diff --git a/src/duckstation-qt/interfacesettingswidget.cpp b/src/duckstation-qt/interfacesettingswidget.cpp
index d350fe1bb..8bcdb6dae 100644
--- a/src/duckstation-qt/interfacesettingswidget.cpp
+++ b/src/duckstation-qt/interfacesettingswidget.cpp
@@ -11,6 +11,9 @@
 
 const char* InterfaceSettingsWidget::THEME_NAMES[] = {
   QT_TRANSLATE_NOOP("MainWindow", "Native"),
+#ifdef _WIN32
+  QT_TRANSLATE_NOOP("MainWindow", "Classic Windows"),
+#endif
   QT_TRANSLATE_NOOP("MainWindow", "Fusion"),
   QT_TRANSLATE_NOOP("MainWindow", "Dark Fusion (Gray)"),
   QT_TRANSLATE_NOOP("MainWindow", "Dark Fusion (Blue)"),
@@ -22,7 +25,18 @@ const char* InterfaceSettingsWidget::THEME_NAMES[] = {
 };
 
 const char* InterfaceSettingsWidget::THEME_VALUES[] = {
-  "","fusion", "darkfusion", "darkfusionblue", "cobaltsky", "greymatter", "darkruby", "purplerain", nullptr,
+  "",
+#ifdef _WIN32
+  "windowsvista",
+#endif
+  "fusion",
+  "darkfusion",
+  "darkfusionblue",
+  "cobaltsky",
+  "greymatter",
+  "darkruby",
+  "purplerain",
+  nullptr,
 };
 
 const char* InterfaceSettingsWidget::DEFAULT_THEME_NAME = "darkfusion";
diff --git a/src/duckstation-qt/mainwindow.cpp b/src/duckstation-qt/mainwindow.cpp
index 588664f9c..fcbf65cd2 100644
--- a/src/duckstation-qt/mainwindow.cpp
+++ b/src/duckstation-qt/mainwindow.cpp
@@ -2428,6 +2428,13 @@ void MainWindow::setStyleFromSettings()
 
     qApp->setStyleSheet("QToolTip { color: #ffffff; background-color: #505a70; border: 1px solid white; }");
   }
+#ifdef _WIN32
+  else if (theme == "windowsvista")
+  {
+    qApp->setStyle(QStyleFactory::create("windowsvista"));
+    qApp->setStyleSheet(QString());
+  }
+#endif
   else
   {
     qApp->setStyle(s_unthemed_style_name);