Wireless communications systems and methods related to multiplexing uplink control channel signals from different users are provided. A first wireless communication device obtains an uplink control channel multiplex configuration indicating a first frequency spreading sequence and at least one of a second frequency spreading sequence or a first spatial direction. The first wireless communication device communicates, with a second wireless communication device, a first uplink control channel signal including a first reference signal and a first uplink control information signal in a frequency spectrum based on the uplink control channel multiplex configuration. The first reference signal is based on the first frequency spreading sequence and the first uplink control information signal is based on at least one of the second frequency spreading sequence or the first spatial direction.