diff --git a/pcsx2/GS/Renderers/Common/GSRenderer.cpp b/pcsx2/GS/Renderers/Common/GSRenderer.cpp
index ab6a06e294..44d5cbffe7 100644
--- a/pcsx2/GS/Renderers/Common/GSRenderer.cpp
+++ b/pcsx2/GS/Renderers/Common/GSRenderer.cpp
@@ -568,7 +568,7 @@ void GSRenderer::VSync(u32 field, bool registers_written)
 		{
 			HostDisplay* const display = g_gs_device->GetDisplay();
 			const GSVector4 draw_rect(CalculateDrawRect(display->GetWindowWidth(), display->GetWindowHeight(),
-				current->GetWidth(), current->GetHeight(), display->GetDisplayAlignment(), display->UsesLowerLeftOrigin(), GetVideoMode() == GSVideoMode::SDTV_480P));
+				current->GetWidth(), current->GetHeight(), display->GetDisplayAlignment(), display->UsesLowerLeftOrigin(), GetVideoMode() == GSVideoMode::SDTV_480P || (GSConfig.PCRTCOverscan && GSConfig.PCRTCOffsets)));
 
 			const u64 current_time = Common::Timer::GetCurrentValue();
 			const float shader_time = static_cast<float>(Common::Timer::ConvertValueToSeconds(current_time - m_shader_time_start));
@@ -767,7 +767,8 @@ void GSRenderer::PresentCurrentFrame()
 		{
 			HostDisplay* const display = g_gs_device->GetDisplay();
 			const GSVector4 draw_rect(CalculateDrawRect(display->GetWindowWidth(), display->GetWindowHeight(),
-				current->GetWidth(), current->GetHeight(), display->GetDisplayAlignment(), display->UsesLowerLeftOrigin(), GetVideoMode() == GSVideoMode::SDTV_480P));
+				current->GetWidth(), current->GetHeight(), display->GetDisplayAlignment(), display->UsesLowerLeftOrigin(), GetVideoMode() == GSVideoMode::SDTV_480P || (GSConfig.PCRTCOverscan && GSConfig.PCRTCOffsets)));
+
 			const u64 current_time = Common::Timer::GetCurrentValue();
 			const float shader_time = static_cast<float>(Common::Timer::ConvertValueToSeconds(current_time - m_shader_time_start));
 
@@ -784,7 +785,7 @@ void GSRenderer::PresentCurrentFrame()
 
 bool GSRenderer::BeginCapture(std::string& filename)
 {
-	return m_capture.BeginCapture(GetTvRefreshRate(), GetInternalResolution(), GetCurrentAspectRatioFloat(GetVideoMode() == GSVideoMode::SDTV_480P), filename);
+	return m_capture.BeginCapture(GetTvRefreshRate(), GetInternalResolution(), GetCurrentAspectRatioFloat(GetVideoMode() == GSVideoMode::SDTV_480P || (GSConfig.PCRTCOverscan && GSConfig.PCRTCOffsets)), filename);
 }
 
 void GSRenderer::EndCapture()
@@ -887,7 +888,7 @@ bool GSRenderer::SaveSnapshotToMemory(u32 width, u32 height, std::vector<u32>* p
 		return false;
 
 	GSVector4 draw_rect(CalculateDrawRect(width, height, current->GetWidth(), current->GetHeight(),
-		HostDisplay::Alignment::LeftOrTop, false, GetVideoMode() == GSVideoMode::SDTV_480P));
+		HostDisplay::Alignment::LeftOrTop, false, GetVideoMode() == GSVideoMode::SDTV_480P || (GSConfig.PCRTCOverscan && GSConfig.PCRTCOffsets)));
 	u32 draw_width = static_cast<u32>(draw_rect.z - draw_rect.x);
 	u32 draw_height = static_cast<u32>(draw_rect.w - draw_rect.y);
 	if (draw_width > width)
diff --git a/pcsx2/VMManager.cpp b/pcsx2/VMManager.cpp
index 42d62e7401..cc4b14c315 100644
--- a/pcsx2/VMManager.cpp
+++ b/pcsx2/VMManager.cpp
@@ -358,7 +358,7 @@ void VMManager::RequestDisplaySize(float scale /*= 0.0f*/)
 	switch (GSConfig.AspectRatio)
 	{
 		case AspectRatioType::RAuto4_3_3_2:
-			if (GSgetDisplayMode() == GSVideoMode::SDTV_480P)
+			if (GSgetDisplayMode() == GSVideoMode::SDTV_480P || (GSConfig.PCRTCOverscan && GSConfig.PCRTCOffsets))
 				x_scale = (3.0f / 2.0f) / (static_cast<float>(iwidth) / static_cast<float>(iheight));
 			else
 				x_scale = (4.0f / 3.0f) / (static_cast<float>(iwidth) / static_cast<float>(iheight));