diff --git a/src/core/host_display.cpp b/src/core/host_display.cpp
index b765e27c5..7d4bffeea 100644
--- a/src/core/host_display.cpp
+++ b/src/core/host_display.cpp
@@ -227,12 +227,18 @@ void HostDisplay::CalculateDrawRect(s32 window_width, s32 window_height, float*
     apply_aspect_ratio ?
       (display_aspect_ratio / (static_cast<float>(m_display_width) / static_cast<float>(m_display_height))) :
       1.0f;
-  const float display_width = static_cast<float>(m_display_width) * x_scale;
-  const float display_height = static_cast<float>(m_display_height);
-  const float active_left = static_cast<float>(m_display_active_left) * x_scale;
-  const float active_top = static_cast<float>(m_display_active_top);
-  const float active_width = static_cast<float>(m_display_active_width) * x_scale;
-  const float active_height = static_cast<float>(m_display_active_height);
+  const float display_width = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_width) : static_cast<float>(m_display_width) * x_scale;
+  const float display_height = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_height) / x_scale : static_cast<float>(m_display_height);
+  const float active_left = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_active_left) : static_cast<float>(m_display_active_left) * x_scale;
+  const float active_top = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_active_top) / x_scale : static_cast<float>(m_display_active_top);
+  const float active_width = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_active_width) : static_cast<float>(m_display_active_width) * x_scale;
+  const float active_height = g_settings.display_stretch_vertically ?
+    static_cast<float>(m_display_active_height) / x_scale : static_cast<float>(m_display_active_height);
   if (out_x_scale)
     *out_x_scale = x_scale;
 
@@ -488,7 +494,12 @@ bool HostDisplay::WriteDisplayTextureToFile(std::string filename, bool full_reso
     const float ss_width_scale = static_cast<float>(m_display_active_width) / static_cast<float>(m_display_width);
     const float ss_height_scale = static_cast<float>(m_display_active_height) / static_cast<float>(m_display_height);
     const float ss_aspect_ratio = m_display_aspect_ratio * ss_width_scale / ss_height_scale;
-    resize_width = static_cast<s32>(static_cast<float>(resize_height) * ss_aspect_ratio);
+    resize_width = g_settings.display_stretch_vertically ?
+      m_display_texture_view_width : static_cast<s32>(static_cast<float>(resize_height) * ss_aspect_ratio);
+    resize_height = g_settings.display_stretch_vertically ?
+      static_cast<s32>(static_cast<float>(resize_height) /
+      (m_display_aspect_ratio / (static_cast<float>(m_display_width) / static_cast<float>(m_display_height)))) :
+      resize_height;
   }
   else
   {
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index 89b50e158..5a8920401 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -270,6 +270,7 @@ void Settings::Load(SettingsInterface& si)
   display_show_enhancements = si.GetBoolValue("Display", "ShowEnhancements", false);
   display_all_frames = si.GetBoolValue("Display", "DisplayAllFrames", false);
   display_internal_resolution_screenshots = si.GetBoolValue("Display", "InternalResolutionScreenshots", false);
+  display_stretch_vertically = si.GetBoolValue("Display", "StretchVertically", false);
   video_sync_enabled = si.GetBoolValue("Display", "VSync", DEFAULT_VSYNC_VALUE);
   display_post_process_chain = si.GetStringValue("Display", "PostProcessChain", "");
   display_max_fps = si.GetFloatValue("Display", "MaxFPS", DEFAULT_DISPLAY_MAX_FPS);
@@ -487,6 +488,7 @@ void Settings::Save(SettingsInterface& si) const
   si.SetBoolValue("Display", "ShowEnhancements", display_show_enhancements);
   si.SetBoolValue("Display", "DisplayAllFrames", display_all_frames);
   si.SetBoolValue("Display", "InternalResolutionScreenshots", display_internal_resolution_screenshots);
+  si.SetBoolValue("Display", "StretchVertically", display_stretch_vertically);
   si.SetBoolValue("Display", "VSync", video_sync_enabled);
   if (display_post_process_chain.empty())
     si.DeleteValue("Display", "PostProcessChain");
diff --git a/src/core/settings.h b/src/core/settings.h
index 1461a9870..8eaac374d 100644
--- a/src/core/settings.h
+++ b/src/core/settings.h
@@ -143,6 +143,7 @@ struct Settings
   bool display_show_enhancements = false;
   bool display_all_frames = false;
   bool display_internal_resolution_screenshots = false;
+  bool display_stretch_vertically = false;
   bool video_sync_enabled = DEFAULT_VSYNC_VALUE;
   float display_osd_scale = 100.0f;
   float display_max_fps = DEFAULT_DISPLAY_MAX_FPS;
diff --git a/src/duckstation-qt/advancedsettingswidget.cpp b/src/duckstation-qt/advancedsettingswidget.cpp
index a21fc5465..b189bb2f9 100644
--- a/src/duckstation-qt/advancedsettingswidget.cpp
+++ b/src/duckstation-qt/advancedsettingswidget.cpp
@@ -288,6 +288,9 @@ void AdvancedSettingsWidget::addTweakOptions()
   addBooleanTweakOption(m_dialog, m_ui.tweakOptionTable, tr("Use Debug Host GPU Device"), "GPU", "UseDebugDevice",
                         false);
 
+  addBooleanTweakOption(m_dialog, m_ui.tweakOptionTable, tr("Stretch Display Vertically"), "Display",
+                        "StretchVertically", false);
+
   addBooleanTweakOption(m_dialog, m_ui.tweakOptionTable, tr("Increase Timer Resolution"), "Main",
                         "IncreaseTimerResolution", true);
 
@@ -354,6 +357,7 @@ void AdvancedSettingsWidget::onResetToDefaultClicked()
   sif->DeleteValue("Display", "ActiveEndOffset");
   sif->DeleteValue("Display", "LineStartOffset");
   sif->DeleteValue("Display", "LineEndOffset");
+  sif->DeleteValue("Display", "StretchVertically");
   sif->DeleteValue("GPU", "Multisamples");
   sif->DeleteValue("GPU", "PerSampleShading");
   sif->DeleteValue("GPU", "PGXPVertexCache");
diff --git a/src/frontend-common/fullscreen_ui.cpp b/src/frontend-common/fullscreen_ui.cpp
index 3ec2dec5d..4edceb0a1 100644
--- a/src/frontend-common/fullscreen_ui.cpp
+++ b/src/frontend-common/fullscreen_ui.cpp
@@ -4506,6 +4506,9 @@ void FullscreenUI::DrawAdvancedSettingsPage()
   DrawFloatRangeSetting(bsi, "Display FPS Limit",
                         "Limits how many frames are displayed to the screen. These frames are still rendered.",
                         "Display", "MaxFPS", Settings::DEFAULT_DISPLAY_MAX_FPS, 0.0f, 500.0f, "%.2f FPS");
+  DrawToggleSetting(bsi, "Stretch Display Vertically",
+                    "Stretches the display to match the aspect ratio by multiplying vertically instead of horizontally.",
+                    "Display", "StretchVertically", false);
 
   MenuHeading("PGXP Settings");