diff --git a/pcsx2/USB/usb-pad/usb-train.cpp b/pcsx2/USB/usb-pad/usb-train.cpp
index 4fadd7dcce..9ef6939fa2 100644
--- a/pcsx2/USB/usb-pad/usb-train.cpp
+++ b/pcsx2/USB/usb-pad/usb-train.cpp
@@ -30,6 +30,7 @@ namespace usb_pad
 		static const char* subtypes[] = {
 			TRANSLATE_NOOP("USB", "Type 2"),
 			TRANSLATE_NOOP("USB", "Shinkansen"),
+			TRANSLATE_NOOP("USB", "Ryojōhen"),
 		};
 		return subtypes;
 	}
@@ -51,6 +52,11 @@ namespace usb_pad
 		CID_TC_SELECT,
 		CID_TC_START,
 
+		// Ryojouhen controller has 7 buttons, map L/R onto existing indexes.
+		CID_TC_CAMERA,
+		CID_TC_L = CID_TC_C,
+		CID_TC_R = CID_TC_D,
+
 		BUTTONS_OFFSET = CID_TC_B,
 	};
 
@@ -78,6 +84,26 @@ namespace usb_pad
 
 				return bindings;
 			}
+			case TRAIN_RYOJOUHEN:
+			{
+				static constexpr const InputBindingInfo bindings[] = {
+					{"Power", TRANSLATE_NOOP("USB", "Power"), ICON_PF_LEFT_ANALOG_DOWN, InputBindingInfo::Type::Axis, CID_TC_POWER, GenericInputBinding::LeftStickDown},
+					{"Brake", TRANSLATE_NOOP("USB", "Brake"), ICON_PF_LEFT_ANALOG_UP, InputBindingInfo::Type::Axis, CID_TC_BRAKE, GenericInputBinding::LeftStickUp},
+					{"Up", TRANSLATE_NOOP("USB", "D-Pad Up"), ICON_PF_DPAD_UP, InputBindingInfo::Type::Button, CID_TC_UP, GenericInputBinding::DPadUp},
+					{"Down", TRANSLATE_NOOP("USB", "D-Pad Down"), ICON_PF_DPAD_DOWN, InputBindingInfo::Type::Button, CID_TC_DOWN, GenericInputBinding::DPadDown},
+					{"Left", TRANSLATE_NOOP("USB", "D-Pad Left"), ICON_PF_DPAD_LEFT, InputBindingInfo::Type::Button, CID_TC_LEFT, GenericInputBinding::DPadLeft},
+					{"Right", TRANSLATE_NOOP("USB", "D-Pad Right"), ICON_PF_DPAD_RIGHT, InputBindingInfo::Type::Button, CID_TC_RIGHT, GenericInputBinding::DPadRight},
+					{"Announce", TRANSLATE_NOOP("USB", "Announce"), ICON_PF_KEY_B, InputBindingInfo::Type::Button, CID_TC_A, GenericInputBinding::Circle},
+					{"Horn", TRANSLATE_NOOP("USB", "Horn"), ICON_PF_KEY_A, InputBindingInfo::Type::Button, CID_TC_B, GenericInputBinding::Cross},
+					{"LeftDoor", TRANSLATE_NOOP("USB", "Left Door"), ICON_PF_KEY_L, InputBindingInfo::Type::Button, CID_TC_L, GenericInputBinding::Square},
+					{"RightDoor", TRANSLATE_NOOP("USB", "Right Door"), ICON_PF_KEY_R, InputBindingInfo::Type::Button, CID_TC_R, GenericInputBinding::Triangle},
+					{"Camera", TRANSLATE_NOOP("USB", "Camera Button"), ICON_PF_CAMERA, InputBindingInfo::Type::Button, CID_TC_CAMERA, GenericInputBinding::R1},
+					{"Select", TRANSLATE_NOOP("USB", "Select"), ICON_PF_SELECT_SHARE, InputBindingInfo::Type::Button, CID_TC_SELECT, GenericInputBinding::Select},
+					{"Start", TRANSLATE_NOOP("USB", "Start"), ICON_PF_START, InputBindingInfo::Type::Button, CID_TC_START, GenericInputBinding::Start},
+				};
+
+				return bindings;
+			}
 			default:
 				break;
 		}
@@ -151,6 +177,7 @@ namespace usb_pad
 			case CID_TC_D:
 			case CID_TC_SELECT:
 			case CID_TC_START:
+			case CID_TC_CAMERA:
 			{
 				return (button_at(s->data.buttons, bind_index) != 0u) ? 1.0f : 0.0f;
 			}
@@ -196,6 +223,7 @@ namespace usb_pad
 			case CID_TC_D:
 			case CID_TC_SELECT:
 			case CID_TC_START:
+			case CID_TC_CAMERA:
 			{
 				const u32 mask = button_mask(bind_index);
 				if (value >= 0.5f)
@@ -345,7 +373,44 @@ namespace usb_pad
 		return notches[std::size(notches) - 1].second;
 	}
 
+	static u8 dct03_power(u8 value)
+	{
+		// (N) 0x00 0x3C 0x78 0xB4 0xF0 (P4)
+		static std::pair<u8, u8> const notches[] = {
+			// { control_in, emulated_out },
+			{0xC0, 0xF0},
+			{0x90, 0xB4},
+			{0x50, 0x78},
+			{0x30, 0x3C},
+			{0x00, 0x00},
+		};
+
+		for (const auto& x : notches)
+		{
+			if (value >= x.first)
+				return x.second;
+		}
+		return notches[std::size(notches) - 1].second;
+	}
+	static u8 dct03_brake(u8 value)
+	{
+		// Depending on the game, this device presents in either Non Self-Lapping or Self-Lapping mode.
+		// NSL Release   Maintain  Increase  Emergency
+		//     0x23-0x64 0x65-0x89 0x8A-0xD6 0xD7
+		// SL  Released  B1        B2        B3        B4        B5        B6        EB
+		//     0x23-0x2A 0x2B-0x3C 0x3D-0x4E 0x4F-0x63 0x64-0x8A 0x8B-0xB0 0xB1-0xD6 0xD7
+		if (0x18 >= value)
+			return 0x23;
+		if (value >= 0xF8)
+			return 0xD7;
+		// We've trimmed 0x20 (0x8 for EB, 0x18 for release) leaving us with ~0xE0.
+		// 0xD7-0x23=0xB3 represents about 80% of the number space of 0xE0, so compress the remaining input values into that range.
+		u8 offset = 0x9 + value / 85;
+		return value / 5 * 4 + offset;
+	}
+
 #define get_ab(buttons) (button_at(buttons, CID_TC_A) | button_at(buttons, CID_TC_B))
+#define get_cd(buttons) (button_at(buttons, CID_TC_C) | button_at(buttons, CID_TC_D))
 #define swap_cd(buttons) ((button_at(buttons, CID_TC_C) << 1) | (button_at(buttons, CID_TC_D) >> 1))
 #define get_ss(buttons) (button_at(buttons, CID_TC_START) | button_at(buttons, CID_TC_SELECT))
 
@@ -355,6 +420,10 @@ namespace usb_pad
 	{
 		return ((get_ab(buttons) << 2) | (swap_cd(buttons) >> 2) | get_ss(buttons));
 	}
+	constexpr u8 dct03_buttons(u8 buttons)
+	{
+		return (get_ab(buttons) | (button_at(buttons, CID_TC_CAMERA) >> 4) | ((get_cd(buttons) | get_ss(buttons)) << 1));
+	}
 
 	static void train_handle_data(USBDevice* dev, USBPacket* p)
 	{
@@ -394,6 +463,17 @@ namespace usb_pad
 				usb_packet_copy(p, &out, sizeof(out));
 				break;
 			}
+			case TRAIN_RYOJOUHEN:
+			{
+				TrainConData_Ryojouhen out = {};
+				out.brake = dct03_brake(s->data.brake);
+				out.power = dct03_power(s->data.power);
+				out.horn = 0xFF; // Dedicated horn button, skip.
+				out.hat = s->data.hatswitch & 0x0F;
+				out.buttons = dct03_buttons(s->data.buttons);
+				usb_packet_copy(p, &out, sizeof(out));
+				break;
+			}
 			default:
 				Console.Error("Unhandled TrainController USB_TOKEN_IN pid=%d ep=%u type=%u", p->pid, p->ep->nr, s->type);
 				p->status = USB_RET_IOERROR;
@@ -419,6 +499,11 @@ namespace usb_pad
 				if (usb_desc_parse_dev(dct02_dev_descriptor, sizeof(dct02_dev_descriptor), s->desc, s->desc_dev) < 0)
 					goto fail;
 				break;
+			case TRAIN_RYOJOUHEN:
+				s->desc.str = dct03_desc_strings;
+				if (usb_desc_parse_dev(dct03_dev_descriptor, sizeof(dct03_dev_descriptor), s->desc, s->desc_dev) < 0)
+					goto fail;
+				break;
 
 			default:
 				goto fail;
diff --git a/pcsx2/USB/usb-pad/usb-train.h b/pcsx2/USB/usb-pad/usb-train.h
index 8301b7a8d4..29a8ec03f3 100644
--- a/pcsx2/USB/usb-pad/usb-train.h
+++ b/pcsx2/USB/usb-pad/usb-train.h
@@ -13,6 +13,7 @@ namespace usb_pad
 	{
 		TRAIN_TYPE2, // TCPP20009 or similar
 		TRAIN_SHINKANSEN, // TCPP20011
+		TRAIN_RYOJOUHEN, // TCPP20014
 		TRAIN_COUNT,
 	};
 
@@ -51,6 +52,17 @@ namespace usb_pad
 		u8 pad;
 	};
 	static_assert(sizeof(TrainConData_Shinkansen) == 6);
+
+	struct TrainConData_Ryojouhen
+	{
+		u8 brake;
+		u8 power;
+		u8 horn;
+		u8 hat;
+		u8 buttons;
+		u8 pad[3];
+	};
+	static_assert(sizeof(TrainConData_Ryojouhen) == 8);
 #pragma pack(pop)
 
 	struct TrainDeviceState
@@ -157,4 +169,16 @@ namespace usb_pad
 	// dct02_dev_descriptor
 	DEFINE_DCT_DEV_DESCRIPTOR(dct02, 0x05, 0x0005);
 
+	// ---- Ryojouhen controller ----
+
+	static const USBDescStrings dct03_desc_strings = {
+		"",
+		"TAITO",
+		"TAITO_DENSYA_CON_T03",
+		"TCPP20014",
+	};
+
+	// dct03_dev_descriptor
+	DEFINE_DCT_DEV_DESCRIPTOR(dct03, 0xFF, 0x0007);
+
 } // namespace usb_pad