diff --git a/src/core/game_database.cpp b/src/core/game_database.cpp
index ca0de65936..9e78200dfd 100644
--- a/src/core/game_database.cpp
+++ b/src/core/game_database.cpp
@@ -129,7 +129,7 @@ std::string GameDatabase::GetSerialForPath(const char* path)
 
   if (System::IsLoadableFilename(path) && !System::IsExeFileName(path) && !System::IsPsfFileName(path))
   {
-    std::unique_ptr<CDImage> image(CDImage::Open(path, nullptr));
+    std::unique_ptr<CDImage> image(CDImage::Open(path, false, nullptr));
     if (image)
       ret = GetSerialForDisc(image.get());
   }
diff --git a/src/core/settings.cpp b/src/core/settings.cpp
index ecaaf8cec2..3db665e43f 100644
--- a/src/core/settings.cpp
+++ b/src/core/settings.cpp
@@ -269,6 +269,7 @@ void Settings::Load(SettingsInterface& si)
     static_cast<u8>(si.GetIntValue("CDROM", "ReadaheadSectors", DEFAULT_CDROM_READAHEAD_SECTORS));
   cdrom_region_check = si.GetBoolValue("CDROM", "RegionCheck", false);
   cdrom_load_image_to_ram = si.GetBoolValue("CDROM", "LoadImageToRAM", false);
+  cdrom_load_image_patches = si.GetBoolValue("CDROM", "LoadImagePatches", false);
   cdrom_mute_cd_audio = si.GetBoolValue("CDROM", "MuteCDAudio", false);
   cdrom_read_speedup = si.GetIntValue("CDROM", "ReadSpeedup", 1);
   cdrom_seek_speedup = si.GetIntValue("CDROM", "SeekSpeedup", 1);
@@ -474,6 +475,7 @@ void Settings::Save(SettingsInterface& si) const
   si.SetIntValue("CDROM", "ReadaheadSectors", cdrom_readahead_sectors);
   si.SetBoolValue("CDROM", "RegionCheck", cdrom_region_check);
   si.SetBoolValue("CDROM", "LoadImageToRAM", cdrom_load_image_to_ram);
+  si.SetBoolValue("CDROM", "LoadImagePatches", cdrom_load_image_patches);
   si.SetBoolValue("CDROM", "MuteCDAudio", cdrom_mute_cd_audio);
   si.SetIntValue("CDROM", "ReadSpeedup", cdrom_read_speedup);
   si.SetIntValue("CDROM", "SeekSpeedup", cdrom_seek_speedup);
diff --git a/src/core/settings.h b/src/core/settings.h
index 039aa793ec..7bdcf13904 100644
--- a/src/core/settings.h
+++ b/src/core/settings.h
@@ -143,6 +143,7 @@ struct Settings
   u8 cdrom_readahead_sectors = DEFAULT_CDROM_READAHEAD_SECTORS;
   bool cdrom_region_check = false;
   bool cdrom_load_image_to_ram = false;
+  bool cdrom_load_image_patches = false;
   bool cdrom_mute_cd_audio = false;
   u32 cdrom_read_speedup = 1;
   u32 cdrom_seek_speedup = 1;
diff --git a/src/core/system.cpp b/src/core/system.cpp
index 997e25af46..118eae6050 100644
--- a/src/core/system.cpp
+++ b/src/core/system.cpp
@@ -87,11 +87,8 @@ static bool LoadEXE(const char* filename);
 
 static std::string GetExecutableNameForImage(ISOReader& iso, bool strip_subdirectories);
 
-/// Opens CD image, preloading if needed.
-static std::unique_ptr<CDImage> OpenCDImage(const char* path, Common::Error* error, bool check_for_patches);
 static bool ReadExecutableFromImage(ISOReader& iso, std::string* out_executable_name,
                                     std::vector<u8>* out_executable_data);
-static bool ShouldCheckForImagePatches();
 
 static void StallCPU(TickCount ticks);
 
@@ -406,7 +403,7 @@ ConsoleRegion System::GetConsoleRegionForDiscRegion(DiscRegion region)
 
 std::string System::GetGameCodeForPath(const char* image_path, bool fallback_to_hash)
 {
-  std::unique_ptr<CDImage> cdi = CDImage::Open(image_path, nullptr);
+  std::unique_ptr<CDImage> cdi = CDImage::Open(image_path, false, nullptr);
   if (!cdi)
     return {};
 
@@ -694,7 +691,7 @@ std::optional<DiscRegion> System::GetRegionForPath(const char* image_path)
   else if (IsPsfFileName(image_path))
     return GetRegionForPsf(image_path);
 
-  std::unique_ptr<CDImage> cdi = CDImage::Open(image_path, nullptr);
+  std::unique_ptr<CDImage> cdi = CDImage::Open(image_path, false, nullptr);
   if (!cdi)
     return {};
 
@@ -753,37 +750,6 @@ bool System::RecreateGPU(GPURenderer renderer, bool force_recreate_display, bool
   return true;
 }
 
-std::unique_ptr<CDImage> System::OpenCDImage(const char* path, Common::Error* error, bool check_for_patches)
-{
-  std::unique_ptr<CDImage> media = CDImage::Open(path, error);
-  if (!media)
-    return {};
-
-  if (check_for_patches)
-  {
-    const std::string ppf_filename(
-      Path::BuildRelativePath(path, Path::ReplaceExtension(FileSystem::GetDisplayNameFromPath(path), "ppf")));
-    if (FileSystem::FileExists(ppf_filename.c_str()))
-    {
-      media = CDImage::OverlayPPFPatch(ppf_filename.c_str(), std::move(media));
-      if (!media)
-      {
-        Host::AddFormattedOSDMessage(
-          30.0f, Host::TranslateString("OSDMessage", "Failed to apply ppf patch from '%s', using unpatched image."),
-          ppf_filename.c_str());
-        return OpenCDImage(path, error, false);
-      }
-    }
-  }
-
-  return media;
-}
-
-bool System::ShouldCheckForImagePatches()
-{
-  return Host::GetBoolSettingValue("CDROM", "LoadImagePatches", false);
-}
-
 void System::LoadSettings(bool display_osd_messages)
 {
   std::unique_lock<std::mutex> lock = Host::GetSettingsLock();
@@ -1094,7 +1060,7 @@ bool System::BootSystem(SystemBootParameters parameters)
     else
     {
       Log_InfoPrintf("Loading CD image '%s'...", parameters.filename.c_str());
-      media = OpenCDImage(parameters.filename.c_str(), &error, ShouldCheckForImagePatches());
+      media = CDImage::Open(parameters.filename.c_str(), g_settings.cdrom_load_image_patches, &error);
       if (!media)
       {
         Host::ReportErrorAsync("Error", fmt::format("Failed to load CD image '{}': {}",
@@ -1777,7 +1743,7 @@ bool System::DoLoadState(ByteStream* state, bool force_software_renderer, bool u
     }
     else
     {
-      media = OpenCDImage(media_filename.c_str(), &error, ShouldCheckForImagePatches());
+      media = CDImage::Open(media_filename.c_str(), g_settings.cdrom_load_image_patches, &error);
       if (!media)
       {
         if (old_media)
@@ -2831,7 +2797,7 @@ std::string System::GetMediaFileName()
 bool System::InsertMedia(const char* path)
 {
   Common::Error error;
-  std::unique_ptr<CDImage> image = OpenCDImage(path, &error, ShouldCheckForImagePatches());
+  std::unique_ptr<CDImage> image = CDImage::Open(path, g_settings.cdrom_load_image_patches, &error);
   if (!image)
   {
     Host::AddFormattedOSDMessage(10.0f, Host::TranslateString("OSDMessage", "Failed to open disc image '%s': %s."),
diff --git a/src/duckstation-qt/gamesummarywidget.cpp b/src/duckstation-qt/gamesummarywidget.cpp
index e28406d871..a9d28222d0 100644
--- a/src/duckstation-qt/gamesummarywidget.cpp
+++ b/src/duckstation-qt/gamesummarywidget.cpp
@@ -161,7 +161,7 @@ void GameSummaryWidget::populateTracksInfo()
   m_ui.tracks->clearContents();
   QtUtils::ResizeColumnsForTableView(m_ui.tracks, {70, 75, 95, 95, 215, 40});
 
-  std::unique_ptr<CDImage> image = CDImage::Open(m_path.c_str(), nullptr);
+  std::unique_ptr<CDImage> image = CDImage::Open(m_path.c_str(), false, nullptr);
   if (!image)
     return;
 
@@ -206,7 +206,7 @@ void GameSummaryWidget::onComputeHashClicked()
     return;
   }
 
-  std::unique_ptr<CDImage> image = CDImage::Open(m_path.c_str(), nullptr);
+  std::unique_ptr<CDImage> image = CDImage::Open(m_path.c_str(), false, nullptr);
   if (!image)
   {
     QMessageBox::critical(QtUtils::GetRootWidget(this), tr("Error"), tr("Failed to open CD image for hashing."));
diff --git a/src/frontend-common/achievements.cpp b/src/frontend-common/achievements.cpp
index c888aa3238..622341f459 100644
--- a/src/frontend-common/achievements.cpp
+++ b/src/frontend-common/achievements.cpp
@@ -1307,7 +1307,7 @@ void Achievements::GameChanged(const std::string& path, CDImage* image)
   if (!path.empty() && (!image || (g_settings.achievements_use_first_disc_from_playlist && image->HasSubImages() &&
                                    image->GetCurrentSubImage() != 0)))
   {
-    temp_image = CDImage::Open(path.c_str(), nullptr);
+    temp_image = CDImage::Open(path.c_str(), g_settings.cdrom_load_image_patches, nullptr);
     image = temp_image.get();
     if (!temp_image)
     {
@@ -1336,7 +1336,8 @@ void Achievements::GameChanged(const std::string& path, CDImage* image)
 
   if (image && image->HasSubImages() && image->GetCurrentSubImage() != 0)
   {
-    std::unique_ptr<CDImage> image_copy(CDImage::Open(image->GetFileName().c_str(), nullptr));
+    std::unique_ptr<CDImage> image_copy(
+      CDImage::Open(image->GetFileName().c_str(), g_settings.cdrom_load_image_patches, nullptr));
     if (!image_copy)
     {
       Log_ErrorPrintf("Failed to reopen image '%s'", image->GetFileName().c_str());
diff --git a/src/frontend-common/game_list.cpp b/src/frontend-common/game_list.cpp
index 6eb35185eb..eaec4a1a1a 100644
--- a/src/frontend-common/game_list.cpp
+++ b/src/frontend-common/game_list.cpp
@@ -164,7 +164,7 @@ bool GameList::GetPsfListEntry(const std::string& path, Entry* entry)
 
 bool GameList::GetDiscListEntry(const std::string& path, Entry* entry)
 {
-  std::unique_ptr<CDImage> cdi = CDImage::Open(path.c_str(), nullptr);
+  std::unique_ptr<CDImage> cdi = CDImage::Open(path.c_str(), false, nullptr);
   if (!cdi)
     return false;
 
diff --git a/src/util/cd_image.cpp b/src/util/cd_image.cpp
index cfa8c2b2cc..fb95010598 100644
--- a/src/util/cd_image.cpp
+++ b/src/util/cd_image.cpp
@@ -1,5 +1,6 @@
 #include "cd_image.h"
 #include "common/assert.h"
+#include "common/error.h"
 #include "common/file_system.h"
 #include "common/log.h"
 #include "common/path.h"
@@ -17,7 +18,7 @@ u32 CDImage::GetBytesPerSector(TrackMode mode)
   return sizes[static_cast<u32>(mode)];
 }
 
-std::unique_ptr<CDImage> CDImage::Open(const char* filename, Common::Error* error)
+std::unique_ptr<CDImage> CDImage::Open(const char* filename, bool allow_patches, Common::Error* error)
 {
   const char* extension;
 
@@ -37,43 +38,67 @@ std::unique_ptr<CDImage> CDImage::Open(const char* filename, Common::Error* erro
     return nullptr;
   }
 
+  std::unique_ptr<CDImage> image;
   if (StringUtil::Strcasecmp(extension, ".cue") == 0)
   {
-    return OpenCueSheetImage(filename, error);
+    image = OpenCueSheetImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".bin") == 0 || StringUtil::Strcasecmp(extension, ".img") == 0 ||
            StringUtil::Strcasecmp(extension, ".iso") == 0)
   {
-    return OpenBinImage(filename, error);
+    image = OpenBinImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".chd") == 0)
   {
-    return OpenCHDImage(filename, error);
+    image = OpenCHDImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".ecm") == 0)
   {
-    return OpenEcmImage(filename, error);
+    image = OpenEcmImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".mds") == 0)
   {
-    return OpenMdsImage(filename, error);
+    image = OpenMdsImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".pbp") == 0)
   {
-    return OpenPBPImage(filename, error);
+    image = OpenPBPImage(filename, error);
   }
   else if (StringUtil::Strcasecmp(extension, ".m3u") == 0)
   {
-    return OpenM3uImage(filename, error);
+    image = OpenM3uImage(filename, allow_patches, error);
+  }
+  else if (IsDeviceName(filename))
+  {
+    image = OpenDeviceImage(filename, error);
+  }
+  else
+  {
+    Log_ErrorPrintf("Unknown extension '%s' from filename '%s'", extension, filename);
+    return nullptr;
   }
 
-  if (IsDeviceName(filename))
-    return OpenDeviceImage(filename, error);
-
-#undef CASE_COMPARE
+  if (allow_patches)
+  {
+#ifdef __ANDROID__
+    const std::string ppf_filename(
+      Path::BuildRelativePath(filename, Path::ReplaceExtension(filename_display_name, "ppf")));
+#else
+    const std::string ppf_filename(
+      Path::BuildRelativePath(filename, Path::ReplaceExtension(Path::GetFileName(filename), "ppf")));
+#endif
+    if (FileSystem::FileExists(ppf_filename.c_str()))
+    {
+      image = CDImage::OverlayPPFPatch(ppf_filename.c_str(), std::move(image));
+      if (!image)
+      {
+        if (error)
+          error->SetFormattedMessage("Failed to apply ppf patch from '%s'.", ppf_filename.c_str());
+      }
+    }
+  }
 
-  Log_ErrorPrintf("Unknown extension '%s' from filename '%s'", extension, filename);
-  return nullptr;
+  return image;
 }
 
 CDImage::LBA CDImage::GetTrackStartPosition(u8 track) const
diff --git a/src/util/cd_image.h b/src/util/cd_image.h
index 653845ae8d..1fbb37f2d3 100644
--- a/src/util/cd_image.h
+++ b/src/util/cd_image.h
@@ -217,14 +217,14 @@ class CDImage
   static bool IsDeviceName(const char* filename);
 
   // Opening disc image.
-  static std::unique_ptr<CDImage> Open(const char* filename, Common::Error* error);
+  static std::unique_ptr<CDImage> Open(const char* filename, bool allow_patches, Common::Error* error);
   static std::unique_ptr<CDImage> OpenBinImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage> OpenCueSheetImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage> OpenCHDImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage> OpenEcmImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage> OpenMdsImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage> OpenPBPImage(const char* filename, Common::Error* error);
-  static std::unique_ptr<CDImage> OpenM3uImage(const char* filename, Common::Error* error);
+  static std::unique_ptr<CDImage> OpenM3uImage(const char* filename, bool apply_patches, Common::Error* error);
   static std::unique_ptr<CDImage> OpenDeviceImage(const char* filename, Common::Error* error);
   static std::unique_ptr<CDImage>
   CreateMemoryImage(CDImage* image, ProgressCallback* progress = ProgressCallback::NullProgressCallback);
@@ -232,15 +232,42 @@ class CDImage
                                                   ProgressCallback* progress = ProgressCallback::NullProgressCallback);
 
   // Accessors.
-  const std::string& GetFileName() const { return m_filename; }
-  LBA GetPositionOnDisc() const { return m_position_on_disc; }
-  Position GetMSFPositionOnDisc() const { return Position::FromLBA(m_position_on_disc); }
-  LBA GetPositionInTrack() const { return m_position_in_track; }
-  Position GetMSFPositionInTrack() const { return Position::FromLBA(m_position_in_track); }
-  LBA GetLBACount() const { return m_lba_count; }
-  u32 GetIndexNumber() const { return m_current_index->index_number; }
-  u32 GetTrackNumber() const { return m_current_index->track_number; }
-  u32 GetTrackCount() const { return static_cast<u32>(m_tracks.size()); }
+  const std::string& GetFileName() const
+  {
+    return m_filename;
+  }
+  LBA GetPositionOnDisc() const
+  {
+    return m_position_on_disc;
+  }
+  Position GetMSFPositionOnDisc() const
+  {
+    return Position::FromLBA(m_position_on_disc);
+  }
+  LBA GetPositionInTrack() const
+  {
+    return m_position_in_track;
+  }
+  Position GetMSFPositionInTrack() const
+  {
+    return Position::FromLBA(m_position_in_track);
+  }
+  LBA GetLBACount() const
+  {
+    return m_lba_count;
+  }
+  u32 GetIndexNumber() const
+  {
+    return m_current_index->index_number;
+  }
+  u32 GetTrackNumber() const
+  {
+    return m_current_index->track_number;
+  }
+  u32 GetTrackCount() const
+  {
+    return static_cast<u32>(m_tracks.size());
+  }
   LBA GetTrackStartPosition(u8 track) const;
   Position GetTrackStartMSFPosition(u8 track) const;
   LBA GetTrackLength(u8 track) const;
@@ -248,11 +275,26 @@ class CDImage
   TrackMode GetTrackMode(u8 track) const;
   LBA GetTrackIndexPosition(u8 track, u8 index) const;
   LBA GetTrackIndexLength(u8 track, u8 index) const;
-  u32 GetFirstTrackNumber() const { return m_tracks.front().track_number; }
-  u32 GetLastTrackNumber() const { return m_tracks.back().track_number; }
-  u32 GetIndexCount() const { return static_cast<u32>(m_indices.size()); }
-  const std::vector<Track>& GetTracks() const { return m_tracks; }
-  const std::vector<Index>& GetIndices() const { return m_indices; }
+  u32 GetFirstTrackNumber() const
+  {
+    return m_tracks.front().track_number;
+  }
+  u32 GetLastTrackNumber() const
+  {
+    return m_tracks.back().track_number;
+  }
+  u32 GetIndexCount() const
+  {
+    return static_cast<u32>(m_indices.size());
+  }
+  const std::vector<Track>& GetTracks() const
+  {
+    return m_tracks;
+  }
+  const std::vector<Index>& GetIndices() const
+  {
+    return m_indices;
+  }
   const Track& GetTrack(u32 track) const;
   const Index& GetIndex(u32 i) const;
 
diff --git a/src/util/cd_image_m3u.cpp b/src/util/cd_image_m3u.cpp
index ccdcec34c6..4d6d419fdd 100644
--- a/src/util/cd_image_m3u.cpp
+++ b/src/util/cd_image_m3u.cpp
@@ -17,7 +17,7 @@ class CDImageM3u : public CDImage
   CDImageM3u();
   ~CDImageM3u() override;
 
-  bool Open(const char* path, Common::Error* Error);
+  bool Open(const char* path, bool apply_patches, Common::Error* Error);
 
   bool ReadSubChannelQ(SubChannelQ* subq, const Index& index, LBA lba_in_index) override;
   bool HasNonStandardSubchannel() const override;
@@ -42,13 +42,14 @@ class CDImageM3u : public CDImage
   std::vector<Entry> m_entries;
   std::unique_ptr<CDImage> m_current_image;
   u32 m_current_image_index = UINT32_C(0xFFFFFFFF);
+  bool m_apply_patches = false;
 };
 
 CDImageM3u::CDImageM3u() = default;
 
 CDImageM3u::~CDImageM3u() = default;
 
-bool CDImageM3u::Open(const char* path, Common::Error* error)
+bool CDImageM3u::Open(const char* path, bool apply_patches, Common::Error* error)
 {
   std::FILE* fp = FileSystem::OpenCFile(path, "rb");
   if (!fp)
@@ -65,6 +66,7 @@ bool CDImageM3u::Open(const char* path, Common::Error* error)
 
   std::istringstream ifs(m3u_file.value());
   m_filename = path;
+  m_apply_patches = apply_patches;
 
   std::vector<std::string> entries;
   std::string line;
@@ -131,7 +133,7 @@ bool CDImageM3u::SwitchSubImage(u32 index, Common::Error* error)
     return true;
 
   const Entry& entry = m_entries[index];
-  std::unique_ptr<CDImage> new_image = CDImage::Open(entry.filename.c_str(), error);
+  std::unique_ptr<CDImage> new_image = CDImage::Open(entry.filename.c_str(), m_apply_patches, error);
   if (!new_image)
   {
     Log_ErrorPrintf("Failed to load subimage %u (%s)", index, entry.filename.c_str());
@@ -170,10 +172,10 @@ bool CDImageM3u::ReadSubChannelQ(SubChannelQ* subq, const Index& index, LBA lba_
   return m_current_image->ReadSubChannelQ(subq, index, lba_in_index);
 }
 
-std::unique_ptr<CDImage> CDImage::OpenM3uImage(const char* filename, Common::Error* error)
+std::unique_ptr<CDImage> CDImage::OpenM3uImage(const char* filename, bool apply_patches, Common::Error* error)
 {
   std::unique_ptr<CDImageM3u> image = std::make_unique<CDImageM3u>();
-  if (!image->Open(filename, error))
+  if (!image->Open(filename, apply_patches, error))
     return {};
 
   return image;