diff --git a/src/core/host_interface.cpp b/src/core/host_interface.cpp
index 84d05c55c..0a412bb41 100644
--- a/src/core/host_interface.cpp
+++ b/src/core/host_interface.cpp
@@ -206,11 +206,11 @@ void HostInterface::UpdateSpeedLimiterState()
 {
   m_speed_limiter_enabled = m_settings.speed_limiter_enabled && !m_speed_limiter_temp_disabled;
 
-  const bool audio_sync_enabled = !m_system || m_paused || m_speed_limiter_enabled;
-  const bool vsync_enabled = !m_system || m_paused || (m_speed_limiter_enabled && m_settings.gpu_vsync);
+  const bool audio_sync_enabled = !m_system || m_paused || (m_speed_limiter_enabled && m_settings.audio_sync_enabled);
+  const bool video_sync_enabled = !m_system || m_paused || (m_speed_limiter_enabled && m_settings.video_sync_enabled);
   Log_InfoPrintf("Syncing to %s%s", audio_sync_enabled ? "audio" : "",
-                 (m_speed_limiter_enabled && vsync_enabled) ? " and video" : "");
+                 (audio_sync_enabled && video_sync_enabled) ? " and video" : (video_sync_enabled ? "video" : ""));
 
   m_audio_stream->SetSync(audio_sync_enabled);
-  m_display->SetVSync(vsync_enabled);
+  m_display->SetVSync(video_sync_enabled);
 }
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index 49c8791b1..ba6a60fc3 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -13,9 +13,15 @@ Settings::Settings() = default;
 
 void Settings::SetDefaults()
 {
+  region = ConsoleRegion::Auto;
+
+  audio_sync_enabled = true;
+  video_sync_enabled = true;
+  speed_limiter_enabled = true;
+  start_paused = false;
+
   gpu_renderer = GPURenderer::HardwareOpenGL;
   gpu_resolution_scale = 1;
-  gpu_vsync = true;
   gpu_true_color = true;
 
   display_linear_filtering = true;
@@ -39,9 +45,13 @@ void Settings::Load(const char* filename)
 
   region = ParseConsoleRegionName(ini.GetValue("Console", "Region", "NTSC-U")).value_or(ConsoleRegion::NTSC_U);
 
+  audio_sync_enabled = ini.GetBoolValue("General", "SyncToAudio", true);
+  video_sync_enabled = ini.GetBoolValue("General", "SyncToVideo", true);
+  speed_limiter_enabled = ini.GetBoolValue("General", "SpeedLimiterEnabled", true);
+  start_paused = ini.GetBoolValue("General", "StartPaused", false);
+
   gpu_renderer = ParseRendererName(ini.GetValue("GPU", "Renderer", "OpenGL")).value_or(GPURenderer::HardwareOpenGL);
   gpu_resolution_scale = static_cast<u32>(ini.GetLongValue("GPU", "ResolutionScale", 1));
-  gpu_vsync = static_cast<u32>(ini.GetBoolValue("GPU", "VSync", true));
   gpu_true_color = ini.GetBoolValue("GPU", "TrueColor", false);
 
   display_linear_filtering = ini.GetBoolValue("Display", "LinearFiltering", true);
@@ -64,9 +74,14 @@ bool Settings::Save(const char* filename) const
 
   ini.SetValue("Console", "Region", GetConsoleRegionName(region));
 
+  ini.SetBoolValue("General", "SyncToAudio", audio_sync_enabled);
+  ini.SetBoolValue("General", "SyncToVideo", video_sync_enabled);
+  ini.SetBoolValue("General", "SpeedLimiterEnabled", speed_limiter_enabled);
+  ini.SetBoolValue("General", "StartPaused", start_paused);
+
   ini.SetValue("GPU", "Renderer", GetRendererName(gpu_renderer));
   ini.SetLongValue("GPU", "ResolutionScale", static_cast<long>(gpu_resolution_scale));
-  ini.SetBoolValue("GPU", "VSync", gpu_vsync);
+  ini.SetBoolValue("GPU", "VSync", video_sync_enabled);
   ini.SetBoolValue("GPU", "TrueColor", gpu_true_color);
 
   ini.SetBoolValue("Display", "LinearFiltering", display_linear_filtering);
diff --git a/src/core/settings.h b/src/core/settings.h
index e08150b57..7a639d2b5 100644
--- a/src/core/settings.h
+++ b/src/core/settings.h
@@ -6,15 +6,16 @@ struct Settings
 {
   Settings();
 
-  ConsoleRegion region = ConsoleRegion::NTSC_U;
+  ConsoleRegion region = ConsoleRegion::Auto;
 
   bool start_paused = false;
   bool speed_limiter_enabled = true;
+  bool audio_sync_enabled = true;
+  bool video_sync_enabled = true;
 
   GPURenderer gpu_renderer = GPURenderer::Software;
   u32 gpu_resolution_scale = 1;
   mutable u32 max_gpu_resolution_scale = 1;
-  bool gpu_vsync = true;
   bool gpu_true_color = false;
   bool display_linear_filtering = true;
   bool display_fullscreen = false;
diff --git a/src/duckstation/sdl_host_interface.cpp b/src/duckstation/sdl_host_interface.cpp
index 41e61bc68..876420b5c 100644
--- a/src/duckstation/sdl_host_interface.cpp
+++ b/src/duckstation/sdl_host_interface.cpp
@@ -743,9 +743,12 @@ void SDLHostInterface::DrawQuickSettingsMenu()
   }
 
   if (ImGui::MenuItem("Fullscreen", nullptr, &m_settings.display_fullscreen))
+  {
+    settings_changed = true;
     UpdateFullscreen();
+  }
 
-  if (ImGui::MenuItem("VSync", nullptr, &m_settings.gpu_vsync))
+  if (ImGui::MenuItem("VSync", nullptr, &m_settings.video_sync_enabled))
   {
     settings_changed = true;
     UpdateSpeedLimiterState();
@@ -914,13 +917,6 @@ void SDLHostInterface::DrawSettingsWindow()
 
     if (ImGui::BeginTabItem("General"))
     {
-      if (DrawSettingsSectionHeader("Behavior"))
-      {
-        settings_changed |= ImGui::Checkbox("Enable Speed Limiter", &m_settings.speed_limiter_enabled);
-        settings_changed |= ImGui::Checkbox("Pause On Start", &m_settings.start_paused);
-      }
-
-      ImGui::NewLine();
       if (DrawSettingsSectionHeader("Console"))
       {
         ImGui::Text("Region:");
@@ -940,6 +936,33 @@ void SDLHostInterface::DrawSettingsWindow()
         }
       }
 
+      ImGui::NewLine();
+      if (DrawSettingsSectionHeader("Behavior"))
+      {
+        if (ImGui::Checkbox("Enable Speed Limiter", &m_settings.speed_limiter_enabled))
+        {
+          settings_changed = true;
+          UpdateSpeedLimiterState();
+        }
+
+        settings_changed |= ImGui::Checkbox("Pause On Start", &m_settings.start_paused);
+      }
+
+      ImGui::NewLine();
+      if (DrawSettingsSectionHeader("Host Synchronization"))
+      {
+        if (ImGui::Checkbox("Sync To Audio", &m_settings.audio_sync_enabled))
+        {
+          settings_changed = true;
+          UpdateSpeedLimiterState();
+        }
+        if (ImGui::Checkbox("Sync To Video", &m_settings.video_sync_enabled))
+        {
+          settings_changed = true;
+          UpdateSpeedLimiterState();
+        }
+      }
+
       ImGui::NewLine();
       if (DrawSettingsSectionHeader("BIOS"))
       {
@@ -1017,11 +1040,6 @@ void SDLHostInterface::DrawSettingsWindow()
         if (ImGui::Checkbox("Fullscreen", &m_settings.display_fullscreen))
           UpdateFullscreen();
 
-        if (ImGui::Checkbox("VSync", &m_settings.gpu_vsync))
-        {
-          UpdateSpeedLimiterState();
-          settings_changed = true;
-        }
         if (ImGui::Checkbox("Linear Filtering", &m_settings.display_linear_filtering))
         {
           m_display->SetDisplayLinearFiltering(m_settings.display_linear_filtering);