diff --git a/Source/Core/VideoBackends/Vulkan/VKGfx.cpp b/Source/Core/VideoBackends/Vulkan/VKGfx.cpp
index 09aaced21c..42b7e52965 100644
--- a/Source/Core/VideoBackends/Vulkan/VKGfx.cpp
+++ b/Source/Core/VideoBackends/Vulkan/VKGfx.cpp
@@ -262,18 +262,18 @@ bool VKGfx::BindBackbuffer(const ClearColor& clear_color)
     {
       // The present keeps returning exclusive mode lost unless we re-create the swap chain.
       INFO_LOG_FMT(VIDEO, "Lost exclusive fullscreen.");
-      m_swap_chain->RecreateSwapChain();
+      m_swap_chain->RecreateSwapChain(0, 0);
     }
     else if (res == VK_SUBOPTIMAL_KHR || res == VK_ERROR_OUT_OF_DATE_KHR)
     {
       INFO_LOG_FMT(VIDEO, "Resizing swap chain due to suboptimal/out-of-date");
-      m_swap_chain->ResizeSwapChain();
+      m_swap_chain->ResizeSwapChain(0, 0);
     }
     else
     {
       ERROR_LOG_FMT(VIDEO, "Unknown present error {:#010X} {}, please report.",
-                    std::to_underlying(res), VkResultToString(res));
-      m_swap_chain->RecreateSwapChain();
+                    Common::ToUnderlying(res), VkResultToString(res));
+      m_swap_chain->RecreateSwapChain(0, 0);
     }
 
     res = m_swap_chain->AcquireNextImage();
@@ -370,13 +370,17 @@ void VKGfx::CheckForSurfaceChange()
   if (change_info->new_handle)
   {
     // Recreate the surface. If this fails we're in trouble.
-    if (!m_swap_chain->RecreateSurface(change_info->new_handle))
+    if (!m_swap_chain->RecreateSurface(change_info->new_handle,  //
+                                       change_info->new_width, change_info->new_height))
+    {
       PanicAlertFmt("Failed to recreate Vulkan surface. Cannot continue.");
+    }
   }
   else
   {
-    m_swap_chain->RecreateSwapChain();
+    m_swap_chain->RecreateSwapChain(change_info->new_width, change_info->new_height);
   }
+  m_backbuffer_scale = change_info->new_scale;
 
   // Handle case where the dimensions are now different.
   OnSwapChainResized();
@@ -400,7 +404,7 @@ void VKGfx::OnConfigChanged(u32 bits)
   if (m_swap_chain && ((bits & CONFIG_CHANGE_BIT_STEREO_MODE) || (bits & CONFIG_CHANGE_BIT_HDR)))
   {
     ExecuteCommandBuffer(false, true);
-    m_swap_chain->RecreateSwapChain();
+    m_swap_chain->RecreateSwapChain(0, 0);
   }
 
   // Wipe sampler cache if force texture filtering or anisotropy changes.
@@ -413,7 +417,7 @@ void VKGfx::OnConfigChanged(u32 bits)
 
 void VKGfx::OnSwapChainResized()
 {
-  g_presenter->SetBackbuffer(m_swap_chain->GetWidth(), m_swap_chain->GetHeight());
+  g_presenter->SetBackbuffer(GetSurfaceInfo());
 }
 
 void VKGfx::BindFramebuffer(VKFramebuffer* fb)
diff --git a/Source/Core/VideoBackends/Vulkan/VKSwapChain.cpp b/Source/Core/VideoBackends/Vulkan/VKSwapChain.cpp
index 370e22d15c..e4944ad5fb 100644
--- a/Source/Core/VideoBackends/Vulkan/VKSwapChain.cpp
+++ b/Source/Core/VideoBackends/Vulkan/VKSwapChain.cpp
@@ -132,8 +132,11 @@ std::unique_ptr<SwapChain> SwapChain::Create(const WindowSystemInfo& wsi, VkSurf
                                              bool vsync)
 {
   std::unique_ptr<SwapChain> swap_chain = std::make_unique<SwapChain>(wsi, surface, vsync);
-  if (!swap_chain->CreateSwapChain() || !swap_chain->SetupSwapChainImages())
+  if (!swap_chain->CreateSwapChain(wsi.render_surface_width, wsi.render_surface_height)
+      || !swap_chain->SetupSwapChainImages())
+  {
     return nullptr;
+  }
 
   return swap_chain;
 }
@@ -271,7 +274,7 @@ bool SwapChain::SelectPresentMode()
   return true;
 }
 
-bool SwapChain::CreateSwapChain()
+bool SwapChain::CreateSwapChain(u32 width, u32 height)
 {
   // Look up surface properties to determine image count and dimensions
   VkSurfaceCapabilitiesKHR surface_capabilities;
@@ -299,8 +302,8 @@ bool SwapChain::CreateSwapChain()
   VkExtent2D size = surface_capabilities.currentExtent;
   if (size.width == UINT32_MAX)
   {
-    size.width = std::max(g_presenter->GetBackbufferWidth(), 1);
-    size.height = std::max(g_presenter->GetBackbufferHeight(), 1);
+    size.width = width == 0 ? m_width : width;
+    size.height = height == 0 ? m_height : height;
   }
   size.width = std::clamp(size.width, surface_capabilities.minImageExtent.width,
                           surface_capabilities.maxImageExtent.width);
@@ -500,10 +503,10 @@ VkResult SwapChain::AcquireNextImage()
   return res;
 }
 
-bool SwapChain::ResizeSwapChain()
+bool SwapChain::ResizeSwapChain(u32 width, u32 height)
 {
   DestroySwapChainImages();
-  if (!CreateSwapChain() || !SetupSwapChainImages())
+  if (!CreateSwapChain(width, height) || !SetupSwapChainImages())
   {
     PanicAlertFmt("Failed to re-configure swap chain images, this is fatal (for now)");
     return false;
@@ -512,11 +515,11 @@ bool SwapChain::ResizeSwapChain()
   return true;
 }
 
-bool SwapChain::RecreateSwapChain()
+bool SwapChain::RecreateSwapChain(u32 width, u32 height)
 {
   DestroySwapChainImages();
   DestroySwapChain();
-  if (!CreateSwapChain() || !SetupSwapChainImages())
+  if (!CreateSwapChain(width, height) || !SetupSwapChainImages())
   {
     PanicAlertFmt("Failed to re-configure swap chain images, this is fatal (for now)");
     return false;
@@ -532,7 +535,7 @@ bool SwapChain::SetVSync(bool enabled)
 
   // Recreate the swap chain with the new present mode.
   m_vsync_enabled = enabled;
-  return RecreateSwapChain();
+  return RecreateSwapChain(m_width, m_height);
 }
 
 bool SwapChain::SetFullscreenState(bool state)
@@ -568,7 +571,7 @@ bool SwapChain::SetFullscreenState(bool state)
 #endif
 }
 
-bool SwapChain::RecreateSurface(void* native_handle)
+bool SwapChain::RecreateSurface(void* native_handle, u32 width, u32 height)
 {
   // Destroy the old swap chain, images, and surface.
   DestroySwapChainImages();
@@ -604,7 +607,7 @@ bool SwapChain::RecreateSurface(void* native_handle)
   m_next_fullscreen_state = false;
 
   // Finally re-create the swap chain
-  if (!CreateSwapChain() || !SetupSwapChainImages())
+  if (!CreateSwapChain(width, height) || !SetupSwapChainImages())
     return false;
 
   return true;
diff --git a/Source/Core/VideoBackends/Vulkan/VKSwapChain.h b/Source/Core/VideoBackends/Vulkan/VKSwapChain.h
index 17334dbf97..99d39f8261 100644
--- a/Source/Core/VideoBackends/Vulkan/VKSwapChain.h
+++ b/Source/Core/VideoBackends/Vulkan/VKSwapChain.h
@@ -54,9 +54,9 @@ public:
   }
   VkResult AcquireNextImage();
 
-  bool RecreateSurface(void* native_handle);
-  bool ResizeSwapChain();
-  bool RecreateSwapChain();
+  bool RecreateSurface(void* native_handle, u32 width, u32 height);
+  bool ResizeSwapChain(u32 width, u32 height);
+  bool RecreateSwapChain(u32 width, u32 height);
 
   // Change vsync enabled state. This may fail as it causes a swapchain recreation.
   bool SetVSync(bool enabled);
@@ -76,7 +76,7 @@ private:
   bool SelectSurfaceFormat();
   bool SelectPresentMode();
 
-  bool CreateSwapChain();
+  bool CreateSwapChain(u32 width, u32 height);
   void DestroySwapChain();
 
   bool SetupSwapChainImages();