diff --git a/src/core/CMakeLists.txt b/src/core/CMakeLists.txt
index af3b0bb5d..c770f5f21 100644
--- a/src/core/CMakeLists.txt
+++ b/src/core/CMakeLists.txt
@@ -56,6 +56,8 @@ add_library(core
     namco_guncon.h
     pad.cpp
     pad.h
+    playstation_mouse.cpp
+    playstation_mouse.h
     psf_loader.cpp
     psf_loader.h
     save_state_version.h
diff --git a/src/core/controller.cpp b/src/core/controller.cpp
index 1690a88f8..a64dc1343 100644
--- a/src/core/controller.cpp
+++ b/src/core/controller.cpp
@@ -1,8 +1,9 @@
 #include "controller.h"
 #include "analog_controller.h"
 #include "common/state_wrapper.h"
-#include "namco_guncon.h"
 #include "digital_controller.h"
+#include "namco_guncon.h"
+#include "playstation_mouse.h"
 
 Controller::Controller() = default;
 
@@ -50,6 +51,9 @@ std::unique_ptr<Controller> Controller::Create(System* system, ControllerType ty
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::Create(system);
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::Create(system);
+
     case ControllerType::None:
     default:
       return {};
@@ -79,6 +83,9 @@ Controller::AxisList Controller::GetAxisNames(ControllerType type)
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::StaticGetAxisNames();
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::StaticGetAxisNames();
+
     case ControllerType::None:
     default:
       return {};
@@ -98,6 +105,9 @@ Controller::ButtonList Controller::GetButtonNames(ControllerType type)
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::StaticGetButtonNames();
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::StaticGetButtonNames();
+
     case ControllerType::None:
     default:
       return {};
@@ -117,6 +127,9 @@ u32 Controller::GetVibrationMotorCount(ControllerType type)
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::StaticGetVibrationMotorCount();
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::StaticGetVibrationMotorCount();
+
     case ControllerType::None:
     default:
       return 0;
@@ -136,6 +149,9 @@ std::optional<s32> Controller::GetAxisCodeByName(ControllerType type, std::strin
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::StaticGetAxisCodeByName(axis_name);
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::StaticGetAxisCodeByName(axis_name);
+
     case ControllerType::None:
     default:
       return std::nullopt;
@@ -155,6 +171,9 @@ std::optional<s32> Controller::GetButtonCodeByName(ControllerType type, std::str
     case ControllerType::NamcoGunCon:
       return NamcoGunCon::StaticGetButtonCodeByName(button_name);
 
+    case ControllerType::PlayStationMouse:
+      return PlayStationMouse::StaticGetButtonCodeByName(button_name);
+
     case ControllerType::None:
     default:
       return std::nullopt;
diff --git a/src/core/core.vcxproj b/src/core/core.vcxproj
index 9aa2e829e..dc93562cd 100644
--- a/src/core/core.vcxproj
+++ b/src/core/core.vcxproj
@@ -78,6 +78,7 @@
     <ClCompile Include="namco_guncon.cpp" />
     <ClCompile Include="pad.cpp" />
     <ClCompile Include="controller.cpp" />
+    <ClCompile Include="playstation_mouse.cpp" />
     <ClCompile Include="psf_loader.cpp" />
     <ClCompile Include="settings.cpp" />
     <ClCompile Include="sio.cpp" />
@@ -119,6 +120,7 @@
     <ClInclude Include="namco_guncon.h" />
     <ClInclude Include="pad.h" />
     <ClInclude Include="controller.h" />
+    <ClInclude Include="playstation_mouse.h" />
     <ClInclude Include="psf_loader.h" />
     <ClInclude Include="save_state_version.h" />
     <ClInclude Include="settings.h" />
diff --git a/src/core/core.vcxproj.filters b/src/core/core.vcxproj.filters
index e15248cc7..deb976974 100644
--- a/src/core/core.vcxproj.filters
+++ b/src/core/core.vcxproj.filters
@@ -42,6 +42,7 @@
     <ClCompile Include="cdrom_async_reader.cpp" />
     <ClCompile Include="psf_loader.cpp" />
     <ClCompile Include="namco_guncon.cpp" />
+    <ClCompile Include="playstation_mouse.cpp" />
   </ItemGroup>
   <ItemGroup>
     <ClInclude Include="types.h" />
@@ -85,6 +86,7 @@
     <ClInclude Include="cdrom_async_reader.h" />
     <ClInclude Include="psf_loader.h" />
     <ClInclude Include="namco_guncon.h" />
+    <ClInclude Include="playstation_mouse.h" />
   </ItemGroup>
   <ItemGroup>
     <None Include="cpu_core.inl" />
diff --git a/src/core/playstation_mouse.cpp b/src/core/playstation_mouse.cpp
new file mode 100644
index 000000000..c14038d3a
--- /dev/null
+++ b/src/core/playstation_mouse.cpp
@@ -0,0 +1,204 @@
+#include "playstation_mouse.h"
+#include "common/assert.h"
+#include "common/log.h"
+#include "common/state_wrapper.h"
+#include "gpu.h"
+#include "host_display.h"
+#include "host_interface.h"
+#include "system.h"
+#include <array>
+Log_SetChannel(PlayStationMouse);
+
+PlayStationMouse::PlayStationMouse(System* system) : m_system(system)
+{
+  m_last_host_position_y = system->GetHostInterface()->GetDisplay()->GetMousePositionX();
+  m_last_host_position_y = system->GetHostInterface()->GetDisplay()->GetMousePositionY();
+}
+
+PlayStationMouse::~PlayStationMouse() = default;
+
+ControllerType PlayStationMouse::GetType() const
+{
+  return ControllerType::NamcoGunCon;
+}
+
+std::optional<s32> PlayStationMouse::GetAxisCodeByName(std::string_view axis_name) const
+{
+  return StaticGetAxisCodeByName(axis_name);
+}
+
+std::optional<s32> PlayStationMouse::GetButtonCodeByName(std::string_view button_name) const
+{
+  return StaticGetButtonCodeByName(button_name);
+}
+
+void PlayStationMouse::Reset()
+{
+  m_transfer_state = TransferState::Idle;
+}
+
+bool PlayStationMouse::DoState(StateWrapper& sw)
+{
+  if (!Controller::DoState(sw))
+    return false;
+
+  sw.Do(&m_button_state);
+  sw.Do(&m_delta_x);
+  sw.Do(&m_delta_y);
+  sw.Do(&m_transfer_state);
+  return true;
+}
+
+void PlayStationMouse::SetAxisState(s32 axis_code, float value) {}
+
+void PlayStationMouse::SetButtonState(Button button, bool pressed)
+{
+  static constexpr std::array<u8, static_cast<size_t>(Button::Count)> indices = {{11, 10}};
+  if (pressed)
+    m_button_state &= ~(u16(1) << indices[static_cast<u8>(button)]);
+  else
+    m_button_state |= u16(1) << indices[static_cast<u8>(button)];
+}
+
+void PlayStationMouse::SetButtonState(s32 button_code, bool pressed)
+{
+  if (button_code < 0 || button_code >= static_cast<s32>(Button::Count))
+    return;
+
+  SetButtonState(static_cast<Button>(button_code), pressed);
+}
+
+void PlayStationMouse::ResetTransferState()
+{
+  m_transfer_state = TransferState::Idle;
+}
+
+bool PlayStationMouse::Transfer(const u8 data_in, u8* data_out)
+{
+  static constexpr u16 ID = 0x5A12;
+
+  switch (m_transfer_state)
+  {
+    case TransferState::Idle:
+    {
+      // ack when sent 0x01, send ID for 0x42
+      if (data_in == 0x42)
+      {
+        *data_out = Truncate8(ID);
+        m_transfer_state = TransferState::IDMSB;
+        return true;
+      }
+      else
+      {
+        *data_out = 0xFF;
+        return (data_in == 0x01);
+      }
+    }
+
+    case TransferState::IDMSB:
+    {
+      *data_out = Truncate8(ID >> 8);
+      m_transfer_state = TransferState::ButtonsLSB;
+      return true;
+    }
+
+    case TransferState::ButtonsLSB:
+    {
+      *data_out = Truncate8(m_button_state);
+      m_transfer_state = TransferState::ButtonsMSB;
+      return true;
+    }
+
+    case TransferState::ButtonsMSB:
+    {
+      *data_out = Truncate8(m_button_state >> 8);
+      m_transfer_state = TransferState::DeltaX;
+      return true;
+    }
+
+    case TransferState::DeltaX:
+    {
+      UpdatePosition();
+      *data_out = static_cast<u8>(m_delta_x);
+      m_transfer_state = TransferState::DeltaY;
+      return true;
+    }
+
+    case TransferState::DeltaY:
+    {
+      *data_out = static_cast<u8>(m_delta_y);
+      m_transfer_state = TransferState::Idle;
+      return false;
+    }
+
+    default:
+    {
+      UnreachableCode();
+      return false;
+    }
+  }
+}
+
+void PlayStationMouse::UpdatePosition()
+{
+  // get screen coordinates
+  const HostDisplay* display = m_system->GetHostInterface()->GetDisplay();
+  const s32 mouse_x = display->GetMousePositionX();
+  const s32 mouse_y = display->GetMousePositionY();
+  const s32 delta_x = mouse_x - m_last_host_position_x;
+  const s32 delta_y = mouse_y - m_last_host_position_y;
+  m_last_host_position_x = mouse_x;
+  m_last_host_position_y = mouse_y;
+
+  if (delta_x != 0 || delta_y != 0)
+    Log_InfoPrintf("dx=%d, dy=%d", delta_x, delta_y);
+
+  m_delta_x = static_cast<s8>(std::clamp<s32>(delta_x, std::numeric_limits<s8>::min(), std::numeric_limits<s8>::max()));
+  m_delta_y = static_cast<s8>(std::clamp<s32>(delta_y, std::numeric_limits<s8>::min(), std::numeric_limits<s8>::max()));
+}
+
+std::unique_ptr<PlayStationMouse> PlayStationMouse::Create(System* system)
+{
+  return std::make_unique<PlayStationMouse>(system);
+}
+
+std::optional<s32> PlayStationMouse::StaticGetAxisCodeByName(std::string_view button_name)
+{
+  return std::nullopt;
+}
+
+std::optional<s32> PlayStationMouse::StaticGetButtonCodeByName(std::string_view button_name)
+{
+#define BUTTON(name)                                                                                                   \
+  if (button_name == #name)                                                                                            \
+  {                                                                                                                    \
+    return static_cast<s32>(ZeroExtend32(static_cast<u8>(Button::name)));                                              \
+  }
+
+  BUTTON(Left);
+  BUTTON(Right);
+
+  return std::nullopt;
+
+#undef BUTTON
+}
+
+Controller::AxisList PlayStationMouse::StaticGetAxisNames()
+{
+  return {};
+}
+
+Controller::ButtonList PlayStationMouse::StaticGetButtonNames()
+{
+#define B(n)                                                                                                           \
+  {                                                                                                                    \
+#n, static_cast < s32>(Button::n)                                                                                  \
+  }
+  return {B(Left), B(Right)};
+#undef B
+}
+
+u32 PlayStationMouse::StaticGetVibrationMotorCount()
+{
+  return 0;
+}
diff --git a/src/core/playstation_mouse.h b/src/core/playstation_mouse.h
new file mode 100644
index 000000000..f39183dc1
--- /dev/null
+++ b/src/core/playstation_mouse.h
@@ -0,0 +1,66 @@
+#pragma once
+#include "controller.h"
+#include <memory>
+#include <optional>
+#include <string_view>
+
+class PlayStationMouse final : public Controller
+{
+public:
+  enum class Button : u8
+  {
+    Left = 0,
+    Right = 1,
+    Count
+  };
+
+  PlayStationMouse(System* system);
+  ~PlayStationMouse() override;
+
+  static std::unique_ptr<PlayStationMouse> Create(System* system);
+  static std::optional<s32> StaticGetAxisCodeByName(std::string_view button_name);
+  static std::optional<s32> StaticGetButtonCodeByName(std::string_view button_name);
+  static AxisList StaticGetAxisNames();
+  static ButtonList StaticGetButtonNames();
+  static u32 StaticGetVibrationMotorCount();
+
+  ControllerType GetType() const override;
+  std::optional<s32> GetAxisCodeByName(std::string_view axis_name) const override;
+  std::optional<s32> GetButtonCodeByName(std::string_view button_name) const override;
+
+  void Reset() override;
+  bool DoState(StateWrapper& sw) override;
+
+  void SetAxisState(s32 axis_code, float value) override;
+  void SetButtonState(s32 button_code, bool pressed) override;
+
+  void ResetTransferState() override;
+  bool Transfer(const u8 data_in, u8* data_out) override;
+
+  void SetButtonState(Button button, bool pressed);
+
+private:
+  void UpdatePosition();
+
+  enum class TransferState : u8
+  {
+    Idle,
+    IDMSB,
+    ButtonsLSB,
+    ButtonsMSB,
+    DeltaX,
+    DeltaY
+  };
+
+  System* m_system;
+
+  s32 m_last_host_position_x = 0;
+  s32 m_last_host_position_y = 0;
+
+  // buttons are active low
+  u16 m_button_state = UINT16_C(0xFFFF);
+  s8 m_delta_x = 0;
+  s8 m_delta_y = 0;
+
+  TransferState m_transfer_state = TransferState::Idle;
+};
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index a77da5dd5..429e96e10 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -354,10 +354,10 @@ const char* Settings::GetAudioBackendDisplayName(AudioBackend backend)
   return s_audio_backend_display_names[static_cast<int>(backend)];
 }
 
-static std::array<const char*, 4> s_controller_type_names = {
-  {"None", "DigitalController", "AnalogController", "NamcoGunCon"}};
-static std::array<const char*, 4> s_controller_display_names = {
-  {"None", "Digital Controller", "Analog Controller (DualShock)", "Namco GunCon"}};
+static std::array<const char*, 5> s_controller_type_names = {
+  {"None", "DigitalController", "AnalogController", "NamcoGunCon", "PlayStationMouse"}};
+static std::array<const char*, 5> s_controller_display_names = {
+  {"None", "Digital Controller", "Analog Controller (DualShock)", "Namco GunCon", "PlayStation Mouse"}};
 
 std::optional<ControllerType> Settings::ParseControllerTypeName(const char* str)
 {
diff --git a/src/core/types.h b/src/core/types.h
index daf9aba82..8eea33f13 100644
--- a/src/core/types.h
+++ b/src/core/types.h
@@ -88,6 +88,7 @@ enum class ControllerType
   DigitalController,
   AnalogController,
   NamcoGunCon,
+  PlayStationMouse,
   Count
 };