diff --git a/pcsx2/GS/Renderers/DX11/GSDevice11.cpp b/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
index 686f1f2f8b..7e081da308 100644
--- a/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
+++ b/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
@@ -29,6 +29,7 @@
 #include <sstream>
 #include <VersionHelpers.h>
 #include <d3dcompiler.h>
+#include <dxgidebug.h>
 
 static bool SupportsTextureFormat(ID3D11Device* dev, DXGI_FORMAT format)
 {
@@ -90,6 +91,8 @@ bool GSDevice11::Create()
 
 	m_dev = static_cast<ID3D11Device*>(g_host_display->GetDevice());
 	m_ctx = static_cast<ID3D11DeviceContext*>(g_host_display->GetContext());
+	if (GSConfig.UseDebugDevice)
+		m_annotation = m_ctx.try_query<ID3DUserDefinedAnnotation>();
 	level = m_dev->GetFeatureLevel();
 	const bool support_feature_level_11_0 = (level >= D3D_FEATURE_LEVEL_11_0);
 
@@ -451,6 +454,40 @@ void GSDevice11::ClearStencil(GSTexture* t, u8 c)
 	m_ctx->ClearDepthStencilView(*(GSTexture11*)t, D3D11_CLEAR_STENCIL, 0, c);
 }
 
+void GSDevice11::PushDebugGroup(const char* fmt, ...)
+{
+	if (!m_annotation)
+		return;
+
+	std::va_list ap;
+	va_start(ap, fmt);
+	std::string str(StringUtil::StdStringFromFormatV(fmt, ap));
+	va_end(ap);
+
+	m_annotation->BeginEvent(StringUtil::UTF8StringToWideString(str).c_str());
+}
+
+void GSDevice11::PopDebugGroup()
+{
+	if (!m_annotation)
+		return;
+
+	m_annotation->EndEvent();
+}
+
+void GSDevice11::InsertDebugMessage(DebugMessageCategory category, const char* fmt, ...)
+{
+	if (!m_annotation)
+		return;
+
+	std::va_list ap;
+	va_start(ap, fmt);
+	std::string str(StringUtil::StdStringFromFormatV(fmt, ap));
+	va_end(ap);
+
+	m_annotation->SetMarker(StringUtil::UTF8StringToWideString(str).c_str());
+}
+
 GSTexture* GSDevice11::CreateSurface(GSTexture::Type type, int width, int height, int levels, GSTexture::Format format)
 {
 	D3D11_TEXTURE2D_DESC desc = {};
diff --git a/pcsx2/GS/Renderers/DX11/GSDevice11.h b/pcsx2/GS/Renderers/DX11/GSDevice11.h
index 18203b7de3..30305e5347 100644
--- a/pcsx2/GS/Renderers/DX11/GSDevice11.h
+++ b/pcsx2/GS/Renderers/DX11/GSDevice11.h
@@ -22,6 +22,7 @@
 #include <unordered_map>
 #include <wil/com.h>
 #include <dxgi1_3.h>
+#include <d3d11_1.h>
 
 struct GSVertexShader11
 {
@@ -130,6 +131,7 @@ private:
 
 	wil::com_ptr_nothrow<ID3D11Device> m_dev;
 	wil::com_ptr_nothrow<ID3D11DeviceContext> m_ctx;
+	wil::com_ptr_nothrow<ID3DUserDefinedAnnotation> m_annotation;
 	wil::com_ptr_nothrow<IDXGISwapChain1> m_swapchain;
 	wil::com_ptr_nothrow<ID3D11Buffer> m_vb;
 	wil::com_ptr_nothrow<ID3D11Buffer> m_ib;
@@ -257,6 +259,10 @@ public:
 	void ClearDepth(GSTexture* t) override;
 	void ClearStencil(GSTexture* t, u8 c) override;
 
+	void PushDebugGroup(const char* fmt, ...) override;
+	void PopDebugGroup() override;
+	void InsertDebugMessage(DebugMessageCategory category, const char* fmt, ...) override;
+
 	void CloneTexture(GSTexture* src, GSTexture** dest, const GSVector4i& rect);
 
 	void CopyRect(GSTexture* sTex, GSTexture* dTex, const GSVector4i& r, u32 destX, u32 destY) override;