diff --git a/CHANGELOG.md b/CHANGELOG.md
index 7a7b135f9..8dc2ad0ae 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,6 +1,14 @@
 Changelog
 =========
 
+## TBD
+
+### Bug fixes
+
+* Show correct value for `app.inForeground` when an app launches and crashes in
+  the background without ever coming to the foreground.
+  [#415](https://github.com/bugsnag/bugsnag-cocoa/pull/415)
+
 ## 5.22.6 (2019-09-18)
 
 ### Enhancements
diff --git a/Source/BSGOutOfMemoryWatchdog.m b/Source/BSGOutOfMemoryWatchdog.m
index b2f7e6b4d..5850a7808 100644
--- a/Source/BSGOutOfMemoryWatchdog.m
+++ b/Source/BSGOutOfMemoryWatchdog.m
@@ -244,19 +244,8 @@ - (NSMutableDictionary *)generateCacheInfoWithConfig:(BugsnagConfiguration *)con
     app[@"version"] = systemInfo[@BSG_KSSystemField_BundleShortVersion] ?: @"";
     app[@"bundleVersion"] = systemInfo[@BSG_KSSystemField_BundleVersion] ?: @"";
 #if BSGOOMAvailable
-    UIApplicationState state = [self currentAppState];
-    // The app is in the foreground if the current state is "active" or
-    // "inactive". From the UIApplicationState docs:
-    // > UIApplicationStateActive
-    // >   The app is running in the foreground and currently receiving events.
-    // > UIApplicationStateInactive
-    // >   The app is running in the foreground but is not receiving events.
-    // >   This might happen as a result of an interruption or because the app
-    // >   is transitioning to or from the background.
-    // > UIApplicationStateBackground
-    // >   The app is running in the background.
-    app[@"inForeground"] = @(state == UIApplicationStateInactive
-                          || state == UIApplicationStateActive);
+    UIApplicationState state = [BSG_KSSystemInfo currentAppState];
+    app[@"inForeground"] = @([BSG_KSSystemInfo isInForeground:state]);
     app[@"isActive"] = @(state == UIApplicationStateActive);
 #else
     app[@"inForeground"] = @YES;
@@ -285,34 +274,4 @@ - (NSMutableDictionary *)generateCacheInfoWithConfig:(BugsnagConfiguration *)con
     return cache;
 }
 
-// Only available on iOS/tvOS
-#if BSGOOMAvailable
-- (UIApplicationState)currentAppState {
-    // Only checked outside of app extensions since sharedApplication is
-    // unavailable to extension UIKit APIs
-    if ([BSG_KSSystemInfo isRunningInAppExtension]) {
-        return UIApplicationStateActive;
-    }
-
-    UIApplicationState(^getState)(void) = ^() {
-        // Calling this API indirectly to avoid a compile-time check that
-        // [UIApplication sharedApplication] is not called from app extensions
-        // (which is handled above)
-        UIApplication *app = [UIApplication performSelector:@selector(sharedApplication)];
-        return [app applicationState];
-    };
-
-    if ([[NSThread currentThread] isMainThread]) {
-        return getState();
-    } else {
-        // [UIApplication sharedApplication] is a main thread-only API
-        __block UIApplicationState state;
-        dispatch_sync(dispatch_get_main_queue(), ^{
-            state = getState();
-        });
-        return state;
-    }
-}
-#endif
-
 @end
diff --git a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSCrashState.m b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSCrashState.m
index 0d128e7ff..7c47457d7 100644
--- a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSCrashState.m
+++ b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSCrashState.m
@@ -30,10 +30,14 @@
 #include "BSG_KSJSONCodec.h"
 #include "BSG_KSJSONCodecObjC.h"
 #include "BSG_KSMach.h"
+#include "BSG_KSSystemInfo.h"
 
 //#define BSG_KSLogger_LocalLevel TRACE
 #include "BSG_KSLogger.h"
 
+#if (TARGET_OS_TV || TARGET_OS_IPHONE || TARGET_IPHONE_SIMULATOR)
+#import <UIKit/UIKit.h>
+#endif
 #include <errno.h>
 #include <fcntl.h>
 #include <mach/mach_time.h>
@@ -298,7 +302,14 @@ bool bsg_kscrashstate_init(const char *const stateFilePath,
     // Simulate first transition to foreground
     state->launchesSinceLastCrash++;
     state->sessionsSinceLastCrash++;
+#if (TARGET_OS_TV || TARGET_OS_IPHONE || TARGET_IPHONE_SIMULATOR)
+    // On iOS/tvOS, the app may have launched in the background due to a fetch
+    // event or notification
+    UIApplicationState appState = [BSG_KSSystemInfo currentAppState];
+    state->applicationIsInForeground = [BSG_KSSystemInfo isInForeground:appState];
+#else
     state->applicationIsInForeground = true;
+#endif
 
     return bsg_kscrashstate_i_saveState(state, stateFilePath);
 }
diff --git a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.h b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.h
index a4c9eb7a7..421b74120 100644
--- a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.h
+++ b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.h
@@ -56,6 +56,9 @@
 #define BSG_KSSystemField_BuildType "build_type"
 
 #import <Foundation/Foundation.h>
+#if TARGET_OS_TV || TARGET_IPHONE_SIMULATOR || TARGET_OS_IPHONE
+#import <UIKit/UIKit.h>
+#endif
 
 /**
  * Provides system information useful for a crash report.
@@ -78,4 +81,13 @@
  */
 + (BOOL)isRunningInAppExtension;
 
+#if TARGET_OS_TV || TARGET_IPHONE_SIMULATOR || TARGET_OS_IPHONE
++ (UIApplicationState)currentAppState;
+
+/**
+ * YES if the app is currently shown in the foreground
+ */
++ (BOOL)isInForeground:(UIApplicationState)state;
+#endif
+
 @end
diff --git a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.m b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.m
index 140b742b6..0889980d7 100644
--- a/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.m
+++ b/Source/KSCrash/Source/KSCrash/Recording/BSG_KSSystemInfo.m
@@ -453,6 +453,50 @@ + (BOOL)isRunningInAppExtension {
 #endif
 }
 
+#if TARGET_OS_TV || TARGET_IPHONE_SIMULATOR || TARGET_OS_IPHONE
++ (UIApplicationState)currentAppState {
+    // Only checked outside of app extensions since sharedApplication is
+    // unavailable to extension UIKit APIs
+    if ([self isRunningInAppExtension]) {
+        return UIApplicationStateActive;
+    }
+
+    UIApplicationState(^getState)(void) = ^() {
+        // Calling this API indirectly to avoid a compile-time check that
+        // [UIApplication sharedApplication] is not called from app extensions
+        // (which is handled above)
+        UIApplication *app = [UIApplication performSelector:@selector(sharedApplication)];
+        return [app applicationState];
+    };
+
+    if ([[NSThread currentThread] isMainThread]) {
+        return getState();
+    } else {
+        // [UIApplication sharedApplication] is a main thread-only API
+        __block UIApplicationState state;
+        dispatch_sync(dispatch_get_main_queue(), ^{
+            state = getState();
+        });
+        return state;
+    }
+}
+
++ (BOOL)isInForeground:(UIApplicationState)state {
+    // The app is in the foreground if the current state is "active" or
+    // "inactive". From the UIApplicationState docs:
+    // > UIApplicationStateActive
+    // >   The app is running in the foreground and currently receiving events.
+    // > UIApplicationStateInactive
+    // >   The app is running in the foreground but is not receiving events.
+    // >   This might happen as a result of an interruption or because the app
+    // >   is transitioning to or from the background.
+    // > UIApplicationStateBackground
+    // >   The app is running in the background.
+    return state == UIApplicationStateInactive
+        || state == UIApplicationStateActive;
+}
+#endif
+
 @end
 
 const char *bsg_kssysteminfo_toJSON(void) {
diff --git a/Tests/KSCrash/KSSystemInfo_Tests.m b/Tests/KSCrash/KSSystemInfo_Tests.m
index a8c7e9926..a3e3ca531 100755
--- a/Tests/KSCrash/KSSystemInfo_Tests.m
+++ b/Tests/KSCrash/KSSystemInfo_Tests.m
@@ -75,4 +75,24 @@ - (void) testExecutablePathIsValid
     XCTAssertEqualObjects(executablePath, expectedExecutablePath);
 }
 
+#if TARGET_OS_TV || TARGET_IPHONE_SIMULATOR || TARGET_OS_IPHONE
+- (void)testCurrentAppState {
+    // Should default to active as tests aren't in an app bundle
+    XCTAssertEqual(UIApplicationStateActive, [BSG_KSSystemInfo currentAppState]);
+}
+
+- (void)testInactiveIsInForeground {
+    XCTAssertTrue([BSG_KSSystemInfo isInForeground:UIApplicationStateInactive]);
+}
+
+- (void)testActiveIsInForeground {
+    XCTAssertTrue([BSG_KSSystemInfo isInForeground:UIApplicationStateActive]);
+
+}
+
+- (void)testBackgroundIsNotInForeground {
+    XCTAssertFalse([BSG_KSSystemInfo isInForeground:UIApplicationStateBackground]);
+}
+#endif
+
 @end