Coping with dementia has generally been conceptualised at an individual rather than relational level. In couples coping with chronic illness, dyadic coping models involving shared appraisals of stress and coping have been explored. This study aimed to explore dyadic coping in couples living with dementia. Qualitative framework analysis methodology was used to analyse data from nine joint interviews with spouse dyads living with dementia. Six main themes were identified: ‘Dementia awareness and ownership’, ‘Emotional closeness’, ‘Responsibility’, ‘Individual needs and difficulties’, ‘Individual coping by people with dementia’, and ‘Wider social context’. Findings suggested couples coping with dementia may utilise dyadic coping strategies, with couples maintaining closeness associated with sustaining joint coping. However, the impact of dementia upon a lack of shared dementia awareness and ownership, and loss of shared responsibility for coping, was associated with a lack of shared appraisals of stress and dyadic coping.