diff --git a/src/util/input_manager.cpp b/src/util/input_manager.cpp
index 46a0fd59f..e5ed89b8e 100644
--- a/src/util/input_manager.cpp
+++ b/src/util/input_manager.cpp
@@ -1394,6 +1394,11 @@ void InputManager::UpdateHostMouseMode()
   Host::SetMouseMode(wanted_relative_mouse_mode, wanted_hide_host_mouse_cursor);
 }
 
+bool InputManager::IsRelativeMouseModeActive()
+{
+  return s_relative_mouse_mode_active;
+}
+
 bool InputManager::IsUsingRawInput()
 {
 #if defined(_WIN32)
@@ -1409,6 +1414,11 @@ void InputManager::SetDisplayWindowSize(float width, float height)
   s_window_size[1] = height;
 }
 
+std::pair<float, float> InputManager::GetDisplayWindowSize()
+{
+  return std::make_pair(s_window_size[0], s_window_size[1]);
+}
+
 void InputManager::SetDefaultSourceConfig(SettingsInterface& si)
 {
   si.ClearSection("InputSources");
diff --git a/src/util/input_manager.h b/src/util/input_manager.h
index f1617c279..7d595c2b0 100644
--- a/src/util/input_manager.h
+++ b/src/util/input_manager.h
@@ -350,6 +350,7 @@ void UpdatePointerRelativeDelta(u32 index, InputPointerAxis axis, float d, bool
 /// Updates host mouse mode (relative/cursor hiding).
 void UpdateRelativeMouseMode();
 void UpdateHostMouseMode();
+bool IsRelativeMouseModeActive();
 
 /// Sets the state of the specified macro button.
 void SetMacroButtonState(u32 pad, u32 index, bool state);
@@ -359,6 +360,7 @@ bool IsUsingRawInput();
 
 /// Updates InputManager's view of the window size, used for clamping raw input coordinates.
 void SetDisplayWindowSize(float width, float height);
+std::pair<float, float> GetDisplayWindowSize();
 
 /// Restores default configuration.
 void SetDefaultSourceConfig(SettingsInterface& si);
diff --git a/src/util/sdl_input_source.cpp b/src/util/sdl_input_source.cpp
index f0468eeaa..2b0444764 100644
--- a/src/util/sdl_input_source.cpp
+++ b/src/util/sdl_input_source.cpp
@@ -239,6 +239,7 @@ void SDLInputSource::LoadSettings(const SettingsInterface& si)
 
   m_controller_enhanced_mode = si.GetBoolValue("InputSources", "SDLControllerEnhancedMode", false);
   m_controller_ps5_player_led = si.GetBoolValue("InputSources", "SDLPS5PlayerLED", false);
+  m_controller_touchpad_as_pointer = si.GetBoolValue("InputSources", "SDLTouchpadAsPointer", false);
   m_sdl_hints = si.GetKeyValueList("SDLHints");
 
 #ifdef __APPLE__
@@ -588,6 +589,9 @@ bool SDLInputSource::IsHandledInputEvent(const SDL_Event* ev)
     case SDL_CONTROLLERAXISMOTION:
     case SDL_CONTROLLERBUTTONDOWN:
     case SDL_CONTROLLERBUTTONUP:
+    case SDL_CONTROLLERTOUCHPADDOWN:
+    case SDL_CONTROLLERTOUCHPADUP:
+    case SDL_CONTROLLERTOUCHPADMOTION:
     case SDL_JOYAXISMOTION:
     case SDL_JOYBUTTONDOWN:
     case SDL_JOYBUTTONUP:
@@ -647,6 +651,11 @@ bool SDLInputSource::ProcessSDLEvent(const SDL_Event* event)
     case SDL_CONTROLLERBUTTONUP:
       return HandleControllerButtonEvent(&event->cbutton);
 
+    case SDL_CONTROLLERTOUCHPADDOWN:
+    case SDL_CONTROLLERTOUCHPADUP:
+    case SDL_CONTROLLERTOUCHPADMOTION:
+      return HandleControllerTouchpadEvent(&event->ctouchpad);
+
     case SDL_JOYAXISMOTION:
       return HandleJoystickAxisEvent(&event->jaxis);
 
@@ -755,6 +764,8 @@ bool SDLInputSource::OpenDevice(int index, bool is_gamecontroller)
   cd.haptic_left_right_effect = -1;
   cd.game_controller = gcontroller;
   cd.joystick = joystick;
+  cd.last_touch_x = 0.0f;
+  cd.last_touch_y = 0.0f;
 
   if (gcontroller)
   {
@@ -896,6 +907,58 @@ bool SDLInputSource::HandleControllerButtonEvent(const SDL_ControllerButtonEvent
   return true;
 }
 
+bool SDLInputSource::HandleControllerTouchpadEvent(const SDL_ControllerTouchpadEvent* ev)
+{
+  // More than one touchpad?
+  if (ev->touchpad != 0 || !m_controller_touchpad_as_pointer)
+    return false;
+
+  auto it = GetControllerDataForJoystickId(ev->which);
+  if (it == m_controllers.end())
+    return false;
+
+  // Limited by InputManager pointers.
+  const u32 pointer_index = static_cast<u32>(it->player_id);
+  if (pointer_index >= InputManager::MAX_POINTER_DEVICES)
+    return false;
+
+  // Only looking at the first finger for motion for now.
+  if (ev->finger == 0)
+  {
+    // If down event, reset the position.
+    if (ev->type == SDL_CONTROLLERTOUCHPADDOWN)
+    {
+      it->last_touch_x = ev->x;
+      it->last_touch_y = ev->y;
+    }
+
+    const auto& [win_width, win_height] = InputManager::GetDisplayWindowSize();
+    const float rel_x = (ev->x - std::exchange(it->last_touch_x, ev->x)) * win_width;
+    const float rel_y = (ev->y - std::exchange(it->last_touch_y, ev->y)) * win_height;
+    if (!InputManager::IsRelativeMouseModeActive())
+    {
+      const auto& [current_x, current_y] = InputManager::GetPointerAbsolutePosition(pointer_index);
+      InputManager::UpdatePointerAbsolutePosition(pointer_index, current_x + rel_x, current_y + rel_y);
+    }
+    else
+    {
+      if (rel_x != 0.0f)
+        InputManager::UpdatePointerRelativeDelta(pointer_index, InputPointerAxis::X, rel_x);
+      if (rel_y != 0.0f)
+        InputManager::UpdatePointerRelativeDelta(pointer_index, InputPointerAxis::Y, rel_y);
+    }
+  }
+
+  // If down/up event, fire the clicked handler.
+  if (ev->type == SDL_CONTROLLERTOUCHPADDOWN || ev->type == SDL_CONTROLLERTOUCHPADUP)
+  {
+    const InputBindingKey key(InputManager::MakePointerButtonKey(pointer_index, static_cast<u32>(ev->finger)));
+    InputManager::InvokeEvents(key, (ev->type == SDL_CONTROLLERTOUCHPADUP) ? 0.0f : ev->pressure);
+  }
+
+  return true;
+}
+
 bool SDLInputSource::HandleJoystickAxisEvent(const SDL_JoyAxisEvent* ev)
 {
   auto it = GetControllerDataForJoystickId(ev->which);
diff --git a/src/util/sdl_input_source.h b/src/util/sdl_input_source.h
index 9bd38f8ec..6b35bc54d 100644
--- a/src/util/sdl_input_source.h
+++ b/src/util/sdl_input_source.h
@@ -62,6 +62,8 @@ private:
     int haptic_left_right_effect;
     int joystick_id;
     int player_id;
+    float last_touch_x;
+    float last_touch_y;
     bool use_game_controller_rumble;
 
     // Used to disable Joystick controls that are used in GameController inputs so we don't get double events
@@ -87,6 +89,7 @@ private:
   bool CloseDevice(int joystick_index);
   bool HandleControllerAxisEvent(const SDL_ControllerAxisEvent* ev);
   bool HandleControllerButtonEvent(const SDL_ControllerButtonEvent* ev);
+  bool HandleControllerTouchpadEvent(const SDL_ControllerTouchpadEvent* ev);
   bool HandleJoystickAxisEvent(const SDL_JoyAxisEvent* ev);
   bool HandleJoystickButtonEvent(const SDL_JoyButtonEvent* ev);
   bool HandleJoystickHatEvent(const SDL_JoyHatEvent* ev);
@@ -100,6 +103,7 @@ private:
   bool m_sdl_subsystem_initialized = false;
   bool m_controller_enhanced_mode = false;
   bool m_controller_ps5_player_led = false;
+  bool m_controller_touchpad_as_pointer = false;
 
 #ifdef __APPLE__
   bool m_enable_iokit_driver = false;