diff --git a/CHANGES b/CHANGES
index 72ccd171d..20cf0a4f4 100644
--- a/CHANGES
+++ b/CHANGES
@@ -53,6 +53,7 @@ Misc:
  - Qt: Make mute menu option also toggle fast-forward mute (fixes mgba.io/i/1424)
  - Vita: L2/R2 and L3/R3 can now be mapped on PSTV (fixes mgba.io/i/1292)
  - mGUI: Remember name and position of last loaded game
+ - Core: Create game-related paths if they don't exist (fixes mgba.io/i/1446)
 
 0.7.2: (2019-05-25)
 Emulation fixes:
diff --git a/include/mgba-util/vfs.h b/include/mgba-util/vfs.h
index f10f3c577..0ac676d5f 100644
--- a/include/mgba-util/vfs.h
+++ b/include/mgba-util/vfs.h
@@ -91,6 +91,8 @@ struct VDir* VDirOpen7z(const char* path, int flags);
 struct VDir* VDeviceList(void);
 #endif
 
+bool VDirCreate(const char* path);
+
 #ifdef USE_VFS_FILE
 struct VFile* VFileFOpen(const char* path, const char* mode);
 struct VFile* VFileFromFILE(FILE* file);
diff --git a/src/core/directories.c b/src/core/directories.c
index 295614a12..e2e2d2c9f 100644
--- a/src/core/directories.c
+++ b/src/core/directories.c
@@ -173,6 +173,9 @@ struct VFile* mDirectorySetOpenSuffix(struct mDirectorySet* dirs, struct VDir* d
 void mDirectorySetMapOptions(struct mDirectorySet* dirs, const struct mCoreOptions* opts) {
 	if (opts->savegamePath) {
 		struct VDir* dir = VDirOpen(opts->savegamePath);
+		if (!dir && VDirCreate(opts->savegamePath)) {
+			dir = VDirOpen(opts->savegamePath);
+		}
 		if (dir) {
 			if (dirs->save && dirs->save != dirs->base) {
 				dirs->save->close(dirs->save);
@@ -183,6 +186,9 @@ void mDirectorySetMapOptions(struct mDirectorySet* dirs, const struct mCoreOptio
 
 	if (opts->savestatePath) {
 		struct VDir* dir = VDirOpen(opts->savestatePath);
+		if (!dir && VDirCreate(opts->savestatePath)) {
+			dir = VDirOpen(opts->savestatePath);
+		}
 		if (dir) {
 			if (dirs->state && dirs->state != dirs->base) {
 				dirs->state->close(dirs->state);
@@ -193,6 +199,9 @@ void mDirectorySetMapOptions(struct mDirectorySet* dirs, const struct mCoreOptio
 
 	if (opts->screenshotPath) {
 		struct VDir* dir = VDirOpen(opts->screenshotPath);
+		if (!dir && VDirCreate(opts->screenshotPath)) {
+			dir = VDirOpen(opts->screenshotPath);
+		}
 		if (dir) {
 			if (dirs->screenshot && dirs->screenshot != dirs->base) {
 				dirs->screenshot->close(dirs->screenshot);
@@ -203,6 +212,9 @@ void mDirectorySetMapOptions(struct mDirectorySet* dirs, const struct mCoreOptio
 
 	if (opts->patchPath) {
 		struct VDir* dir = VDirOpen(opts->patchPath);
+		if (!dir && VDirCreate(opts->patchPath)) {
+			dir = VDirOpen(opts->patchPath);
+		}
 		if (dir) {
 			if (dirs->patch && dirs->patch != dirs->base) {
 				dirs->patch->close(dirs->patch);
@@ -213,6 +225,9 @@ void mDirectorySetMapOptions(struct mDirectorySet* dirs, const struct mCoreOptio
 
 	if (opts->cheatsPath) {
 		struct VDir* dir = VDirOpen(opts->cheatsPath);
+		if (!dir && VDirCreate(opts->cheatsPath)) {
+			dir = VDirOpen(opts->cheatsPath);
+		}
 		if (dir) {
 			if (dirs->cheats && dirs->cheats != dirs->base) {
 				dirs->cheats->close(dirs->cheats);
diff --git a/src/platform/3ds/3ds-vfs.c b/src/platform/3ds/3ds-vfs.c
index 975d63fdf..8f5864745 100644
--- a/src/platform/3ds/3ds-vfs.c
+++ b/src/platform/3ds/3ds-vfs.c
@@ -310,4 +310,9 @@ static enum VFSType _vd3deType(struct VDirEntry* vde) {
 	}
 	return VFS_FILE;
 }
+
+bool VDirCreate(const char* path) {
+	Result rc = FSUSER_CreateDirectory(sdmcArchive, fsMakePath(PATH_ASCII, path), 0);
+	return R_SUCCEEDED(rc) || rc == 0xC82044BE;
+}
 #endif
diff --git a/src/platform/psp2/sce-vfs.c b/src/platform/psp2/sce-vfs.c
index 383847291..c200d8903 100644
--- a/src/platform/psp2/sce-vfs.c
+++ b/src/platform/psp2/sce-vfs.c
@@ -357,3 +357,9 @@ static enum VFSType _vdlesceType(struct VDirEntry* vde) {
 	UNUSED(vde);
 	return VFS_DIRECTORY;
 }
+
+bool VDirCreate(const char* path) {
+	// TODO: Verify vitasdk explanation of return values
+	sceIoMkdir(path, 0777);
+	return true;
+}
\ No newline at end of file
diff --git a/src/platform/windows/vfs-w32.c b/src/platform/windows/vfs-w32.c
index 902f937f3..bfa2e30a3 100644
--- a/src/platform/windows/vfs-w32.c
+++ b/src/platform/windows/vfs-w32.c
@@ -172,3 +172,15 @@ static enum VFSType _vdweType(struct VDirEntry* vde) {
 	}
 	return VFS_FILE;
 }
+
+bool VDirCreate(const char* path) {
+	wchar_t wpath[MAX_PATH];
+	MultiByteToWideChar(CP_UTF8, 0, path, -1, wpath, MAX_PATH);
+	if (CreateDirectoryW(wpath, NULL)) {
+		return true;
+	}
+	if (GetLastError() == ERROR_ALREADY_EXISTS) {
+		return true;
+	}
+	return false;
+}
\ No newline at end of file
diff --git a/src/util/vfs/vfs-dirent.c b/src/util/vfs/vfs-dirent.c
index c41c5b728..0cb060e2b 100644
--- a/src/util/vfs/vfs-dirent.c
+++ b/src/util/vfs/vfs-dirent.c
@@ -8,6 +8,7 @@
 #include <mgba-util/string.h>
 
 #include <dirent.h>
+#include <errno.h>
 #include <sys/stat.h>
 
 static bool _vdClose(struct VDir* vd);
@@ -166,3 +167,7 @@ static enum VFSType _vdeType(struct VDirEntry* vde) {
 	return VFS_FILE;
 #endif
 }
+
+bool VDirCreate(const char* path) {
+	return mkdir(path, 0777) == 0 || errno == EEXIST;
+}
\ No newline at end of file