diff --git a/DDrawCompat/Config/Config.cpp b/DDrawCompat/Config/Config.cpp
index b5e3f8d..a13e93a 100644
--- a/DDrawCompat/Config/Config.cpp
+++ b/DDrawCompat/Config/Config.cpp
@@ -7,6 +7,7 @@ namespace Config
 	Settings::CpuAffinity cpuAffinity;
 	Settings::DesktopColorDepth desktopColorDepth;
 	Settings::DisplayFilter displayFilter;
+	Settings::DisplayRefreshRate displayRefreshRate;
 	Settings::DisplayResolution displayResolution;
 	Settings::RenderColorDepth renderColorDepth;
 	Settings::ResolutionScale resolutionScale;
diff --git a/DDrawCompat/Config/Config.h b/DDrawCompat/Config/Config.h
index 85b216c..6e498a1 100644
--- a/DDrawCompat/Config/Config.h
+++ b/DDrawCompat/Config/Config.h
@@ -5,6 +5,7 @@
 #include <Config/Settings/CpuAffinity.h>
 #include <Config/Settings/DesktopColorDepth.h>
 #include <Config/Settings/DisplayFilter.h>
+#include <Config/Settings/DisplayRefreshRate.h>
 #include <Config/Settings/DisplayResolution.h>
 #include <Config/Settings/RenderColorDepth.h>
 #include <Config/Settings/ResolutionScale.h>
@@ -22,6 +23,7 @@ namespace Config
 	extern Settings::CpuAffinity cpuAffinity;
 	extern Settings::DesktopColorDepth desktopColorDepth;
 	extern Settings::DisplayFilter displayFilter;
+	extern Settings::DisplayRefreshRate displayRefreshRate;
 	extern Settings::DisplayResolution displayResolution;
 	extern Settings::RenderColorDepth renderColorDepth;
 	extern Settings::ResolutionScale resolutionScale;
diff --git a/DDrawCompat/Config/Settings/DisplayRefreshRate.cpp b/DDrawCompat/Config/Settings/DisplayRefreshRate.cpp
new file mode 100644
index 0000000..3a75b5e
--- /dev/null
+++ b/DDrawCompat/Config/Settings/DisplayRefreshRate.cpp
@@ -0,0 +1,36 @@
+#include <Config/Settings/DisplayRefreshRate.h>
+
+namespace Config
+{
+	namespace Settings
+	{
+		DisplayRefreshRate::DisplayRefreshRate()
+			: MappedSetting("DisplayRefreshRate", "app", { {"app", APP}, {"desktop", DESKTOP} })
+		{
+		}
+
+		std::string DisplayRefreshRate::getValueStr() const
+		{
+			try
+			{
+				return MappedSetting::getValueStr();
+			}
+			catch (const ParsingError&)
+			{
+				return std::to_string(m_value);
+			}
+		}
+
+		void DisplayRefreshRate::setValue(const std::string& value)
+		{
+			try
+			{
+				MappedSetting::setValue(value);
+			}
+			catch (const ParsingError&)
+			{
+				m_value = Parser::parseInt(value, 1, MAXINT);
+			}
+		}
+	}
+}
diff --git a/DDrawCompat/Config/Settings/DisplayRefreshRate.h b/DDrawCompat/Config/Settings/DisplayRefreshRate.h
new file mode 100644
index 0000000..0a49c15
--- /dev/null
+++ b/DDrawCompat/Config/Settings/DisplayRefreshRate.h
@@ -0,0 +1,22 @@
+#pragma once
+
+#include <Config/MappedSetting.h>
+
+namespace Config
+{
+	namespace Settings
+	{
+		class DisplayRefreshRate : public MappedSetting<int>
+		{
+		public:
+			static const int APP = 0;
+			static const int DESKTOP = -1;
+
+			DisplayRefreshRate();
+
+		protected:
+			std::string getValueStr() const override;
+			void setValue(const std::string& value) override;
+		};
+	}
+}
diff --git a/DDrawCompat/DDrawCompat.vcxproj b/DDrawCompat/DDrawCompat.vcxproj
index b6388a8..31d6abb 100644
--- a/DDrawCompat/DDrawCompat.vcxproj
+++ b/DDrawCompat/DDrawCompat.vcxproj
@@ -220,6 +220,7 @@
     <ClInclude Include="Config\Settings\CpuAffinity.h" />
     <ClInclude Include="Config\Settings\DesktopColorDepth.h" />
     <ClInclude Include="Config\Settings\DisplayFilter.h" />
+    <ClInclude Include="Config\Settings\DisplayRefreshRate.h" />
     <ClInclude Include="Config\Settings\DisplayResolution.h" />
     <ClInclude Include="Config\Settings\RenderColorDepth.h" />
     <ClInclude Include="Config\Settings\ResolutionScale.h" />
@@ -343,6 +344,7 @@
     <ClCompile Include="Config\Settings\Antialiasing.cpp" />
     <ClCompile Include="Config\Settings\CpuAffinity.cpp" />
     <ClCompile Include="Config\Settings\DisplayFilter.cpp" />
+    <ClCompile Include="Config\Settings\DisplayRefreshRate.cpp" />
     <ClCompile Include="Config\Settings\DisplayResolution.cpp" />
     <ClCompile Include="Config\Settings\ResolutionScale.cpp" />
     <ClCompile Include="Config\Settings\SupportedResolutions.cpp" />
diff --git a/DDrawCompat/DDrawCompat.vcxproj.filters b/DDrawCompat/DDrawCompat.vcxproj.filters
index 845994c..9641688 100644
--- a/DDrawCompat/DDrawCompat.vcxproj.filters
+++ b/DDrawCompat/DDrawCompat.vcxproj.filters
@@ -516,6 +516,9 @@
     <ClInclude Include="Gdi\GuiThread.h">
       <Filter>Header Files\Gdi</Filter>
     </ClInclude>
+    <ClInclude Include="Config\Settings\DisplayRefreshRate.h">
+      <Filter>Header Files\Config\Settings</Filter>
+    </ClInclude>
   </ItemGroup>
   <ItemGroup>
     <ClCompile Include="Gdi\Gdi.cpp">
@@ -815,6 +818,9 @@
     <ClCompile Include="Gdi\GuiThread.cpp">
       <Filter>Source Files\Gdi</Filter>
     </ClCompile>
+    <ClCompile Include="Config\Settings\DisplayRefreshRate.cpp">
+      <Filter>Source Files\Config\Settings</Filter>
+    </ClCompile>
   </ItemGroup>
   <ItemGroup>
     <ResourceCompile Include="DDrawCompat.rc">
diff --git a/DDrawCompat/Win32/DisplayMode.cpp b/DDrawCompat/Win32/DisplayMode.cpp
index 19dcd51..8fc2dc8 100644
--- a/DDrawCompat/Win32/DisplayMode.cpp
+++ b/DDrawCompat/Win32/DisplayMode.cpp
@@ -63,6 +63,9 @@ namespace
 	BOOL WINAPI dwm8And16BitIsShimAppliedCallOut();
 	BOOL WINAPI seComHookInterface(CLSID* clsid, GUID* iid, DWORD unk1, DWORD unk2);
 
+	template <typename Char>
+	DWORD getConfiguredRefreshRate(const Char* deviceName);
+
 	template <typename Char>
 	SIZE getConfiguredResolution(const Char* deviceName);
 
@@ -125,6 +128,11 @@ namespace
 				targetDevMode.dmFields |= DM_PELSHEIGHT;
 				targetDevMode.dmPelsHeight = currDevMode.dmPelsHeight;
 			}
+			if (!(targetDevMode.dmFields & DM_DISPLAYFREQUENCY))
+			{
+				targetDevMode.dmFields |= DM_DISPLAYFREQUENCY;
+				targetDevMode.dmDisplayFrequency = currDevMode.dmDisplayFrequency;
+			}
 
 			emulatedResolution = makeSize(targetDevMode.dmPelsWidth, targetDevMode.dmPelsHeight);
 			auto supportedDisplayModeMap(getSupportedDisplayModeMap(lpszDeviceName, 0));
@@ -137,23 +145,31 @@ namespace
 				return DISP_CHANGE_BADMODE;
 			}
 
+			DevMode<Char> dm = targetDevMode;
 			SIZE resolutionOverride = getConfiguredResolution(lpszDeviceName);
 			if (0 != resolutionOverride.cx)
 			{
-				DevMode<Char> dm = {};
-				dm.dmSize = sizeof(dm);
-				dm.dmFields = DM_PELSWIDTH | DM_PELSHEIGHT;
 				dm.dmPelsWidth = resolutionOverride.cx;
 				dm.dmPelsHeight = resolutionOverride.cy;
+			}
+
+			DWORD refreshRateOverride = getConfiguredRefreshRate(lpszDeviceName);
+			if (0 != refreshRateOverride)
+			{
+				dm.dmDisplayFrequency = refreshRateOverride;
+			}
+
+			if (0 != resolutionOverride.cx || 0 != refreshRateOverride)
+			{
 				LONG result = origChangeDisplaySettingsEx(lpszDeviceName, &dm, nullptr, CDS_TEST, nullptr);
 				if (DISP_CHANGE_SUCCESSFUL == result)
 				{
-					targetDevMode.dmPelsWidth = resolutionOverride.cx;
-					targetDevMode.dmPelsHeight = resolutionOverride.cy;
+					targetDevMode = dm;
 				}
 				else
 				{
-					LOG_ONCE("Failed to apply setting: DisplayResolution = " << dm.dmPelsWidth << 'x' << dm.dmPelsHeight);
+					LOG_ONCE("Failed to apply custom display mode: "
+						<< dm.dmPelsWidth << 'x' << dm.dmPelsHeight << '@' << dm.dmDisplayFrequency);
 				}
 			}
 		}
@@ -352,6 +368,22 @@ namespace
 		return CALL_ORIG_FUNC(GdiEntry13)() + g_displaySettingsUniquenessBias;
 	}
 
+	template <typename Char>
+	DWORD getConfiguredRefreshRate(const Char* deviceName)
+	{
+		auto refreshRate = Config::displayRefreshRate.get();
+		if (Config::Settings::DisplayRefreshRate::DESKTOP == refreshRate)
+		{
+			DevMode<Char> dm = {};
+			dm.dmSize = sizeof(dm);
+			if (origEnumDisplaySettingsEx(deviceName, ENUM_REGISTRY_SETTINGS, &dm, 0))
+			{
+				refreshRate = dm.dmDisplayFrequency;
+			}
+		}
+		return refreshRate;
+	}
+
 	template <typename Char>
 	SIZE getConfiguredResolution(const Char* deviceName)
 	{