const resolveLocationLink = (location: LocationLink) => {
-          if (isLanguageVirtualDoc(vdoc.language, location.targetUri) ||
-            location.targetUri.toString() === vdocUri.uri.toString()) {
+          if (location.targetUri.toString() === vdocUri.uri.toString()) {
             const locationLink: LocationLink = {
               targetRange: unadjustedRange(vdoc.language, location.targetRange),
               originSelectionRange: location.originSelectionRange
@@ -349,5 +344,3 @@ function isWithinYamlComment(doc: TextDocument, pos: Position) {
   const line = doc.lineAt(pos.line).text;
   return !!line.match(/^\s*#\s*\| /);
 }
-
-
diff --git a/apps/vscode/src/vdoc/vdoc-tempfile.ts b/apps/vscode/src/vdoc/vdoc-tempfile.ts
index 08985806..3b4851d9 100644
--- a/apps/vscode/src/vdoc/vdoc-tempfile.ts
+++ b/apps/vscode/src/vdoc/vdoc-tempfile.ts
@@ -1,7 +1,7 @@
 /*
  * vdoc-tempfile.ts
  *
- * Copyright (C) 2022 by Posit Software, PBC
+ * Copyright (C) 2022-2024 by Posit Software, PBC
  * Copyright (c) 2019 Takashi Tamura
  *
  * Unless you have received this program directly from Posit Software pursuant
@@ -17,6 +17,7 @@
 import * as fs from "fs";
 import * as path from "path";
 import * as tmp from "tmp";
+import * as uuid from "uuid";
 import {
   commands,
   Hover,
@@ -27,42 +28,27 @@ import {
   WorkspaceEdit,
 } from "vscode";
 import { VirtualDoc, VirtualDocUri } from "./vdoc";
-import { EmbeddedLanguage } from "./languages";
-
-// one virtual doc per language file extension
-const languageVirtualDocs = new Map<String, TextDocument>();
 
 export async function virtualDocUriFromTempFile(
-  virtualDoc: VirtualDoc, 
-  docPath: string, 
+  virtualDoc: VirtualDoc,
+  docPath: string,
   local: boolean
-) : Promise<VirtualDocUri> {
+): Promise<VirtualDocUri> {
+  const newVirtualDocUri = (doc: TextDocument) =>
+    <VirtualDocUri>{
+      uri: doc.uri,
+      cleanup: async () => await deleteDocument(doc),
+    };
 
-  // if this is local then create it alongside the docPath and return a cleanup 
-  // function to remove it when the action is completed. 
+  // if this is local then create it alongside the docPath and return a cleanup
+  // function to remove it when the action is completed.
   if (local || virtualDoc.language.localTempFile) {
     const ext = virtualDoc.language.extension;
     const vdocPath = path.join(path.dirname(docPath), `.vdoc.${ext}`);
     fs.writeFileSync(vdocPath, virtualDoc.content);
     const vdocUri = Uri.file(vdocPath);
     const doc = await workspace.openTextDocument(vdocUri);
-    return {
-      uri: doc.uri,
-      cleanup: async () => await deleteDocument(doc)
-    };
-  }
-
-  // do we have an existing document?
-  const langVdoc = languageVirtualDocs.get(virtualDoc.language.extension);
-  if (langVdoc && !langVdoc.isClosed) {
-    if (langVdoc.getText() === virtualDoc.content) {
-      // if its content is identical to what's passed in then just return it
-      return { uri: langVdoc.uri };
-    } else {
-      // otherwise remove it (it will get recreated below)
-      await deleteDocument(langVdoc);
-      languageVirtualDocs.delete(virtualDoc.language.extension);
-    }
+    return newVirtualDocUri(doc);
   }
 
   // write the virtual doc as a temp file
@@ -71,31 +57,17 @@ export async function virtualDocUriFromTempFile(
   // open the document and save a reference to it
   const vdocUri = Uri.file(vdocTempFile);
   const doc = await workspace.openTextDocument(vdocUri);
-  languageVirtualDocs.set(virtualDoc.language.extension, doc);
-
-  // if this is the first time getting a virtual doc for this
-  // language then execute a dummy request to cause it to load
-  if (!langVdoc) {
-    await commands.executeCommand<Hover[]>(
-      "vscode.executeHoverProvider",
-      vdocUri,
-      new Position(0, 0)
-    );
-  }
 
-  // return the uri
-  return { uri: doc.uri };
-}
-
-// delete any vdocs left open
-export async function deactivateVirtualDocTempFiles() {
-  languageVirtualDocs.forEach(async (doc) => {
-    await deleteDocument(doc);
-  });
-}
+  // TODO: Reevaluate whether this is necessary. Old comment:
+  // > if this is the first time getting a virtual doc for this
+  // > language then execute a dummy request to cause it to load
+  await commands.executeCommand<Hover[]>(
+    "vscode.executeHoverProvider",
+    vdocUri,
+    new Position(0, 0)
+  );
 
-export function isLanguageVirtualDoc(langauge: EmbeddedLanguage, uri: Uri) {
-  return languageVirtualDocs.get(langauge.extension)?.uri.toString() === uri.toString();
+  return newVirtualDocUri(doc);
 }
 
 // delete a document
@@ -121,7 +93,7 @@ function createVirtualDocTempFile(virtualDoc: VirtualDoc) {
   if (!fs.existsSync(dir)) {
     fs.mkdirSync(dir);
   }
-  const tmpPath = path.join(vdocTempDir, ext, ".intellisense." + ext);
+  const tmpPath = path.join(vdocTempDir, ext, ".intellisense." + uuid.v4() + "." + ext);
   fs.writeFileSync(tmpPath, virtualDoc.content);
 
   return tmpPath;