diff --git a/packages/component-base/src/virtualizer-iron-list-adapter.js b/packages/component-base/src/virtualizer-iron-list-adapter.js
index 78f0c27e15..3c1aeafc0f 100644
--- a/packages/component-base/src/virtualizer-iron-list-adapter.js
+++ b/packages/component-base/src/virtualizer-iron-list-adapter.js
@@ -136,6 +136,7 @@ export class IronListAdapter {
   }
 
   flush() {
+    const startPhysicalCount = this._physicalCount;
     // The scroll target is hidden.
     if (this.scrollTarget.offsetHeight === 0) {
       return;
@@ -153,6 +154,11 @@ export class IronListAdapter {
     if (this.__debouncerWheelAnimationFrame) {
       this.__debouncerWheelAnimationFrame.flush();
     }
+
+    if (this._physicalCount !== startPhysicalCount) {
+      // Flushing again until physical count stabilizes fixes https://github.com/vaadin/flow-components/issues/5595#issuecomment-1770278913
+      this.flush();
+    }
   }
 
   update(startIndex = 0, endIndex = this.size - 1) {