diff --git a/src/common/audio_stream.h b/src/common/audio_stream.h
index 1160e6f36..ea8e73e0c 100644
--- a/src/common/audio_stream.h
+++ b/src/common/audio_stream.h
@@ -41,6 +41,10 @@ public:
   void WriteSamples(const SampleType* samples, u32 num_samples);
   void EndWrite(u32 num_samples);
 
+  static std::unique_ptr<AudioStream> CreateNullAudioStream();
+
+  static std::unique_ptr<AudioStream> CreateCubebAudioStream();
+
 protected:
   virtual bool OpenDevice() = 0;
   virtual void PauseDevice(bool paused) = 0;
diff --git a/src/common/common.vcxproj b/src/common/common.vcxproj
index 9dc19f2f8..f29ab73f5 100644
--- a/src/common/common.vcxproj
+++ b/src/common/common.vcxproj
@@ -42,6 +42,7 @@
     <ClInclude Include="byte_stream.h" />
     <ClInclude Include="cd_image.h" />
     <ClInclude Include="cpu_detect.h" />
+    <ClInclude Include="cubeb_audio_stream.h" />
     <ClInclude Include="d3d11\shader_compiler.h" />
     <ClInclude Include="d3d11\staging_texture.h" />
     <ClInclude Include="d3d11\stream_buffer.h" />
@@ -74,6 +75,7 @@
     <ClCompile Include="cd_image.cpp" />
     <ClCompile Include="cd_image_bin.cpp" />
     <ClCompile Include="cd_image_cue.cpp" />
+    <ClCompile Include="cubeb_audio_stream.cpp" />
     <ClCompile Include="d3d11\shader_compiler.cpp" />
     <ClCompile Include="d3d11\staging_texture.cpp" />
     <ClCompile Include="d3d11\stream_buffer.cpp" />
@@ -99,6 +101,9 @@
     <Natvis Include="bitfield.natvis" />
   </ItemGroup>
   <ItemGroup>
+    <ProjectReference Include="..\..\dep\cubeb\cubeb.vcxproj">
+      <Project>{72f9423c-91ee-4487-aac6-555ed6f61aa1}</Project>
+    </ProjectReference>
     <ProjectReference Include="..\..\dep\glad\glad.vcxproj">
       <Project>{43540154-9e1e-409c-834f-b84be5621388}</Project>
     </ProjectReference>
@@ -243,7 +248,7 @@
       <PreprocessorDefinitions>WIN32;_DEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
       <DebugInformationFormat>ProgramDatabase</DebugInformationFormat>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
       <ConformanceMode>true</ConformanceMode>
@@ -269,7 +274,7 @@
       <PreprocessorDefinitions>_ITERATOR_DEBUG_LEVEL=1;WIN32;_DEBUGFAST;_DEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
       <DebugInformationFormat>ProgramDatabase</DebugInformationFormat>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <BasicRuntimeChecks>Default</BasicRuntimeChecks>
       <SupportJustMyCode>false</SupportJustMyCode>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
@@ -298,7 +303,7 @@
       <PreprocessorDefinitions>WIN32;_DEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
       <DebugInformationFormat>ProgramDatabase</DebugInformationFormat>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
       <ConformanceMode>true</ConformanceMode>
@@ -324,7 +329,7 @@
       <PreprocessorDefinitions>_ITERATOR_DEBUG_LEVEL=1;WIN32;_DEBUGFAST;_DEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
       <DebugInformationFormat>ProgramDatabase</DebugInformationFormat>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <BasicRuntimeChecks>Default</BasicRuntimeChecks>
       <SupportJustMyCode>false</SupportJustMyCode>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
@@ -354,7 +359,7 @@
       <IntrinsicFunctions>true</IntrinsicFunctions>
       <PreprocessorDefinitions>WIN32;NDEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
       <WholeProgramOptimization>false</WholeProgramOptimization>
@@ -384,7 +389,7 @@
       <IntrinsicFunctions>true</IntrinsicFunctions>
       <PreprocessorDefinitions>WIN32;NDEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <OmitFramePointers>true</OmitFramePointers>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
@@ -414,7 +419,7 @@
       <IntrinsicFunctions>true</IntrinsicFunctions>
       <PreprocessorDefinitions>WIN32;NDEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
       <WholeProgramOptimization>false</WholeProgramOptimization>
@@ -444,7 +449,7 @@
       <IntrinsicFunctions>true</IntrinsicFunctions>
       <PreprocessorDefinitions>WIN32;NDEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
       <SDLCheck>true</SDLCheck>
-      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
+      <AdditionalIncludeDirectories>$(SolutionDir)dep\glad\include;$(SolutionDir)dep\cubeb\include;$(SolutionDir)dep\libcue\include;$(SolutionDir)src;%(AdditionalIncludeDirectories)</AdditionalIncludeDirectories>
       <OmitFramePointers>true</OmitFramePointers>
       <MultiProcessorCompilation>true</MultiProcessorCompilation>
       <LanguageStandard>stdcpp17</LanguageStandard>
diff --git a/src/common/common.vcxproj.filters b/src/common/common.vcxproj.filters
index bb293b537..5e9a2e99b 100644
--- a/src/common/common.vcxproj.filters
+++ b/src/common/common.vcxproj.filters
@@ -46,6 +46,7 @@
     <ClInclude Include="string_util.h" />
     <ClInclude Include="md5_digest.h" />
     <ClInclude Include="cpu_detect.h" />
+    <ClInclude Include="cubeb_audio_stream.h" />
   </ItemGroup>
   <ItemGroup>
     <ClCompile Include="jit_code_buffer.cpp" />
@@ -88,6 +89,7 @@
     <ClCompile Include="file_system.cpp" />
     <ClCompile Include="string_util.cpp" />
     <ClCompile Include="md5_digest.cpp" />
+    <ClCompile Include="cubeb_audio_stream.cpp" />
   </ItemGroup>
   <ItemGroup>
     <Natvis Include="bitfield.natvis" />
diff --git a/src/common/cubeb_audio_stream.cpp b/src/common/cubeb_audio_stream.cpp
new file mode 100644
index 000000000..1a725ca53
--- /dev/null
+++ b/src/common/cubeb_audio_stream.cpp
@@ -0,0 +1,120 @@
+#include "cubeb_audio_stream.h"
+#include "common/assert.h"
+#include "common/log.h"
+Log_SetChannel(CubebAudioStream);
+
+CubebAudioStream::CubebAudioStream() = default;
+
+CubebAudioStream::~CubebAudioStream()
+{
+  if (IsOpen())
+    CubebAudioStream::CloseDevice();
+}
+
+bool CubebAudioStream::OpenDevice()
+{
+  Assert(!IsOpen());
+
+  int rv = cubeb_init(&m_cubeb_context, "DuckStation", nullptr);
+  if (rv != CUBEB_OK)
+  {
+    Log_ErrorPrintf("Could not initialize cubeb context: %d", rv);
+    return false;
+  }
+
+  cubeb_stream_params params = {};
+  params.format = CUBEB_SAMPLE_S16LE;
+  params.rate = m_output_sample_rate;
+  params.channels = m_channels;
+  params.layout = CUBEB_LAYOUT_UNDEFINED;
+  params.prefs = CUBEB_STREAM_PREF_NONE;
+
+  u32 latency_frames = 0;
+  rv = cubeb_get_min_latency(m_cubeb_context, &params, &latency_frames);
+  if (rv != CUBEB_OK)
+  {
+    Log_ErrorPrintf("Could not get minimum latency: %d", rv);
+    cubeb_destroy(m_cubeb_context);
+    m_cubeb_context = nullptr;
+    return false;
+  }
+
+  Log_InfoPrintf("Minimum latency in frames: %u", latency_frames);
+  if (latency_frames > m_buffer_size)
+    Log_WarningPrintf("Minimum latency is above buffer size: %u vs %u", latency_frames, m_buffer_size);
+  else
+    latency_frames = m_buffer_size;
+
+  char stream_name[32];
+  std::snprintf(stream_name, sizeof(stream_name), "AudioStream_%p", this);
+
+  rv = cubeb_stream_init(m_cubeb_context, &m_cubeb_stream, stream_name, nullptr, nullptr, nullptr, &params,
+                         latency_frames, DataCallback, StateCallback, this);
+  if (rv != CUBEB_OK)
+  {
+    Log_ErrorPrintf("Could not create stream: %d", rv);
+    cubeb_destroy(m_cubeb_context);
+    m_cubeb_context = nullptr;
+    return false;
+  }
+
+  return true;
+}
+
+void CubebAudioStream::PauseDevice(bool paused)
+{
+  if (paused == m_paused)
+    return;
+
+  int rv = paused ? cubeb_stream_stop(m_cubeb_stream) : cubeb_stream_start(m_cubeb_stream);
+  if (rv != CUBEB_OK)
+  {
+    Log_ErrorPrintf("cubeb_stream_%s failed: %d", paused ? "stop" : "start", rv);
+    return;
+  }
+}
+
+void CubebAudioStream::CloseDevice()
+{
+  Assert(IsOpen());
+
+  if (!m_paused)
+    cubeb_stream_stop(m_cubeb_stream);
+
+  cubeb_stream_destroy(m_cubeb_stream);
+  m_cubeb_stream = nullptr;
+
+  cubeb_destroy(m_cubeb_context);
+  m_cubeb_context = nullptr;
+}
+
+long CubebAudioStream::DataCallback(cubeb_stream* stm, void* user_ptr, const void* input_buffer, void* output_buffer,
+                                    long nframes)
+{
+  CubebAudioStream* const this_ptr = static_cast<CubebAudioStream*>(user_ptr);
+
+  const u32 read_frames =
+    this_ptr->ReadSamples(reinterpret_cast<SampleType*>(output_buffer), static_cast<u32>(nframes));
+  const u32 silence_frames = static_cast<u32>(nframes) - read_frames;
+  if (silence_frames > 0)
+  {
+    std::memset(reinterpret_cast<SampleType*>(output_buffer) + (read_frames * this_ptr->m_channels), 0,
+                silence_frames * this_ptr->m_channels * sizeof(SampleType));
+  }
+
+  return nframes;
+}
+
+void CubebAudioStream::StateCallback(cubeb_stream* stream, void* user_ptr, cubeb_state state)
+{
+  CubebAudioStream* const this_ptr = static_cast<CubebAudioStream*>(user_ptr);
+
+  this_ptr->m_paused = (state != CUBEB_STATE_STARTED);
+}
+
+void CubebAudioStream::BufferAvailable() {}
+
+std::unique_ptr<AudioStream> AudioStream::CreateCubebAudioStream()
+{
+  return std::make_unique<CubebAudioStream>();
+}
diff --git a/src/common/cubeb_audio_stream.h b/src/common/cubeb_audio_stream.h
new file mode 100644
index 000000000..a63c77be3
--- /dev/null
+++ b/src/common/cubeb_audio_stream.h
@@ -0,0 +1,27 @@
+#pragma once
+#include "common/audio_stream.h"
+#include "cubeb/cubeb.h"
+#include <cstdint>
+
+class CubebAudioStream final : public AudioStream
+{
+public:
+  CubebAudioStream();
+  ~CubebAudioStream();
+
+protected:
+  bool IsOpen() const { return m_cubeb_stream != nullptr; }
+
+  bool OpenDevice() override;
+  void PauseDevice(bool paused) override;
+  void CloseDevice() override;
+  void BufferAvailable() override;
+
+  static long DataCallback(cubeb_stream* stm, void* user_ptr, const void* input_buffer, void* output_buffer,
+                           long nframes);
+  static void StateCallback(cubeb_stream* stream, void* user_ptr, cubeb_state state);
+
+  cubeb* m_cubeb_context = nullptr;
+  cubeb_stream* m_cubeb_stream = nullptr;
+  bool m_paused = true;
+};
diff --git a/src/common/null_audio_stream.cpp b/src/common/null_audio_stream.cpp
index d6c5794b4..f8f4662f2 100644
--- a/src/common/null_audio_stream.cpp
+++ b/src/common/null_audio_stream.cpp
@@ -19,7 +19,7 @@ void NullAudioStream::BufferAvailable()
   DropBuffer();
 }
 
-std::unique_ptr<AudioStream> NullAudioStream::Create()
+std::unique_ptr<AudioStream> AudioStream::CreateNullAudioStream()
 {
-  return std::unique_ptr<AudioStream>(new NullAudioStream());
+  return std::make_unique<NullAudioStream>();
 }
diff --git a/src/common/null_audio_stream.h b/src/common/null_audio_stream.h
index d589ef697..40a6a243b 100644
--- a/src/common/null_audio_stream.h
+++ b/src/common/null_audio_stream.h
@@ -4,16 +4,12 @@
 class NullAudioStream final : public AudioStream
 {
 public:
+  NullAudioStream();
   ~NullAudioStream();
 
-  static std::unique_ptr<AudioStream> Create();
-
 protected:
   bool OpenDevice() override;
   void PauseDevice(bool paused) override;
   void CloseDevice() override;
   void BufferAvailable() override;
-
-private:
-  NullAudioStream();
 };
diff --git a/src/duckstation-qt/qthostinterface.cpp b/src/duckstation-qt/qthostinterface.cpp
index 53d1da168..e9afa029a 100644
--- a/src/duckstation-qt/qthostinterface.cpp
+++ b/src/duckstation-qt/qthostinterface.cpp
@@ -2,7 +2,6 @@
 #include "common/assert.h"
 #include "common/byte_stream.h"
 #include "common/log.h"
-#include "common/null_audio_stream.h"
 #include "common/string_util.h"
 #include "core/controller.h"
 #include "core/game_list.h"
@@ -454,7 +453,7 @@ void QtHostInterface::createAudioStream()
 
     // fall back to null output
     m_audio_stream.reset();
-    m_audio_stream = NullAudioStream::Create();
+    m_audio_stream = AudioStream::CreateNullAudioStream();
     m_audio_stream->Reconfigure(AUDIO_SAMPLE_RATE, AUDIO_CHANNELS, AUDIO_BUFFER_SIZE, 4);
   }
 }
diff --git a/src/duckstation/sdl_host_interface.cpp b/src/duckstation/sdl_host_interface.cpp
index 6bc50d263..5656e8c4e 100644
--- a/src/duckstation/sdl_host_interface.cpp
+++ b/src/duckstation/sdl_host_interface.cpp
@@ -2,7 +2,6 @@
 #include "common/assert.h"
 #include "common/byte_stream.h"
 #include "common/log.h"
-#include "common/null_audio_stream.h"
 #include "common/string_util.h"
 #include "core/controller.h"
 #include "core/gpu.h"
@@ -126,7 +125,7 @@ void SDLHostInterface::CreateAudioStream()
   switch (m_settings.audio_backend)
   {
     case AudioBackend::Null:
-      m_audio_stream = NullAudioStream::Create();
+      m_audio_stream = AudioStream::CreateNullAudioStream();
       break;
 
     case AudioBackend::Default:
@@ -139,7 +138,7 @@ void SDLHostInterface::CreateAudioStream()
   {
     ReportError("Failed to recreate audio stream, falling back to null");
     m_audio_stream.reset();
-    m_audio_stream = NullAudioStream::Create();
+    m_audio_stream = AudioStream::CreateNullAudioStream();
     if (!m_audio_stream->Reconfigure(AUDIO_SAMPLE_RATE, AUDIO_CHANNELS))
       Panic("Failed to reconfigure null audio stream");
   }