diff --git a/src/core/host.cpp b/src/core/host.cpp
index cf676c856..1b94ea5bb 100644
--- a/src/core/host.cpp
+++ b/src/core/host.cpp
@@ -288,7 +288,8 @@ bool Host::CreateGPUDevice(RenderAPI api, Error* error)
   if (!g_gpu_device || !g_gpu_device->Create(
                          g_settings.gpu_adapter,
                          g_settings.gpu_disable_shader_cache ? std::string_view() : std::string_view(EmuFolders::Cache),
-                         SHADER_CACHE_VERSION, g_settings.gpu_use_debug_device, System::IsVSyncEffectivelyEnabled(),
+                         SHADER_CACHE_VERSION, g_settings.gpu_use_debug_device, System::IsHostVSyncEffectivelyEnabled(),
+                         System::IsHostVSyncEffectivelyEnabled() && !System::IsHostVSyncUsedForTiming(),
                          g_settings.gpu_threaded_presentation, exclusive_fullscreen_control,
                          static_cast<GPUDevice::FeatureMask>(disabled_features), &create_error))
   {
@@ -331,9 +332,15 @@ void Host::UpdateDisplayWindow()
 
   ImGuiManager::WindowResized();
 
-  // If we're paused, re-present the current frame at the new window size.
-  if (System::IsValid() && System::IsPaused())
-    System::InvalidateDisplay();
+  if (System::IsValid())
+  {
+    // Fix up vsync etc.
+    System::UpdateSpeedLimiterState();
+
+    // If we're paused, re-present the current frame at the new window size.
+    if (System::IsPaused())
+      System::InvalidateDisplay();
+  }
 }
 
 void Host::ResizeDisplayWindow(s32 width, s32 height, float scale)
diff --git a/src/core/system.cpp b/src/core/system.cpp
index 986fbf00f..9c4ccf9da 100644
--- a/src/core/system.cpp
+++ b/src/core/system.cpp
@@ -2835,7 +2835,6 @@ void System::UpdateSpeedLimiterState()
 {
   DebugAssert(IsValid());
 
-  const float old_target_speed = s_target_speed;
   s_target_speed = s_turbo_enabled ?
                      g_settings.turbo_speed :
                      (s_fast_forward_enabled ? g_settings.fast_forward_speed : g_settings.emulation_speed);
@@ -2862,7 +2861,7 @@ void System::UpdateSpeedLimiterState()
   }
 
   // When syncing to host and using vsync, we don't need to sleep.
-  s_syncing_to_host_with_vsync = (s_syncing_to_host && IsVSyncEffectivelyEnabled());
+  s_syncing_to_host_with_vsync = (s_syncing_to_host && IsHostVSyncEffectivelyEnabled());
   if (s_syncing_to_host_with_vsync)
   {
     Log_InfoPrintf("Using host vsync for throttling.");
@@ -2886,22 +2885,27 @@ void System::UpdateSpeedLimiterState()
 
 void System::UpdateDisplaySync()
 {
-  const bool vsync_enabled = IsVSyncEffectivelyEnabled();
-  const bool syncing_to_host_vsync = (s_syncing_to_host && vsync_enabled);
+  const bool vsync_enabled = IsHostVSyncEffectivelyEnabled();
   const float max_display_fps = (s_throttler_enabled || s_syncing_to_host) ? 0.0f : g_settings.display_max_fps;
   Log_VerboseFmt("VSync: {}{}", vsync_enabled ? "Enabled" : "Disabled",
-                 syncing_to_host_vsync ? " (for throttling)" : "");
+                 s_syncing_to_host_with_vsync ? " (for throttling)" : "");
   Log_VerboseFmt("Max display fps: {}", max_display_fps);
   Log_VerboseFmt("Preset timing: {}", s_optimal_frame_pacing ? "consistent" : "immediate");
 
   g_gpu_device->SetDisplayMaxFPS(max_display_fps);
-  g_gpu_device->SetVSyncEnabled(vsync_enabled);
+  g_gpu_device->SetVSyncEnabled(vsync_enabled, vsync_enabled && !IsHostVSyncUsedForTiming());
 }
 
-bool System::IsVSyncEffectivelyEnabled()
+bool System::IsHostVSyncEffectivelyEnabled()
 {
   // Disable vsync if running outside 100%.
-  return (g_settings.display_vsync && IsValid() && !IsRunningAtNonStandardSpeed());
+  return (g_settings.display_vsync && (s_state != State::Shutdown && s_state != State::Stopping) &&
+          !IsRunningAtNonStandardSpeed());
+}
+
+bool System::IsHostVSyncUsedForTiming()
+{
+  return (IsHostVSyncEffectivelyEnabled() && s_syncing_to_host_with_vsync);
 }
 
 bool System::IsFastForwardEnabled()
@@ -4505,7 +4509,7 @@ bool System::IsRunningAtNonStandardSpeed()
   if (!IsValid())
     return false;
 
-  const float target_speed = System::GetTargetSpeed();
+  const float target_speed = GetTargetSpeed();
   return (target_speed <= 0.95f || target_speed >= 1.05f);
 }
 
diff --git a/src/core/system.h b/src/core/system.h
index ab1400702..e0e5cdce7 100644
--- a/src/core/system.h
+++ b/src/core/system.h
@@ -466,7 +466,10 @@ void ToggleWidescreen();
 bool IsRunningAtNonStandardSpeed();
 
 /// Returns true if vsync should be used.
-bool IsVSyncEffectivelyEnabled();
+bool IsHostVSyncEffectivelyEnabled();
+
+/// Returns true if vsync is being used for frame pacing.
+bool IsHostVSyncUsedForTiming();
 
 /// Quick switch between software and hardware rendering.
 void ToggleSoftwareRendering();
diff --git a/src/util/d3d11_device.cpp b/src/util/d3d11_device.cpp
index 6d16ddc67..f64121869 100644
--- a/src/util/d3d11_device.cpp
+++ b/src/util/d3d11_device.cpp
@@ -197,6 +197,13 @@ void D3D11Device::SetFeatures(FeatureMask disabled_features)
   m_features.prefer_unused_textures = false;
 }
 
+u32 D3D11Device::GetSwapChainBufferCount() const
+{
+  // With vsync off, we only need two buffers. Same for blocking vsync.
+  // With triple buffering, we need three.
+  return (m_vsync_enabled && m_vsync_prefer_triple_buffer) ? 3 : 2;
+}
+
 bool D3D11Device::CreateSwapChain()
 {
   if (m_window_info.type != WindowInfo::Type::Win32)
@@ -233,7 +240,7 @@ bool D3D11Device::CreateSwapChain()
   swap_chain_desc.Height = static_cast<u32>(client_rc.bottom - client_rc.top);
   swap_chain_desc.Format = dxgi_format;
   swap_chain_desc.SampleDesc.Count = 1;
-  swap_chain_desc.BufferCount = 3;
+  swap_chain_desc.BufferCount = GetSwapChainBufferCount();
   swap_chain_desc.BufferUsage = DXGI_USAGE_RENDER_TARGET_OUTPUT;
   swap_chain_desc.SwapEffect = m_using_flip_model_swap_chain ? DXGI_SWAP_EFFECT_FLIP_DISCARD : DXGI_SWAP_EFFECT_DISCARD;
 
@@ -593,8 +600,7 @@ std::optional<float> D3D11Device::GetHostRefreshRate()
     if (SUCCEEDED(m_swap_chain->GetDesc(&desc)) && desc.BufferDesc.RefreshRate.Numerator > 0 &&
         desc.BufferDesc.RefreshRate.Denominator > 0)
     {
-      Log_InfoPrintf("using fs rr: %u %u", desc.BufferDesc.RefreshRate.Numerator,
-                     desc.BufferDesc.RefreshRate.Denominator);
+      Log_DevFmt("using fs rr: {} {}", desc.BufferDesc.RefreshRate.Numerator, desc.BufferDesc.RefreshRate.Denominator);
       return static_cast<float>(desc.BufferDesc.RefreshRate.Numerator) /
              static_cast<float>(desc.BufferDesc.RefreshRate.Denominator);
     }
@@ -603,6 +609,25 @@ std::optional<float> D3D11Device::GetHostRefreshRate()
   return GPUDevice::GetHostRefreshRate();
 }
 
+void D3D11Device::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
+{
+  if (m_vsync_enabled == enabled && m_vsync_prefer_triple_buffer == prefer_triple_buffer)
+    return;
+
+  const u32 old_buffer_count = GetSwapChainBufferCount();
+  m_vsync_enabled = enabled;
+  m_vsync_prefer_triple_buffer = prefer_triple_buffer;
+  if (!m_swap_chain)
+    return;
+
+  if (GetSwapChainBufferCount() != old_buffer_count)
+  {
+    DestroySwapChain();
+    if (!CreateSwapChain())
+      Panic("Failed to recreate swap chain after vsync change.");
+  }
+}
+
 bool D3D11Device::BeginPresent(bool skip_present)
 {
   if (skip_present)
diff --git a/src/util/d3d11_device.h b/src/util/d3d11_device.h
index e8099b8a3..735de4354 100644
--- a/src/util/d3d11_device.h
+++ b/src/util/d3d11_device.h
@@ -97,6 +97,7 @@ public:
   void DrawIndexedWithBarrier(u32 index_count, u32 base_index, u32 base_vertex, DrawBarrier type) override;
 
   std::optional<float> GetHostRefreshRate() override;
+  void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer) override;
 
   bool SetGPUTimingEnabled(bool enabled) override;
   float GetAndResetAccumulatedGPUTime() override;
@@ -135,6 +136,7 @@ private:
 
   void SetFeatures(FeatureMask disabled_features);
 
+  u32 GetSwapChainBufferCount() const;
   bool CreateSwapChain();
   bool CreateSwapChainRTV();
   void DestroySwapChain();
diff --git a/src/util/d3d12_device.cpp b/src/util/d3d12_device.cpp
index e10b2de04..5ae31f9b6 100644
--- a/src/util/d3d12_device.cpp
+++ b/src/util/d3d12_device.cpp
@@ -797,6 +797,13 @@ bool D3D12Device::HasSurface() const
   return static_cast<bool>(m_swap_chain);
 }
 
+u32 D3D12Device::GetSwapChainBufferCount() const
+{
+  // With vsync off, we only need two buffers. Same for blocking vsync.
+  // With triple buffering, we need three.
+  return (m_vsync_enabled && m_vsync_prefer_triple_buffer) ? 3 : 2;
+}
+
 bool D3D12Device::CreateSwapChain()
 {
   if (m_window_info.type != WindowInfo::Type::Win32)
@@ -830,7 +837,7 @@ bool D3D12Device::CreateSwapChain()
   swap_chain_desc.Height = static_cast<u32>(client_rc.bottom - client_rc.top);
   swap_chain_desc.Format = fm.resource_format;
   swap_chain_desc.SampleDesc.Count = 1;
-  swap_chain_desc.BufferCount = 3;
+  swap_chain_desc.BufferCount = GetSwapChainBufferCount();
   swap_chain_desc.BufferUsage = DXGI_USAGE_RENDER_TARGET_OUTPUT;
   swap_chain_desc.SwapEffect = DXGI_SWAP_EFFECT_FLIP_DISCARD;
 
@@ -1081,6 +1088,42 @@ std::string D3D12Device::GetDriverInfo() const
   return ret;
 }
 
+std::optional<float> D3D12Device::GetHostRefreshRate()
+{
+  if (m_swap_chain && m_is_exclusive_fullscreen)
+  {
+    DXGI_SWAP_CHAIN_DESC desc;
+    if (SUCCEEDED(m_swap_chain->GetDesc(&desc)) && desc.BufferDesc.RefreshRate.Numerator > 0 &&
+        desc.BufferDesc.RefreshRate.Denominator > 0)
+    {
+      Log_DevFmt("using fs rr: {} {}", desc.BufferDesc.RefreshRate.Numerator, desc.BufferDesc.RefreshRate.Denominator);
+      return static_cast<float>(desc.BufferDesc.RefreshRate.Numerator) /
+             static_cast<float>(desc.BufferDesc.RefreshRate.Denominator);
+    }
+  }
+
+  return GPUDevice::GetHostRefreshRate();
+}
+
+void D3D12Device::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
+{
+  if (m_vsync_enabled == enabled && m_vsync_prefer_triple_buffer == prefer_triple_buffer)
+    return;
+
+  const u32 old_buffer_count = GetSwapChainBufferCount();
+  m_vsync_enabled = enabled;
+  m_vsync_prefer_triple_buffer = prefer_triple_buffer;
+  if (!m_swap_chain)
+    return;
+
+  if (GetSwapChainBufferCount() != old_buffer_count)
+  {
+    DestroySwapChain();
+    if (!CreateSwapChain())
+      Panic("Failed to recreate swap chain after vsync change.");
+  }
+}
+
 bool D3D12Device::BeginPresent(bool frame_skip)
 {
   if (InRenderPass())
diff --git a/src/util/d3d12_device.h b/src/util/d3d12_device.h
index 59e193698..57c68c7ff 100644
--- a/src/util/d3d12_device.h
+++ b/src/util/d3d12_device.h
@@ -118,6 +118,9 @@ public:
   void DrawIndexed(u32 index_count, u32 base_index, u32 base_vertex) override;
   void DrawIndexedWithBarrier(u32 index_count, u32 base_index, u32 base_vertex, DrawBarrier type) override;
 
+  std::optional<float> GetHostRefreshRate() override;
+  void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer) override;
+
   bool SetGPUTimingEnabled(bool enabled) override;
   float GetAndResetAccumulatedGPUTime() override;
 
@@ -220,6 +223,7 @@ private:
 
   void SetFeatures(FeatureMask disabled_features);
 
+  u32 GetSwapChainBufferCount() const;
   bool CreateSwapChain();
   bool CreateSwapChainRTV();
   void DestroySwapChainRTVs();
diff --git a/src/util/gpu_device.cpp b/src/util/gpu_device.cpp
index 46eba60cf..b0e968bf7 100644
--- a/src/util/gpu_device.cpp
+++ b/src/util/gpu_device.cpp
@@ -276,10 +276,11 @@ bool GPUDevice::IsSameRenderAPI(RenderAPI lhs, RenderAPI rhs)
 }
 
 bool GPUDevice::Create(std::string_view adapter, std::string_view shader_cache_path, u32 shader_cache_version,
-                       bool debug_device, bool vsync, bool threaded_presentation,
+                       bool debug_device, bool vsync, bool vsync_prefer_triple_buffer, bool threaded_presentation,
                        std::optional<bool> exclusive_fullscreen_control, FeatureMask disabled_features, Error* error)
 {
   m_vsync_enabled = vsync;
+  m_vsync_prefer_triple_buffer = vsync_prefer_triple_buffer;
   m_debug_device = debug_device;
 
   if (!AcquireWindow(true))
@@ -590,7 +591,7 @@ void GPUDevice::RenderImGui()
   }
 }
 
-void GPUDevice::SetVSyncEnabled(bool enabled)
+void GPUDevice::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
 {
   m_vsync_enabled = enabled;
 }
diff --git a/src/util/gpu_device.h b/src/util/gpu_device.h
index 021c5af15..22f5b5413 100644
--- a/src/util/gpu_device.h
+++ b/src/util/gpu_device.h
@@ -573,8 +573,8 @@ public:
   virtual RenderAPI GetRenderAPI() const = 0;
 
   bool Create(std::string_view adapter, std::string_view shader_cache_path, u32 shader_cache_version, bool debug_device,
-              bool vsync, bool threaded_presentation, std::optional<bool> exclusive_fullscreen_control,
-              FeatureMask disabled_features, Error* error);
+              bool vsync, bool vsync_prefer_triple_buffer, bool threaded_presentation,
+              std::optional<bool> exclusive_fullscreen_control, FeatureMask disabled_features, Error* error);
   void Destroy();
 
   virtual bool HasSurface() const = 0;
@@ -673,7 +673,7 @@ public:
   void RenderImGui();
 
   ALWAYS_INLINE bool IsVSyncEnabled() const { return m_vsync_enabled; }
-  virtual void SetVSyncEnabled(bool enabled);
+  virtual void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer);
 
   ALWAYS_INLINE bool IsDebugDevice() const { return m_debug_device; }
   ALWAYS_INLINE size_t GetVRAMUsage() const { return s_total_vram_usage; }
@@ -794,6 +794,7 @@ protected:
   static Statistics s_stats;
 
   bool m_vsync_enabled = false;
+  bool m_vsync_prefer_triple_buffer = false;
   bool m_gpu_timing_enabled = false;
   bool m_debug_device = false;
 };
diff --git a/src/util/metal_device.h b/src/util/metal_device.h
index 6e8bcc7bd..8333919ac 100644
--- a/src/util/metal_device.h
+++ b/src/util/metal_device.h
@@ -265,7 +265,7 @@ public:
   bool SetGPUTimingEnabled(bool enabled) override;
   float GetAndResetAccumulatedGPUTime() override;
 
-  void SetVSyncEnabled(bool enabled) override;
+  void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer) override;
 
   bool BeginPresent(bool skip_present) override;
   void EndPresent(bool explicit_submit) override;
diff --git a/src/util/metal_device.mm b/src/util/metal_device.mm
index 4635984e8..5c4b5c638 100644
--- a/src/util/metal_device.mm
+++ b/src/util/metal_device.mm
@@ -124,12 +124,13 @@ std::optional<float> MetalDevice::GetHostRefreshRate()
   return GPUDevice::GetHostRefreshRate();
 }
 
-void MetalDevice::SetVSyncEnabled(bool enabled)
+void MetalDevice::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
 {
-  if (m_vsync_enabled == enabled)
+  if (m_vsync_enabled == enabled && m_vsync_prefer_triple_buffer == prefer_triple_buffer)
     return;
 
   m_vsync_enabled = enabled;
+  m_vsync_prefer_triple_buffer = prefer_triple_buffer;
   if (m_layer != nil)
     [m_layer setDisplaySyncEnabled:enabled];
 }
diff --git a/src/util/opengl_device.cpp b/src/util/opengl_device.cpp
index cd89145b3..6b6dceefd 100644
--- a/src/util/opengl_device.cpp
+++ b/src/util/opengl_device.cpp
@@ -238,12 +238,13 @@ void OpenGLDevice::InsertDebugMessage(const char* msg)
 #endif
 }
 
-void OpenGLDevice::SetVSyncEnabled(bool enabled)
+void OpenGLDevice::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
 {
-  if (m_vsync_enabled == enabled)
+  if (m_vsync_enabled == enabled && m_vsync_prefer_triple_buffer == prefer_triple_buffer)
     return;
 
   m_vsync_enabled = enabled;
+  m_vsync_prefer_triple_buffer = prefer_triple_buffer;
   SetSwapInterval();
 }
 
@@ -583,7 +584,7 @@ void OpenGLDevice::SetSwapInterval()
     return;
 
   // Window framebuffer has to be bound to call SetSwapInterval.
-  const s32 interval = m_vsync_enabled ? (m_gl_context->SupportsNegativeSwapInterval() ? -1 : 1) : 0;
+  const s32 interval = m_vsync_enabled ? 1 : 0;
   GLint current_fbo = 0;
   glGetIntegerv(GL_DRAW_FRAMEBUFFER_BINDING, &current_fbo);
   glBindFramebuffer(GL_DRAW_FRAMEBUFFER, 0);
diff --git a/src/util/opengl_device.h b/src/util/opengl_device.h
index 2e5e1cae9..6aaf4c75e 100644
--- a/src/util/opengl_device.h
+++ b/src/util/opengl_device.h
@@ -100,7 +100,7 @@ public:
   void DrawIndexed(u32 index_count, u32 base_index, u32 base_vertex) override;
   void DrawIndexedWithBarrier(u32 index_count, u32 base_index, u32 base_vertex, DrawBarrier type) override;
 
-  void SetVSyncEnabled(bool enabled) override;
+  void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer) override;
 
   bool BeginPresent(bool skip_present) override;
   void EndPresent(bool explicit_present) override;
diff --git a/src/util/vulkan_device.cpp b/src/util/vulkan_device.cpp
index b967925c4..e324e736d 100644
--- a/src/util/vulkan_device.cpp
+++ b/src/util/vulkan_device.cpp
@@ -436,6 +436,14 @@ bool VulkanDevice::SelectDeviceFeatures()
   return true;
 }
 
+VkPresentModeKHR VulkanDevice::SelectPresentMode() const
+{
+  // Use mailbox/triple buffering for "normal" vsync, due to PAL refresh rate mismatch.
+  // Otherwise, use FIFO when syncing to host, because we don't want to return early.
+  return m_vsync_enabled ? (m_vsync_prefer_triple_buffer ? VK_PRESENT_MODE_MAILBOX_KHR : VK_PRESENT_MODE_FIFO_KHR) :
+                           VK_PRESENT_MODE_IMMEDIATE_KHR;
+}
+
 bool VulkanDevice::CreateDevice(VkSurfaceKHR surface, bool enable_validation_layer)
 {
   u32 queue_family_count;
@@ -2041,7 +2049,7 @@ bool VulkanDevice::CreateDevice(std::string_view adapter, bool threaded_presenta
 
   if (surface != VK_NULL_HANDLE)
   {
-    m_swap_chain = VulkanSwapChain::Create(m_window_info, surface, m_vsync_enabled, m_exclusive_fullscreen_control);
+    m_swap_chain = VulkanSwapChain::Create(m_window_info, surface, SelectPresentMode(), m_exclusive_fullscreen_control);
     if (!m_swap_chain)
     {
       Error::SetStringView(error, "Failed to create swap chain");
@@ -2262,7 +2270,7 @@ bool VulkanDevice::UpdateWindow()
     return false;
   }
 
-  m_swap_chain = VulkanSwapChain::Create(m_window_info, surface, m_vsync_enabled, m_exclusive_fullscreen_control);
+  m_swap_chain = VulkanSwapChain::Create(m_window_info, surface, SelectPresentMode(), m_exclusive_fullscreen_control);
   if (!m_swap_chain)
   {
     Log_ErrorPrintf("Failed to create swap chain");
@@ -2338,25 +2346,22 @@ std::string VulkanDevice::GetDriverInfo() const
   return ret;
 }
 
-void VulkanDevice::SetVSyncEnabled(bool enabled)
+void VulkanDevice::SetVSyncEnabled(bool enabled, bool prefer_triple_buffer)
 {
-  if (m_vsync_enabled == enabled)
+  if (m_vsync_enabled == enabled && m_vsync_prefer_triple_buffer == prefer_triple_buffer)
     return;
 
   m_vsync_enabled = enabled;
+  m_vsync_prefer_triple_buffer = prefer_triple_buffer;
   if (!m_swap_chain)
     return;
 
   // This swap chain should not be used by the current buffer, thus safe to destroy.
   WaitForGPUIdle();
-  if (!m_swap_chain->SetVSyncEnabled(enabled))
+  if (!m_swap_chain->SetRequestedPresentMode(SelectPresentMode()))
   {
-    // Try switching back to the old mode..
-    if (!m_swap_chain->SetVSyncEnabled(!enabled))
-    {
-      Panic("Failed to reset old vsync mode after failure");
-      m_swap_chain.reset();
-    }
+    Panic("Failed to update swap chain present mode.");
+    m_swap_chain.reset();
   }
 }
 
@@ -2390,6 +2395,7 @@ bool VulkanDevice::BeginPresent(bool frame_skip)
   VkResult res = m_swap_chain->AcquireNextImage();
   if (res != VK_SUCCESS)
   {
+    LOG_VULKAN_ERROR(res, "vkAcquireNextImageKHR() failed: ");
     m_swap_chain->ReleaseCurrentImage();
 
     if (res == VK_SUBOPTIMAL_KHR || res == VK_ERROR_OUT_OF_DATE_KHR)
@@ -2416,7 +2422,6 @@ bool VulkanDevice::BeginPresent(bool frame_skip)
     if (res != VK_SUCCESS && res != VK_SUBOPTIMAL_KHR)
     {
       // Still submit the command buffer, otherwise we'll end up with several frames waiting.
-      LOG_VULKAN_ERROR(res, "vkAcquireNextImageKHR() failed: ");
       SubmitCommandBuffer(false);
       TrimTexturePool();
       return false;
diff --git a/src/util/vulkan_device.h b/src/util/vulkan_device.h
index 374f691cd..f6265f593 100644
--- a/src/util/vulkan_device.h
+++ b/src/util/vulkan_device.h
@@ -129,7 +129,7 @@ public:
   bool SetGPUTimingEnabled(bool enabled) override;
   float GetAndResetAccumulatedGPUTime() override;
 
-  void SetVSyncEnabled(bool enabled) override;
+  void SetVSyncEnabled(bool enabled, bool prefer_triple_buffer) override;
 
   bool BeginPresent(bool skip_present) override;
   void EndPresent(bool explicit_present) override;
@@ -324,6 +324,7 @@ private:
                                        bool enable_debug_utils);
   bool SelectDeviceExtensions(ExtensionList* extension_list, bool enable_surface);
   bool SelectDeviceFeatures();
+  VkPresentModeKHR SelectPresentMode() const;
   bool CreateDevice(VkSurfaceKHR surface, bool enable_validation_layer);
   void ProcessDeviceExtensions();
 
diff --git a/src/util/vulkan_swap_chain.cpp b/src/util/vulkan_swap_chain.cpp
index daf9a46fe..527a142e8 100644
--- a/src/util/vulkan_swap_chain.cpp
+++ b/src/util/vulkan_swap_chain.cpp
@@ -70,10 +70,10 @@ static const char* PresentModeToString(VkPresentModeKHR mode)
   }
 }
 
-VulkanSwapChain::VulkanSwapChain(const WindowInfo& wi, VkSurfaceKHR surface, bool vsync,
+VulkanSwapChain::VulkanSwapChain(const WindowInfo& wi, VkSurfaceKHR surface, VkPresentModeKHR present_mode,
                                  std::optional<bool> exclusive_fullscreen_control)
-  : m_window_info(wi), m_surface(surface), m_exclusive_fullscreen_control(exclusive_fullscreen_control),
-    m_vsync_enabled(vsync)
+  : m_window_info(wi), m_surface(surface), m_requested_present_mode(present_mode),
+    m_exclusive_fullscreen_control(exclusive_fullscreen_control)
 {
 }
 
@@ -208,11 +208,12 @@ void VulkanSwapChain::DestroyVulkanSurface(VkInstance instance, WindowInfo* wi,
 #endif
 }
 
-std::unique_ptr<VulkanSwapChain> VulkanSwapChain::Create(const WindowInfo& wi, VkSurfaceKHR surface, bool vsync,
+std::unique_ptr<VulkanSwapChain> VulkanSwapChain::Create(const WindowInfo& wi, VkSurfaceKHR surface,
+                                                         VkPresentModeKHR present_mode,
                                                          std::optional<bool> exclusive_fullscreen_control)
 {
   std::unique_ptr<VulkanSwapChain> swap_chain =
-    std::unique_ptr<VulkanSwapChain>(new VulkanSwapChain(wi, surface, vsync, exclusive_fullscreen_control));
+    std::unique_ptr<VulkanSwapChain>(new VulkanSwapChain(wi, surface, present_mode, exclusive_fullscreen_control));
   if (!swap_chain->CreateSwapChain())
     return nullptr;
 
@@ -252,9 +253,9 @@ std::optional<VkSurfaceFormatKHR> VulkanSwapChain::SelectSurfaceFormat(VkSurface
       return VkSurfaceFormatKHR{format, VK_COLOR_SPACE_SRGB_NONLINEAR_KHR};
   }
 
-  Log_ErrorPrintf("Failed to find a suitable format for swap chain buffers. Available formats were:");
+  Log_ErrorPrint("Failed to find a suitable format for swap chain buffers. Available formats were:");
   for (const VkSurfaceFormatKHR& sf : surface_formats)
-    Log_ErrorPrintf("  %u", static_cast<unsigned>(sf.format));
+    Log_ErrorFmt("  {}", static_cast<unsigned>(sf.format));
 
   return std::nullopt;
 }
@@ -290,25 +291,19 @@ std::optional<VkPresentModeKHR> VulkanSwapChain::SelectPresentMode(VkSurfaceKHR
   {
     selected_mode = requested_mode;
   }
-  else if (requested_mode != VK_PRESENT_MODE_FIFO_KHR && CheckForMode(VK_PRESENT_MODE_MAILBOX_KHR))
+  else if (requested_mode == VK_PRESENT_MODE_IMMEDIATE_KHR && CheckForMode(VK_PRESENT_MODE_MAILBOX_KHR))
   {
-    // Prefer mailbox over fifo for adaptive vsync/no-vsync. This way it'll only delay one frame.
+    // Prefer mailbox over FIFO for vsync-off, since we don't want to block.
     selected_mode = VK_PRESENT_MODE_MAILBOX_KHR;
   }
-  else if (requested_mode == VK_PRESENT_MODE_FIFO_RELAXED_KHR && CheckForMode(VK_PRESENT_MODE_FIFO_KHR))
-  {
-    // Fallback to FIFO if we're using any kind of vsync.
-    // This should never fail, FIFO is mandated.
-    selected_mode = VK_PRESENT_MODE_FIFO_KHR;
-  }
   else
   {
-    // Fall back to whatever is available.
-    selected_mode = present_modes[0];
+    // Fallback to FIFO if we we can't use mailbox. This should never fail, FIFO is mandated.
+    selected_mode = VK_PRESENT_MODE_FIFO_KHR;
   }
 
-  Log_DevPrintf("(SwapChain) Preferred present mode: %s, selected: %s", PresentModeToString(requested_mode),
-                PresentModeToString(selected_mode));
+  Log_DevFmt("Preferred present mode: {}, selected: {}", PresentModeToString(requested_mode),
+             PresentModeToString(selected_mode));
 
   return selected_mode;
 }
@@ -319,11 +314,7 @@ bool VulkanSwapChain::CreateSwapChain()
 
   // Select swap chain format and present mode
   std::optional<VkSurfaceFormatKHR> surface_format = SelectSurfaceFormat(m_surface);
-
-  // Prefer relaxed vsync if available, stalling is bad.
-  const VkPresentModeKHR requested_mode =
-    m_vsync_enabled ? VK_PRESENT_MODE_FIFO_RELAXED_KHR : VK_PRESENT_MODE_IMMEDIATE_KHR;
-  std::optional<VkPresentModeKHR> present_mode = SelectPresentMode(m_surface, requested_mode);
+  std::optional<VkPresentModeKHR> present_mode = SelectPresentMode(m_surface, m_requested_present_mode);
   if (!surface_format.has_value() || !present_mode.has_value())
     return false;
 
@@ -337,12 +328,12 @@ bool VulkanSwapChain::CreateSwapChain()
     return false;
   }
 
-  // Select number of images in swap chain, we prefer one buffer in the background to work on
-  u32 image_count = std::max(surface_capabilities.minImageCount + 1u, 2u);
-
+  // Select number of images in swap chain, we prefer one buffer in the background to work on in triple-buffered mode.
   // maxImageCount can be zero, in which case there isn't an upper limit on the number of buffers.
-  if (surface_capabilities.maxImageCount > 0)
-    image_count = std::min(image_count, surface_capabilities.maxImageCount);
+  u32 image_count = std::clamp<u32>(
+    (m_requested_present_mode == VK_PRESENT_MODE_MAILBOX_KHR) ? 3 : 2, surface_capabilities.minImageCount,
+    (surface_capabilities.maxImageCount == 0) ? std::numeric_limits<u32>::max() : surface_capabilities.maxImageCount);
+  Log_DevFmt("Creating a swap chain with {} images", image_count);
 
   // Determine the dimensions of the swap chain. Values of -1 indicate the size we specify here
   // determines window size? Android sometimes lags updating currentExtent, so don't use it.
@@ -376,7 +367,7 @@ bool VulkanSwapChain::CreateSwapChain()
   VkImageUsageFlags image_usage = VK_IMAGE_USAGE_COLOR_ATTACHMENT_BIT | VK_IMAGE_USAGE_TRANSFER_DST_BIT;
   if ((surface_capabilities.supportedUsageFlags & image_usage) != image_usage)
   {
-    Log_ErrorPrintf("Vulkan: Swap chain does not support usage as color attachment");
+    Log_ErrorPrint("Vulkan: Swap chain does not support usage as color attachment");
     return false;
   }
 
@@ -431,19 +422,19 @@ bool VulkanSwapChain::CreateSwapChain()
       exclusive_win32_info.hmonitor =
         MonitorFromWindow(reinterpret_cast<HWND>(m_window_info.window_handle), MONITOR_DEFAULTTONEAREST);
       if (!exclusive_win32_info.hmonitor)
-        Log_ErrorPrintf("MonitorFromWindow() for exclusive fullscreen exclusive override failed.");
+        Log_ErrorPrint("MonitorFromWindow() for exclusive fullscreen exclusive override failed.");
 
       Vulkan::AddPointerToChain(&swap_chain_info, &exclusive_info);
       Vulkan::AddPointerToChain(&swap_chain_info, &exclusive_win32_info);
     }
     else
     {
-      Log_ErrorPrintf("Exclusive fullscreen control requested, but VK_EXT_full_screen_exclusive is not supported.");
+      Log_ErrorPrint("Exclusive fullscreen control requested, but VK_EXT_full_screen_exclusive is not supported.");
     }
   }
 #else
   if (m_exclusive_fullscreen_control.has_value())
-    Log_ErrorPrintf("Exclusive fullscreen control requested, but is not supported on this platform.");
+    Log_ErrorPrint("Exclusive fullscreen control requested, but is not supported on this platform.");
 #endif
 
   res = vkCreateSwapchainKHR(dev.GetVulkanDevice(), &swap_chain_info, nullptr, &m_swap_chain);
@@ -465,7 +456,7 @@ bool VulkanSwapChain::CreateSwapChain()
   m_actual_present_mode = present_mode.value();
   if (m_window_info.surface_format == GPUTexture::Format::Unknown)
   {
-    Log_ErrorPrintf("Unknown Vulkan surface format %u", static_cast<u32>(surface_format->format));
+    Log_ErrorFmt("Unknown Vulkan surface format {}", static_cast<u32>(surface_format->format));
     return false;
   }
 
@@ -633,15 +624,15 @@ bool VulkanSwapChain::ResizeSwapChain(u32 new_width, u32 new_height, float new_s
   return true;
 }
 
-bool VulkanSwapChain::SetVSyncEnabled(bool enabled)
+bool VulkanSwapChain::SetRequestedPresentMode(VkPresentModeKHR mode)
 {
-  if (m_vsync_enabled == enabled)
+  if (m_requested_present_mode == mode)
     return true;
 
-  m_vsync_enabled = enabled;
+  m_requested_present_mode = mode;
 
   // Recreate the swap chain with the new present mode.
-  Log_VerbosePrintf("Recreating swap chain to change present mode.");
+  Log_VerbosePrint("Recreating swap chain to change present mode.");
   DestroySwapChainImages();
   if (!CreateSwapChain())
   {
diff --git a/src/util/vulkan_swap_chain.h b/src/util/vulkan_swap_chain.h
index 3f126eb29..f85aeddea 100644
--- a/src/util/vulkan_swap_chain.h
+++ b/src/util/vulkan_swap_chain.h
@@ -25,7 +25,8 @@ public:
   static void DestroyVulkanSurface(VkInstance instance, WindowInfo* wi, VkSurfaceKHR surface);
 
   // Create a new swap chain from a pre-existing surface.
-  static std::unique_ptr<VulkanSwapChain> Create(const WindowInfo& wi, VkSurfaceKHR surface, bool vsync,
+  static std::unique_ptr<VulkanSwapChain> Create(const WindowInfo& wi, VkSurfaceKHR surface,
+                                                 VkPresentModeKHR present_mode,
                                                  std::optional<bool> exclusive_fullscreen_control);
 
   ALWAYS_INLINE VkSurfaceKHR GetSurface() const { return m_surface; }
@@ -73,10 +74,10 @@ public:
   bool ResizeSwapChain(u32 new_width = 0, u32 new_height = 0, float new_scale = 1.0f);
 
   // Change vsync enabled state. This may fail as it causes a swapchain recreation.
-  bool SetVSyncEnabled(bool enabled);
+  bool SetRequestedPresentMode(VkPresentModeKHR mode);
 
 private:
-  VulkanSwapChain(const WindowInfo& wi, VkSurfaceKHR surface, bool vsync,
+  VulkanSwapChain(const WindowInfo& wi, VkSurfaceKHR surface, VkPresentModeKHR present_mode,
                   std::optional<bool> exclusive_fullscreen_control);
 
   static std::optional<VkSurfaceFormatKHR> SelectSurfaceFormat(VkSurfaceKHR surface);
@@ -107,15 +108,16 @@ private:
   VkSurfaceKHR m_surface = VK_NULL_HANDLE;
   VkSwapchainKHR m_swap_chain = VK_NULL_HANDLE;
 
+  u32 m_current_image = 0;
+  u32 m_current_semaphore = 0;
+
   std::vector<Image> m_images;
   std::vector<ImageSemaphores> m_semaphores;
 
   VkFormat m_format = VK_FORMAT_UNDEFINED;
+  VkPresentModeKHR m_requested_present_mode = VK_PRESENT_MODE_IMMEDIATE_KHR;
   VkPresentModeKHR m_actual_present_mode = VK_PRESENT_MODE_IMMEDIATE_KHR;
-  u32 m_current_image = 0;
-  u32 m_current_semaphore = 0;
 
   std::optional<VkResult> m_image_acquire_result;
   std::optional<bool> m_exclusive_fullscreen_control;
-  bool m_vsync_enabled = false;
 };