Spread-spectrum Doppler, a method introduced by our lab, preserves the maximum unaliased velocity of ultrafast Doppler while retaining some of the image quality benefits of compounding plane waves transmitted at different angles. The technique employs a sequence of pulses transmitted at M angles that are repeated L times in different random orders. Shuffling the slow-time samples so the angles repeat in the ascending order concentrates echoes from stationary off-focus targets in M harmonic frequency bins while spreading the in-focus signal across all frequencies. Off-focus echoes are suppressed, without compounding, by applying a notching comb filter, while the portion of the in-focus signal spread to the other (L − 1)M bins is retained for velocity estimation. Field II simulations were used to assess the method’s ability to track pulsatile velocity fluctuations in a straight vessel. The angle-corrected peak velocity was accurate to within ±10% of the true value when imaging at a Doppler frame rate of approximately 115 frames per cardiac cycle. Further improvement of the method will require a filter to attenuate off-focus echoes from non-stationary tissue.