diff --git a/src/core/host_display.h b/src/core/host_display.h
index 8c1e17886..f1c84230a 100644
--- a/src/core/host_display.h
+++ b/src/core/host_display.h
@@ -66,6 +66,8 @@ public:
   virtual void DestroyRenderDevice() = 0;
   virtual void DestroyRenderSurface() = 0;
   virtual bool ChangeRenderWindow(const WindowInfo& wi) = 0;
+  virtual bool IsFullscreen() = 0;
+  virtual bool SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate) = 0;
   virtual bool CreateResources() = 0;
   virtual void DestroyResources() = 0;
 
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index ffa1dc155..626b2a078 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -5,6 +5,7 @@
 #include "host_interface.h"
 #include <algorithm>
 #include <array>
+#include <cctype>
 #include <numeric>
 
 Settings g_settings;
diff --git a/src/duckstation-libretro/libretro_host_display.cpp b/src/duckstation-libretro/libretro_host_display.cpp
index 88ca8e746..de285d0d4 100644
--- a/src/duckstation-libretro/libretro_host_display.cpp
+++ b/src/duckstation-libretro/libretro_host_display.cpp
@@ -156,6 +156,16 @@ void LibretroHostDisplay::ResizeRenderWindow(s32 new_window_width, s32 new_windo
   m_window_info.surface_height = new_window_height;
 }
 
+bool LibretroHostDisplay::IsFullscreen()
+{
+  return false;
+}
+
+bool LibretroHostDisplay::SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate)
+{
+  return false;
+}
+
 bool LibretroHostDisplay::SetPostProcessingChain(const std::string_view& config)
 {
   return false;
diff --git a/src/duckstation-libretro/libretro_host_display.h b/src/duckstation-libretro/libretro_host_display.h
index af49a7dda..ab922f4ad 100644
--- a/src/duckstation-libretro/libretro_host_display.h
+++ b/src/duckstation-libretro/libretro_host_display.h
@@ -23,6 +23,8 @@ public:
 
   bool ChangeRenderWindow(const WindowInfo& wi) override;
   void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
+  bool IsFullscreen() override;
+  bool SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate) override;
   void DestroyRenderSurface() override;
 
   bool SetPostProcessingChain(const std::string_view& config) override;
diff --git a/src/duckstation-qt/displaysettingswidget.cpp b/src/duckstation-qt/displaysettingswidget.cpp
index b0b32cf0d..92d9f563d 100644
--- a/src/duckstation-qt/displaysettingswidget.cpp
+++ b/src/duckstation-qt/displaysettingswidget.cpp
@@ -42,10 +42,12 @@ DisplaySettingsWidget::DisplaySettingsWidget(QtHostInterface* host_interface, QW
                                                false);
 
   connect(m_ui.renderer, QOverload<int>::of(&QComboBox::currentIndexChanged), this,
-          &DisplaySettingsWidget::populateGPUAdapters);
+          &DisplaySettingsWidget::populateGPUAdaptersAndResolutions);
   connect(m_ui.adapter, QOverload<int>::of(&QComboBox::currentIndexChanged), this,
           &DisplaySettingsWidget::onGPUAdapterIndexChanged);
-  populateGPUAdapters();
+  connect(m_ui.fullscreenMode, QOverload<int>::of(&QComboBox::currentIndexChanged), this,
+          &DisplaySettingsWidget::onGPUFullscreenModeIndexChanged);
+  populateGPUAdaptersAndResolutions();
 
   dialog->registerWidgetHelp(
     m_ui.renderer, tr("Renderer"),
@@ -118,15 +120,20 @@ void DisplaySettingsWidget::setupAdditionalUi()
   }
 }
 
-void DisplaySettingsWidget::populateGPUAdapters()
+void DisplaySettingsWidget::populateGPUAdaptersAndResolutions()
 {
   std::vector<std::string> adapter_names;
+  std::vector<std::string> fullscreen_modes;
   switch (static_cast<GPURenderer>(m_ui.renderer->currentIndex()))
   {
 #ifdef WIN32
     case GPURenderer::HardwareD3D11:
-      adapter_names = FrontendCommon::D3D11HostDisplay::EnumerateAdapterNames();
-      break;
+    {
+      FrontendCommon::D3D11HostDisplay::AdapterInfo adapter_info = FrontendCommon::D3D11HostDisplay::GetAdapterInfo();
+      adapter_names = std::move(adapter_info.adapter_names);
+      fullscreen_modes = std::move(adapter_info.fullscreen_modes);
+    }
+    break;
 #endif
 
     case GPURenderer::HardwareVulkan:
@@ -137,26 +144,46 @@ void DisplaySettingsWidget::populateGPUAdapters()
       break;
   }
 
-  QString current_value = QString::fromStdString(m_host_interface->GetStringSettingValue("GPU", "Adapter"));
-
-  QSignalBlocker blocker(m_ui.adapter);
-
-  // add the default entry - we'll fall back to this if the GPU no longer exists, or there's no options
-  m_ui.adapter->clear();
-  m_ui.adapter->addItem(tr("(Default)"));
-
-  // add the other adapters
-  for (const std::string& adapter_name : adapter_names)
   {
-    QString qadapter_name(QString::fromStdString(adapter_name));
-    m_ui.adapter->addItem(qadapter_name);
+    const std::string current_adapter(m_host_interface->GetStringSettingValue("GPU", "Adapter"));
+    QSignalBlocker blocker(m_ui.adapter);
 
-    if (qadapter_name == current_value)
-      m_ui.adapter->setCurrentIndex(m_ui.adapter->count() - 1);
+    // add the default entry - we'll fall back to this if the GPU no longer exists, or there's no options
+    m_ui.adapter->clear();
+    m_ui.adapter->addItem(tr("(Default)"));
+
+    // add the other adapters
+    for (const std::string& adapter_name : adapter_names)
+    {
+      m_ui.adapter->addItem(QString::fromStdString(adapter_name));
+
+      if (adapter_name == current_adapter)
+        m_ui.adapter->setCurrentIndex(m_ui.adapter->count() - 1);
+    }
+
+    // disable it if we don't have a choice
+    m_ui.adapter->setEnabled(!adapter_names.empty());
   }
 
-  // disable it if we don't have a choice
-  m_ui.adapter->setEnabled(!adapter_names.empty());
+  {
+    const std::string current_mode(m_host_interface->GetStringSettingValue("GPU", "FullscreenMode", ""));
+    QSignalBlocker blocker(m_ui.fullscreenMode);
+
+    m_ui.fullscreenMode->clear();
+    m_ui.fullscreenMode->addItem(tr("Borderless Fullscreen"));
+    m_ui.fullscreenMode->setCurrentIndex(0);
+
+    for (const std::string& mode_name : fullscreen_modes)
+    {
+      m_ui.fullscreenMode->addItem(QString::fromStdString(mode_name));
+
+      if (mode_name == current_mode)
+        m_ui.fullscreenMode->setCurrentIndex(m_ui.fullscreenMode->count() - 1);
+    }
+
+    // disable it if we don't have a choice
+    m_ui.fullscreenMode->setEnabled(!fullscreen_modes.empty());
+  }
 }
 
 void DisplaySettingsWidget::onGPUAdapterIndexChanged()
@@ -170,3 +197,16 @@ void DisplaySettingsWidget::onGPUAdapterIndexChanged()
 
   m_host_interface->SetStringSettingValue("GPU", "Adapter", m_ui.adapter->currentText().toUtf8().constData());
 }
+
+void DisplaySettingsWidget::onGPUFullscreenModeIndexChanged()
+{
+  if (m_ui.fullscreenMode->currentIndex() == 0)
+  {
+    // default
+    m_host_interface->RemoveSettingValue("GPU", "FullscreenMode");
+    return;
+  }
+
+  m_host_interface->SetStringSettingValue("GPU", "FullscreenMode",
+                                          m_ui.fullscreenMode->currentText().toUtf8().constData());
+}
\ No newline at end of file
diff --git a/src/duckstation-qt/displaysettingswidget.h b/src/duckstation-qt/displaysettingswidget.h
index a940b0486..5a98f2c88 100644
--- a/src/duckstation-qt/displaysettingswidget.h
+++ b/src/duckstation-qt/displaysettingswidget.h
@@ -17,8 +17,9 @@ public:
   ~DisplaySettingsWidget();
 
 private Q_SLOTS:
-  void populateGPUAdapters();
+  void populateGPUAdaptersAndResolutions();
   void onGPUAdapterIndexChanged();
+  void onGPUFullscreenModeIndexChanged();
 
 private:
   void setupAdditionalUi();
diff --git a/src/duckstation-qt/displaysettingswidget.ui b/src/duckstation-qt/displaysettingswidget.ui
index 8deae5e13..5ae78f14e 100644
--- a/src/duckstation-qt/displaysettingswidget.ui
+++ b/src/duckstation-qt/displaysettingswidget.ui
@@ -52,7 +52,17 @@
       <item row="1" column="1">
        <widget class="QComboBox" name="adapter"/>
       </item>
-      <item row="2" column="0" colspan="2">
+      <item row="2" column="0">
+       <widget class="QLabel" name="label_2">
+        <property name="text">
+         <string>Fullscreen Mode:</string>
+        </property>
+       </widget>
+      </item>
+      <item row="2" column="1">
+       <widget class="QComboBox" name="fullscreenMode"/>
+      </item>
+      <item row="3" column="0">
        <widget class="QCheckBox" name="vsync">
         <property name="text">
          <string>VSync</string>
diff --git a/src/duckstation-qt/mainwindow.cpp b/src/duckstation-qt/mainwindow.cpp
index b0355bcbf..2ca667f4a 100644
--- a/src/duckstation-qt/mainwindow.cpp
+++ b/src/duckstation-qt/mainwindow.cpp
@@ -87,13 +87,20 @@ QtDisplayWidget* MainWindow::createDisplay(QThread* worker_thread, const QString
   Assert(!m_host_display && !m_display_widget);
   Assert(!fullscreen || !render_to_main);
 
+  const std::string fullscreen_mode = m_host_interface->GetStringSettingValue("GPU", "FullscreenMode", "");
+  const bool is_exclusive_fullscreen = (fullscreen && !fullscreen_mode.empty());
+
   m_display_widget = new QtDisplayWidget((!fullscreen && render_to_main) ? m_ui.mainContainer : nullptr);
   m_display_widget->setWindowTitle(windowTitle());
   m_display_widget->setWindowIcon(windowIcon());
 
   if (fullscreen)
   {
-    m_display_widget->showFullScreen();
+    if (!is_exclusive_fullscreen)
+      m_display_widget->showFullScreen();
+    else
+      m_display_widget->showNormal();
+
     m_display_widget->setCursor(Qt::BlankCursor);
   }
   else if (!render_to_main)
@@ -126,6 +133,9 @@ QtDisplayWidget* MainWindow::createDisplay(QThread* worker_thread, const QString
     return nullptr;
   }
 
+  if (is_exclusive_fullscreen)
+    setDisplayFullscreen(fullscreen_mode);
+
   m_host_display->DoneRenderContextCurrent();
   return m_display_widget;
 }
@@ -134,6 +144,8 @@ QtDisplayWidget* MainWindow::updateDisplay(QThread* worker_thread, bool fullscre
 {
   const bool is_fullscreen = m_display_widget->isFullScreen();
   const bool is_rendering_to_main = (!is_fullscreen && m_display_widget->parent());
+  const std::string fullscreen_mode = m_host_interface->GetStringSettingValue("GPU", "FullscreenMode", "");
+  const bool is_exclusive_fullscreen = (fullscreen && !fullscreen_mode.empty());
   if (fullscreen == is_fullscreen && is_rendering_to_main == render_to_main)
     return m_display_widget;
 
@@ -146,7 +158,10 @@ QtDisplayWidget* MainWindow::updateDisplay(QThread* worker_thread, bool fullscre
 
   if (fullscreen)
   {
-    m_display_widget->showFullScreen();
+    if (!is_exclusive_fullscreen)
+      m_display_widget->showFullScreen();
+    else
+      m_display_widget->showNormal();
     m_display_widget->setCursor(Qt::BlankCursor);
   }
   else if (!render_to_main)
@@ -174,6 +189,9 @@ QtDisplayWidget* MainWindow::updateDisplay(QThread* worker_thread, bool fullscre
   if (!m_host_display->ChangeRenderWindow(wi.value()))
     Panic("Failed to recreate surface on new widget.");
 
+  if (is_exclusive_fullscreen)
+    setDisplayFullscreen(fullscreen_mode);
+
   m_display_widget->setFocus();
 
   QSignalBlocker blocker(m_ui.actionFullscreen);
@@ -181,6 +199,23 @@ QtDisplayWidget* MainWindow::updateDisplay(QThread* worker_thread, bool fullscre
   return m_display_widget;
 }
 
+void MainWindow::setDisplayFullscreen(const std::string& fullscreen_mode)
+{
+  u32 width, height;
+  float refresh_rate;
+  bool result = false;
+
+  if (CommonHostInterface::ParseFullscreenMode(fullscreen_mode, &width, &height, &refresh_rate))
+  {
+    result = m_host_display->SetFullscreen(true, width, height, refresh_rate);
+    if (!result)
+    {
+      m_host_interface->AddOSDMessage(
+        m_host_interface->TranslateStdString("OSDMessage", "Failed to acquire exclusive fullscreen."), 20.0f);
+    }
+  }
+}
+
 void MainWindow::destroyDisplay()
 {
   DebugAssert(m_host_display && m_display_widget);
diff --git a/src/duckstation-qt/mainwindow.h b/src/duckstation-qt/mainwindow.h
index ca2f4bde2..575102ba9 100644
--- a/src/duckstation-qt/mainwindow.h
+++ b/src/duckstation-qt/mainwindow.h
@@ -105,6 +105,7 @@ private:
   void saveDisplayWindowGeometryToConfig();
   void restoreDisplayWindowGeometryFromConfig();
   void destroyDisplayWidget();
+  void setDisplayFullscreen(const std::string& fullscreen_mode);
   SettingsDialog* getSettingsDialog();
   void doSettings(SettingsDialog::Category category = SettingsDialog::Category::Count);
   void updateDebugMenuCPUExecutionMode();
diff --git a/src/duckstation-qt/qthostinterface.cpp b/src/duckstation-qt/qthostinterface.cpp
index 780d866b8..44481a597 100644
--- a/src/duckstation-qt/qthostinterface.cpp
+++ b/src/duckstation-qt/qthostinterface.cpp
@@ -435,6 +435,15 @@ void QtHostInterface::onHostDisplayWindowResized(int width, int height)
   // re-render the display, since otherwise it will be out of date and stretched if paused
   if (!System::IsShutdown())
   {
+    if (m_is_exclusive_fullscreen && !m_display->IsFullscreen())
+    {
+      // we lost exclusive fullscreen
+      AddOSDMessage(TranslateStdString("OSDMessage", "Lost exclusive fullscreen."), 20.0f);
+      m_is_exclusive_fullscreen = false;
+      m_is_fullscreen = false;
+      updateDisplayState();
+    }
+
     g_gpu->UpdateResolutionScale();
     renderDisplay();
   }
@@ -495,6 +504,7 @@ bool QtHostInterface::AcquireHostDisplay()
   }
 
   connectDisplaySignals(display_widget);
+  m_is_exclusive_fullscreen = m_display->IsFullscreen();
   ImGui::NewFrame();
   return true;
 }
@@ -551,6 +561,7 @@ void QtHostInterface::updateDisplayState()
     Panic("Failed to make device context current after updating");
 
   connectDisplaySignals(display_widget);
+  m_is_exclusive_fullscreen = m_display->IsFullscreen();
 
   if (!System::IsShutdown())
   {
diff --git a/src/duckstation-qt/qthostinterface.h b/src/duckstation-qt/qthostinterface.h
index 13d57dd7b..05e27fb9e 100644
--- a/src/duckstation-qt/qthostinterface.h
+++ b/src/duckstation-qt/qthostinterface.h
@@ -264,4 +264,5 @@ private:
 
   bool m_is_rendering_to_main = false;
   bool m_is_fullscreen = false;
+  bool m_is_exclusive_fullscreen = false;
 };
diff --git a/src/frontend-common/common_host_interface.cpp b/src/frontend-common/common_host_interface.cpp
index b3d66b69f..1a0c0e87c 100644
--- a/src/frontend-common/common_host_interface.cpp
+++ b/src/frontend-common/common_host_interface.cpp
@@ -2478,6 +2478,53 @@ void CommonHostInterface::ReloadPostProcessingShaders()
     AddOSDMessage(TranslateStdString("OSDMessage", "Post-processing shaders reloaded."), 10.0f);
 }
 
+bool CommonHostInterface::ParseFullscreenMode(const std::string_view& mode, u32* width, u32* height,
+                                              float* refresh_rate)
+{
+  if (!mode.empty())
+  {
+    std::string_view::size_type sep1 = mode.find('x');
+    if (sep1 != std::string_view::npos)
+    {
+      std::optional<u32> owidth = StringUtil::FromChars<u32>(mode.substr(0, sep1));
+      sep1++;
+
+      while (sep1 < mode.length() && std::isspace(mode[sep1]))
+        sep1++;
+
+      if (owidth.has_value() && sep1 < mode.length())
+      {
+        std::string_view::size_type sep2 = mode.find('@', sep1);
+        if (sep2 != std::string_view::npos)
+        {
+          std::optional<u32> oheight = StringUtil::FromChars<u32>(mode.substr(sep1, sep2 - sep1));
+          sep2++;
+
+          while (sep2 < mode.length() && std::isspace(mode[sep2]))
+            sep2++;
+
+          if (oheight.has_value() && sep2 < mode.length())
+          {
+            std::optional<float> orefresh_rate = StringUtil::FromChars<float>(mode.substr(sep2));
+            if (orefresh_rate.has_value())
+            {
+              *width = owidth.value();
+              *height = oheight.value();
+              *refresh_rate = orefresh_rate.value();
+              return true;
+            }
+          }
+        }
+      }
+    }
+  }
+
+  *width = 0;
+  *height = 0;
+  *refresh_rate = 0;
+  return false;
+}
+
 #ifdef WITH_DISCORD_PRESENCE
 
 void CommonHostInterface::SetDiscordPresenceEnabled(bool enabled)
diff --git a/src/frontend-common/common_host_interface.h b/src/frontend-common/common_host_interface.h
index a48b13d3c..3396aa689 100644
--- a/src/frontend-common/common_host_interface.h
+++ b/src/frontend-common/common_host_interface.h
@@ -177,6 +177,9 @@ public:
   /// Reloads post processing shaders with the current configuration.
   void ReloadPostProcessingShaders();
 
+  /// Parses a fullscreen mode into its components (width * height @ refresh hz)
+  static bool ParseFullscreenMode(const std::string_view& mode, u32* width, u32* height, float* refresh_rate);
+
 protected:
   enum : u32
   {
diff --git a/src/frontend-common/d3d11_host_display.cpp b/src/frontend-common/d3d11_host_display.cpp
index a9be30010..967f4bc78 100644
--- a/src/frontend-common/d3d11_host_display.cpp
+++ b/src/frontend-common/d3d11_host_display.cpp
@@ -196,16 +196,16 @@ bool D3D11HostDisplay::CreateRenderDevice(const WindowInfo& wi, std::string_view
   u32 adapter_index;
   if (!adapter_name.empty())
   {
-    std::vector<std::string> adapter_names = EnumerateAdapterNames(temp_dxgi_factory.Get());
-    for (adapter_index = 0; adapter_index < static_cast<u32>(adapter_names.size()); adapter_index++)
+    AdapterInfo adapter_info = GetAdapterInfo(temp_dxgi_factory.Get());
+    for (adapter_index = 0; adapter_index < static_cast<u32>(adapter_info.adapter_names.size()); adapter_index++)
     {
-      if (adapter_name == adapter_names[adapter_index])
+      if (adapter_name == adapter_info.adapter_names[adapter_index])
         break;
     }
-    if (adapter_index == static_cast<u32>(adapter_names.size()))
+    if (adapter_index == static_cast<u32>(adapter_info.adapter_names.size()))
     {
       Log_WarningPrintf("Could not find adapter '%s', using first (%s)", std::string(adapter_name).c_str(),
-                        adapter_names[0].c_str());
+                        adapter_info.adapter_names[0].c_str());
       adapter_index = 0;
     }
   }
@@ -293,7 +293,7 @@ bool D3D11HostDisplay::InitializeRenderDevice(std::string_view shader_cache_dire
 {
 #ifndef LIBRETRO
   if (m_window_info.type != WindowInfo::Type::Surfaceless && m_window_info.type != WindowInfo::Type::Libretro &&
-      !CreateSwapChain())
+      !CreateSwapChain(nullptr))
   {
     return false;
   }
@@ -335,7 +335,7 @@ bool D3D11HostDisplay::DoneRenderContextCurrent()
 
 #ifndef LIBRETRO
 
-bool D3D11HostDisplay::CreateSwapChain()
+bool D3D11HostDisplay::CreateSwapChain(const DXGI_MODE_DESC* fullscreen_mode)
 {
   if (m_window_info.type != WindowInfo::Type::Win32)
     return false;
@@ -359,12 +359,19 @@ bool D3D11HostDisplay::CreateSwapChain()
   swap_chain_desc.Windowed = TRUE;
   swap_chain_desc.SwapEffect = m_using_flip_model_swap_chain ? DXGI_SWAP_EFFECT_FLIP_DISCARD : DXGI_SWAP_EFFECT_DISCARD;
 
-  m_using_allow_tearing = (m_allow_tearing_supported && m_using_flip_model_swap_chain);
+  m_using_allow_tearing = (m_allow_tearing_supported && m_using_flip_model_swap_chain && !fullscreen_mode);
   if (m_using_allow_tearing)
-    swap_chain_desc.Flags = DXGI_SWAP_CHAIN_FLAG_ALLOW_TEARING;
+    swap_chain_desc.Flags |= DXGI_SWAP_CHAIN_FLAG_ALLOW_TEARING;
 
-  Log_InfoPrintf("Creating a %dx%d %s %s swap chain", width, height,
-                 m_using_flip_model_swap_chain ? "flip-discard" : "discard",
+  if (fullscreen_mode)
+  {
+    swap_chain_desc.Flags = DXGI_SWAP_CHAIN_FLAG_ALLOW_MODE_SWITCH;
+    swap_chain_desc.Windowed = FALSE;
+    swap_chain_desc.BufferDesc = *fullscreen_mode;
+  }
+
+  Log_InfoPrintf("Creating a %dx%d %s %s swap chain", swap_chain_desc.BufferDesc.Width,
+                 swap_chain_desc.BufferDesc.Height, m_using_flip_model_swap_chain ? "flip-discard" : "discard",
                  swap_chain_desc.Windowed ? "windowed" : "full-screen");
 
   HRESULT hr = m_dxgi_factory->CreateSwapChain(m_device.Get(), &swap_chain_desc, m_swap_chain.GetAddressOf());
@@ -433,7 +440,7 @@ bool D3D11HostDisplay::ChangeRenderWindow(const WindowInfo& new_wi)
   DestroyRenderSurface();
 
   m_window_info = new_wi;
-  return CreateSwapChain();
+  return CreateSwapChain(nullptr);
 #else
   m_window_info = new_wi;
   return true;
@@ -443,6 +450,9 @@ bool D3D11HostDisplay::ChangeRenderWindow(const WindowInfo& new_wi)
 void D3D11HostDisplay::DestroyRenderSurface()
 {
 #ifndef LIBRETRO
+  if (IsFullscreen())
+    SetFullscreen(false, 0, 0, 0.0f);
+
   m_swap_chain_rtv.Reset();
   m_swap_chain.Reset();
 #endif
@@ -466,6 +476,82 @@ void D3D11HostDisplay::ResizeRenderWindow(s32 new_window_width, s32 new_window_h
 #endif
 }
 
+bool D3D11HostDisplay::IsFullscreen()
+{
+#ifndef LIBRETRO
+  BOOL is_fullscreen = FALSE;
+  return (m_swap_chain && SUCCEEDED(m_swap_chain->GetFullscreenState(&is_fullscreen, nullptr)) && is_fullscreen);
+#else
+  return false;
+#endif
+}
+
+bool D3D11HostDisplay::SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate)
+{
+#ifndef LIBRETRO
+  if (!m_swap_chain)
+    return false;
+
+  BOOL is_fullscreen = FALSE;
+  HRESULT hr = m_swap_chain->GetFullscreenState(&is_fullscreen, nullptr);
+  if (!fullscreen)
+  {
+    // leaving fullscreen
+    if (is_fullscreen)
+      return SUCCEEDED(m_swap_chain->SetFullscreenState(FALSE, nullptr));
+    else
+      return true;
+  }
+
+  IDXGIOutput* output;
+  if (FAILED(hr = m_swap_chain->GetContainingOutput(&output)))
+    return false;
+
+  DXGI_SWAP_CHAIN_DESC current_desc;
+  hr = m_swap_chain->GetDesc(&current_desc);
+  if (FAILED(hr))
+    return false;
+
+  DXGI_MODE_DESC new_mode = current_desc.BufferDesc;
+  new_mode.Width = width;
+  new_mode.Height = height;
+  new_mode.RefreshRate.Numerator = static_cast<UINT>(std::floor(refresh_rate * 1000.0f));
+  new_mode.RefreshRate.Denominator = 1000u;
+
+  DXGI_MODE_DESC closest_mode;
+  if (FAILED(hr = output->FindClosestMatchingMode(&new_mode, &closest_mode, nullptr)) ||
+      new_mode.Format != current_desc.BufferDesc.Format)
+  {
+    Log_ErrorPrintf("Failed to find closest matching mode, hr=%08X", hr);
+    return false;
+  }
+
+  if (new_mode.Width == current_desc.BufferDesc.Width && new_mode.Height == current_desc.BufferDesc.Width &&
+      new_mode.RefreshRate.Numerator == current_desc.BufferDesc.RefreshRate.Numerator &&
+      new_mode.RefreshRate.Denominator == current_desc.BufferDesc.RefreshRate.Denominator)
+  {
+    Log_InfoPrintf("Fullscreen mode already set");
+    return true;
+  }
+
+  m_swap_chain_rtv.Reset();
+  m_swap_chain.Reset();
+
+  if (!CreateSwapChain(&closest_mode))
+  {
+    Log_ErrorPrintf("Failed to create a fullscreen swap chain");
+    if (!CreateSwapChain(nullptr))
+      Panic("Failed to recreate windowed swap chain");
+
+    return false;
+  }
+
+  return true;
+#else
+  return false;
+#endif
+}
+
 bool D3D11HostDisplay::CreateResources()
 {
   HRESULT hr;
@@ -689,22 +775,22 @@ void D3D11HostDisplay::RenderSoftwareCursor(s32 left, s32 top, s32 width, s32 he
 
 #ifndef LIBRETRO
 
-std::vector<std::string> D3D11HostDisplay::EnumerateAdapterNames()
+D3D11HostDisplay::AdapterInfo D3D11HostDisplay::GetAdapterInfo()
 {
   ComPtr<IDXGIFactory> dxgi_factory;
   HRESULT hr = CreateDXGIFactory(IID_PPV_ARGS(dxgi_factory.GetAddressOf()));
   if (FAILED(hr))
     return {};
 
-  return EnumerateAdapterNames(dxgi_factory.Get());
+  return GetAdapterInfo(dxgi_factory.Get());
 }
 
-std::vector<std::string> D3D11HostDisplay::EnumerateAdapterNames(IDXGIFactory* dxgi_factory)
+D3D11HostDisplay::AdapterInfo D3D11HostDisplay::GetAdapterInfo(IDXGIFactory* dxgi_factory)
 {
-  std::vector<std::string> adapter_names;
+  AdapterInfo adapter_info;
   ComPtr<IDXGIAdapter> current_adapter;
-  while (SUCCEEDED(
-    dxgi_factory->EnumAdapters(static_cast<UINT>(adapter_names.size()), current_adapter.ReleaseAndGetAddressOf())))
+  while (SUCCEEDED(dxgi_factory->EnumAdapters(static_cast<UINT>(adapter_info.adapter_names.size()),
+                                              current_adapter.ReleaseAndGetAddressOf())))
   {
     DXGI_ADAPTER_DESC adapter_desc;
     std::string adapter_name;
@@ -724,8 +810,30 @@ std::vector<std::string> D3D11HostDisplay::EnumerateAdapterNames(IDXGIFactory* d
       adapter_name.assign("(Unknown)");
     }
 
+    if (adapter_info.fullscreen_modes.empty())
+    {
+      ComPtr<IDXGIOutput> output;
+      if (SUCCEEDED(current_adapter->EnumOutputs(0, &output)))
+      {
+        UINT num_modes = 0;
+        if (SUCCEEDED(output->GetDisplayModeList(DXGI_FORMAT_R8G8B8A8_UNORM, 0, &num_modes, nullptr)))
+        {
+          std::vector<DXGI_MODE_DESC> modes(num_modes);
+          if (SUCCEEDED(output->GetDisplayModeList(DXGI_FORMAT_R8G8B8A8_UNORM, 0, &num_modes, modes.data())))
+          {
+            for (const DXGI_MODE_DESC& mode : modes)
+            {
+              adapter_info.fullscreen_modes.push_back(StringUtil::StdStringFromFormat(
+                "%u x %u @ %f hz", mode.Width, mode.Height,
+                static_cast<float>(mode.RefreshRate.Numerator) / static_cast<float>(mode.RefreshRate.Denominator)));
+            }
+          }
+        }
+      }
+    }
+
     // handle duplicate adapter names
-    if (std::any_of(adapter_names.begin(), adapter_names.end(),
+    if (std::any_of(adapter_info.adapter_names.begin(), adapter_info.adapter_names.end(),
                     [&adapter_name](const std::string& other) { return (adapter_name == other); }))
     {
       std::string original_adapter_name = std::move(adapter_name);
@@ -735,14 +843,14 @@ std::vector<std::string> D3D11HostDisplay::EnumerateAdapterNames(IDXGIFactory* d
       {
         adapter_name = StringUtil::StdStringFromFormat("%s (%u)", original_adapter_name.c_str(), current_extra);
         current_extra++;
-      } while (std::any_of(adapter_names.begin(), adapter_names.end(),
+      } while (std::any_of(adapter_info.adapter_names.begin(), adapter_info.adapter_names.end(),
                            [&adapter_name](const std::string& other) { return (adapter_name == other); }));
     }
 
-    adapter_names.push_back(std::move(adapter_name));
+    adapter_info.adapter_names.push_back(std::move(adapter_name));
   }
 
-  return adapter_names;
+  return adapter_info;
 }
 
 bool D3D11HostDisplay::SetPostProcessingChain(const std::string_view& config)
diff --git a/src/frontend-common/d3d11_host_display.h b/src/frontend-common/d3d11_host_display.h
index 67731bb7d..c4d525855 100644
--- a/src/frontend-common/d3d11_host_display.h
+++ b/src/frontend-common/d3d11_host_display.h
@@ -44,6 +44,8 @@ public:
 
   virtual bool ChangeRenderWindow(const WindowInfo& new_wi) override;
   virtual void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
+  virtual bool IsFullscreen() override;
+  virtual bool SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate) override;
   virtual void DestroyRenderSurface() override;
 
   virtual bool SetPostProcessingChain(const std::string_view& config) override;
@@ -60,13 +62,20 @@ public:
   virtual bool Render() override;
 
 #ifndef LIBRETRO
-  static std::vector<std::string> EnumerateAdapterNames();
+  struct AdapterInfo
+  {
+    std::vector<std::string> adapter_names;
+    std::vector<std::string> fullscreen_modes;
+  };
+  static AdapterInfo GetAdapterInfo();
 #endif
 
 protected:
   static constexpr u32 DISPLAY_UNIFORM_BUFFER_SIZE = 16;
 
-  static std::vector<std::string> EnumerateAdapterNames(IDXGIFactory* dxgi_factory);
+#ifndef LIBRETRO
+  static AdapterInfo GetAdapterInfo(IDXGIFactory* dxgi_factory);
+#endif
 
   virtual bool CreateResources() override;
   virtual void DestroyResources() override;
@@ -75,7 +84,7 @@ protected:
   virtual void DestroyImGuiContext();
 
 #ifndef LIBRETRO
-  bool CreateSwapChain();
+  bool CreateSwapChain(const DXGI_MODE_DESC* fullscreen_mode);
   bool CreateSwapChainRTV();
 #endif
 
diff --git a/src/frontend-common/opengl_host_display.cpp b/src/frontend-common/opengl_host_display.cpp
index 9a92c10c2..1597a5dc6 100644
--- a/src/frontend-common/opengl_host_display.cpp
+++ b/src/frontend-common/opengl_host_display.cpp
@@ -315,6 +315,16 @@ void OpenGLHostDisplay::ResizeRenderWindow(s32 new_window_width, s32 new_window_
 #endif
 }
 
+bool OpenGLHostDisplay::IsFullscreen()
+{
+  return false;
+}
+
+bool OpenGLHostDisplay::SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate)
+{
+  return false;
+}
+
 void OpenGLHostDisplay::DestroyRenderSurface()
 {
   if (!m_gl_context)
diff --git a/src/frontend-common/opengl_host_display.h b/src/frontend-common/opengl_host_display.h
index 7f01307bc..db04712dc 100644
--- a/src/frontend-common/opengl_host_display.h
+++ b/src/frontend-common/opengl_host_display.h
@@ -44,6 +44,8 @@ public:
 
   virtual bool ChangeRenderWindow(const WindowInfo& new_wi) override;
   virtual void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
+  virtual bool IsFullscreen() override;
+  virtual bool SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate) override;
   virtual void DestroyRenderSurface() override;
 
   virtual bool SetPostProcessingChain(const std::string_view& config) override;
diff --git a/src/frontend-common/vulkan_host_display.cpp b/src/frontend-common/vulkan_host_display.cpp
index 5623053b8..926361993 100644
--- a/src/frontend-common/vulkan_host_display.cpp
+++ b/src/frontend-common/vulkan_host_display.cpp
@@ -174,6 +174,16 @@ void VulkanHostDisplay::ResizeRenderWindow(s32 new_window_width, s32 new_window_
 #endif
 }
 
+bool VulkanHostDisplay::IsFullscreen()
+{
+  return false;
+}
+
+bool VulkanHostDisplay::SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate)
+{
+  return false;
+}
+
 void VulkanHostDisplay::DestroyRenderSurface()
 {
   m_window_info = {};
diff --git a/src/frontend-common/vulkan_host_display.h b/src/frontend-common/vulkan_host_display.h
index 429670b4e..776ea1512 100644
--- a/src/frontend-common/vulkan_host_display.h
+++ b/src/frontend-common/vulkan_host_display.h
@@ -41,6 +41,8 @@ public:
 
   virtual bool ChangeRenderWindow(const WindowInfo& new_wi) override;
   virtual void ResizeRenderWindow(s32 new_window_width, s32 new_window_height) override;
+  virtual bool IsFullscreen() override;
+  virtual bool SetFullscreen(bool fullscreen, u32 width, u32 height, float refresh_rate) override;
   virtual void DestroyRenderSurface() override;
 
   virtual bool SetPostProcessingChain(const std::string_view& config) override;