diff --git a/es-app/src/guis/GuiScraperMenu.cpp b/es-app/src/guis/GuiScraperMenu.cpp
index 0b1d3d069..347e13d17 100644
--- a/es-app/src/guis/GuiScraperMenu.cpp
+++ b/es-app/src/guis/GuiScraperMenu.cpp
@@ -893,6 +893,28 @@ void GuiScraperMenu::openOtherOptions()
         }
     });
 
+    // Whether to fallback to additional regions.
+    auto scraperRegionFallback = std::make_shared<SwitchComponent>(mWindow);
+    scraperRegionFallback->setState(Settings::getInstance()->getBool("ScraperRegionFallback"));
+    s->addWithLabel("ENABLE FALLBACK TO ADDITIONAL REGIONS", scraperRegionFallback);
+    s->addSaveFunc([scraperRegionFallback, s] {
+        if (scraperRegionFallback->getState() !=
+            Settings::getInstance()->getBool("ScraperRegionFallback")) {
+            Settings::getInstance()->setBool("ScraperRegionFallback",
+                                             scraperRegionFallback->getState());
+            s->setNeedsSaving();
+        }
+    });
+
+    // Regions are not supported by TheGamesDB, so gray out the option if this scraper is selected.
+    if (Settings::getInstance()->getString("Scraper") == "thegamesdb") {
+        scraperRegionFallback->setEnabled(false);
+        scraperRegionFallback->setOpacity(DISABLED_OPACITY);
+        scraperRegionFallback->getParent()
+            ->getChild(scraperRegionFallback->getChildIndex() - 1)
+            ->setOpacity(DISABLED_OPACITY);
+    }
+
     // Retry search on peer verification errors (TLS/certificate issues).
     auto retry_peer_verification = std::make_shared<SwitchComponent>();
     retry_peer_verification->setState(
diff --git a/es-app/src/scrapers/ScreenScraper.cpp b/es-app/src/scrapers/ScreenScraper.cpp
index 9508f99cb..3cb775b3f 100644
--- a/es-app/src/scrapers/ScreenScraper.cpp
+++ b/es-app/src/scrapers/ScreenScraper.cpp
@@ -610,14 +610,14 @@ void ScreenScraperRequest::processMedia(ScraperSearchResult& result,
                                         std::string& fileFormat,
                                         std::string region)
 {
-    pugi::xml_node art = pugi::xml_node(nullptr);
+    pugi::xml_node art {pugi::xml_node(nullptr)};
 
     // Do an XPath query for media[type='$media_type'], then filter by region.
     // We need to do this because any child of 'medias' has the form
     // <media type="..." region="..." format="...">
     // and we need to find the right media for the region.
-    pugi::xpath_node_set results = media_list.select_nodes(
-        (static_cast<std::string>("media[@type='") + mediaType + "']").c_str());
+    pugi::xpath_node_set results {media_list.select_nodes(
+        (static_cast<std::string>("media[@type='") + mediaType + "']").c_str())};
 
     if (results.size()) {
         // Videos and fan art don't have any region attributes, so just take the first entry
@@ -626,13 +626,23 @@ void ScreenScraperRequest::processMedia(ScraperSearchResult& result,
             art = results.first().node();
         }
         else {
-            // Region fallback: WOR(LD), US, CUS(TOM?), JP, EU.
-            for (auto _region : std::vector<std::string> {region, "wor", "us", "cus", "jp", "eu"}) {
+            std::string otherRegion;
+            if (Settings::getInstance()->getBool("ScraperRegionFallback")) {
+                // In case none of the regular fallback regions are found, try whatever is the
+                // first region in the returned results. This should capture games only released
+                // for specific countries and such as well as invalid database entries where the
+                // wrong region was defined. This fallback also includes the ss/ScreenScraper
+                // region which adds media for unofficial games (e.g. for OpenBOR and PICO-8).
+                otherRegion = results.first().node().attribute("region").as_string();
+            }
+            // Region fallback: world, USA, Japan, EU and custom.
+            for (auto regionEntry :
+                 std::vector<std::string> {region, "wor", "us", "jp", "eu", "cus", otherRegion}) {
                 if (art)
                     break;
 
                 for (auto node : results) {
-                    if (node.node().attribute("region").value() == _region) {
+                    if (node.node().attribute("region").value() == regionEntry) {
                         art = node.node();
                         break;
                     }
diff --git a/es-core/src/Settings.cpp b/es-core/src/Settings.cpp
index e0f5032bb..b647c2ad8 100644
--- a/es-core/src/Settings.cpp
+++ b/es-core/src/Settings.cpp
@@ -127,6 +127,7 @@ void Settings::setDefaults()
     mBoolMap["ScraperRespectExclusions"] = {true, true};
     mBoolMap["ScraperExcludeRecursively"] = {true, true};
     mBoolMap["ScraperConvertUnderscores"] = {true, true};
+    mBoolMap["ScraperRegionFallback"] = {true, true};
     mBoolMap["ScraperRetryPeerVerification"] = {false, false};
 
     // UI settings.