Embodiments of this application provide a communication method and apparatus, and a related device. The method includes: A first device sends first V2X unicast information to a second device, where the first V2X unicast information includes a first media access control MAC address and a first identifier; the first device receives second V2X unicast information from the second device, where the second V2X unicast information includes a second MAC address and a second identifier; and the first device generates another MAC address when the second V2X unicast information carries indication information, the first MAC address is the same as the second MAC address, and the first identifier is the same as the second identifier, where the indication information indicates that the second MAC address is a conflicting address.