diff --git a/pcsx2/GS/Renderers/HW/GSHwHack.cpp b/pcsx2/GS/Renderers/HW/GSHwHack.cpp
index 9c008e97a4..63eda22b0a 100644
--- a/pcsx2/GS/Renderers/HW/GSHwHack.cpp
+++ b/pcsx2/GS/Renderers/HW/GSHwHack.cpp
@@ -737,7 +737,7 @@ bool GSHwHack::OI_PointListPalette(GSRendererHW& r, GSTexture* rt, GSTexture* ds
 	{
 		const u32 FBP = r.m_cached_ctx.FRAME.Block();
 		const u32 FBW = r.m_cached_ctx.FRAME.FBW;
-		GL_INS("PointListPalette - m_r = <%d, %d => %d, %d>, n_vertices = %zu, FBP = 0x%x, FBW = %u", r.m_r.x, r.m_r.y, r.m_r.z, r.m_r.w, n_vertices, FBP, FBW);
+		GL_INS("PointListPalette - m_r = <%d, %d => %d, %d>, n_vertices = %u, FBP = 0x%x, FBW = %u", r.m_r.x, r.m_r.y, r.m_r.z, r.m_r.w, n_vertices, FBP, FBW);
 		const GSVertex* RESTRICT v = r.m_vertex.buff;
 		const int ox(r.m_context->XYOFFSET.OFX);
 		const int oy(r.m_context->XYOFFSET.OFY);
diff --git a/pcsx2/GS/Renderers/HW/GSRendererHW.cpp b/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
index 2f67d82159..89448d7fa3 100644
--- a/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
+++ b/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
@@ -1670,9 +1670,24 @@ void GSRendererHW::Draw()
 		return;
 	}
 
-	// The rectangle of the draw rounded up.
-	const GSVector4 rect = m_vt.m_min.p.upld(m_vt.m_max.p + GSVector4::cxpr(0.5f));
-	m_r = GSVector4i(rect).rintersect(context->scissor.in);
+	// GS doesn't fill the right or bottom edges of sprites/triangles, and for a pixel to be shaded, the vertex
+	// must cross the center. In other words, the range is equal to the floor of coordinates +0.5. Except for
+	// the case where the minimum equals the maximum, because at least one pixel is filled per line.
+	// Test cases for the math:
+	//                                --------------------------------------
+	//                                | Position range | Draw Range | Size |
+	//                                |       -0.5,0.0 |        0-0 |    1 |
+	//                                |       -0.5,0.5 |        0-0 |    1 |
+	//                                |            0,1 |        0-0 |    1 |
+	//                                |          0,1.5 |        0-1 |    2 |
+	//                                |        0.5,1.5 |        1-1 |    1 |
+	//                                |       0.5,1.75 |        1-1 |    1 |
+	//                                |       0.5,2.25 |        1-1 |    1 |
+	//                                |        0.5,2.5 |        1-2 |    2 |
+	//                                --------------------------------------
+	m_r = GSVector4i(m_vt.m_min.p.upld(m_vt.m_max.p) + GSVector4::cxpr(0.5f));
+	m_r = m_r.blend8(m_r + GSVector4i::cxpr(0, 0, 1, 1), (m_r.xyxy() == m_r.zwzw()));
+	m_r = m_r.rintersect(context->scissor.in);
 
 	const bool process_texture = PRIM->TME && !(PRIM->ABE && m_context->ALPHA.IsBlack() && !m_cached_ctx.TEX0.TCC);
 	const u32 frame_end_bp = GSLocalMemory::GetEndBlockAddress(m_cached_ctx.FRAME.Block(), m_cached_ctx.FRAME.FBW, m_cached_ctx.FRAME.PSM, m_r);