diff --git a/android/app/src/cpp/android_host_interface.cpp b/android/app/src/cpp/android_host_interface.cpp
index 6fd0796c5..b9a7b5155 100644
--- a/android/app/src/cpp/android_host_interface.cpp
+++ b/android/app/src/cpp/android_host_interface.cpp
@@ -459,8 +459,9 @@ bool AndroidHostInterface::AcquireHostDisplay()
       break;
   }
 
-  if (!display->CreateRenderDevice(wi, {}, g_settings.gpu_use_debug_device) ||
-      !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device))
+  if (!display->CreateRenderDevice(wi, {}, g_settings.gpu_use_debug_device, g_settings.gpu_threaded_presentation) ||
+      !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device,
+                                       g_settings.gpu_threaded_presentation))
   {
     ReportError("Failed to acquire host display.");
     display->DestroyRenderDevice();
diff --git a/android/app/src/main/res/values/strings.xml b/android/app/src/main/res/values/strings.xml
index 1f745e58b..17723f2fb 100644
--- a/android/app/src/main/res/values/strings.xml
+++ b/android/app/src/main/res/values/strings.xml
@@ -153,6 +153,8 @@
     <string name="main_activity_copy">Copy</string>
     <string name="settings_gpu_thread">Threaded GPU Rendering</string>
     <string name="settings_summary_gpu_thread">Uses a second thread for drawing graphics. Currently only available for the software renderer, but can provide a significant speed improvement, and is safe to use.</string>
+    <string name="settings_gpu_threaded_presentation">Threaded GPU Presentation</string>
+    <string name="settings_summary_gpu_threaded_presentation">Presents frames on a background thread when fast forwarding or vsync is disabled. This can measurably improve performance in the Vulkan renderer.</string>
     <string name="settings_language">Language (restart to apply)</string>
     <string name="touchscreen_controller_stop_editing">Stop Editing</string>
     <string name="touchscreen_controller_reset_layout">Reset Layout</string>
diff --git a/android/app/src/main/res/xml/advanced_preferences.xml b/android/app/src/main/res/xml/advanced_preferences.xml
index 034b2b425..ad5fd714b 100644
--- a/android/app/src/main/res/xml/advanced_preferences.xml
+++ b/android/app/src/main/res/xml/advanced_preferences.xml
@@ -49,6 +49,12 @@
         app:defaultValue="true"
         app:summary="@string/settings_summary_gpu_thread"
         app:iconSpaceReserved="false" />
+    <SwitchPreferenceCompat
+        app:key="GPU/ThreadedPresentation"
+        app:title="@string/settings_gpu_threaded_presentation"
+        app:defaultValue="true"
+        app:summary="@string/settings_summary_gpu_threaded_presentation"
+        app:iconSpaceReserved="false" />
     <SwitchPreferenceCompat
         app:key="GPU/PGXPVertexCache"
         app:title="@string/settings_pgxp_vertex_cache"
diff --git a/src/common/vulkan/context.cpp b/src/common/vulkan/context.cpp
index 35d1cf819..1002f314f 100644
--- a/src/common/vulkan/context.cpp
+++ b/src/common/vulkan/context.cpp
@@ -39,6 +39,8 @@ Context::Context(VkInstance instance, VkPhysicalDevice physical_device, bool own
 
 Context::~Context()
 {
+  StopPresentThread();
+
   if (m_device != VK_NULL_HANDLE)
     WaitForGPUIdle();
 
@@ -289,7 +291,7 @@ Context::GPUNameList Context::EnumerateGPUNames(VkInstance instance)
 }
 
 bool Context::Create(std::string_view gpu_name, const WindowInfo* wi, std::unique_ptr<SwapChain>* out_swap_chain,
-                     bool enable_debug_reports, bool enable_validation_layer)
+                     bool threaded_presentation, bool enable_debug_reports, bool enable_validation_layer)
 {
   AssertMsg(!g_vulkan_context, "Has no current context");
 
@@ -374,6 +376,9 @@ bool Context::Create(std::string_view gpu_name, const WindowInfo* wi, std::uniqu
     return false;
   }
 
+  if (threaded_presentation)
+    g_vulkan_context->StartPresentThread();
+
   return true;
 }
 
@@ -810,6 +815,7 @@ void Context::WaitForFenceCounter(u64 fence_counter)
 
 void Context::WaitForGPUIdle()
 {
+  WaitForPresentComplete();
   vkDeviceWaitIdle(m_device);
 }
 
@@ -843,8 +849,10 @@ void Context::WaitForCommandBufferCompletion(u32 index)
   m_completed_fence_counter = now_completed_counter;
 }
 
-void Context::SubmitCommandBuffer(VkSemaphore wait_semaphore, VkSemaphore signal_semaphore,
-                                  VkSwapchainKHR present_swap_chain, uint32_t present_image_index)
+void Context::SubmitCommandBuffer(VkSemaphore wait_semaphore /* = VK_NULL_HANDLE */,
+                                  VkSemaphore signal_semaphore /* = VK_NULL_HANDLE */,
+                                  VkSwapchainKHR present_swap_chain /* = VK_NULL_HANDLE */,
+                                  uint32_t present_image_index /* = 0xFFFFFFFF */, bool submit_on_thread /* = false */)
 {
   FrameResources& resources = m_frame_resources[m_current_frame];
 
@@ -859,7 +867,30 @@ void Context::SubmitCommandBuffer(VkSemaphore wait_semaphore, VkSemaphore signal
   // This command buffer now has commands, so can't be re-used without waiting.
   resources.needs_fence_wait = true;
 
-  // This may be executed on the worker thread, so don't modify any state of the manager class.
+  std::unique_lock<std::mutex> lock(m_present_mutex);
+  WaitForPresentComplete(lock);
+
+  if (!submit_on_thread || !m_present_thread.joinable())
+  {
+    DoSubmitCommandBuffer(m_current_frame, wait_semaphore, signal_semaphore);
+    if (present_swap_chain != VK_NULL_HANDLE)
+      DoPresent(signal_semaphore, present_swap_chain, present_image_index);
+    return;
+  }
+
+  m_queued_present.command_buffer_index = m_current_frame;
+  m_queued_present.present_swap_chain = present_swap_chain;
+  m_queued_present.present_image_index = present_image_index;
+  m_queued_present.wait_semaphore = wait_semaphore;
+  m_queued_present.signal_semaphore = signal_semaphore;
+  m_present_done.store(false);
+  m_present_queued_cv.notify_one();
+}
+
+void Context::DoSubmitCommandBuffer(u32 index, VkSemaphore wait_semaphore, VkSemaphore signal_semaphore)
+{
+  FrameResources& resources = m_frame_resources[index];
+
   uint32_t wait_bits = VK_PIPELINE_STAGE_COLOR_ATTACHMENT_OUTPUT_BIT;
   VkSubmitInfo submit_info = {VK_STRUCTURE_TYPE_SUBMIT_INFO, nullptr, 0,      nullptr, &wait_bits, 1u,
                               &resources.command_buffer,     0,       nullptr};
@@ -876,39 +907,93 @@ void Context::SubmitCommandBuffer(VkSemaphore wait_semaphore, VkSemaphore signal
     submit_info.pSignalSemaphores = &signal_semaphore;
   }
 
-  res = vkQueueSubmit(m_graphics_queue, 1, &submit_info, resources.fence);
+  VkResult res = vkQueueSubmit(m_graphics_queue, 1, &submit_info, resources.fence);
   if (res != VK_SUCCESS)
   {
     LOG_VULKAN_ERROR(res, "vkQueueSubmit failed: ");
     Panic("Failed to submit command buffer.");
   }
+}
 
-  // Do we have a swap chain to present?
-  if (present_swap_chain != VK_NULL_HANDLE)
+void Context::DoPresent(VkSemaphore wait_semaphore, VkSwapchainKHR present_swap_chain, uint32_t present_image_index)
+{
+  // Should have a signal semaphore.
+  Assert(wait_semaphore != VK_NULL_HANDLE);
+  VkPresentInfoKHR present_info = {VK_STRUCTURE_TYPE_PRESENT_INFO_KHR,
+                                   nullptr,
+                                   1,
+                                   &wait_semaphore,
+                                   1,
+                                   &present_swap_chain,
+                                   &present_image_index,
+                                   nullptr};
+
+  VkResult res = vkQueuePresentKHR(m_present_queue, &present_info);
+  if (res != VK_SUCCESS)
   {
-    // Should have a signal semaphore.
-    Assert(signal_semaphore != VK_NULL_HANDLE);
-    VkPresentInfoKHR present_info = {VK_STRUCTURE_TYPE_PRESENT_INFO_KHR,
-                                     nullptr,
-                                     1,
-                                     &signal_semaphore,
-                                     1,
-                                     &present_swap_chain,
-                                     &present_image_index,
-                                     nullptr};
+    // VK_ERROR_OUT_OF_DATE_KHR is not fatal, just means we need to recreate our swap chain.
+    if (res != VK_ERROR_OUT_OF_DATE_KHR && res != VK_SUBOPTIMAL_KHR)
+      LOG_VULKAN_ERROR(res, "vkQueuePresentKHR failed: ");
 
-    res = vkQueuePresentKHR(m_present_queue, &present_info);
-    if (res != VK_SUCCESS)
-    {
-      // VK_ERROR_OUT_OF_DATE_KHR is not fatal, just means we need to recreate our swap chain.
-      if (res != VK_ERROR_OUT_OF_DATE_KHR && res != VK_SUBOPTIMAL_KHR)
-        LOG_VULKAN_ERROR(res, "vkQueuePresentKHR failed: ");
-
-      m_last_present_failed = true;
-    }
+    m_last_present_failed.store(true);
   }
 }
 
+void Context::WaitForPresentComplete()
+{
+  std::unique_lock<std::mutex> lock(m_present_mutex);
+  WaitForPresentComplete(lock);
+}
+
+void Context::WaitForPresentComplete(std::unique_lock<std::mutex>& lock)
+{
+  if (m_present_done.load())
+    return;
+
+  m_present_done_cv.wait(lock, [this]() { return m_present_done.load(); });
+}
+
+void Context::PresentThread()
+{
+  std::unique_lock<std::mutex> lock(m_present_mutex);
+  while (!m_present_thread_done.load())
+  {
+    m_present_queued_cv.wait(lock, [this]() { return !m_present_done.load() || m_present_thread_done.load(); });
+
+    if (m_present_done.load())
+      continue;
+
+    DoSubmitCommandBuffer(m_queued_present.command_buffer_index, m_queued_present.wait_semaphore,
+                          m_queued_present.signal_semaphore);
+    DoPresent(m_queued_present.signal_semaphore, m_queued_present.present_swap_chain,
+              m_queued_present.present_image_index);
+    m_present_done.store(true);
+    m_present_done_cv.notify_one();
+  }
+}
+
+void Context::StartPresentThread()
+{
+  Assert(!m_present_thread.joinable());
+  m_present_thread_done.store(false);
+  m_present_thread = std::thread(&Context::PresentThread, this);
+}
+
+void Context::StopPresentThread()
+{
+  if (!m_present_thread.joinable())
+    return;
+
+  {
+    std::unique_lock<std::mutex> lock(m_present_mutex);
+    WaitForPresentComplete(lock);
+    m_present_thread_done.store(true);
+    m_present_queued_cv.notify_one();
+  }
+
+  m_present_thread.join();
+}
+
 void Context::MoveToNextCommandBuffer()
 {
   ActivateCommandBuffer((m_current_frame + 1) % NUM_COMMAND_BUFFERS);
@@ -918,6 +1003,9 @@ void Context::ActivateCommandBuffer(u32 index)
 {
   FrameResources& resources = m_frame_resources[index];
 
+  if (!m_present_done.load() && m_queued_present.command_buffer_index == index)
+    WaitForPresentComplete();
+
   // Wait for the GPU to finish with all resources for this command buffer.
   if (resources.fence_counter > m_completed_fence_counter)
     WaitForCommandBufferCompletion(index);
diff --git a/src/common/vulkan/context.h b/src/common/vulkan/context.h
index 6fec69044..48b3a76c3 100644
--- a/src/common/vulkan/context.h
+++ b/src/common/vulkan/context.h
@@ -8,10 +8,14 @@
 #include "../types.h"
 #include "vulkan_loader.h"
 #include <array>
+#include <atomic>
+#include <condition_variable>
 #include <functional>
 #include <map>
 #include <memory>
+#include <mutex>
 #include <string>
+#include <thread>
 #include <vector>
 
 struct WindowInfo;
@@ -44,7 +48,7 @@ public:
 
   // Creates a new context and sets it up as global.
   static bool Create(std::string_view gpu_name, const WindowInfo* wi, std::unique_ptr<SwapChain>* out_swap_chain,
-                     bool enable_debug_reports, bool enable_validation_layer);
+                     bool threaded_presentation, bool enable_debug_reports, bool enable_validation_layer);
 
   // Creates a new context from a pre-existing instance.
   static bool CreateFromExistingInstance(VkInstance instance, VkPhysicalDevice gpu, VkSurfaceKHR surface,
@@ -147,10 +151,11 @@ public:
 
   void SubmitCommandBuffer(VkSemaphore wait_semaphore = VK_NULL_HANDLE, VkSemaphore signal_semaphore = VK_NULL_HANDLE,
                            VkSwapchainKHR present_swap_chain = VK_NULL_HANDLE,
-                           uint32_t present_image_index = 0xFFFFFFFF);
+                           uint32_t present_image_index = 0xFFFFFFFF, bool submit_on_thread = false);
   void MoveToNextCommandBuffer();
 
   void ExecuteCommandBuffer(bool wait_for_completion);
+  void WaitForPresentComplete();
 
   // Was the last present submitted to the queue a failure? If so, we must recreate our swapchain.
   bool CheckLastPresentFail();
@@ -191,6 +196,13 @@ private:
   void ActivateCommandBuffer(u32 index);
   void WaitForCommandBufferCompletion(u32 index);
 
+  void DoSubmitCommandBuffer(u32 index, VkSemaphore wait_semaphore, VkSemaphore signal_semaphore);
+  void DoPresent(VkSemaphore wait_semaphore, VkSwapchainKHR present_swap_chain, uint32_t present_image_index);
+  void WaitForPresentComplete(std::unique_lock<std::mutex>& lock);
+  void PresentThread();
+  void StartPresentThread();
+  void StopPresentThread();
+
   struct FrameResources
   {
     // [0] - Init (upload) command buffer, [1] - draw command buffer
@@ -223,7 +235,25 @@ private:
   u32 m_current_frame;
 
   bool m_owns_device = false;
-  bool m_last_present_failed = false;
+
+  std::atomic_bool m_last_present_failed{false};
+  std::atomic_bool m_present_done{true};
+  std::mutex m_present_mutex;
+  std::condition_variable m_present_queued_cv;
+  std::condition_variable m_present_done_cv;
+  std::thread m_present_thread;
+  std::atomic_bool m_present_thread_done{false};
+
+  struct QueuedPresent
+  {
+    VkSemaphore wait_semaphore;
+    VkSemaphore signal_semaphore;
+    VkSwapchainKHR present_swap_chain;
+    u32 command_buffer_index;
+    u32 present_image_index;
+  };
+
+  QueuedPresent m_queued_present = {};
 
   // Render pass cache
   using RenderPassCacheKey = std::tuple<VkFormat, VkFormat, VkSampleCountFlagBits, VkAttachmentLoadOp>;
diff --git a/src/core/host_display.h b/src/core/host_display.h
index a0f0ff18c..f141050a1 100644
--- a/src/core/host_display.h
+++ b/src/core/host_display.h
@@ -71,8 +71,10 @@ public:
   virtual bool HasRenderDevice() const = 0;
   virtual bool HasRenderSurface() const = 0;
 
-  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) = 0;
-  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device) = 0;
+  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                  bool threaded_presentation) = 0;
+  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                                      bool threaded_presentation) = 0;
   virtual bool MakeRenderContextCurrent() = 0;
   virtual bool DoneRenderContextCurrent() = 0;
   virtual void DestroyRenderDevice() = 0;
diff --git a/src/core/host_interface.cpp b/src/core/host_interface.cpp
index 2c00af578..aec841acb 100644
--- a/src/core/host_interface.cpp
+++ b/src/core/host_interface.cpp
@@ -474,6 +474,7 @@ void HostInterface::SetDefaultSettings(SettingsInterface& si)
   si.SetBoolValue("GPU", "UseDebugDevice", false);
   si.SetBoolValue("GPU", "PerSampleShading", false);
   si.SetBoolValue("GPU", "UseThread", true);
+  si.SetBoolValue("GPU", "ThreadedPresentation", true);
   si.SetBoolValue("GPU", "TrueColor", false);
   si.SetBoolValue("GPU", "ScaledDithering", true);
   si.SetStringValue("GPU", "TextureFilter", Settings::GetTextureFilterName(Settings::DEFAULT_GPU_TEXTURE_FILTER));
@@ -613,7 +614,8 @@ void HostInterface::SaveSettings(SettingsInterface& si)
 void HostInterface::CheckForSettingsChanges(const Settings& old_settings)
 {
   if (System::IsValid() && (g_settings.gpu_renderer != old_settings.gpu_renderer ||
-                            g_settings.gpu_use_debug_device != old_settings.gpu_use_debug_device))
+                            g_settings.gpu_use_debug_device != old_settings.gpu_use_debug_device ||
+                            g_settings.gpu_threaded_presentation != old_settings.gpu_threaded_presentation))
   {
     AddFormattedOSDMessage(5.0f, TranslateString("OSDMessage", "Switching to %s%s GPU renderer."),
                            Settings::GetRendererName(g_settings.gpu_renderer),
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index 178160791..a73ea9246 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -143,6 +143,7 @@ void Settings::Load(SettingsInterface& si)
   gpu_use_debug_device = si.GetBoolValue("GPU", "UseDebugDevice", false);
   gpu_per_sample_shading = si.GetBoolValue("GPU", "PerSampleShading", false);
   gpu_use_thread = si.GetBoolValue("GPU", "UseThread", true);
+  gpu_threaded_presentation = si.GetBoolValue("GPU", "ThreadedPresentation", true);
   gpu_true_color = si.GetBoolValue("GPU", "TrueColor", true);
   gpu_scaled_dithering = si.GetBoolValue("GPU", "ScaledDithering", false);
   gpu_texture_filter =
@@ -299,6 +300,7 @@ void Settings::Save(SettingsInterface& si) const
   si.SetBoolValue("GPU", "UseDebugDevice", gpu_use_debug_device);
   si.SetBoolValue("GPU", "PerSampleShading", gpu_per_sample_shading);
   si.SetBoolValue("GPU", "UseThread", gpu_use_thread);
+  si.SetBoolValue("GPU", "ThreadedPresentation", gpu_threaded_presentation);
   si.SetBoolValue("GPU", "TrueColor", gpu_true_color);
   si.SetBoolValue("GPU", "ScaledDithering", gpu_scaled_dithering);
   si.SetStringValue("GPU", "TextureFilter", GetTextureFilterName(gpu_texture_filter));
diff --git a/src/core/settings.h b/src/core/settings.h
index eec5b40e2..a4b929bba 100644
--- a/src/core/settings.h
+++ b/src/core/settings.h
@@ -97,6 +97,7 @@ struct Settings
   u32 gpu_resolution_scale = 1;
   u32 gpu_multisamples = 1;
   bool gpu_use_thread = true;
+  bool gpu_threaded_presentation = true;
   bool gpu_use_debug_device = false;
   bool gpu_per_sample_shading = false;
   bool gpu_true_color = true;
diff --git a/src/duckstation-libretro/libretro_host_display.cpp b/src/duckstation-libretro/libretro_host_display.cpp
index 0adbb61fe..b4bf7bf29 100644
--- a/src/duckstation-libretro/libretro_host_display.cpp
+++ b/src/duckstation-libretro/libretro_host_display.cpp
@@ -81,13 +81,15 @@ bool LibretroHostDisplay::HasRenderSurface() const
   return true;
 }
 
-bool LibretroHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device)
+bool LibretroHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                             bool threaded_presentation)
 {
   m_window_info = wi;
   return true;
 }
 
-bool LibretroHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device)
+bool LibretroHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                                                 bool threaded_presentation)
 {
   return true;
 }
diff --git a/src/duckstation-libretro/libretro_host_display.h b/src/duckstation-libretro/libretro_host_display.h
index fa0def33e..ec6778d89 100644
--- a/src/duckstation-libretro/libretro_host_display.h
+++ b/src/duckstation-libretro/libretro_host_display.h
@@ -15,8 +15,10 @@ public:
   bool HasRenderDevice() const override;
   bool HasRenderSurface() const override;
 
-  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
-  bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device) override;
+  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                          bool threaded_presentation) override;
+  bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                              bool threaded_presentation) override;
   void DestroyRenderDevice() override;
 
   bool MakeRenderContextCurrent() override;
diff --git a/src/duckstation-libretro/libretro_host_interface.cpp b/src/duckstation-libretro/libretro_host_interface.cpp
index ead66ebfd..60de1e0aa 100644
--- a/src/duckstation-libretro/libretro_host_interface.cpp
+++ b/src/duckstation-libretro/libretro_host_interface.cpp
@@ -1297,8 +1297,8 @@ void LibretroHostInterface::SwitchToHardwareRenderer()
         Log_ErrorPrintf("Unhandled renderer '%s'", Settings::GetRendererName(renderer.value()));
         return;
     }
-    if (!display || !display->CreateRenderDevice(wi, {}, g_settings.gpu_use_debug_device) ||
-        !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device))
+    if (!display || !display->CreateRenderDevice(wi, {}, g_settings.gpu_use_debug_device, false) ||
+        !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device, false))
     {
       Log_ErrorPrintf("Failed to create hardware host display");
       return;
diff --git a/src/duckstation-libretro/libretro_opengl_host_display.cpp b/src/duckstation-libretro/libretro_opengl_host_display.cpp
index 6415b1589..ffe4da213 100644
--- a/src/duckstation-libretro/libretro_opengl_host_display.cpp
+++ b/src/duckstation-libretro/libretro_opengl_host_display.cpp
@@ -98,7 +98,7 @@ bool LibretroOpenGLHostDisplay::RequestHardwareRendererContext(retro_hw_render_c
 }
 
 bool LibretroOpenGLHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name,
-                                                   bool debug_device)
+                                                   bool debug_device, bool threaded_presentation)
 {
   Assert(wi.type == WindowInfo::Type::Libretro);
 
diff --git a/src/duckstation-libretro/libretro_opengl_host_display.h b/src/duckstation-libretro/libretro_opengl_host_display.h
index 3049248cb..9bd74f37d 100644
--- a/src/duckstation-libretro/libretro_opengl_host_display.h
+++ b/src/duckstation-libretro/libretro_opengl_host_display.h
@@ -4,8 +4,8 @@
 #include "core/host_display.h"
 #include "frontend-common/opengl_host_display.h"
 #include "libretro.h"
-#include <string>
 #include <memory>
+#include <string>
 
 class LibretroOpenGLHostDisplay final : public FrontendCommon::OpenGLHostDisplay
 {
@@ -17,7 +17,8 @@ public:
 
   RenderAPI GetRenderAPI() const override;
 
-  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
+  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                          bool threaded_presentation) override;
   void DestroyRenderDevice() override;
 
   void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
diff --git a/src/duckstation-libretro/libretro_vulkan_host_display.cpp b/src/duckstation-libretro/libretro_vulkan_host_display.cpp
index 03697f30c..5668eaabe 100644
--- a/src/duckstation-libretro/libretro_vulkan_host_display.cpp
+++ b/src/duckstation-libretro/libretro_vulkan_host_display.cpp
@@ -85,7 +85,7 @@ bool LibretroVulkanHostDisplay::RequestHardwareRendererContext(retro_hw_render_c
 }
 
 bool LibretroVulkanHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name,
-                                                   bool debug_device)
+                                                   bool debug_device, bool threaded_presentation)
 {
   retro_hw_render_interface* ri = nullptr;
   if (!g_retro_environment_callback(RETRO_ENVIRONMENT_GET_HW_RENDER_INTERFACE, &ri))
diff --git a/src/duckstation-libretro/libretro_vulkan_host_display.h b/src/duckstation-libretro/libretro_vulkan_host_display.h
index 5a55fc121..afea255fe 100644
--- a/src/duckstation-libretro/libretro_vulkan_host_display.h
+++ b/src/duckstation-libretro/libretro_vulkan_host_display.h
@@ -14,7 +14,8 @@ public:
 
   static bool RequestHardwareRendererContext(retro_hw_render_callback* cb);
 
-  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
+  bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                          bool threaded_presentation) override;
   void DestroyRenderDevice() override;
 
   void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
diff --git a/src/duckstation-qt/displaysettingswidget.cpp b/src/duckstation-qt/displaysettingswidget.cpp
index f753049da..d4d007436 100644
--- a/src/duckstation-qt/displaysettingswidget.cpp
+++ b/src/duckstation-qt/displaysettingswidget.cpp
@@ -34,6 +34,8 @@ DisplaySettingsWidget::DisplaySettingsWidget(QtHostInterface* host_interface, QW
                                                "IntegerScaling");
   SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, m_ui.vsync, "Display", "VSync");
   SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, m_ui.gpuThread, "GPU", "UseThread", true);
+  SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, m_ui.threadedPresentation, "GPU",
+                                               "ThreadedPresentation", true);
   SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, m_ui.showOSDMessages, "Display", "ShowOSDMessages",
                                                true);
   SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, m_ui.showFPS, "Display", "ShowFPS", false);
@@ -85,6 +87,9 @@ DisplaySettingsWidget::DisplaySettingsWidget(QtHostInterface* host_interface, QW
     m_ui.vsync, tr("VSync"), tr("Checked"),
     tr("Enable this option to match DuckStation's refresh rate with your current monitor or screen. "
        "VSync is automatically disabled when it is not possible (e.g. running at non-100% speed)."));
+  dialog->registerWidgetHelp(m_ui.threadedPresentation, tr("Threaded Presentation"), tr("Checked"),
+                             tr("Presents frames on a background thread when fast forwarding or vsync is disabled. "
+                                "This can measurably improve performance in the Vulkan renderer."));
   dialog->registerWidgetHelp(m_ui.gpuThread, tr("Threaded Rendering"), tr("Checked"),
                              tr("Uses a second thread for drawing graphics. Currently only available for the software "
                                 "renderer, but can provide a significant speed improvement, and is safe to use."));
@@ -104,7 +109,7 @@ DisplaySettingsWidget::DisplaySettingsWidget(QtHostInterface* host_interface, QW
   {
     QCheckBox* cb = new QCheckBox(tr("Use Blit Swap Chain"), m_ui.basicGroupBox);
     SettingWidgetBinder::BindWidgetToBoolSetting(m_host_interface, cb, "Display", "UseBlitSwapChain", false);
-    m_ui.basicCheckboxGridLayout->addWidget(cb, 1, 0, 1, 1);
+    m_ui.basicCheckboxGridLayout->addWidget(cb, 1, 1, 1, 1);
     dialog->registerWidgetHelp(cb, tr("Use Blit Swap Chain"), tr("Unchecked"),
                                tr("Uses a blit presentation model instead of flipping when using the Direct3D 11 "
                                   "renderer. This usually results in slower performance, but may be required for some "
@@ -141,6 +146,7 @@ void DisplaySettingsWidget::populateGPUAdaptersAndResolutions()
   std::vector<std::string> adapter_names;
   std::vector<std::string> fullscreen_modes;
   bool thread_supported = false;
+  bool threaded_presentation_supported = false;
   switch (static_cast<GPURenderer>(m_ui.renderer->currentIndex()))
   {
 #ifdef WIN32
@@ -155,6 +161,7 @@ void DisplaySettingsWidget::populateGPUAdaptersAndResolutions()
 
     case GPURenderer::HardwareVulkan:
       adapter_names = FrontendCommon::VulkanHostDisplay::EnumerateAdapterNames();
+      threaded_presentation_supported = true;
       break;
 
     case GPURenderer::Software:
@@ -207,6 +214,7 @@ void DisplaySettingsWidget::populateGPUAdaptersAndResolutions()
   }
 
   m_ui.gpuThread->setEnabled(thread_supported);
+  m_ui.threadedPresentation->setEnabled(threaded_presentation_supported);
 }
 
 void DisplaySettingsWidget::onGPUAdapterIndexChanged()
diff --git a/src/duckstation-qt/displaysettingswidget.ui b/src/duckstation-qt/displaysettingswidget.ui
index 02971ce44..0e6435988 100644
--- a/src/duckstation-qt/displaysettingswidget.ui
+++ b/src/duckstation-qt/displaysettingswidget.ui
@@ -78,6 +78,13 @@
           </property>
          </widget>
         </item>
+        <item row="1" column="0">
+         <widget class="QCheckBox" name="threadedPresentation">
+          <property name="text">
+           <string>Threaded Presentation</string>
+          </property>
+         </widget>
+        </item>
        </layout>
       </item>
      </layout>
diff --git a/src/duckstation-qt/mainwindow.cpp b/src/duckstation-qt/mainwindow.cpp
index f4fda8dea..fa11e8d9e 100644
--- a/src/duckstation-qt/mainwindow.cpp
+++ b/src/duckstation-qt/mainwindow.cpp
@@ -90,8 +90,7 @@ bool MainWindow::shouldHideCursorInFullscreen() const
   return g_host_interface->GetBoolSettingValue("Main", "HideCursorInFullscreen", true);
 }
 
-QtDisplayWidget* MainWindow::createDisplay(QThread* worker_thread, const QString& adapter_name, bool use_debug_device,
-                                           bool fullscreen, bool render_to_main)
+QtDisplayWidget* MainWindow::createDisplay(QThread* worker_thread, bool fullscreen, bool render_to_main)
 {
   Assert(!m_host_display && !m_display_widget);
   Assert(!fullscreen || !render_to_main);
@@ -143,7 +142,8 @@ QtDisplayWidget* MainWindow::createDisplay(QThread* worker_thread, const QString
     return nullptr;
   }
 
-  if (!m_host_display->CreateRenderDevice(wi.value(), adapter_name.toStdString(), use_debug_device))
+  if (!m_host_display->CreateRenderDevice(wi.value(), g_settings.gpu_adapter, g_settings.gpu_use_debug_device,
+                                          g_settings.gpu_threaded_presentation))
   {
     reportError(tr("Failed to create host display device context."));
     destroyDisplayWidget();
@@ -815,11 +815,14 @@ void MainWindow::updateEmulationActions(bool starting, bool running)
     }
   }
 
-  if (g_settings.debugging.enable_gdb_server) {
-    if (starting && !m_gdb_server) {
+  if (g_settings.debugging.enable_gdb_server)
+  {
+    if (starting && !m_gdb_server)
+    {
       m_gdb_server = new GDBServer(this, g_settings.debugging.gdb_server_port);
     }
-    else if (!running && m_gdb_server) {
+    else if (!running && m_gdb_server)
+    {
       delete m_gdb_server;
       m_gdb_server = nullptr;
     }
diff --git a/src/duckstation-qt/mainwindow.h b/src/duckstation-qt/mainwindow.h
index 19ba30612..beceffb01 100644
--- a/src/duckstation-qt/mainwindow.h
+++ b/src/duckstation-qt/mainwindow.h
@@ -47,8 +47,7 @@ private Q_SLOTS:
   void reportError(const QString& message);
   void reportMessage(const QString& message);
   bool confirmMessage(const QString& message);
-  QtDisplayWidget* createDisplay(QThread* worker_thread, const QString& adapter_name, bool use_debug_device,
-                                 bool fullscreen, bool render_to_main);
+  QtDisplayWidget* createDisplay(QThread* worker_thread, bool fullscreen, bool render_to_main);
   QtDisplayWidget* updateDisplay(QThread* worker_thread, bool fullscreen, bool render_to_main);
   void displaySizeRequested(qint32 width, qint32 height);
   void destroyDisplay();
diff --git a/src/duckstation-qt/qthostinterface.cpp b/src/duckstation-qt/qthostinterface.cpp
index 258b66f74..f5ccdb509 100644
--- a/src/duckstation-qt/qthostinterface.cpp
+++ b/src/duckstation-qt/qthostinterface.cpp
@@ -488,9 +488,7 @@ bool QtHostInterface::AcquireHostDisplay()
 
   m_is_rendering_to_main = m_settings_interface->GetBoolValue("Main", "RenderToMainWindow", true);
 
-  QtDisplayWidget* display_widget =
-    createDisplayRequested(m_worker_thread, QString::fromStdString(g_settings.gpu_adapter),
-                           g_settings.gpu_use_debug_device, m_is_fullscreen, m_is_rendering_to_main);
+  QtDisplayWidget* display_widget = createDisplayRequested(m_worker_thread, m_is_fullscreen, m_is_rendering_to_main);
   if (!display_widget || !m_display->HasRenderDevice())
   {
     emit destroyDisplayRequested();
@@ -501,7 +499,8 @@ bool QtHostInterface::AcquireHostDisplay()
   createImGuiContext(display_widget->devicePixelRatioFromScreen());
 
   if (!m_display->MakeRenderContextCurrent() ||
-      !m_display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device) ||
+      !m_display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device,
+                                         g_settings.gpu_threaded_presentation) ||
       !CreateHostDisplayResources())
   {
     destroyImGuiContext();
diff --git a/src/duckstation-qt/qthostinterface.h b/src/duckstation-qt/qthostinterface.h
index d7ceda635..2cb3e6827 100644
--- a/src/duckstation-qt/qthostinterface.h
+++ b/src/duckstation-qt/qthostinterface.h
@@ -129,8 +129,7 @@ Q_SIGNALS:
   void emulationPaused(bool paused);
   void stateSaved(const QString& game_code, bool global, qint32 slot);
   void gameListRefreshed();
-  QtDisplayWidget* createDisplayRequested(QThread* worker_thread, const QString& adapter_name, bool use_debug_device,
-                                          bool fullscreen, bool render_to_main);
+  QtDisplayWidget* createDisplayRequested(QThread* worker_thread, bool fullscreen, bool render_to_main);
   QtDisplayWidget* updateDisplayRequested(QThread* worker_thread, bool fullscreen, bool render_to_main);
   void displaySizeRequested(qint32 width, qint32 height);
   void focusDisplayWidgetRequested();
diff --git a/src/duckstation-sdl/sdl_host_interface.cpp b/src/duckstation-sdl/sdl_host_interface.cpp
index 141fa5b23..cce2ad925 100644
--- a/src/duckstation-sdl/sdl_host_interface.cpp
+++ b/src/duckstation-sdl/sdl_host_interface.cpp
@@ -132,8 +132,10 @@ bool SDLHostInterface::CreateDisplay()
   }
 
   Assert(display);
-  if (!display->CreateRenderDevice(wi.value(), g_settings.gpu_adapter, g_settings.gpu_use_debug_device) ||
-      !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device))
+  if (!display->CreateRenderDevice(wi.value(), g_settings.gpu_adapter, g_settings.gpu_use_debug_device,
+                                   g_settings.gpu_threaded_presentation) ||
+      !display->InitializeRenderDevice(GetShaderCacheBasePath(), g_settings.gpu_use_debug_device,
+                                       g_settings.gpu_threaded_presentation))
   {
     ReportError("Failed to create/initialize display render device");
     return false;
diff --git a/src/frontend-common/d3d11_host_display.cpp b/src/frontend-common/d3d11_host_display.cpp
index 4304e7455..86172af72 100644
--- a/src/frontend-common/d3d11_host_display.cpp
+++ b/src/frontend-common/d3d11_host_display.cpp
@@ -241,7 +241,8 @@ void D3D11HostDisplay::SetVSync(bool enabled)
 #endif
 }
 
-bool D3D11HostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device)
+bool D3D11HostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                          bool threaded_presentation)
 {
 #ifndef LIBRETRO
   UINT create_flags = 0;
@@ -352,7 +353,8 @@ bool D3D11HostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view
   return true;
 }
 
-bool D3D11HostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device)
+bool D3D11HostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                                              bool threaded_presentation)
 {
 #ifndef LIBRETRO
   if (m_window_info.type != WindowInfo::Type::Surfaceless && m_window_info.type != WindowInfo::Type::Libretro &&
diff --git a/src/frontend-common/d3d11_host_display.h b/src/frontend-common/d3d11_host_display.h
index 673018d31..2827413f5 100644
--- a/src/frontend-common/d3d11_host_display.h
+++ b/src/frontend-common/d3d11_host_display.h
@@ -35,8 +35,8 @@ public:
   virtual bool HasRenderDevice() const override;
   virtual bool HasRenderSurface() const override;
 
-  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
-  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device) override;
+  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device, bool threaded_presentation) override;
+  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device, bool threaded_presentation) override;
   virtual void DestroyRenderDevice() override;
 
   virtual bool MakeRenderContextCurrent() override;
diff --git a/src/frontend-common/opengl_host_display.cpp b/src/frontend-common/opengl_host_display.cpp
index 792d50710..6e7cbf9b6 100644
--- a/src/frontend-common/opengl_host_display.cpp
+++ b/src/frontend-common/opengl_host_display.cpp
@@ -318,7 +318,8 @@ bool OpenGLHostDisplay::HasRenderSurface() const
   return m_window_info.type != WindowInfo::Type::Surfaceless;
 }
 
-bool OpenGLHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device)
+bool OpenGLHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                           bool threaded_presentation)
 {
   m_gl_context = GL::Context::Create(wi);
   if (!m_gl_context)
@@ -333,7 +334,8 @@ bool OpenGLHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_vie
   return true;
 }
 
-bool OpenGLHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device)
+bool OpenGLHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                                               bool threaded_presentation)
 {
   glGetIntegerv(GL_UNIFORM_BUFFER_OFFSET_ALIGNMENT, reinterpret_cast<GLint*>(&m_uniform_buffer_alignment));
 
diff --git a/src/frontend-common/opengl_host_display.h b/src/frontend-common/opengl_host_display.h
index b9b10fc0e..b37b279ab 100644
--- a/src/frontend-common/opengl_host_display.h
+++ b/src/frontend-common/opengl_host_display.h
@@ -35,8 +35,8 @@ public:
   virtual bool HasRenderDevice() const override;
   virtual bool HasRenderSurface() const override;
 
-  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
-  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device) override;
+  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device, bool threaded_presentation) override;
+  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device, bool threaded_presentation) override;
   virtual void DestroyRenderDevice() override;
 
   virtual bool MakeRenderContextCurrent() override;
diff --git a/src/frontend-common/vulkan_host_display.cpp b/src/frontend-common/vulkan_host_display.cpp
index 947b9ad37..a2bf713b6 100644
--- a/src/frontend-common/vulkan_host_display.cpp
+++ b/src/frontend-common/vulkan_host_display.cpp
@@ -192,6 +192,7 @@ bool VulkanHostDisplay::SetFullscreen(bool fullscreen, u32 width, u32 height, fl
 void VulkanHostDisplay::DestroyRenderSurface()
 {
   m_window_info = {};
+  g_vulkan_context->WaitForGPUIdle();
   m_swap_chain.reset();
 }
 
@@ -310,9 +311,10 @@ void VulkanHostDisplay::SetVSync(bool enabled)
   m_swap_chain->SetVSync(enabled);
 }
 
-bool VulkanHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device)
+bool VulkanHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                           bool threaded_presentation)
 {
-  if (!Vulkan::Context::Create(adapter_name, &wi, &m_swap_chain, debug_device, false))
+  if (!Vulkan::Context::Create(adapter_name, &wi, &m_swap_chain, threaded_presentation, debug_device, false))
   {
     Log_ErrorPrintf("Failed to create Vulkan context");
     return false;
@@ -328,7 +330,7 @@ bool VulkanHostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_vie
   return true;
 }
 
-bool VulkanHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device)
+bool VulkanHostDisplay::InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device, bool threaded_presentation)
 {
   Vulkan::ShaderCache::Create(shader_cache_directory, debug_device);
 
@@ -648,7 +650,7 @@ bool VulkanHostDisplay::Render()
 
   g_vulkan_context->SubmitCommandBuffer(m_swap_chain->GetImageAvailableSemaphore(),
                                         m_swap_chain->GetRenderingFinishedSemaphore(), m_swap_chain->GetSwapChain(),
-                                        m_swap_chain->GetCurrentImageIndex());
+                                        m_swap_chain->GetCurrentImageIndex(), !m_swap_chain->IsVSyncEnabled());
   g_vulkan_context->MoveToNextCommandBuffer();
 
 #ifdef WITH_IMGUI
diff --git a/src/frontend-common/vulkan_host_display.h b/src/frontend-common/vulkan_host_display.h
index 31346f242..7cdc57b92 100644
--- a/src/frontend-common/vulkan_host_display.h
+++ b/src/frontend-common/vulkan_host_display.h
@@ -32,8 +32,10 @@ public:
   virtual bool HasRenderDevice() const override;
   virtual bool HasRenderSurface() const override;
 
-  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device) override;
-  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device) override;
+  virtual bool CreateRenderDevice(const WindowInfo& wi, std::string_view adapter_name, bool debug_device,
+                                  bool threaded_presentation) override;
+  virtual bool InitializeRenderDevice(std::string_view shader_cache_directory, bool debug_device,
+                                      bool threaded_presentation) override;
   virtual void DestroyRenderDevice() override;
 
   virtual bool MakeRenderContextCurrent() override;