diff --git a/src/core/CMakeLists.txt b/src/core/CMakeLists.txt
index 31f4d449f..158af6b30 100644
--- a/src/core/CMakeLists.txt
+++ b/src/core/CMakeLists.txt
@@ -76,6 +76,8 @@ add_library(core
     negcon.h
     pad.cpp
     pad.h
+    pcdrv.cpp
+    pcdrv.h
     pgxp.cpp
     pgxp.h
     playstation_mouse.cpp
diff --git a/src/core/bus.cpp b/src/core/bus.cpp
index 13c591ef1..5460a5379 100644
--- a/src/core/bus.cpp
+++ b/src/core/bus.cpp
@@ -2019,6 +2019,27 @@ bool SafeReadMemoryWord(VirtualMemoryAddress addr, u32* value)
   return true;
 }
 
+bool SafeReadMemoryCString(VirtualMemoryAddress addr, std::string* value, u32 max_length /*= 1024*/)
+{
+  value->clear();
+
+  u8 ch;
+  while (SafeReadMemoryByte(addr, &ch))
+  {
+    if (ch == 0)
+      return true;
+
+    value->push_back(ch);
+    if (value->size() >= max_length)
+      return true;
+
+    addr++;
+  }
+
+  value->clear();
+  return false;
+}
+
 bool SafeWriteMemoryByte(VirtualMemoryAddress addr, u8 value)
 {
   u32 temp = ZeroExtend32(value);
diff --git a/src/core/core.vcxproj b/src/core/core.vcxproj
index fc2d34c2a..a07ce3903 100644
--- a/src/core/core.vcxproj
+++ b/src/core/core.vcxproj
@@ -64,6 +64,7 @@
     <ClCompile Include="negcon.cpp" />
     <ClCompile Include="pad.cpp" />
     <ClCompile Include="controller.cpp" />
+    <ClCompile Include="pcdrv.cpp" />
     <ClCompile Include="pgxp.cpp" />
     <ClCompile Include="playstation_mouse.cpp" />
     <ClCompile Include="psf_loader.cpp" />
@@ -139,6 +140,7 @@
     <ClInclude Include="negcon.h" />
     <ClInclude Include="pad.h" />
     <ClInclude Include="controller.h" />
+    <ClInclude Include="pcdrv.h" />
     <ClInclude Include="pgxp.h" />
     <ClInclude Include="playstation_mouse.h" />
     <ClInclude Include="psf_loader.h" />
diff --git a/src/core/core.vcxproj.filters b/src/core/core.vcxproj.filters
index b0951bd14..871da6173 100644
--- a/src/core/core.vcxproj.filters
+++ b/src/core/core.vcxproj.filters
@@ -59,6 +59,7 @@
     <ClCompile Include="gpu_hw_d3d12.cpp" />
     <ClCompile Include="host.cpp" />
     <ClCompile Include="game_database.cpp" />
+    <ClCompile Include="pcdrv.cpp" />
   </ItemGroup>
   <ItemGroup>
     <ClInclude Include="types.h" />
@@ -125,5 +126,6 @@
     <ClInclude Include="achievements.h" />
     <ClInclude Include="game_database.h" />
     <ClInclude Include="input_types.h" />
+    <ClInclude Include="pcdrv.h" />
   </ItemGroup>
 </Project>
\ No newline at end of file
diff --git a/src/core/cpu_core.cpp b/src/core/cpu_core.cpp
index 427ba36da..62296e25e 100644
--- a/src/core/cpu_core.cpp
+++ b/src/core/cpu_core.cpp
@@ -11,6 +11,7 @@
 #include "cpu_recompiler_thunks.h"
 #include "gte.h"
 #include "host.h"
+#include "pcdrv.h"
 #include "pgxp.h"
 #include "settings.h"
 #include "system.h"
@@ -293,6 +294,20 @@ void RaiseException(Exception excode)
                  g_state.current_instruction_pc, GetExceptionVector());
 }
 
+void RaiseBreakException(u32 CAUSE_bits, u32 EPC, u32 instruction_bits)
+{
+  if (PCDrv::HandleSyscall(instruction_bits, g_state.regs))
+  {
+    // immediately return
+    g_state.regs.npc = EPC + 4;
+    FlushPipeline();
+    return;
+  }
+
+  // normal exception
+  RaiseException(CAUSE_bits, EPC, GetExceptionVector());
+}
+
 void SetExternalInterrupt(u8 bit)
 {
   g_state.cop0_regs.cause.Ip |= static_cast<u8>(1u << bit);
@@ -1109,7 +1124,10 @@ restart_instruction:
 
         case InstructionFunct::break_:
         {
-          RaiseException(Exception::BP);
+          RaiseBreakException(Cop0Registers::CAUSE::MakeValueForException(
+                                Exception::BP, g_state.current_instruction_in_branch_delay_slot,
+                                g_state.current_instruction_was_branch_taken, g_state.current_instruction.cop.cop_n),
+                              g_state.current_instruction_pc, g_state.current_instruction.bits);
         }
         break;
 
diff --git a/src/core/cpu_core.h b/src/core/cpu_core.h
index d2e0e07e1..4e749eb72 100644
--- a/src/core/cpu_core.h
+++ b/src/core/cpu_core.h
@@ -8,6 +8,7 @@
 #include "types.h"
 #include <array>
 #include <optional>
+#include <string>
 #include <vector>
 
 class StateWrapper;
@@ -147,6 +148,7 @@ ALWAYS_INLINE bool InKernelMode()
 bool SafeReadMemoryByte(VirtualMemoryAddress addr, u8* value);
 bool SafeReadMemoryHalfWord(VirtualMemoryAddress addr, u16* value);
 bool SafeReadMemoryWord(VirtualMemoryAddress addr, u32* value);
+bool SafeReadMemoryCString(VirtualMemoryAddress addr, std::string* value, u32 max_length = 1024);
 bool SafeWriteMemoryByte(VirtualMemoryAddress addr, u8 value);
 bool SafeWriteMemoryHalfWord(VirtualMemoryAddress addr, u16 value);
 bool SafeWriteMemoryWord(VirtualMemoryAddress addr, u32 value);
diff --git a/src/core/cpu_core_private.h b/src/core/cpu_core_private.h
index eb5e4b97c..8a5caae39 100644
--- a/src/core/cpu_core_private.h
+++ b/src/core/cpu_core_private.h
@@ -10,6 +10,7 @@ namespace CPU {
 // exceptions
 void RaiseException(Exception excode);
 void RaiseException(u32 CAUSE_bits, u32 EPC);
+void RaiseBreakException(u32 CAUSE_bits, u32 EPC, u32 instruction_bits);
 
 ALWAYS_INLINE bool HasPendingInterrupt()
 {
diff --git a/src/core/cpu_recompiler_code_generator.cpp b/src/core/cpu_recompiler_code_generator.cpp
index 10c69c880..02965cc2e 100644
--- a/src/core/cpu_recompiler_code_generator.cpp
+++ b/src/core/cpu_recompiler_code_generator.cpp
@@ -931,8 +931,17 @@ void CodeGenerator::GenerateExceptionExit(const CodeBlockInstruction& cbi, Excep
     m_register_cache.FlushAllGuestRegisters(true, true);
     m_register_cache.FlushLoadDelay(true);
 
-    EmitFunctionCall(nullptr, static_cast<void (*)(u32, u32)>(&CPU::RaiseException), CAUSE_bits,
-                     GetCurrentInstructionPC());
+    if (excode == Exception::BP)
+    {
+      EmitFunctionCall(nullptr, static_cast<void (*)(u32, u32, u32)>(&CPU::RaiseBreakException), CAUSE_bits,
+                       GetCurrentInstructionPC(), Value::FromConstantU32(cbi.instruction.bits));
+    }
+    else
+    {
+      EmitFunctionCall(nullptr, static_cast<void (*)(u32, u32)>(&CPU::RaiseException), CAUSE_bits,
+                       GetCurrentInstructionPC());
+    }
+
     return;
   }
 
diff --git a/src/core/pcdrv.cpp b/src/core/pcdrv.cpp
new file mode 100644
index 000000000..4a055e9f5
--- /dev/null
+++ b/src/core/pcdrv.cpp
@@ -0,0 +1,330 @@
+// SPDX-FileCopyrightText: 2023 Connor McLaughlin <stenzek@gmail.com>
+// SPDX-License-Identifier: (GPL-3.0 OR CC-BY-NC-ND-4.0)
+
+#include "pcdrv.h"
+#include "common/file_system.h"
+#include "common/log.h"
+#include "common/path.h"
+#include "common/string_util.h"
+#include "cpu_core.h"
+#include "settings.h"
+Log_SetChannel(PCDrv);
+
+static constexpr u32 MAX_FILES = 100;
+
+static std::vector<FileSystem::ManagedCFilePtr> s_files;
+
+enum PCDrvAttribute : u32
+{
+  PCDRV_ATTRIBUTE_READ_ONLY = (1 << 0),
+  PCDRV_ATTRIBUTE_HIDDEN = (1 << 1),
+  PCDRV_ATTRIBUTE_SYSTEM = (1 << 2),
+  PCDRV_ATTRIBUTE_DIRECTORY = (1 << 4),
+  PCDRV_ATTRIBUTE_ARCHIVE = (1 << 5),
+};
+
+static s32 GetFreeFileHandle()
+{
+  for (s32 i = 0; i < static_cast<s32>(s_files.size()); i++)
+  {
+    if (!s_files[i])
+      return i;
+  }
+
+  if (s_files.size() >= MAX_FILES)
+  {
+    Log_ErrorPrint("Too many open files.");
+    return -1;
+  }
+
+  const s32 index = static_cast<s32>(s_files.size());
+  s_files.emplace_back(nullptr, [](std::FILE*) {});
+  return index;
+}
+
+static void CloseAllFiles()
+{
+  if (!s_files.empty())
+    Log_DevPrintf("Closing %zu open files.", s_files.size());
+
+  s_files.clear();
+}
+
+static FILE* GetFileFromHandle(u32 handle)
+{
+  if (handle >= static_cast<u32>(s_files.size()) || !s_files[handle])
+  {
+    Log_ErrorPrintf("Invalid file handle %d", static_cast<s32>(handle));
+    return nullptr;
+  }
+
+  return s_files[handle].get();
+}
+
+static bool CloseFileHandle(u32 handle)
+{
+  if (handle >= static_cast<u32>(s_files.size()) || !s_files[handle])
+  {
+    Log_ErrorPrintf("Invalid file handle %d", static_cast<s32>(handle));
+    return false;
+  }
+
+  s_files[handle].reset();
+  while (!s_files.empty() && !s_files.back())
+    s_files.pop_back();
+  return true;
+}
+
+static std::string ResolveHostPath(const std::string& path)
+{
+  // Double-check that it falls within the directory of the elf.
+  // Not a real sandbox, but emulators shouldn't be treated as such. Don't run untrusted code!
+  const std::string& root = g_settings.pcdrv_root;
+  std::string canonicalized_path = Path::Canonicalize(Path::Combine(root, path));
+  if (canonicalized_path.length() < root.length() ||                      // Length has to be longer (a file),
+      !StringUtil::StartsWith(canonicalized_path, root) ||                // and start with the host root,
+      canonicalized_path[root.length()] != FS_OSPATH_SEPARATOR_CHARACTER) // and we can't access a sibling.
+  {
+    Log_ErrorPrintf("Denying access to path outside of PCDrv directory. Requested path: '%s', "
+                    "Resolved path: '%s', Root directory: '%s'",
+                    path.c_str(), root.c_str(), canonicalized_path.c_str());
+    canonicalized_path.clear();
+  }
+
+  return canonicalized_path;
+}
+
+void PCDrv::Initialize()
+{
+  if (!g_settings.pcdrv_enable)
+    return;
+
+  Log_WarningPrintf("%s PCDrv is enabled at '%s'", g_settings.pcdrv_enable_writes ? "Read/Write" : "Read-Only",
+                    g_settings.pcdrv_root.c_str());
+}
+
+void PCDrv::Reset()
+{
+  CloseAllFiles();
+}
+
+void PCDrv::Shutdown()
+{
+  CloseAllFiles();
+}
+
+bool PCDrv::HandleSyscall(u32 instruction_bits, CPU::Registers& regs)
+{
+  // Based on https://problemkaputt.de/psxspx-bios-pc-file-server.htm
+
+#define RETURN_ERROR()                                                                                                 \
+  regs.v0 = 0xffffffff;                                                                                                \
+  regs.v1 = 0xffffffff; // error code
+
+  if (!g_settings.pcdrv_enable)
+    return false;
+
+  const u32 code = (instruction_bits >> 6) & 0xfffff; // 20 bits, funct = 0
+  switch (code)
+  {
+    case 0x101: // PCinit
+    {
+      Log_DevPrintf("PCinit");
+      CloseAllFiles();
+      regs.v0 = 0;
+      regs.v1 = 0;
+      return true;
+    }
+
+    case 0x102: // PCcreat
+    case 0x103: // PCopen
+    {
+      const bool is_open = (code == 0x103);
+      const char* func = (code == 0x102) ? "PCcreat" : "PCopen";
+      const u32 mode = regs.a2;
+      std::string filename;
+      if (!CPU::SafeReadMemoryCString(regs.a1, &filename))
+      {
+        Log_ErrorPrintf("%s: Invalid string", func);
+        return false;
+      }
+
+      Log_DebugPrintf("%s: '%s' mode %u", func, filename.c_str(), mode);
+      if ((filename = ResolveHostPath(filename)).empty())
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      if (!is_open && !g_settings.pcdrv_enable_writes)
+      {
+        Log_ErrorPrintf("%s: Writes are not enabled", func);
+        RETURN_ERROR();
+        return true;
+      }
+
+      // Directories are unsupported for now, ignore other attributes
+      if (mode & PCDRV_ATTRIBUTE_DIRECTORY)
+      {
+        Log_ErrorPrintf("%s: Directories are unsupported", func);
+        RETURN_ERROR();
+        return true;
+      }
+
+      // Create empty file, truncate if exists.
+      const s32 handle = GetFreeFileHandle();
+      if (handle < 0)
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      s_files[handle] = FileSystem::OpenManagedCFile(filename.c_str(),
+                                                     is_open ? (g_settings.pcdrv_enable_writes ? "r+b" : "rb") : "w+b");
+      if (!s_files[handle])
+      {
+        Log_ErrorPrintf("%s: Failed to open '%s'", func, filename.c_str());
+        RETURN_ERROR();
+        return true;
+      }
+
+      Log_DebugPrintf("PCDrv: Opened '%s' => %d", filename.c_str(), handle);
+      regs.v0 = 0;
+      regs.v1 = static_cast<u32>(handle);
+      return true;
+    }
+
+    case 0x104: // PCclose
+    {
+      Log_DebugPrintf("PCclose(%u)", regs.a1);
+
+      if (!CloseFileHandle(regs.a1))
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      regs.v0 = 0;
+      regs.v1 = 0;
+      return true;
+    }
+
+    case 0x105: // PCread
+    {
+      Log_DebugPrintf("PCread(%u, %u, 0x%08x)", regs.a1, regs.a2, regs.a3);
+
+      std::FILE* fp = GetFileFromHandle(regs.a1);
+      if (!fp)
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      const u32 count = regs.a2;
+      u32 dstaddr = regs.a3;
+      for (u32 i = 0; i < count; i++)
+      {
+        // Certainly less than optimal, but it's not like you're going to be reading megabytes of data here.
+        u8 val;
+        if (std::fread(&val, 1, 1, fp) != 1)
+        {
+          // Does not stop at EOF according to psx-spx.
+          if (std::ferror(fp) != 0)
+          {
+            RETURN_ERROR();
+            return true;
+          }
+
+          val = 0;
+        }
+
+        CPU::SafeWriteMemoryByte(dstaddr, val);
+        dstaddr++;
+      }
+
+      regs.v0 = 0;
+      regs.v1 = count;
+      return true;
+    }
+
+    case 0x106: // PCwrite
+    {
+      Log_DebugPrintf("PCwrite(%u, %u, 0x%08x)", regs.a1, regs.a2, regs.a3);
+
+      std::FILE* fp = GetFileFromHandle(regs.a1);
+      if (!fp)
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      const u32 count = regs.a2;
+      u32 srcaddr = regs.a3;
+      u32 written = 0;
+      for (u32 i = 0; i < count; i++)
+      {
+        u8 val;
+        if (!CPU::SafeReadMemoryByte(srcaddr, &val))
+          break;
+
+        if (std::fwrite(&val, 1, 1, fp) != 1)
+        {
+          RETURN_ERROR();
+          return true;
+        }
+
+        srcaddr++;
+        written++;
+      }
+
+      regs.v0 = 0;
+      regs.v1 = written;
+      return true;
+    }
+
+    case 0x107: // PClseek
+    {
+      Log_DebugPrintf("PClseek(%u, %u, %u)", regs.a1, regs.a2, regs.a3);
+
+      std::FILE* fp = GetFileFromHandle(regs.a1);
+      if (!fp)
+      {
+        RETURN_ERROR();
+        return true;
+      }
+
+      const s32 offset = static_cast<s32>(regs.a2);
+      const u32 mode = regs.a3;
+      int hmode;
+      switch (mode)
+      {
+        case 0:
+          hmode = SEEK_SET;
+          break;
+        case 1:
+          hmode = SEEK_CUR;
+          break;
+        case 2:
+          hmode = SEEK_END;
+          break;
+        default:
+          RETURN_ERROR();
+          return true;
+      }
+
+      if (FileSystem::FSeek64(fp, offset, hmode) != 0)
+      {
+        Log_ErrorPrintf("FSeek for PCDrv failed: %d %u", offset, hmode);
+        RETURN_ERROR();
+        return true;
+      }
+
+      regs.v0 = 0;
+      regs.v1 = static_cast<u32>(static_cast<s32>(FileSystem::FTell64(fp)));
+      return true;
+    }
+
+    default:
+      return false;
+  }
+}
diff --git a/src/core/pcdrv.h b/src/core/pcdrv.h
new file mode 100644
index 000000000..fd7a2eaf8
--- /dev/null
+++ b/src/core/pcdrv.h
@@ -0,0 +1,18 @@
+// SPDX-FileCopyrightText: 2023 Connor McLaughlin <stenzek@gmail.com>
+// SPDX-License-Identifier: (GPL-3.0 OR CC-BY-NC-ND-4.0)
+
+#pragma once
+#include "cpu_types.h"
+#include "types.h"
+
+//////////////////////////////////////////////////////////////////////////
+// HLE Implementation of PCDrv
+//////////////////////////////////////////////////////////////////////////
+
+namespace PCDrv {
+void Initialize();
+void Reset();
+void Shutdown();
+
+bool HandleSyscall(u32 instruction_bits, CPU::Registers& regs);
+}
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index f3a927969..bd9c67648 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -303,6 +303,9 @@ void Settings::Load(SettingsInterface& si)
   audio_dump_on_boot = si.GetBoolValue("Audio", "DumpOnBoot", false);
 
   use_old_mdec_routines = si.GetBoolValue("Hacks", "UseOldMDECRoutines", false);
+  pcdrv_enable = si.GetBoolValue("PCDrv", "Enabled", false);
+  pcdrv_enable_writes = si.GetBoolValue("PCDrv", "EnableWrites", false);
+  pcdrv_root = si.GetStringValue("PCDrv", "Root");
 
   dma_max_slice_ticks = si.GetIntValue("Hacks", "DMAMaxSliceTicks", DEFAULT_DMA_MAX_SLICE_TICKS);
   dma_halt_ticks = si.GetIntValue("Hacks", "DMAHaltTicks", DEFAULT_DMA_HALT_TICKS);
@@ -522,6 +525,10 @@ void Settings::Save(SettingsInterface& si) const
   si.SetIntValue("Hacks", "GPUFIFOSize", gpu_fifo_size);
   si.SetIntValue("Hacks", "GPUMaxRunAhead", gpu_max_run_ahead);
 
+  si.SetBoolValue("PCDrv", "Enabled", pcdrv_enable);
+  si.SetBoolValue("PCDrv", "EnableWrites", pcdrv_enable_writes);
+  si.SetStringValue("PCDrv", "Root", pcdrv_root.c_str());
+
   si.SetBoolValue("BIOS", "PatchTTYEnable", bios_patch_tty_enable);
   si.SetBoolValue("BIOS", "PatchFastBoot", bios_patch_fast_boot);
 
@@ -610,10 +617,17 @@ void Settings::FixIncompatibleSettings(bool display_osd_messages)
     g_settings.cdrom_mute_cd_audio = false;
     g_settings.texture_replacements.enable_vram_write_replacements = false;
     g_settings.use_old_mdec_routines = false;
+    g_settings.pcdrv_enable = false;
     g_settings.bios_patch_fast_boot = false;
     g_settings.bios_patch_tty_enable = false;
   }
 
+  if (g_settings.pcdrv_enable && g_settings.pcdrv_root.empty())
+  {
+    Log_WarningPrintf("Disabling PCDrv because no root directory is specified.");
+    g_settings.pcdrv_enable = false;
+  }
+
   if (g_settings.display_integer_scaling && g_settings.display_linear_filtering)
   {
     Log_WarningPrintf("Disabling linear filter due to integer upscaling.");
diff --git a/src/core/settings.h b/src/core/settings.h
index 5d383f566..061e4483c 100644
--- a/src/core/settings.h
+++ b/src/core/settings.h
@@ -170,6 +170,7 @@ struct Settings
   bool audio_dump_on_boot = false;
 
   bool use_old_mdec_routines = false;
+  bool pcdrv_enable = false;
 
   // timing hacks section
   TickCount dma_max_slice_ticks = DEFAULT_DMA_MAX_SLICE_TICKS;
@@ -228,8 +229,6 @@ struct Settings
     }
   } texture_replacements;
 
-  // TODO: Controllers, memory cards, etc.
-
   bool bios_patch_tty_enable = false;
   bool bios_patch_fast_boot = DEFAULT_FAST_BOOT_VALUE;
   bool enable_8mb_ram = false;
@@ -243,6 +242,9 @@ struct Settings
 
   MultitapMode multitap_mode = DEFAULT_MULTITAP_MODE;
 
+  std::string pcdrv_root;
+  bool pcdrv_enable_writes = false;
+
   std::array<TinyString, NUM_CONTROLLER_AND_CARD_PORTS> GeneratePortLabels() const;
 
   LOGLEVEL log_level = DEFAULT_LOG_LEVEL;
diff --git a/src/core/system.cpp b/src/core/system.cpp
index db2e4b8ee..e2a7141d2 100644
--- a/src/core/system.cpp
+++ b/src/core/system.cpp
@@ -34,6 +34,7 @@
 #include "memory_card.h"
 #include "multitap.h"
 #include "pad.h"
+#include "pcdrv.h"
 #include "pgxp.h"
 #include "psf_loader.h"
 #include "save_state_version.h"
@@ -1424,6 +1425,7 @@ bool System::Initialize(bool force_software_renderer)
   SPU::Initialize();
   MDEC::Initialize();
   SIO::Initialize();
+  PCDrv::Initialize();
 
   static constexpr float WARNING_DURATION = 15.0f;
 
@@ -1479,6 +1481,7 @@ void System::DestroySystem()
 
   g_texture_replacements.Shutdown();
 
+  PCDrv::Shutdown();
   SIO::Shutdown();
   MDEC::Shutdown();
   SPU::Shutdown();
@@ -1832,6 +1835,7 @@ void System::InternalReset()
   SPU::Reset();
   MDEC::Reset();
   SIO::Reset();
+  PCDrv::Reset();
   s_frame_number = 1;
   s_internal_frame_number = 0;
   TimingEvents::Reset();