diff --git a/src/core/gpu.cpp b/src/core/gpu.cpp
index edc2d1759..606167bc2 100644
--- a/src/core/gpu.cpp
+++ b/src/core/gpu.cpp
@@ -1997,15 +1997,11 @@ GPUDevice::PresentResult GPU::RenderDisplay(GPUTexture* target, const GSVector4i
 
     // Now we can apply the post chain.
     GPUTexture* post_output_texture = PostProcessing::InternalChain.GetOutputTexture();
-    if (const GPUDevice::PresentResult pres = PostProcessing::InternalChain.Apply(
-          display_texture, m_display_depth_buffer, post_output_texture,
-          GSVector4i(0, 0, display_texture_view_width, display_texture_view_height), display_texture_view_width,
-          display_texture_view_height, m_crtc_state.display_width, m_crtc_state.display_height);
-        pres != GPUDevice::PresentResult::OK)
-    {
-      return pres;
-    }
-    else
+    if (PostProcessing::InternalChain.Apply(display_texture, m_display_depth_buffer, post_output_texture,
+                                            GSVector4i(0, 0, display_texture_view_width, display_texture_view_height),
+                                            display_texture_view_width, display_texture_view_height,
+                                            m_crtc_state.display_width,
+                                            m_crtc_state.display_height) == GPUDevice::PresentResult::OK)
     {
       display_texture_view_x = 0;
       display_texture_view_y = 0;
@@ -2020,8 +2016,13 @@ GPUDevice::PresentResult GPU::RenderDisplay(GPUTexture* target, const GSVector4i
   const bool really_postfx = (postfx && PostProcessing::DisplayChain.IsActive() && g_gpu_device->HasMainSwapChain() &&
                               hdformat != GPUTexture::Format::Unknown && target_width > 0 && target_height > 0 &&
                               PostProcessing::DisplayChain.CheckTargets(hdformat, target_width, target_height));
-  const GSVector4i real_draw_rect =
-    g_gpu_device->UsesLowerLeftOrigin() ? GPUDevice::FlipToLowerLeft(draw_rect, target_height) : draw_rect;
+  GSVector4i real_draw_rect = target ? draw_rect : g_gpu_device->GetMainSwapChain()->PreRotateClipRect(draw_rect);
+  if (g_gpu_device->UsesLowerLeftOrigin())
+  {
+    real_draw_rect = GPUDevice::FlipToLowerLeft(
+      real_draw_rect,
+      (target || really_postfx) ? target_height : g_gpu_device->GetMainSwapChain()->GetPostRotatedHeight());
+  }
   if (really_postfx)
   {
     g_gpu_device->ClearRenderTarget(PostProcessing::DisplayChain.GetInputTexture(), GPUDevice::DEFAULT_CLEAR_COLOR);
@@ -2106,16 +2107,22 @@ GPUDevice::PresentResult GPU::RenderDisplay(GPUTexture* target, const GSVector4i
     uniforms.src_size[2] = rcp_width;
     uniforms.src_size[3] = rcp_height;
 
-    if (g_settings.display_rotation != DisplayRotation::Normal)
+    const WindowInfo::PreRotation surface_prerotation = (target || really_postfx) ?
+                                                          WindowInfo::PreRotation::Identity :
+                                                          g_gpu_device->GetMainSwapChain()->GetPreRotation();
+    if (g_settings.display_rotation != DisplayRotation::Normal ||
+        surface_prerotation != WindowInfo::PreRotation::Identity)
     {
-      static constexpr const std::array<float, static_cast<size_t>(DisplayRotation::Count) - 1> rotation_radians = {{
+      static constexpr const std::array<float, static_cast<size_t>(DisplayRotation::Count)> rotation_radians = {{
+        0.0f,                                        // Disabled
         static_cast<float>(std::numbers::pi * 1.5f), // Rotate90
         static_cast<float>(std::numbers::pi),        // Rotate180
         static_cast<float>(std::numbers::pi / 2.0),  // Rotate270
       }};
 
-      GSMatrix2x2::Rotation(rotation_radians[static_cast<size_t>(g_settings.display_rotation) - 1])
-        .store(uniforms.rotation_matrix);
+      const u32 rotation_idx = (static_cast<u32>(g_settings.display_rotation) + static_cast<u32>(surface_prerotation)) %
+                               static_cast<u32>(rotation_radians.size());
+      GSMatrix2x2::Rotation(rotation_radians[rotation_idx]).store(uniforms.rotation_matrix);
     }
     else
     {
diff --git a/src/util/gpu_device.cpp b/src/util/gpu_device.cpp
index 1ce76f115..231283c2a 100644
--- a/src/util/gpu_device.cpp
+++ b/src/util/gpu_device.cpp
@@ -233,6 +233,47 @@ GPUSwapChain::GPUSwapChain(const WindowInfo& wi, GPUVSyncMode vsync_mode, bool a
 
 GPUSwapChain::~GPUSwapChain() = default;
 
+GSVector4i GPUSwapChain::PreRotateClipRect(const GSVector4i& v)
+{
+  GSVector4i new_clip;
+  switch (m_window_info.surface_prerotation)
+  {
+    case WindowInfo::PreRotation::Identity:
+      new_clip = v;
+      break;
+
+    case WindowInfo::PreRotation::Rotate90Clockwise:
+    {
+      const s32 height = (v.w - v.y);
+      const s32 y = m_window_info.surface_height - v.y - height;
+      new_clip = GSVector4i(y, v.x, y + height, v.z);
+    }
+    break;
+
+    case WindowInfo::PreRotation::Rotate180Clockwise:
+    {
+      const s32 width = (v.z - v.x);
+      const s32 height = (v.w - v.y);
+      const s32 x = m_window_info.surface_width - v.x - width;
+      const s32 y = m_window_info.surface_height - v.y - height;
+      new_clip = GSVector4i(x, y, x + width, y + height);
+    }
+    break;
+
+    case WindowInfo::PreRotation::Rotate270Clockwise:
+    {
+      const s32 width = (v.z - v.x);
+      const s32 x = m_window_info.surface_width - v.x - width;
+      new_clip = GSVector4i(v.y, x, v.w, x + width);
+    }
+    break;
+
+      DefaultCaseIsUnreachable()
+  }
+
+  return new_clip;
+}
+
 bool GPUSwapChain::ShouldSkipPresentingFrame()
 {
   // Only needed with FIFO. But since we're so fast, we allow it always.
@@ -674,11 +715,17 @@ void GPUDevice::RenderImGui(GPUSwapChain* swap_chain)
   if (draw_data->CmdListsCount == 0 || !swap_chain)
     return;
 
+  const s32 post_rotated_height = swap_chain->GetPostRotatedHeight();
   SetPipeline(m_imgui_pipeline.get());
-  SetViewportAndScissor(0, 0, swap_chain->GetWidth(), swap_chain->GetHeight());
+  SetViewport(0, 0, swap_chain->GetPostRotatedWidth(), post_rotated_height);
 
-  const GSMatrix4x4 mproj = GSMatrix4x4::OffCenterOrthographicProjection(
+  GSMatrix4x4 mproj = GSMatrix4x4::OffCenterOrthographicProjection(
     0.0f, 0.0f, static_cast<float>(swap_chain->GetWidth()), static_cast<float>(swap_chain->GetHeight()), 0.0f, 1.0f);
+  if (swap_chain->GetPreRotation() != WindowInfo::PreRotation::Identity)
+  {
+    mproj =
+      GSMatrix4x4::RotationZ(WindowInfo::GetZRotationForPreRotation(swap_chain->GetPreRotation())) * mproj;
+  }
   PushUniformBuffer(&mproj, sizeof(mproj));
 
   // Render command lists
@@ -701,8 +748,9 @@ void GPUDevice::RenderImGui(GPUSwapChain* swap_chain)
         continue;
 
       GSVector4i clip = GSVector4i(GSVector4::load<false>(&pcmd->ClipRect.x));
+      clip = swap_chain->PreRotateClipRect(clip);
       if (flip)
-        clip = FlipToLowerLeft(clip, swap_chain->GetHeight());
+        clip = FlipToLowerLeft(clip, post_rotated_height);
 
       SetScissor(clip);
       SetTextureSampler(0, reinterpret_cast<GPUTexture*>(pcmd->TextureId), m_linear_sampler.get());
diff --git a/src/util/gpu_device.h b/src/util/gpu_device.h
index c2b37f2fb..ffcd7fd10 100644
--- a/src/util/gpu_device.h
+++ b/src/util/gpu_device.h
@@ -507,7 +507,10 @@ public:
   ALWAYS_INLINE const WindowInfo& GetWindowInfo() const { return m_window_info; }
   ALWAYS_INLINE u32 GetWidth() const { return m_window_info.surface_width; }
   ALWAYS_INLINE u32 GetHeight() const { return m_window_info.surface_height; }
+  ALWAYS_INLINE u32 GetPostRotatedWidth() const { return m_window_info.GetPostRotatedWidth(); }
+  ALWAYS_INLINE u32 GetPostRotatedHeight() const { return m_window_info.GetPostRotatedHeight(); }
   ALWAYS_INLINE float GetScale() const { return m_window_info.surface_scale; }
+  ALWAYS_INLINE WindowInfo::PreRotation GetPreRotation() const { return m_window_info.surface_prerotation; }
   ALWAYS_INLINE GPUTexture::Format GetFormat() const { return m_window_info.surface_format; }
 
   ALWAYS_INLINE GPUVSyncMode GetVSyncMode() const { return m_vsync_mode; }
@@ -517,6 +520,8 @@ public:
   virtual bool ResizeBuffers(u32 new_width, u32 new_height, float new_scale, Error* error) = 0;
   virtual bool SetVSyncMode(GPUVSyncMode mode, bool allow_present_throttle, Error* error) = 0;
 
+  GSVector4i PreRotateClipRect(const GSVector4i& v);
+
   bool ShouldSkipPresentingFrame();
   void ThrottlePresentation();
 
diff --git a/src/util/opengl_context_egl.cpp b/src/util/opengl_context_egl.cpp
index 43f6d8ab8..a2ddc9061 100644
--- a/src/util/opengl_context_egl.cpp
+++ b/src/util/opengl_context_egl.cpp
@@ -443,6 +443,9 @@ void OpenGLContextEGL::UpdateWindowInfoSize(WindowInfo& wi, EGLSurface surface)
   {
     wi.surface_width = static_cast<u16>(surface_width);
     wi.surface_height = static_cast<u16>(surface_height);
+
+    if (WindowInfo::ShouldSwapDimensionsForPreRotation(wi.surface_prerotation))
+      std::swap(wi.surface_width, wi.surface_height);
   }
   else
   {
diff --git a/src/util/postprocessing.cpp b/src/util/postprocessing.cpp
index 79717708e..81405ca86 100644
--- a/src/util/postprocessing.cpp
+++ b/src/util/postprocessing.cpp
@@ -8,6 +8,7 @@
 #include "postprocessing_shader.h"
 #include "postprocessing_shader_fx.h"
 #include "postprocessing_shader_glsl.h"
+#include "shadergen.h"
 
 // TODO: Remove me
 #include "core/host.h"
@@ -28,9 +29,6 @@
 
 LOG_CHANNEL(PostProcessing);
 
-// TODO: ProgressCallbacks for shader compiling, it can be a bit slow.
-// TODO: buffer width/height is wrong on resize, need to change it somehow.
-
 namespace PostProcessing {
 template<typename T>
 static u32 ParseVector(std::string_view line, ShaderOption::ValueVector* values);
@@ -369,6 +367,11 @@ PostProcessing::Chain::Chain(const char* section) : m_section(section)
 
 PostProcessing::Chain::~Chain() = default;
 
+GPUTexture* PostProcessing::Chain::GetTextureUnusedAtEndOfChain() const
+{
+  return (m_stages.size() % 2) ? m_output_texture.get() : m_input_texture.get();
+}
+
 bool PostProcessing::Chain::IsActive() const
 {
   return m_enabled && !m_stages.empty();
@@ -561,16 +564,58 @@ bool PostProcessing::Chain::CheckTargets(GPUTexture::Format target_format, u32 t
   if (m_target_format == target_format && m_target_width == target_width && m_target_height == target_height)
     return true;
 
+  Error error;
+
+  if (!IsInternalChain() && (!m_rotated_copy_pipeline || m_target_format != target_format))
+  {
+    const RenderAPI rapi = g_gpu_device->GetRenderAPI();
+    const ShaderGen shadergen(rapi, ShaderGen::GetShaderLanguageForAPI(rapi), false, false);
+    const std::unique_ptr<GPUShader> vso = g_gpu_device->CreateShader(GPUShaderStage::Vertex, shadergen.GetLanguage(),
+                                                                      shadergen.GenerateRotateVertexShader(), &error);
+    const std::unique_ptr<GPUShader> fso = g_gpu_device->CreateShader(GPUShaderStage::Fragment, shadergen.GetLanguage(),
+                                                                      shadergen.GenerateRotateFragmentShader(), &error);
+    if (!vso || !fso)
+    {
+      ERROR_LOG("Failed to compile post-processing rotate shaders: {}", error.GetDescription());
+      return false;
+    }
+    GL_OBJECT_NAME(vso, "Post-processing rotate blit VS");
+    GL_OBJECT_NAME(vso, "Post-processing rotate blit FS");
+
+    const GPUPipeline::GraphicsConfig config = {.layout = GPUPipeline::Layout::SingleTextureAndPushConstants,
+                                                .primitive = GPUPipeline::Primitive::Triangles,
+                                                .input_layout = {},
+                                                .rasterization = GPUPipeline::RasterizationState::GetNoCullState(),
+                                                .depth = GPUPipeline::DepthState::GetNoTestsState(),
+                                                .blend = GPUPipeline::BlendState::GetNoBlendingState(),
+                                                .vertex_shader = vso.get(),
+                                                .geometry_shader = nullptr,
+                                                .fragment_shader = fso.get(),
+                                                .color_formats = {target_format},
+                                                .depth_format = GPUTexture::Format::Unknown,
+                                                .samples = 1,
+                                                .per_sample_shading = false,
+                                                .render_pass_flags = GPUPipeline::NoRenderPassFlags};
+    m_rotated_copy_pipeline = g_gpu_device->CreatePipeline(config, &error);
+    if (!m_rotated_copy_pipeline)
+    {
+      ERROR_LOG("Failed to compile post-processing rotate pipeline: {}", error.GetDescription());
+      return false;
+    }
+    GL_OBJECT_NAME(m_rotated_copy_pipeline, "Post-processing rotate pipeline");
+  }
+
   // In case any allocs fail.
   DestroyTextures();
 
   if (!(m_input_texture =
           g_gpu_device->FetchTexture(target_width, target_height, 1, 1, 1, GPUTexture::Type::RenderTarget,
-                                     target_format, GPUTexture::Flags::None)) ||
+                                     target_format, GPUTexture::Flags::None, nullptr, 0, &error)) ||
       !(m_output_texture =
           g_gpu_device->FetchTexture(target_width, target_height, 1, 1, 1, GPUTexture::Type::RenderTarget,
-                                     target_format, GPUTexture::Flags::None)))
+                                     target_format, GPUTexture::Flags::None, nullptr, 0, &error)))
   {
+    ERROR_LOG("Failed to create input/output textures: {}", error.GetDescription());
     DestroyTextures();
     return false;
   }
@@ -583,7 +628,6 @@ bool PostProcessing::Chain::CheckTargets(GPUTexture::Format target_format, u32 t
 
   m_wants_depth_buffer = false;
 
-  Error error;
   for (size_t i = 0; i < m_stages.size(); i++)
   {
     Shader* const shader = m_stages[i].get();
@@ -622,6 +666,11 @@ void PostProcessing::Chain::DestroyTextures()
   g_gpu_device->RecycleTexture(std::move(m_input_texture));
 }
 
+void PostProcessing::Chain::DestroyPipelines()
+{
+  m_rotated_copy_pipeline.reset();
+}
+
 GPUDevice::PresentResult PostProcessing::Chain::Apply(GPUTexture* input_color, GPUTexture* input_depth,
                                                       GPUTexture* final_target, GSVector4i final_rect, s32 orig_width,
                                                       s32 orig_height, s32 native_width, s32 native_height)
@@ -633,13 +682,24 @@ GPUDevice::PresentResult PostProcessing::Chain::Apply(GPUTexture* input_color, G
   if (input_depth)
     input_depth->MakeReadyForSampling();
 
+  GPUTexture* draw_final_target = final_target;
+  const WindowInfo::PreRotation prerotation =
+    final_target ? WindowInfo::PreRotation::Identity : g_gpu_device->GetMainSwapChain()->GetPreRotation();
+  if (prerotation != WindowInfo::PreRotation::Identity)
+  {
+    // We have prerotation and post processing. This is messy, since we need to run the shader on the "real" size,
+    // then copy it across to the rotated image. We can use the input or output texture from the chain, whichever
+    // was not the last that was drawn to.
+    draw_final_target = GetTextureUnusedAtEndOfChain();
+  }
+
   for (const std::unique_ptr<Shader>& stage : m_stages)
   {
     const bool is_final = (stage.get() == m_stages.back().get());
 
     if (const GPUDevice::PresentResult pres =
-          stage->Apply(input_color, input_depth, is_final ? final_target : output, final_rect, orig_width, orig_height,
-                       native_width, native_height, m_target_width, m_target_height);
+          stage->Apply(input_color, input_depth, is_final ? draw_final_target : output, final_rect, orig_width,
+                       orig_height, native_width, native_height, m_target_width, m_target_height);
         pres != GPUDevice::PresentResult::OK)
     {
       return pres;
@@ -653,6 +713,30 @@ GPUDevice::PresentResult PostProcessing::Chain::Apply(GPUTexture* input_color, G
     }
   }
 
+  if (prerotation != WindowInfo::PreRotation::Identity)
+  {
+    draw_final_target->MakeReadyForSampling();
+
+    // Rotate and blit to final swap chain.
+    GPUSwapChain* const swap_chain = g_gpu_device->GetMainSwapChain();
+    if (const GPUDevice::PresentResult pres = g_gpu_device->BeginPresent(swap_chain);
+        pres != GPUDevice::PresentResult::OK)
+    {
+      return pres;
+    }
+
+    GL_PUSH_FMT("Apply swap chain pre-rotation");
+
+    const GSMatrix2x2 rotmat = GSMatrix2x2::Rotation(WindowInfo::GetZRotationForPreRotation(prerotation));
+    g_gpu_device->SetPipeline(m_rotated_copy_pipeline.get());
+    g_gpu_device->PushUniformBuffer(&rotmat, sizeof(rotmat));
+    g_gpu_device->SetTextureSampler(0, draw_final_target, g_gpu_device->GetNearestSampler());
+    g_gpu_device->SetViewportAndScissor(0, 0, swap_chain->GetPostRotatedWidth(), swap_chain->GetPostRotatedHeight());
+    g_gpu_device->Draw(3, 0);
+
+    GL_POP();
+  }
+
   return GPUDevice::PresentResult::OK;
 }
 
@@ -675,6 +759,7 @@ void PostProcessing::Shutdown()
   s_samplers.clear();
   ForAllChains([](Chain& chain) {
     chain.ClearStages();
+    chain.DestroyPipelines();
     chain.DestroyTextures();
   });
 }
@@ -691,6 +776,7 @@ bool PostProcessing::ReloadShaders()
 
   ForAllChains([](Chain& chain) {
     chain.ClearStages();
+    chain.DestroyPipelines();
     chain.DestroyTextures();
     chain.LoadStages();
   });
diff --git a/src/util/postprocessing.h b/src/util/postprocessing.h
index 11c9d9444..6c78cb12f 100644
--- a/src/util/postprocessing.h
+++ b/src/util/postprocessing.h
@@ -13,6 +13,7 @@
 
 class Timer;
 
+class GPUPipeline;
 class GPUSampler;
 class GPUTexture;
 
@@ -117,6 +118,9 @@ public:
   ALWAYS_INLINE GPUTexture* GetInputTexture() const { return m_input_texture.get(); }
   ALWAYS_INLINE GPUTexture* GetOutputTexture() const { return m_output_texture.get(); }
 
+  /// Returns either the input or output texture, whichever isn't the destination after the final pass.
+  GPUTexture* GetTextureUnusedAtEndOfChain() const;
+
   bool IsActive() const;
   bool IsInternalChain() const;
 
@@ -125,6 +129,7 @@ public:
   void LoadStages();
   void ClearStages();
   void DestroyTextures();
+  void DestroyPipelines();
 
   /// Temporarily toggles post-processing on/off.
   void Toggle();
@@ -151,6 +156,7 @@ private:
   std::vector<std::unique_ptr<PostProcessing::Shader>> m_stages;
   std::unique_ptr<GPUTexture> m_input_texture;
   std::unique_ptr<GPUTexture> m_output_texture;
+  std::unique_ptr<GPUPipeline> m_rotated_copy_pipeline;
 };
 
 // [display_name, filename]
diff --git a/src/util/shadergen.cpp b/src/util/shadergen.cpp
index 2788206d9..98907cbb1 100644
--- a/src/util/shadergen.cpp
+++ b/src/util/shadergen.cpp
@@ -791,6 +791,40 @@ void ShaderGen::DeclareFragmentEntryPoint(
   }
 }
 
+std::string ShaderGen::GenerateRotateVertexShader() const
+{
+  std::stringstream ss;
+  WriteHeader(ss);
+  DeclareUniformBuffer(ss, { "float2 u_rotation_matrix0", "float2 u_rotation_matrix1" }, true);
+  DeclareVertexEntryPoint(ss, {}, 0, 1, {}, true);
+  ss << "{\n";
+  ss << "  v_tex0 = float2(float((v_id << 1) & 2u), float(v_id & 2u));\n";
+  ss << "  v_pos = float4(v_tex0 * float2(2.0f, -2.0f) + float2(-1.0f, 1.0f), 0.0f, 1.0f);\n";
+  ss << "  v_pos.xy = float2(dot(u_rotation_matrix0, v_pos.xy), dot(u_rotation_matrix1, v_pos.xy));\n";
+  ss << "  #if API_OPENGL || API_OPENGL_ES || API_VULKAN\n";
+  ss << "    v_pos.y = -v_pos.y;\n";
+  ss << "  #endif\n";
+  ss << "}\n";
+
+  return ss.str();
+}
+
+std::string ShaderGen::GenerateRotateFragmentShader() const
+{
+  std::stringstream ss;
+  WriteHeader(ss);
+  DeclareTexture(ss, "samp0", 0);
+  DeclareFragmentEntryPoint(ss, 0, 1);
+
+  ss << R"(
+{
+  o_col0 = SAMPLE_TEXTURE(samp0, v_tex0);
+}
+)";
+
+  return ss.str();
+}
+
 std::string ShaderGen::GenerateScreenQuadVertexShader(float z /* = 0.0f */) const
 {
   std::stringstream ss;
diff --git a/src/util/shadergen.h b/src/util/shadergen.h
index 714acbb2b..8685ec728 100644
--- a/src/util/shadergen.h
+++ b/src/util/shadergen.h
@@ -25,6 +25,9 @@ public:
 
   ALWAYS_INLINE GPUShaderLanguage GetLanguage() const { return m_shader_language; }
 
+  std::string GenerateRotateVertexShader() const;
+  std::string GenerateRotateFragmentShader() const;
+
   std::string GenerateScreenQuadVertexShader(float z = 0.0f) const;
   std::string GenerateUVQuadVertexShader() const;
   std::string GenerateFillFragmentShader() const;
diff --git a/src/util/vulkan_device.cpp b/src/util/vulkan_device.cpp
index f61fb69a7..d88b0f2b9 100644
--- a/src/util/vulkan_device.cpp
+++ b/src/util/vulkan_device.cpp
@@ -3406,7 +3406,7 @@ void VulkanDevice::BeginSwapChainRenderPass(VulkanSwapChain* swap_chain, u32 cle
     const VkRenderingInfoKHR ri = {VK_STRUCTURE_TYPE_RENDERING_INFO_KHR,
                                    nullptr,
                                    0u,
-                                   {{}, {swap_chain->GetWidth(), swap_chain->GetHeight()}},
+                                   {{}, {swap_chain->GetPostRotatedWidth(), swap_chain->GetPostRotatedHeight()}},
                                    1u,
                                    0u,
                                    1u,
@@ -3427,7 +3427,7 @@ void VulkanDevice::BeginSwapChainRenderPass(VulkanSwapChain* swap_chain, u32 cle
                                       nullptr,
                                       m_current_render_pass,
                                       swap_chain->GetCurrentFramebuffer(),
-                                      {{0, 0}, {swap_chain->GetWidth(), swap_chain->GetHeight()}},
+                                      {{0, 0}, {swap_chain->GetPostRotatedWidth(), swap_chain->GetPostRotatedHeight()}},
                                       1u,
                                       &clear_value};
     vkCmdBeginRenderPass(GetCurrentCommandBuffer(), &rp, VK_SUBPASS_CONTENTS_INLINE);
diff --git a/src/util/vulkan_swap_chain.cpp b/src/util/vulkan_swap_chain.cpp
index 34bceaf26..334e74b62 100644
--- a/src/util/vulkan_swap_chain.cpp
+++ b/src/util/vulkan_swap_chain.cpp
@@ -387,9 +387,50 @@ bool VulkanSwapChain::CreateSwapChain(VulkanDevice& dev, Error* error)
                            surface_caps.surfaceCapabilities.maxImageExtent.height);
 
   // Prefer identity transform if possible
+  VkExtent2D window_size = size;
+  WindowInfo::PreRotation window_prerotation = WindowInfo::PreRotation::Identity;
   VkSurfaceTransformFlagBitsKHR transform = VK_SURFACE_TRANSFORM_IDENTITY_BIT_KHR;
-  if (!(surface_caps.surfaceCapabilities.supportedTransforms & VK_SURFACE_TRANSFORM_IDENTITY_BIT_KHR))
-    transform = surface_caps.surfaceCapabilities.currentTransform;
+  switch (surface_caps.surfaceCapabilities.currentTransform)
+  {
+    case VK_SURFACE_TRANSFORM_IDENTITY_BIT_KHR:
+      break;
+
+    case VK_SURFACE_TRANSFORM_ROTATE_90_BIT_KHR:
+      transform = VK_SURFACE_TRANSFORM_ROTATE_90_BIT_KHR;
+      window_prerotation = WindowInfo::PreRotation::Rotate90Clockwise;
+      std::swap(size.width, size.height);
+      DEV_LOG("Using VK_SURFACE_TRANSFORM_ROTATE_90_BIT_KHR pretransform.");
+      break;
+
+    case VK_SURFACE_TRANSFORM_ROTATE_180_BIT_KHR:
+      transform = VK_SURFACE_TRANSFORM_ROTATE_180_BIT_KHR;
+      window_prerotation = WindowInfo::PreRotation::Rotate180Clockwise;
+      DEV_LOG("Using VK_SURFACE_TRANSFORM_ROTATE_180_BIT_KHR pretransform.");
+      break;
+
+    case VK_SURFACE_TRANSFORM_ROTATE_270_BIT_KHR:
+      transform = VK_SURFACE_TRANSFORM_ROTATE_270_BIT_KHR;
+      window_prerotation = WindowInfo::PreRotation::Rotate270Clockwise;
+      std::swap(size.width, size.height);
+      DEV_LOG("Using VK_SURFACE_TRANSFORM_ROTATE_270_BIT_KHR pretransform.");
+      break;
+
+    default:
+    {
+      if (!(surface_caps.surfaceCapabilities.supportedTransforms & VK_SURFACE_TRANSFORM_IDENTITY_BIT_KHR))
+      {
+        WARNING_LOG("Unhandled surface transform 0x{:X}, identity unsupported.",
+                    static_cast<u32>(surface_caps.surfaceCapabilities.supportedTransforms));
+        transform = surface_caps.surfaceCapabilities.currentTransform;
+      }
+      else
+      {
+        WARNING_LOG("Unhandled surface transform 0x{:X}",
+                    static_cast<u32>(surface_caps.surfaceCapabilities.supportedTransforms));
+      }
+    }
+    break;
+  }
 
   VkCompositeAlphaFlagBitsKHR alpha = VK_COMPOSITE_ALPHA_OPAQUE_BIT_KHR;
   if (!(surface_caps.surfaceCapabilities.supportedCompositeAlpha & VK_COMPOSITE_ALPHA_OPAQUE_BIT_KHR))
@@ -486,17 +527,18 @@ bool VulkanSwapChain::CreateSwapChain(VulkanDevice& dev, Error* error)
   if (old_swap_chain != VK_NULL_HANDLE)
     vkDestroySwapchainKHR(vkdev, old_swap_chain, nullptr);
 
-  if (size.width == 0 || size.width > std::numeric_limits<u16>::max() || size.height == 0 ||
-      size.height > std::numeric_limits<u16>::max())
+  if (window_size.width == 0 || window_size.width > std::numeric_limits<u16>::max() || window_size.height == 0 ||
+      window_size.height > std::numeric_limits<u16>::max())
   {
-    Error::SetStringFmt(error, "Invalid swap chain dimensions: {}x{}", size.width, size.height);
+    Error::SetStringFmt(error, "Invalid swap chain dimensions: {}x{}", window_size.width, window_size.height);
     return false;
   }
 
   m_present_mode = present_mode.value();
-  m_window_info.surface_width = static_cast<u16>(size.width);
-  m_window_info.surface_height = static_cast<u16>(size.height);
+  m_window_info.surface_width = static_cast<u16>(window_size.width);
+  m_window_info.surface_height = static_cast<u16>(window_size.height);
   m_window_info.surface_format = VulkanDevice::GetFormatForVkFormat(surface_format->format);
+  m_window_info.surface_prerotation = window_prerotation;
   if (m_window_info.surface_format == GPUTexture::Format::Unknown)
   {
     Error::SetStringFmt(error, "Unknown surface format {}", static_cast<u32>(surface_format->format));
@@ -534,6 +576,8 @@ bool VulkanSwapChain::CreateSwapChainImages(VulkanDevice& dev, Error* error)
     return false;
   }
 
+  const u32 fb_width = GetPostRotatedWidth();
+  const u32 fb_height = GetPostRotatedHeight();
   m_images.reserve(image_count);
   m_current_image = 0;
   for (u32 i = 0; i < image_count; i++)
@@ -565,7 +609,7 @@ bool VulkanSwapChain::CreateSwapChainImages(VulkanDevice& dev, Error* error)
       Vulkan::FramebufferBuilder fbb;
       fbb.AddAttachment(image.view);
       fbb.SetRenderPass(render_pass);
-      fbb.SetSize(m_window_info.surface_width, m_window_info.surface_height, 1);
+      fbb.SetSize(fb_width, fb_height, 1);
       if ((image.framebuffer = fbb.Create(vkdev)) == VK_NULL_HANDLE)
       {
         Error::SetStringView(error, "Failed to create swap chain image framebuffer.");
diff --git a/src/util/window_info.cpp b/src/util/window_info.cpp
index 543bfedf6..0fc19ef24 100644
--- a/src/util/window_info.cpp
+++ b/src/util/window_info.cpp
@@ -9,8 +9,31 @@
 #include "common/log.h"
 #include "common/scoped_guard.h"
 
+#include <numbers>
+#include <utility>
+
 LOG_CHANNEL(WindowInfo);
 
+void WindowInfo::SetPreRotated(PreRotation prerotation)
+{
+  if (ShouldSwapDimensionsForPreRotation(prerotation) != ShouldSwapDimensionsForPreRotation(surface_prerotation))
+    std::swap(surface_width, surface_height);
+
+  surface_prerotation = prerotation;
+}
+
+float WindowInfo::GetZRotationForPreRotation(PreRotation prerotation)
+{
+  static constexpr const std::array<float, 4> rotation_radians = {{
+    0.0f,                                        // Identity
+    static_cast<float>(std::numbers::pi * 1.5f), // Rotate90Clockwise
+    static_cast<float>(std::numbers::pi),        // Rotate180Clockwise
+    static_cast<float>(std::numbers::pi / 2.0),  // Rotate270Clockwise
+  }};
+
+  return rotation_radians[static_cast<size_t>(prerotation)];
+}
+
 #if defined(_WIN32)
 
 #include "common/windows_headers.h"
diff --git a/src/util/window_info.h b/src/util/window_info.h
index 4bb672b46..2584a30fd 100644
--- a/src/util/window_info.h
+++ b/src/util/window_info.h
@@ -24,8 +24,17 @@ struct WindowInfo
     Android,
   };
 
+  enum class PreRotation : u8
+  {
+    Identity,
+    Rotate90Clockwise,
+    Rotate180Clockwise,
+    Rotate270Clockwise,
+  };
+
   Type type = Type::Surfaceless;
   GPUTexture::Format surface_format = GPUTexture::Format::Unknown;
+  PreRotation surface_prerotation = PreRotation::Identity;
   u16 surface_width = 0;
   u16 surface_height = 0;
   float surface_refresh_rate = 0.0f;
@@ -35,5 +44,24 @@ struct WindowInfo
 
   ALWAYS_INLINE bool IsSurfaceless() const { return type == Type::Surfaceless; }
 
+  ALWAYS_INLINE u32 GetPostRotatedWidth() const
+  {
+    return ShouldSwapDimensionsForPreRotation(surface_prerotation) ? surface_height : surface_width;
+  }
+  ALWAYS_INLINE u32 GetPostRotatedHeight() const
+  {
+    return ShouldSwapDimensionsForPreRotation(surface_prerotation) ? surface_width : surface_height;
+  }
+
+  ALWAYS_INLINE static bool ShouldSwapDimensionsForPreRotation(PreRotation prerotation)
+  {
+    return (prerotation == PreRotation::Rotate90Clockwise || prerotation == PreRotation::Rotate270Clockwise);
+  }
+
+  /// Sets a new pre-rotation, adjusting the virtual width/height to suit.
+  void SetPreRotated(PreRotation prerotation);
+
+  static float GetZRotationForPreRotation(PreRotation prerotation);
+
   static std::optional<float> QueryRefreshRateForWindow(const WindowInfo& wi, Error* error = nullptr);
 };