diff --git a/CHANGES b/CHANGES
index ce4b8cb80..466341681 100644
--- a/CHANGES
+++ b/CHANGES
@@ -31,6 +31,7 @@ Features:
  - Implement BIOS call Stop, for sleep mode
  - Automatically load patches, if found
  - Improved video synchronization
+ - Configurable audio output sample rate
 Bugfixes:
  - ARM7: Fix SWI and IRQ timings
  - GBA Audio: Force audio FIFOs to 32-bit
diff --git a/src/gba/supervisor/config.c b/src/gba/supervisor/config.c
index 19e5c2bd6..ecf175dbb 100644
--- a/src/gba/supervisor/config.c
+++ b/src/gba/supervisor/config.c
@@ -247,6 +247,7 @@ void GBAConfigMap(const struct GBAConfig* config, struct GBAOptions* opts) {
 	if (_lookupUIntValue(config, "audioBuffers", &audioBuffers)) {
 		opts->audioBuffers = audioBuffers;
 	}
+	_lookupUIntValue(config, "sampleRate", &opts->sampleRate);
 
 	int fakeBool;
 	if (_lookupIntValue(config, "useBios", &fakeBool)) {
@@ -305,6 +306,7 @@ void GBAConfigLoadDefaults(struct GBAConfig* config, const struct GBAOptions* op
 	ConfigurationSetIntValue(&config->defaultsTable, 0, "rewindBufferInterval", opts->rewindBufferInterval);
 	ConfigurationSetFloatValue(&config->defaultsTable, 0, "fpsTarget", opts->fpsTarget);
 	ConfigurationSetUIntValue(&config->defaultsTable, 0, "audioBuffers", opts->audioBuffers);
+	ConfigurationSetUIntValue(&config->defaultsTable, 0, "sampleRate", opts->sampleRate);
 	ConfigurationSetIntValue(&config->defaultsTable, 0, "audioSync", opts->audioSync);
 	ConfigurationSetIntValue(&config->defaultsTable, 0, "videoSync", opts->videoSync);
 	ConfigurationSetIntValue(&config->defaultsTable, 0, "fullscreen", opts->fullscreen);
diff --git a/src/gba/supervisor/config.h b/src/gba/supervisor/config.h
index 07c824cd2..35d822838 100644
--- a/src/gba/supervisor/config.h
+++ b/src/gba/supervisor/config.h
@@ -29,6 +29,7 @@ struct GBAOptions {
 	int rewindBufferInterval;
 	float fpsTarget;
 	size_t audioBuffers;
+	unsigned sampleRate;
 
 	int fullscreen;
 	int width;
diff --git a/src/platform/qt/AudioProcessor.h b/src/platform/qt/AudioProcessor.h
index abbca9395..74d76a345 100644
--- a/src/platform/qt/AudioProcessor.h
+++ b/src/platform/qt/AudioProcessor.h
@@ -31,6 +31,7 @@ public:
 
 	virtual void setInput(GBAThread* input);
 	int getBufferSamples() const { return m_samples; }
+	virtual unsigned sampleRate() const = 0;
 
 public slots:
 	virtual void start() = 0;
@@ -39,7 +40,7 @@ public slots:
 	virtual void setBufferSamples(int samples) = 0;
 	virtual void inputParametersChanged() = 0;
 
-	virtual unsigned sampleRate() const = 0;
+	virtual void requestSampleRate(unsigned) = 0;
 
 protected:
 	GBAThread* input() { return m_context; }
diff --git a/src/platform/qt/AudioProcessorQt.cpp b/src/platform/qt/AudioProcessorQt.cpp
index 281ca6bba..c28d934b9 100644
--- a/src/platform/qt/AudioProcessorQt.cpp
+++ b/src/platform/qt/AudioProcessorQt.cpp
@@ -20,6 +20,7 @@ AudioProcessorQt::AudioProcessorQt(QObject* parent)
 	: AudioProcessor(parent)
 	, m_audioOutput(nullptr)
 	, m_device(nullptr)
+	, m_sampleRate(44100)
 {
 }
 
@@ -45,7 +46,7 @@ void AudioProcessorQt::start() {
 
 	if (!m_audioOutput) {
 		QAudioFormat format;
-		format.setSampleRate(44100);
+		format.setSampleRate(m_sampleRate);
 		format.setChannelCount(2);
 		format.setSampleSize(16);
 		format.setCodec("audio/pcm");
@@ -84,6 +85,15 @@ void AudioProcessorQt::inputParametersChanged() {
 	}
 }
 
+void AudioProcessorQt::requestSampleRate(unsigned rate) {
+	m_sampleRate = rate;
+	if (m_device) {
+		QAudioFormat format(m_audioOutput->format());
+		format.setSampleRate(rate);
+		m_device->setFormat(format);
+	}
+}
+
 unsigned AudioProcessorQt::sampleRate() const {
 	if (!m_audioOutput) {
 		return 0;
diff --git a/src/platform/qt/AudioProcessorQt.h b/src/platform/qt/AudioProcessorQt.h
index ee9dde24d..52d7b606c 100644
--- a/src/platform/qt/AudioProcessorQt.h
+++ b/src/platform/qt/AudioProcessorQt.h
@@ -20,6 +20,7 @@ public:
 	AudioProcessorQt(QObject* parent = nullptr);
 
 	virtual void setInput(GBAThread* input);
+	virtual unsigned sampleRate() const override;
 
 public slots:
 	virtual void start();
@@ -28,11 +29,12 @@ public slots:
 	virtual void setBufferSamples(int samples);
 	virtual void inputParametersChanged();
 
-	virtual unsigned sampleRate() const override;
+	virtual void requestSampleRate(unsigned) override;
 
 private:
 	QAudioOutput* m_audioOutput;
 	AudioDevice* m_device;
+	unsigned m_sampleRate;
 };
 
 }
diff --git a/src/platform/qt/AudioProcessorSDL.cpp b/src/platform/qt/AudioProcessorSDL.cpp
index 0caa9765c..2db807f3f 100644
--- a/src/platform/qt/AudioProcessorSDL.cpp
+++ b/src/platform/qt/AudioProcessorSDL.cpp
@@ -15,7 +15,7 @@ using namespace QGBA;
 
 AudioProcessorSDL::AudioProcessorSDL(QObject* parent)
 	: AudioProcessor(parent)
-	, m_audio()
+	, m_audio{ 2048, 44100 }
 {
 }
 
@@ -55,6 +55,18 @@ void AudioProcessorSDL::setBufferSamples(int samples) {
 void AudioProcessorSDL::inputParametersChanged() {
 }
 
-unsigned AudioProcessorSDL::sampleRate() const {
-	return m_audio.obtainedSpec.freq;
+void AudioProcessorSDL::requestSampleRate(unsigned rate) {
+	m_audio.sampleRate = rate;
+	if (m_audio.thread) {
+		GBASDLDeinitAudio(&m_audio);
+		GBASDLInitAudio(&m_audio, input());
+	}
+}
+
+unsigned AudioProcessorSDL::sampleRate() const {
+	if (m_audio.thread) {
+		return m_audio.obtainedSpec.freq;
+	} else {
+		return 0;
+	}
 }
diff --git a/src/platform/qt/AudioProcessorSDL.h b/src/platform/qt/AudioProcessorSDL.h
index 002dcd839..c98d00473 100644
--- a/src/platform/qt/AudioProcessorSDL.h
+++ b/src/platform/qt/AudioProcessorSDL.h
@@ -22,6 +22,8 @@ public:
 	AudioProcessorSDL(QObject* parent = nullptr);
 	~AudioProcessorSDL();
 
+	virtual unsigned sampleRate() const override;
+
 public slots:
 	virtual void start();
 	virtual void pause();
@@ -29,7 +31,7 @@ public slots:
 	virtual void setBufferSamples(int samples);
 	virtual void inputParametersChanged();
 
-	virtual unsigned sampleRate() const override;
+	virtual void requestSampleRate(unsigned) override;
 
 private:
 	GBASDLAudio m_audio;
diff --git a/src/platform/qt/GBAApp.cpp b/src/platform/qt/GBAApp.cpp
index 3200f45e7..786dd2f7b 100644
--- a/src/platform/qt/GBAApp.cpp
+++ b/src/platform/qt/GBAApp.cpp
@@ -53,6 +53,7 @@ GBAApp::GBAApp(int& argc, char* argv[])
 		return;
 	}
 
+	AudioProcessor::setDriver(static_cast<AudioProcessor::Driver>(m_configController.getQtOption("audioDriver").toInt()));
 	Window* w = new Window(&m_configController);
 	connect(w, &Window::destroyed, [this]() {
 		m_windows[0] = nullptr;
@@ -67,9 +68,6 @@ GBAApp::GBAApp(int& argc, char* argv[])
 	freeArguments(&args);
 	w->show();
 
-	AudioProcessor::setDriver(static_cast<AudioProcessor::Driver>(m_configController.getQtOption("audioDriver").toInt()));
-	w->controller()->reloadAudioDriver();
-
 	w->controller()->setMultiplayerController(&m_multiplayer);
 }
 
diff --git a/src/platform/qt/GameController.cpp b/src/platform/qt/GameController.cpp
index 6432a2ba6..63df80baa 100644
--- a/src/platform/qt/GameController.cpp
+++ b/src/platform/qt/GameController.cpp
@@ -87,7 +87,9 @@ GameController::GameController(QObject* parent)
 
 	m_threadContext.startCallback = [](GBAThread* context) {
 		GameController* controller = static_cast<GameController*>(context->userData);
-		controller->m_audioProcessor->setInput(context);
+		if (controller->m_audioProcessor) {
+			controller->m_audioProcessor->setInput(context);
+		}
 		context->gba->luminanceSource = &controller->m_lux;
 		GBARTCGenericSourceInit(&controller->m_rtc, context->gba);
 		context->gba->rtcSource = &controller->m_rtc.d;
@@ -588,10 +590,21 @@ void GameController::clearKeys() {
 }
 
 void GameController::setAudioBufferSamples(int samples) {
-	threadInterrupt();
-	redoSamples(samples);
-	threadContinue();
-	QMetaObject::invokeMethod(m_audioProcessor, "setBufferSamples", Q_ARG(int, samples));
+	if (m_audioProcessor) {
+		threadInterrupt();
+		redoSamples(samples);
+		threadContinue();
+		QMetaObject::invokeMethod(m_audioProcessor, "setBufferSamples", Q_ARG(int, samples));
+	}
+}
+
+void GameController::setAudioSampleRate(unsigned rate) {
+	if (m_audioProcessor) {
+		threadInterrupt();
+		redoSamples(m_audioProcessor->getBufferSamples());
+		threadContinue();
+		QMetaObject::invokeMethod(m_audioProcessor, "requestSampleRate", Q_ARG(unsigned, rate));
+	}
 }
 
 void GameController::setAudioChannelEnabled(int channel, bool enable) {
@@ -644,7 +657,9 @@ void GameController::setFPSTarget(float fps) {
 	if (m_turbo && m_turboSpeed > 0) {
 		m_threadContext.fpsTarget *= m_turboSpeed;
 	}
-	redoSamples(m_audioProcessor->getBufferSamples());
+	if (m_audioProcessor) {
+		redoSamples(m_audioProcessor->getBufferSamples());
+	}
 	threadContinue();
 }
 
@@ -801,7 +816,9 @@ void GameController::enableTurbo() {
 		m_threadContext.sync.audioWait = true;
 		m_threadContext.sync.videoFrameWait = false;
 	}
-	redoSamples(m_audioProcessor->getBufferSamples());
+	if (m_audioProcessor) {
+		redoSamples(m_audioProcessor->getBufferSamples());
+	}
 	threadContinue();
 }
 
@@ -830,11 +847,21 @@ void GameController::screenshot() {
 #endif
 
 void GameController::reloadAudioDriver() {
-	QMetaObject::invokeMethod(m_audioProcessor, "pause", Qt::BlockingQueuedConnection);
-	int samples = m_audioProcessor->getBufferSamples();
-	delete m_audioProcessor;
+	int samples = 0;
+	unsigned sampleRate = 0;
+	if (m_audioProcessor) {
+		QMetaObject::invokeMethod(m_audioProcessor, "pause", Qt::BlockingQueuedConnection);
+		samples = m_audioProcessor->getBufferSamples();
+		sampleRate = m_audioProcessor->sampleRate();
+		delete m_audioProcessor;
+	}
 	m_audioProcessor = AudioProcessor::create();
-	m_audioProcessor->setBufferSamples(samples);
+	if (samples) {
+		m_audioProcessor->setBufferSamples(samples);
+	}
+	if (sampleRate) {
+		m_audioProcessor->requestSampleRate(sampleRate);
+	}
 	m_audioProcessor->moveToThread(m_audioThread);
 	connect(this, SIGNAL(gameStarted(GBAThread*)), m_audioProcessor, SLOT(start()));
 	connect(this, SIGNAL(gameStopped(GBAThread*)), m_audioProcessor, SLOT(pause()));
diff --git a/src/platform/qt/GameController.h b/src/platform/qt/GameController.h
index 9267668b5..a4de17fff 100644
--- a/src/platform/qt/GameController.h
+++ b/src/platform/qt/GameController.h
@@ -119,6 +119,7 @@ public slots:
 	void keyReleased(int key);
 	void clearKeys();
 	void setAudioBufferSamples(int samples);
+	void setAudioSampleRate(unsigned rate);
 	void setAudioChannelEnabled(int channel, bool enable = true);
 	void setVideoLayerEnabled(int layer, bool enable = true);
 	void setFPSTarget(float fps);
diff --git a/src/platform/qt/Window.cpp b/src/platform/qt/Window.cpp
index 8639a4e32..6fd233b60 100644
--- a/src/platform/qt/Window.cpp
+++ b/src/platform/qt/Window.cpp
@@ -127,6 +127,7 @@ Window::Window(ConfigController* config, int playerId, QWidget* parent)
 	connect(this, SIGNAL(shutdown()), m_controller, SLOT(closeGame()));
 	connect(this, SIGNAL(shutdown()), m_logView, SLOT(hide()));
 	connect(this, SIGNAL(audioBufferSamplesChanged(int)), m_controller, SLOT(setAudioBufferSamples(int)));
+	connect(this, SIGNAL(sampleRateChanged(unsigned)), m_controller, SLOT(setAudioSampleRate(unsigned)));
 	connect(this, SIGNAL(fpsTargetChanged(float)), m_controller, SLOT(setFPSTarget(float)));
 	connect(&m_fpsTimer, SIGNAL(timeout()), this, SLOT(showFPS()));
 	connect(m_display, &Display::hideCursor, [this]() {
@@ -195,6 +196,7 @@ void Window::loadConfig() {
 		m_controller->loadBIOS(opts->bios);
 	}
 
+	// TODO: Move these to ConfigController
 	if (opts->fpsTarget) {
 		emit fpsTargetChanged(opts->fpsTarget);
 	}
@@ -203,6 +205,10 @@ void Window::loadConfig() {
 		emit audioBufferSamplesChanged(opts->audioBuffers);
 	}
 
+	if (opts->sampleRate) {
+		emit sampleRateChanged(opts->sampleRate);
+	}
+
 	if (opts->width && opts->height) {
 		resizeFrame(opts->width, opts->height);
 	}
diff --git a/src/platform/qt/Window.h b/src/platform/qt/Window.h
index 16295f264..ebc923776 100644
--- a/src/platform/qt/Window.h
+++ b/src/platform/qt/Window.h
@@ -54,6 +54,7 @@ signals:
 	void startDrawing(GBAThread*);
 	void shutdown();
 	void audioBufferSamplesChanged(int samples);
+	void sampleRateChanged(unsigned samples);
 	void fpsTargetChanged(float target);
 
 public slots:
diff --git a/src/platform/sdl/main.c b/src/platform/sdl/main.c
index 058055ac2..78dda4706 100644
--- a/src/platform/sdl/main.c
+++ b/src/platform/sdl/main.c
@@ -112,6 +112,10 @@ int main(int argc, char** argv) {
 	bool didFail = false;
 
 	renderer.audio.samples = context.audioBuffers;
+	renderer.audio.sampleRate = 44100;
+	if (opts.sampleRate) {
+		renderer.audio.sampleRate = opts.sampleRate;
+	}
 	if (!GBASDLInitAudio(&renderer.audio, &context)) {
 		didFail = true;
 	}
diff --git a/src/platform/sdl/sdl-audio.c b/src/platform/sdl/sdl-audio.c
index 6e0fdebb2..321679a96 100644
--- a/src/platform/sdl/sdl-audio.c
+++ b/src/platform/sdl/sdl-audio.c
@@ -22,7 +22,7 @@ bool GBASDLInitAudio(struct GBASDLAudio* context, struct GBAThread* threadContex
 		return false;
 	}
 
-	context->desiredSpec.freq = 44100;
+	context->desiredSpec.freq = context->sampleRate;
 	context->desiredSpec.format = AUDIO_S16SYS;
 	context->desiredSpec.channels = 2;
 	context->desiredSpec.samples = context->samples;
diff --git a/src/platform/sdl/sdl-audio.h b/src/platform/sdl/sdl-audio.h
index 6730333eb..f2f0b8df2 100644
--- a/src/platform/sdl/sdl-audio.h
+++ b/src/platform/sdl/sdl-audio.h
@@ -15,6 +15,7 @@
 struct GBASDLAudio {
 	// Input
 	size_t samples;
+	unsigned sampleRate;
 
 	// State
 	SDL_AudioSpec desiredSpec;