diff --git a/CMake/DolphinDisableWarningsMSVC.cmake b/CMake/DolphinDisableWarningsMSVC.cmake
new file mode 100644
index 0000000000..43823a0ea4
--- /dev/null
+++ b/CMake/DolphinDisableWarningsMSVC.cmake
@@ -0,0 +1,18 @@
+include(RemoveCompileFlag)
+
+macro(dolphin_disable_warnings_msvc _target)
+  if (MSVC)
+    get_target_property(_target_cxx_flags ${_target} COMPILE_OPTIONS)
+    if (_target_cxx_flags)
+      set(new_flags "")
+      foreach(flag IN LISTS _target_cxx_flags)
+        # all warning flags start with "/W" or "/w" or "-W" or "-w"
+        if (NOT "${flag}" MATCHES "^[-/][Ww]")
+          list(APPEND new_flags "${flag}")
+        endif()
+      endforeach()
+      set_target_properties(${_target} PROPERTIES COMPILE_OPTIONS "${new_flags}")
+    endif()
+    target_compile_options(${_target} PRIVATE "/W0")
+  endif()
+endmacro()
diff --git a/CMake/RemoveCompileFlag.cmake b/CMake/RemoveCompileFlag.cmake
new file mode 100644
index 0000000000..1bb9c167be
--- /dev/null
+++ b/CMake/RemoveCompileFlag.cmake
@@ -0,0 +1,16 @@
+# from https://stackoverflow.com/a/49216539
+# The linked answer does some weird preconfiguring by manually splitting the CMAKE_CXX_FLAGS variable and applying it to a target,
+# but as far as I can tell none of that is necessary, this works just fine as-is.
+
+#
+# Removes the specified compile flag from the specified target.
+#   _target     - The target to remove the compile flag from
+#   _flag       - The compile flag to remove
+#
+macro(remove_cxx_flag_from_target _target _flag)
+    get_target_property(_target_cxx_flags ${_target} COMPILE_OPTIONS)
+    if(_target_cxx_flags)
+        list(REMOVE_ITEM _target_cxx_flags ${_flag})
+        set_target_properties(${_target} PROPERTIES COMPILE_OPTIONS "${_target_cxx_flags}")
+    endif()
+endmacro()
diff --git a/CMakeLists.txt b/CMakeLists.txt
index e0bc248e00..1085d51c92 100644
--- a/CMakeLists.txt
+++ b/CMakeLists.txt
@@ -3,13 +3,21 @@
 #
 cmake_minimum_required(VERSION 3.10)
 
+# Weird chicken-and-egg problem: We can't check the compiler before the project() call, but we have to set the policies before it.
+# So we do this in two steps: Set the policies if they exist, then error out afterwards if we end up being MSVC and they don't exist.
+if (POLICY CMP0117)
+  cmake_policy(SET CMP0091 NEW) # MSVC runtime library flags are selected by an abstraction.
+  cmake_policy(SET CMP0092 NEW) # MSVC warning flags are not in CMAKE_{C,CXX}_FLAGS by default.
+  cmake_policy(SET CMP0117 NEW) # MSVC RTTI flag will not be added by default.
+endif()
+
 # Minimum OS X version.
 # This is inserted into the Info.plist as well.
 
 # MacOS prior to 10.14 did not support aligned alloc which is used to implement
 # std::unique_ptr in the arm64 C++ standard library. x86_64 builds can override
 # this to 10.13.0 using -DCMAKE_OSX_DEPLOYMENT_TARGET="10.13.0" without issue.
-# This is done in the universal binary building script to build a binary that 
+# This is done in the universal binary building script to build a binary that
 # runs on 10.13 on x86_64 computers, while still containing an arm64 slice.
 
 set(CMAKE_OSX_DEPLOYMENT_TARGET "10.14.0" CACHE STRING "")
@@ -18,6 +26,18 @@ set(CMAKE_USER_MAKE_RULES_OVERRIDE "CMake/FlagsOverride.cmake")
 
 project(dolphin-emu)
 
+if (MSVC)
+  if (POLICY CMP0117)
+    # cmake is a weird language. You can't do if(not POLICY)
+  else()
+    message(FATAL_ERROR "Please update to CMake 3.20 or higher.")
+  endif()
+
+  set(CMAKE_C_STANDARD 99)
+  set(CMAKE_CXX_STANDARD 23)
+  set(CMAKE_CXX_STANDARD_REQUIRED ON)
+endif()
+
 # Name of the Dolphin distributor. If you redistribute Dolphin builds (forks,
 # unofficial builds) please consider identifying your distribution with a
 # unique name here.
@@ -78,7 +98,7 @@ endif()
 
 if(APPLE)
   option(MACOS_USE_DEFAULT_SEARCH_PATH "Don't prioritize system library paths" OFF)
-  option(SKIP_POSTPROCESS_BUNDLE "Skip postprocessing bundle for redistributability" OFF) 
+  option(SKIP_POSTPROCESS_BUNDLE "Skip postprocessing bundle for redistributability" OFF)
   # Enable adhoc code signing by default (otherwise makefile builds on ARM will not work)
   option(MACOS_CODE_SIGNING "Enable codesigning" ON)
   set(MACOS_CODE_SIGNING_IDENTITY "-" CACHE STRING "The identity used for codesigning.")
@@ -108,6 +128,8 @@ include(CheckAndAddFlag)
 include(CheckCCompilerFlag)
 include(CheckVendoringApproved)
 include(DolphinCompileDefinitions)
+include(DolphinDisableWarningsMSVC)
+include(RemoveCompileFlag)
 
 # Enable folders for IDE
 set_property(GLOBAL PROPERTY USE_FOLDERS ON)
@@ -244,16 +266,60 @@ elseif(CMAKE_GENERATOR MATCHES "Visual Studio")
   add_compile_options("/MP")
 endif()
 
-if(CMAKE_C_COMPILER_ID MATCHES "MSVC")
+if(MSVC)
   check_and_add_flag(EXCEPTIONS /EHsc)
   dolphin_compile_definitions(_DEBUG DEBUG_ONLY)
 
+  # Disable RTTI
+  add_compile_options(/GR-)
+
+  # Set warning level 4 (the highest)
+  add_compile_options(/W4)
+
+  # Treat all warnings as errors
+  add_compile_options(/WX)
+
+  # Disable some warnings
+  add_compile_options(
+    /wd4201 # nonstandard extension used : nameless struct/union
+    /wd4127 # conditional expression is constant
+    /wd4100 # 'identifier' : unreferenced formal parameter
+    /wd4200 # InputCommon fix temp.
+    /wd4244 # 'conversion' conversion from 'type1' to 'type2', possible loss of data
+    /wd4121 # 'symbol' : alignment of a member was sensitive to packing
+    /wd4324 # Padding was added at the end of a structure because you specified a __declspec(align) value.
+    /wd4714 # function 'function' marked as __forceinline not inlined
+    /wd4351 # new behavior: elements of array 'array' will be default initialized
+    # TODO: Enable this warning once possible
+    /wd4245 # conversion from 'type1' to 'type2', signed/unsigned mismatch
+    # Currently jits use some annoying code patterns which makes this common
+  )
+
+  # Additional warnings
+  add_compile_options(
+    /w44263 # Non-virtual member function hides base class virtual function
+    /w44265 # Class has virtual functions, but destructor is not virtual
+    /w44946 # Reinterpret cast between related types
+  )
+
+  # All files are encoded as UTF-8
+  add_compile_options(/utf-8)
+
+  # Ignore warnings in external headers
+  add_compile_options(/external:anglebrackets)
+  add_compile_options(/external:W0)
+  add_compile_options(/external:templates-)
+
+  # Request deterministic builds
+  add_compile_options(/experimental:deterministic)
+  add_link_options(/experimental:deterministic)
+
   # Enable function-level linking
   add_compile_options(/Gy)
   # Generate intrinsic functions
   add_compile_options(/Oi)
-  # Disable buffer security check
-  add_compile_options(/GS-)
+  # Enable buffer security check on Debug, disable otherwise
+  add_compile_options($<IF:$<CONFIG:Debug>,/GS,/GS->)
   # Enforce C++ standard conforming conversion rules to catch possible bugs
   add_compile_options(/permissive-)
   # Remove unreferenced inline functions/data to reduce link time and catch bugs
@@ -272,6 +338,9 @@ if(CMAKE_C_COMPILER_ID MATCHES "MSVC")
     /wd5105 # macro expansion producing 'defined' has undefined behavior
   )
 
+  # Use 'precise' floating point model
+  add_compile_options(/fp:precise)
+
   string(APPEND CMAKE_EXE_LINKER_FLAGS " /NXCOMPAT")
   # Generate debug data
   string(APPEND CMAKE_EXE_LINKER_FLAGS " /DEBUG")
@@ -494,7 +563,7 @@ if(ENCODE_FRAMEDUMPS)
   endif()
   find_package(FFmpeg COMPONENTS avcodec avformat avutil swresample swscale)
   if(FFmpeg_FOUND)
-    if(APPLE) 
+    if(APPLE)
       find_library(COREMEDIA_LIBRARY CoreMedia)
       find_library(VIDEOTOOLBOX_LIBRARY VideoToolbox)
       find_library(COREVIDEO_LIBRARY CoreVideo)
@@ -502,6 +571,12 @@ if(ENCODE_FRAMEDUMPS)
     endif()
     message(STATUS "libav/ffmpeg found, enabling AVI frame dumps")
     add_definitions(-DHAVE_FFMPEG)
+    if(WIN32)
+      # Our prebuilt binaries depend on Bcrypt
+      set_property(TARGET FFmpeg::avutil APPEND PROPERTY
+        INTERFACE_LINK_LIBRARIES "Bcrypt.lib"
+      )
+    endif()
   else()
     message(STATUS "libav/ffmpeg not found, disabling AVI frame dumps")
   endif()
diff --git a/CMakeSettings.json b/CMakeSettings.json
index 94812b270f..491c378ec8 100644
--- a/CMakeSettings.json
+++ b/CMakeSettings.json
@@ -10,8 +10,8 @@
       "cmakeCommandArgs": "",
       "variables": [
         {
-          "name": "QT_DIR",
-          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\x64\\lib\\cmake\\Qt6"
+          "name": "CMAKE_PREFIX_PATH",
+          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\x64"
         }
       ]
     },
@@ -25,8 +25,8 @@
       "cmakeCommandArgs": "",
       "variables": [
         {
-          "name": "QT_DIR",
-          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\x64\\lib\\cmake\\Qt6"
+          "name": "CMAKE_PREFIX_PATH",
+          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\x64"
         }
       ]
     },
@@ -40,8 +40,8 @@
       "cmakeCommandArgs": "",
       "variables": [
         {
-          "name": "QT_DIR",
-          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\ARM64\\lib\\cmake\\Qt6"
+          "name": "CMAKE_PREFIX_PATH",
+          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\ARM64"
         },
         {
           "name": "CMAKE_SYSTEM_NAME",
@@ -63,8 +63,8 @@
       "cmakeCommandArgs": "",
       "variables": [
         {
-          "name": "QT_DIR",
-          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\ARM64\\lib\\cmake\\Qt6"
+          "name": "CMAKE_PREFIX_PATH",
+          "value": "${workspaceRoot}\\Externals\\Qt\\Qt6.3.0\\ARM64"
         },
         {
           "name": "CMAKE_SYSTEM_NAME",
diff --git a/Externals/Bochs_disasm/CMakeLists.txt b/Externals/Bochs_disasm/CMakeLists.txt
index 84326842cb..2a643113e3 100644
--- a/Externals/Bochs_disasm/CMakeLists.txt
+++ b/Externals/Bochs_disasm/CMakeLists.txt
@@ -4,6 +4,7 @@ add_library(bdisasm STATIC
   resolve.cc
   syntax.cc
 )
+dolphin_disable_warnings_msvc(bdisasm)
 
 if (WIN32)
   target_sources(bdisasm
diff --git a/Externals/FreeSurround/CMakeLists.txt b/Externals/FreeSurround/CMakeLists.txt
index 6d488f155e..d7f8bc3ea2 100644
--- a/Externals/FreeSurround/CMakeLists.txt
+++ b/Externals/FreeSurround/CMakeLists.txt
@@ -1,6 +1,8 @@
-set(CMAKE_CXX_STANDARD 14)
-set(CMAKE_CXX_STANDARD_REQUIRED ON)
-set(CMAKE_CXX_EXTENSIONS OFF)
+if (NOT MSVC)
+  set(CMAKE_CXX_STANDARD 14)
+  set(CMAKE_CXX_STANDARD_REQUIRED ON)
+  set(CMAKE_CXX_EXTENSIONS OFF)
+endif()
 
 set(SRCS
   source/ChannelMaps.cpp
@@ -10,5 +12,6 @@ set(SRCS
 )
 
 add_library(FreeSurround STATIC ${SRCS})
+dolphin_disable_warnings_msvc(FreeSurround)
 target_include_directories(FreeSurround PUBLIC include)
 target_compile_options(FreeSurround PRIVATE -w)
diff --git a/Externals/LZO/CMakeLists.txt b/Externals/LZO/CMakeLists.txt
index 48d1af1b1e..3bb91ee5c5 100644
--- a/Externals/LZO/CMakeLists.txt
+++ b/Externals/LZO/CMakeLists.txt
@@ -1,6 +1,7 @@
 add_library(lzo2 STATIC
   minilzo.c
 )
+dolphin_disable_warnings_msvc(lzo2)
 
 target_include_directories(lzo2
 PUBLIC
diff --git a/Externals/Qt b/Externals/Qt
index 9498dbe942..376baafde6 160000
--- a/Externals/Qt
+++ b/Externals/Qt
@@ -1 +1 @@
-Subproject commit 9498dbe9421a80da674212fee0bf745883464992
+Subproject commit 376baafde6cce2f8892c34c17ed397afa6c46d08
diff --git a/Externals/SFML/CMakeLists.txt b/Externals/SFML/CMakeLists.txt
index 0e82eae1ec..aac2192cad 100644
--- a/Externals/SFML/CMakeLists.txt
+++ b/Externals/SFML/CMakeLists.txt
@@ -25,3 +25,5 @@ set(SRC_SYSTEM
 
 add_library(sfml-network ${SRC_NETWORK})
 add_library(sfml-system ${SRC_SYSTEM})
+dolphin_disable_warnings_msvc(sfml-network)
+dolphin_disable_warnings_msvc(sfml-system)
diff --git a/Externals/WIL/tests/cpplatest/CMakeLists.txt b/Externals/WIL/tests/cpplatest/CMakeLists.txt
index 22e45cc940..7255c97ef3 100644
--- a/Externals/WIL/tests/cpplatest/CMakeLists.txt
+++ b/Externals/WIL/tests/cpplatest/CMakeLists.txt
@@ -1,7 +1,9 @@
 
 # Compilers often don't use the latest C++ standard as the default. Periodically update this value (possibly conditioned
 # on compiler) as new standards are ratified/support is available
-set(CMAKE_CXX_STANDARD 17)
+if (NOT MSVC)
+  set(CMAKE_CXX_STANDARD 17)
+endif()
 
 project(witest.cpplatest)
 add_executable(witest.cpplatest)
diff --git a/Externals/bzip2/CMakeLists.txt b/Externals/bzip2/CMakeLists.txt
index 32ad4882d3..f19d532e1b 100644
--- a/Externals/bzip2/CMakeLists.txt
+++ b/Externals/bzip2/CMakeLists.txt
@@ -70,6 +70,7 @@ set(BZIP2_SRCS
 
 add_library(bzip2 STATIC ${BZIP2_SRCS} ${BZIP2_PUBLIC_HDRS} ${BZIP2_PRIVATE_HDRS})
 add_library(BZip2::BZip2 ALIAS bzip2)
+dolphin_disable_warnings_msvc(bzip2)
 
 target_include_directories(bzip2
 PUBLIC
diff --git a/Externals/cpp-optparse/CMakeLists.txt b/Externals/cpp-optparse/CMakeLists.txt
index f5d05fa2f3..0f92f22bfd 100644
--- a/Externals/cpp-optparse/CMakeLists.txt
+++ b/Externals/cpp-optparse/CMakeLists.txt
@@ -3,4 +3,5 @@ check_and_add_flag(CXX11 -std=c++11)
 set(SRCS OptionParser.cpp OptionParser.h)
 
 add_library(cpp-optparse STATIC ${SRCS})
+dolphin_disable_warnings_msvc(cpp-optparse)
 target_include_directories(cpp-optparse PUBLIC .)
diff --git a/Externals/cubeb/CMakeLists.txt b/Externals/cubeb/CMakeLists.txt
index 3604041d7d..7cd84dee8b 100644
--- a/Externals/cubeb/CMakeLists.txt
+++ b/Externals/cubeb/CMakeLists.txt
@@ -15,9 +15,12 @@ endif()
 if(POLICY CMP0063)
   cmake_policy(SET CMP0063 NEW)
 endif()
-set(CMAKE_C_STANDARD 99)
-set(CMAKE_CXX_STANDARD 11)
-set(CMAKE_CXX_STANDARD_REQUIRED ON)
+
+if (NOT MSVC)
+  set(CMAKE_C_STANDARD 99)
+  set(CMAKE_CXX_STANDARD 11)
+  set(CMAKE_CXX_STANDARD_REQUIRED ON)
+endif()
 
 if(NOT COMMAND add_sanitizers)
   list(APPEND CMAKE_MODULE_PATH "${PROJECT_SOURCE_DIR}/cmake/sanitizers-cmake/cmake")
@@ -45,6 +48,7 @@ add_library(cubeb
   src/cubeb_log.cpp
   src/cubeb_strings.c
    $<TARGET_OBJECTS:speex>)
+dolphin_disable_warnings_msvc(cubeb)
 target_include_directories(cubeb
   PUBLIC $<BUILD_INTERFACE:${CMAKE_CURRENT_SOURCE_DIR}/include> $<INSTALL_INTERFACE:include>
 )
@@ -97,6 +101,7 @@ install(
 
 add_library(speex OBJECT
   src/speex/resample.c)
+dolphin_disable_warnings_msvc(speex)
 set_target_properties(speex PROPERTIES POSITION_INDEPENDENT_CODE TRUE)
 target_compile_definitions(speex PRIVATE OUTSIDE_SPEEX)
 target_compile_definitions(speex PRIVATE FLOATING_POINT)
diff --git a/Externals/curl/lib/CMakeLists.txt b/Externals/curl/lib/CMakeLists.txt
index a4be4013ef..d2900d22d0 100644
--- a/Externals/curl/lib/CMakeLists.txt
+++ b/Externals/curl/lib/CMakeLists.txt
@@ -12,6 +12,7 @@ add_library(
   STATIC
   ${SRCS}
   )
+dolphin_disable_warnings_msvc(curl)
 
 target_link_libraries(curl ${MBEDTLS_LIBRARIES} z)
 target_compile_definitions(curl PUBLIC CURL_STATICLIB PRIVATE CURL_DISABLE_LDAP)
diff --git a/Externals/discord-rpc/src/CMakeLists.txt b/Externals/discord-rpc/src/CMakeLists.txt
index 8e20faac86..e3296173e0 100644
--- a/Externals/discord-rpc/src/CMakeLists.txt
+++ b/Externals/discord-rpc/src/CMakeLists.txt
@@ -4,7 +4,9 @@ option(ENABLE_IO_THREAD "Start up a separate I/O thread, otherwise I'd need to c
 option(USE_STATIC_CRT "Use /MT[d] for dynamic library" OFF)
 option(WARNINGS_AS_ERRORS "When enabled, compiles with `-Werror` (on *nix platforms)." OFF)
 
-set(CMAKE_CXX_STANDARD 14)
+if (NOT MSVC)
+  set(CMAKE_CXX_STANDARD 14)
+endif()
 
 set(BASE_RPC_SRC
     ${PROJECT_SOURCE_DIR}/include/discord_rpc.h
@@ -29,6 +31,7 @@ if(WIN32)
     add_definitions(-DDISCORD_WINDOWS)
     set(BASE_RPC_SRC ${BASE_RPC_SRC} connection_win.cpp discord_register_win.cpp)
     add_library(discord-rpc ${BASE_RPC_SRC})
+    dolphin_disable_warnings_msvc(discord-rpc)
     if (MSVC)
         if(USE_STATIC_CRT)
             foreach(CompilerFlag
diff --git a/Externals/ed25519/CMakeLists.txt b/Externals/ed25519/CMakeLists.txt
index a3a68d536f..1e0080b12b 100644
--- a/Externals/ed25519/CMakeLists.txt
+++ b/Externals/ed25519/CMakeLists.txt
@@ -11,3 +11,4 @@ add_library(ed25519
   sc.c
   sha512.c
   verify.c)
+dolphin_disable_warnings_msvc(ed25519)
diff --git a/Externals/enet/CMakeLists.txt b/Externals/enet/CMakeLists.txt
index f364ff7f5b..7f9a2473df 100644
--- a/Externals/enet/CMakeLists.txt
+++ b/Externals/enet/CMakeLists.txt
@@ -72,6 +72,7 @@ add_library(enet STATIC
         unix.c
         win32.c
     )
+dolphin_disable_warnings_msvc(enet)
 if(HAIKU)
   target_link_libraries(enet network)
 endif(HAIKU)
diff --git a/Externals/fmt/CMakeLists.txt b/Externals/fmt/CMakeLists.txt
index 1d07bb4adf..f6d8bd50db 100755
--- a/Externals/fmt/CMakeLists.txt
+++ b/Externals/fmt/CMakeLists.txt
@@ -229,6 +229,7 @@ else()
 endif ()
 
 add_library(fmt ${FMT_SOURCES} ${FMT_HEADERS} README.rst ChangeLog.rst)
+dolphin_disable_warnings_msvc(fmt)
 add_library(fmt::fmt ALIAS fmt)
 
 if (FMT_WERROR)
diff --git a/Externals/glslang/CMakeLists.txt b/Externals/glslang/CMakeLists.txt
index e6d171d8d8..df5dfa0408 100644
--- a/Externals/glslang/CMakeLists.txt
+++ b/Externals/glslang/CMakeLists.txt
@@ -73,6 +73,7 @@ endif()
 endif()
 
 add_library(glslang STATIC ${SRCS})
+dolphin_disable_warnings_msvc(glslang)
 
 target_include_directories(glslang
 PRIVATE
diff --git a/Externals/hidapi/CMakeLists.txt b/Externals/hidapi/CMakeLists.txt
index 42b16d9f01..1cf77404f0 100644
--- a/Externals/hidapi/CMakeLists.txt
+++ b/Externals/hidapi/CMakeLists.txt
@@ -1,6 +1,7 @@
 project(hidapi)
 
 add_library(hidapi STATIC hidapi/hidapi.h)
+dolphin_disable_warnings_msvc(hidapi)
 target_include_directories(hidapi PUBLIC hidapi)
 
 if(APPLE)
diff --git a/Externals/imgui/CMakeLists.txt b/Externals/imgui/CMakeLists.txt
index b3d48432a1..16e5ee486f 100644
--- a/Externals/imgui/CMakeLists.txt
+++ b/Externals/imgui/CMakeLists.txt
@@ -1,6 +1,8 @@
-set(CMAKE_CXX_STANDARD 17)
-set(CMAKE_CXX_STANDARD_REQUIRED ON)
-set(CMAKE_CXX_EXTENSIONS OFF)
+if (NOT MSVC)
+  set(CMAKE_CXX_STANDARD 17)
+  set(CMAKE_CXX_STANDARD_REQUIRED ON)
+  set(CMAKE_CXX_EXTENSIONS OFF)
+endif()
 
 set(SRCS
   imgui.cpp
@@ -10,10 +12,10 @@ set(SRCS
 )
 
 add_library(imgui STATIC ${SRCS})
+dolphin_disable_warnings_msvc(imgui)
 target_include_directories(imgui PUBLIC "${CMAKE_CURRENT_SOURCE_DIR}")
 
 target_link_libraries(imgui
 PRIVATE
-  common
   fmt::fmt
 )
diff --git a/Externals/libiconv-1.14/CMakeLists.txt b/Externals/libiconv-1.14/CMakeLists.txt
index 9a0660b254..571a6f791c 100644
--- a/Externals/libiconv-1.14/CMakeLists.txt
+++ b/Externals/libiconv-1.14/CMakeLists.txt
@@ -7,3 +7,4 @@ set(SRCS	lib/iconv.c
 )
 
 add_library(iconv STATIC ${SRCS})
+dolphin_disable_warnings_msvc(iconv)
diff --git a/Externals/liblzma/CMakeLists.txt b/Externals/liblzma/CMakeLists.txt
index 11d6c77035..dd979c5b68 100644
--- a/Externals/liblzma/CMakeLists.txt
+++ b/Externals/liblzma/CMakeLists.txt
@@ -207,6 +207,7 @@ set(LZMA_SRCS
 
 add_library(lzma STATIC ${LZMA_SRCS} ${LZMA_PUBLIC_HDRS})
 add_library(LibLZMA::LibLZMA ALIAS lzma)
+dolphin_disable_warnings_msvc(lzma)
 
 target_compile_definitions(lzma PUBLIC LZMA_API_STATIC)
 
diff --git a/Externals/libpng/CMakeLists.txt b/Externals/libpng/CMakeLists.txt
index d0da8580a6..dabe91af1d 100644
--- a/Externals/libpng/CMakeLists.txt
+++ b/Externals/libpng/CMakeLists.txt
@@ -39,6 +39,8 @@ add_library(png STATIC
   pngwutil.c
 )
 
+dolphin_disable_warnings_msvc(png)
+
 option(PNG_HARDWARE_OPTIMIZATIONS "Enable hardware optimizations for libpng" OFF)
 
 if(PNG_HARDWARE_OPTIMIZATIONS)
diff --git a/Externals/libusb/CMakeLists.txt b/Externals/libusb/CMakeLists.txt
index a3c5e73e4f..f3bed0d1f0 100644
--- a/Externals/libusb/CMakeLists.txt
+++ b/Externals/libusb/CMakeLists.txt
@@ -6,6 +6,8 @@ add_library(usb STATIC EXCLUDE_FROM_ALL
     libusb/libusb/strerror.c
     libusb/libusb/sync.c
 )
+dolphin_disable_warnings_msvc(usb)
+
 set_target_properties(usb PROPERTIES VERSION 1.0.26)
 if(WIN32)
     target_include_directories(usb BEFORE PUBLIC libusb/libusb PRIVATE libusb/msvc)
@@ -26,6 +28,7 @@ if(WIN32 OR CYGWIN)
       libusb/libusb/os/windows_common.c
       libusb/libusb/os/windows_usbdk.c
       libusb/libusb/os/windows_winusb.c
+      libusb/libusb/os/events_windows.c
     )
     set(PLATFORM_WINDOWS TRUE)
 elseif(APPLE)
diff --git a/Externals/mGBA/CMakeLists.txt b/Externals/mGBA/CMakeLists.txt
index 4a87c7b58c..edeea5438a 100644
--- a/Externals/mGBA/CMakeLists.txt
+++ b/Externals/mGBA/CMakeLists.txt
@@ -1,6 +1,7 @@
 set(LIBMGBA_ONLY ON)
 set(USE_LZMA ON)
 add_subdirectory(mgba EXCLUDE_FROM_ALL)
+dolphin_disable_warnings_msvc(mgba)
 
 if(NOT MSVC)
   target_compile_options(mgba PRIVATE -Wno-unused-parameter -Wno-unused-result -Wno-unused-variable)
diff --git a/Externals/mbedtls/library/CMakeLists.txt b/Externals/mbedtls/library/CMakeLists.txt
index 0a600674db..ba0b337ea1 100644
--- a/Externals/mbedtls/library/CMakeLists.txt
+++ b/Externals/mbedtls/library/CMakeLists.txt
@@ -189,28 +189,34 @@ endif()
 
 if(USE_STATIC_MBEDTLS_LIBRARY)
     add_library(${mbedcrypto_static_target} STATIC ${src_crypto})
+    dolphin_disable_warnings_msvc(${mbedcrypto_static_target})
     set_target_properties(${mbedcrypto_static_target} PROPERTIES OUTPUT_NAME mbedcrypto)
     target_link_libraries(${mbedcrypto_static_target} PUBLIC ${libs})
 
     add_library(${mbedx509_static_target} STATIC ${src_x509})
+    dolphin_disable_warnings_msvc(${mbedx509_static_target})
     set_target_properties(${mbedx509_static_target} PROPERTIES OUTPUT_NAME mbedx509)
     target_link_libraries(${mbedx509_static_target} PUBLIC ${libs} ${mbedcrypto_static_target})
 
     add_library(${mbedtls_static_target} STATIC ${src_tls})
+    dolphin_disable_warnings_msvc(${mbedtls_static_target})
     set_target_properties(${mbedtls_static_target} PROPERTIES OUTPUT_NAME mbedtls)
     target_link_libraries(${mbedtls_static_target} PUBLIC ${libs} ${mbedx509_static_target})
 endif(USE_STATIC_MBEDTLS_LIBRARY)
 
 if(USE_SHARED_MBEDTLS_LIBRARY)
     add_library(${mbedcrypto_target} SHARED ${src_crypto})
+    dolphin_disable_warnings_msvc(${mbedcrypto_target})
     set_target_properties(${mbedcrypto_target} PROPERTIES VERSION 2.28.0 SOVERSION 7)
     target_link_libraries(${mbedcrypto_target} PUBLIC ${libs})
 
     add_library(${mbedx509_target} SHARED ${src_x509})
+    dolphin_disable_warnings_msvc(${mbedx509_target})
     set_target_properties(${mbedx509_target} PROPERTIES VERSION 2.28.0 SOVERSION 1)
     target_link_libraries(${mbedx509_target} PUBLIC ${libs} ${mbedcrypto_target})
 
     add_library(${mbedtls_target} SHARED ${src_tls})
+    dolphin_disable_warnings_msvc(${mbedtls_target})
     set_target_properties(${mbedtls_target} PROPERTIES VERSION 2.28.0 SOVERSION 14)
     target_link_libraries(${mbedtls_target} PUBLIC ${libs} ${mbedx509_target})
 endif(USE_SHARED_MBEDTLS_LIBRARY)
diff --git a/Externals/miniupnpc/CMakeLists.txt b/Externals/miniupnpc/CMakeLists.txt
index f5d3f2e3ad..602de41c55 100644
--- a/Externals/miniupnpc/CMakeLists.txt
+++ b/Externals/miniupnpc/CMakeLists.txt
@@ -33,6 +33,7 @@ set(SRCS	src/igd_desc_parse.c
 			src/receivedata.c)
 
 add_library(miniupnpc STATIC ${SRCS})
+dolphin_disable_warnings_msvc(miniupnpc)
 target_include_directories(miniupnpc PUBLIC src)
 
 add_library(Miniupnpc::miniupnpc ALIAS miniupnpc)
diff --git a/Externals/minizip/CMakeLists.txt b/Externals/minizip/CMakeLists.txt
index b28e136681..4068cd85bc 100644
--- a/Externals/minizip/CMakeLists.txt
+++ b/Externals/minizip/CMakeLists.txt
@@ -26,6 +26,7 @@ add_library(minizip STATIC
   unzip.h
   zip.h
 )
+dolphin_disable_warnings_msvc(minizip)
 
 if (UNIX)
   target_sources(minizip PRIVATE
diff --git a/Externals/pugixml/CMakeLists.txt b/Externals/pugixml/CMakeLists.txt
index 30f06ae21d..11c0990658 100644
--- a/Externals/pugixml/CMakeLists.txt
+++ b/Externals/pugixml/CMakeLists.txt
@@ -35,6 +35,7 @@ if(BUILD_SHARED_LIBS)
 else()
 	add_library(pugixml STATIC ${SOURCES})
 endif()
+dolphin_disable_warnings_msvc(pugixml)
 
 set_target_properties(pugixml PROPERTIES VERSION 1.8 SOVERSION 1)
 get_target_property(PUGIXML_VERSION_STRING pugixml VERSION)
diff --git a/Externals/soundtouch/CMakeLists.txt b/Externals/soundtouch/CMakeLists.txt
index 74acedfb4f..eefc3a8bba 100644
--- a/Externals/soundtouch/CMakeLists.txt
+++ b/Externals/soundtouch/CMakeLists.txt
@@ -16,4 +16,5 @@ set(SRCS
 	)
 
 add_library(SoundTouch STATIC ${SRCS})
+dolphin_disable_warnings_msvc(SoundTouch)
 add_definitions(-w)
diff --git a/Externals/xxhash/CMakeLists.txt b/Externals/xxhash/CMakeLists.txt
index 8218f801d8..1a3d637387 100644
--- a/Externals/xxhash/CMakeLists.txt
+++ b/Externals/xxhash/CMakeLists.txt
@@ -1,6 +1,7 @@
 project(xxhash C)
 
 add_library(xxhash STATIC xxhash.c)
+dolphin_disable_warnings_msvc(xxhash)
 target_include_directories(xxhash
 PUBLIC
   ${CMAKE_CURRENT_SOURCE_DIR}
diff --git a/Externals/zlib/CMakeLists.txt b/Externals/zlib/CMakeLists.txt
index 6f865141a5..da707ea76d 100644
--- a/Externals/zlib/CMakeLists.txt
+++ b/Externals/zlib/CMakeLists.txt
@@ -86,6 +86,7 @@ set(ZLIB_SRCS
 )
 
 add_library(z STATIC ${ZLIB_SRCS} ${ZLIB_DLL_SRCS} ${ZLIB_PUBLIC_HDRS} ${ZLIB_PRIVATE_HDRS})
+dolphin_disable_warnings_msvc(z)
 add_library(ZLIB::ZLIB ALIAS z)
 
 target_include_directories(z
diff --git a/Externals/zstd/CMakeLists.txt b/Externals/zstd/CMakeLists.txt
index 7d9cb1baaf..77932c74e7 100644
--- a/Externals/zstd/CMakeLists.txt
+++ b/Externals/zstd/CMakeLists.txt
@@ -115,6 +115,7 @@ set(ZSTD_SRCS
 )
 
 add_library(zstd STATIC ${ZSTD_SRCS} ${ZSTD_PUBLIC_HDRS} ${ZSTD_PRIVATE_HDRS})
+dolphin_disable_warnings_msvc(zstd)
 add_library(zstd::zstd ALIAS zstd)
 
 target_include_directories(zstd
diff --git a/Source/CMakeLists.txt b/Source/CMakeLists.txt
index 9aa5ff1bdc..c9d2edb516 100644
--- a/Source/CMakeLists.txt
+++ b/Source/CMakeLists.txt
@@ -18,62 +18,17 @@ if(CMAKE_SYSTEM_NAME MATCHES "Windows")
   add_definitions(-D_SILENCE_CXX20_OLD_SHARED_PTR_ATOMIC_SUPPORT_DEPRECATION_WARNING)
 endif()
 
-if (MSVC)
-  set(CMAKE_CXX_STANDARD 20)
-  set(CMAKE_CXX20_STANDARD_COMPILE_OPTION "-std:c++latest")
-else()
+if (NOT MSVC)
   set(CMAKE_CXX_STANDARD 17)
+  set(CMAKE_CXX_STANDARD_REQUIRED ON)
+  set(CMAKE_CXX_EXTENSIONS OFF)
 endif()
 
-set(CMAKE_CXX_STANDARD_REQUIRED ON)
-set(CMAKE_CXX_EXTENSIONS OFF)
 set(CMAKE_EXPORT_COMPILE_COMMANDS ON)
 
 if (MSVC)
-  # TODO: Use https://cmake.org/cmake/help/latest/policy/CMP0092.html instead (once we can require CMake >= 3.15)
-  # Taken from http://www.cmake.org/Wiki/CMake_FAQ#Dynamic_Replace.
-  foreach(flag_var
-          CMAKE_CXX_FLAGS CMAKE_CXX_FLAGS_DEBUG CMAKE_CXX_FLAGS_RELEASE
-          MAKE_CXX_FLAGS_MINSIZEREL CMAKE_CXX_FLAGS_RELWITHDEBINFO)
-    # Replaces /W3 with /W4 in defaults (add_compile_options would cause very annoying warnings here)
-    string(REPLACE "/W3" "/W4" ${flag_var} "${${flag_var}}")
-  endforeach()
-
-  # Disable some warnings
-  add_compile_options(
-    /wd4201 # nonstandard extension used : nameless struct/union
-    /wd4127 # conditional expression is constant
-    /wd4100 # 'identifier' : unreferenced formal parameter
-    /wd4200 # InputCommon fix temp.
-    /wd4244 # 'conversion' conversion from 'type1' to 'type2', possible loss of data
-    /wd4121 # 'symbol' : alignment of a member was sensitive to packing
-    /wd4324 # Padding was added at the end of a structure because you specified a __declspec(align) value.
-    /wd4714 # function 'function' marked as __forceinline not inlined
-    /wd4351 # new behavior: elements of array 'array' will be default initialized
-    # TODO: Enable this warning once possible
-    /wd4245 # conversion from 'type1' to 'type2', signed/unsigned mismatch
-    # Currently jits use some annoying code patterns which makes this common
-  )
-
-  # Additional warnings
-  add_compile_options(
-    /w44263 # Non-virtual member function hides base class virtual function
-    /w44265 # Class has virtual functions, but destructor is not virtual
-  )
-
-  # Treat all warnings as errors
-  add_compile_options(/WX)
-
-  # All files are encoded as UTF-8
-  add_compile_options(/utf-8)
-
-  # Use PCH
+  # Compile PCH
   add_subdirectory(PCH)
-  add_definitions(/I${PCH_DIRECTORY})
-  add_definitions(/Yu${PCH_PATH})
-
-  # Don't include timestamps in binaries
-  add_link_options(/Brepro)
 else()
   check_and_add_flag(HAVE_WALL -Wall)
   # TODO: would like these but they produce overwhelming amounts of warnings
diff --git a/Source/Core/AudioCommon/CMakeLists.txt b/Source/Core/AudioCommon/CMakeLists.txt
index dfa20f6194..b3a9c57b42 100644
--- a/Source/Core/AudioCommon/CMakeLists.txt
+++ b/Source/Core/AudioCommon/CMakeLists.txt
@@ -83,3 +83,8 @@ PRIVATE
   cubeb
   SoundTouch
   FreeSurround)
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(audiocommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/Common/CMakeLists.txt b/Source/Core/Common/CMakeLists.txt
index 3ede46e870..52448c9ea9 100644
--- a/Source/Core/Common/CMakeLists.txt
+++ b/Source/Core/Common/CMakeLists.txt
@@ -287,7 +287,7 @@ if(CMAKE_SYSTEM_NAME STREQUAL "Linux")
 endif()
 
 if(CMAKE_SYSTEM_NAME STREQUAL "Windows")
-  target_sources(common PUBLIC HRWrap.h HRWrap.cpp)
+  target_sources(common PRIVATE HRWrap.h HRWrap.cpp)
 endif()
 
 if(USE_UPNP)
@@ -308,3 +308,13 @@ if(UNIX)
 elseif(WIN32)
   target_link_libraries(common PRIVATE "-INCLUDE:enableCompatPatches")
 endif()
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(common PRIVATE use_pch)
+
+  # We need to disable PCH for this one file, because it's C and our PCH is C++
+  set_source_files_properties(
+    ${CMAKE_CURRENT_SOURCE_DIR}/ImageC.c
+    PROPERTIES COMPILE_FLAGS "/Y- /I${CMAKE_SOURCE_DIR}/Source/PCH/nopch")
+endif()
diff --git a/Source/Core/Core/CMakeLists.txt b/Source/Core/Core/CMakeLists.txt
index 4063e01562..e9ac274a06 100644
--- a/Source/Core/Core/CMakeLists.txt
+++ b/Source/Core/Core/CMakeLists.txt
@@ -702,3 +702,8 @@ if(UNIX)
     MemoryWatcher.h
   )
 endif()
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(core PRIVATE use_pch)
+endif()
diff --git a/Source/Core/DiscIO/CMakeLists.txt b/Source/Core/DiscIO/CMakeLists.txt
index e9627d0156..68028dbcfc 100644
--- a/Source/Core/DiscIO/CMakeLists.txt
+++ b/Source/Core/DiscIO/CMakeLists.txt
@@ -77,3 +77,8 @@ PRIVATE
   pugixml
   ZLIB::ZLIB
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(discio PRIVATE use_pch)
+endif()
diff --git a/Source/Core/DolphinNoGUI/CMakeLists.txt b/Source/Core/DolphinNoGUI/CMakeLists.txt
index 3943582ad2..f21955d809 100644
--- a/Source/Core/DolphinNoGUI/CMakeLists.txt
+++ b/Source/Core/DolphinNoGUI/CMakeLists.txt
@@ -26,6 +26,11 @@ PRIVATE
   cpp-optparse
 )
 
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(dolphin-nogui PRIVATE use_pch)
+endif()
+
 if(USE_DISCORD_PRESENCE)
   target_compile_definitions(dolphin-nogui PRIVATE -DUSE_DISCORD_PRESENCE)
 endif()
diff --git a/Source/Core/DolphinQt/CMakeLists.txt b/Source/Core/DolphinQt/CMakeLists.txt
index 000e5767a4..4867d30e9d 100644
--- a/Source/Core/DolphinQt/CMakeLists.txt
+++ b/Source/Core/DolphinQt/CMakeLists.txt
@@ -382,9 +382,6 @@ if (WIN32)
 endif()
 
 if (MSVC)
-  # Don't propogate warnings in qt headers to Dolphin
-  target_compile_options(dolphin-emu PRIVATE /experimental:external)
-  target_compile_options(dolphin-emu PRIVATE /external:W0)
   set(qtGui "")
   set(qtGuiPriv "")
   set(qtWidgetsPriv "")
@@ -394,6 +391,15 @@ if (MSVC)
   target_compile_options(dolphin-emu PRIVATE "${qtGui}")
   target_compile_options(dolphin-emu PRIVATE "${qtGuiPriv}")
   target_compile_options(dolphin-emu PRIVATE "${qtWidgets}")
+
+  if ("${QT_VERSION_MAJOR}" GREATER_EQUAL 6)
+    # Qt6 requires RTTI
+    remove_cxx_flag_from_target(dolphin-emu "/GR-")
+    target_compile_options(dolphin-emu PRIVATE "/GR")
+  else()
+    # Add precompiled header
+    target_link_libraries(audiocommon PRIVATE use_pch)
+  endif()
 endif()
 
 if(WIN32)
@@ -430,6 +436,13 @@ if(WIN32)
   get_filename_component(QT_BINARY_DIRECTORY "${MOC_EXECUTABLE_LOCATION}" DIRECTORY)
   find_program(WINDEPLOYQT_EXE windeployqt HINTS "${QT_BINARY_DIRECTORY}")
 
+  if ("${QT_VERSION_MAJOR}" LESS 6)
+    set(NO_ANGLE_PARAM "--no-angle")
+  else()
+    # parameter no longer exists in Qt6
+    set(NO_ANGLE_PARAM "")
+  endif()
+
   # Note: We set the PATH for the duration of this command so that the
   #       deployment application is able to locate the Qt libraries to copy.
   #       if the necessary paths aren't already set beforehand.
@@ -452,7 +465,7 @@ if(WIN32)
                                  --no-translations
                                  --no-compiler-runtime
                                  --no-system-d3d-compiler
-                                 --no-angle
+                                 "${NO_ANGLE_PARAM}"
                                  --no-opengl-sw
                                  "$<TARGET_FILE:dolphin-emu>"
   )
diff --git a/Source/Core/DolphinTool/CMakeLists.txt b/Source/Core/DolphinTool/CMakeLists.txt
index cba3b0218a..5e545225ec 100644
--- a/Source/Core/DolphinTool/CMakeLists.txt
+++ b/Source/Core/DolphinTool/CMakeLists.txt
@@ -19,5 +19,10 @@ PRIVATE
   cpp-optparse
 )
 
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(dolphin-tool PRIVATE use_pch)
+endif()
+
 set(CPACK_PACKAGE_EXECUTABLES ${CPACK_PACKAGE_EXECUTABLES} dolphin-tool)
 install(TARGETS dolphin-tool RUNTIME DESTINATION ${bindir})
diff --git a/Source/Core/InputCommon/CMakeLists.txt b/Source/Core/InputCommon/CMakeLists.txt
index 4f9510d7a5..910d64d8d4 100644
--- a/Source/Core/InputCommon/CMakeLists.txt
+++ b/Source/Core/InputCommon/CMakeLists.txt
@@ -205,3 +205,8 @@ if(ENABLE_SDL)
     message(STATUS "SDL NOT found, disabling SDL input")
   endif()
 endif()
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(inputcommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/UICommon/CMakeLists.txt b/Source/Core/UICommon/CMakeLists.txt
index 73cce4941c..2b7d5bd2a6 100644
--- a/Source/Core/UICommon/CMakeLists.txt
+++ b/Source/Core/UICommon/CMakeLists.txt
@@ -68,3 +68,8 @@ if(USE_DISCORD_PRESENCE)
   target_compile_definitions(uicommon PRIVATE -DUSE_DISCORD_PRESENCE)
   target_link_libraries(uicommon PRIVATE discord-rpc)
 endif()
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(uicommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/UpdaterCommon/CMakeLists.txt b/Source/Core/UpdaterCommon/CMakeLists.txt
index e32907da71..c026cd577d 100644
--- a/Source/Core/UpdaterCommon/CMakeLists.txt
+++ b/Source/Core/UpdaterCommon/CMakeLists.txt
@@ -10,4 +10,9 @@ target_link_libraries(updatercommon PRIVATE
   ZLIB::ZLIB
   ed25519
   cpp-optparse
-)
\ No newline at end of file
+)
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(updatercommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/D3D/CMakeLists.txt b/Source/Core/VideoBackends/D3D/CMakeLists.txt
index b8ebb509b9..f296040526 100644
--- a/Source/Core/VideoBackends/D3D/CMakeLists.txt
+++ b/Source/Core/VideoBackends/D3D/CMakeLists.txt
@@ -29,3 +29,8 @@ PUBLIC
   videocommon
   videod3dcommon
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videod3d PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/D3D12/CMakeLists.txt b/Source/Core/VideoBackends/D3D12/CMakeLists.txt
index 5b440775c0..16f458e2e9 100644
--- a/Source/Core/VideoBackends/D3D12/CMakeLists.txt
+++ b/Source/Core/VideoBackends/D3D12/CMakeLists.txt
@@ -35,3 +35,8 @@ PUBLIC
   videocommon
   videod3dcommon
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videod3d12 PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/D3DCommon/CMakeLists.txt b/Source/Core/VideoBackends/D3DCommon/CMakeLists.txt
index c3eb521252..e4e586e47a 100644
--- a/Source/Core/VideoBackends/D3DCommon/CMakeLists.txt
+++ b/Source/Core/VideoBackends/D3DCommon/CMakeLists.txt
@@ -12,3 +12,8 @@ PUBLIC
   common
   videocommon
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videod3dcommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/Null/CMakeLists.txt b/Source/Core/VideoBackends/Null/CMakeLists.txt
index 24ff04aaf0..e95877323f 100644
--- a/Source/Core/VideoBackends/Null/CMakeLists.txt
+++ b/Source/Core/VideoBackends/Null/CMakeLists.txt
@@ -17,3 +17,8 @@ PUBLIC
   common
   videocommon
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videonull PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/OGL/CMakeLists.txt b/Source/Core/VideoBackends/OGL/CMakeLists.txt
index 8b4b27a571..9a9d9caf2d 100644
--- a/Source/Core/VideoBackends/OGL/CMakeLists.txt
+++ b/Source/Core/VideoBackends/OGL/CMakeLists.txt
@@ -33,3 +33,8 @@ PUBLIC
 PRIVATE
   ${X11_LIBRARIES}
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videoogl PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/Software/CMakeLists.txt b/Source/Core/VideoBackends/Software/CMakeLists.txt
index 983cd3df3f..752fac48cc 100644
--- a/Source/Core/VideoBackends/Software/CMakeLists.txt
+++ b/Source/Core/VideoBackends/Software/CMakeLists.txt
@@ -41,3 +41,8 @@ PUBLIC
   common
   videocommon
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videosoftware PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoBackends/Vulkan/CMakeLists.txt b/Source/Core/VideoBackends/Vulkan/CMakeLists.txt
index 74127f3aba..110733e613 100644
--- a/Source/Core/VideoBackends/Vulkan/CMakeLists.txt
+++ b/Source/Core/VideoBackends/Vulkan/CMakeLists.txt
@@ -62,3 +62,8 @@ SYSTEM PRIVATE
   ${CMAKE_SOURCE_DIR}/Externals/glslang/SPIRV
   ${CMAKE_SOURCE_DIR}/Externals/glslang
 )
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videovulkan PRIVATE use_pch)
+endif()
diff --git a/Source/Core/VideoCommon/CMakeLists.txt b/Source/Core/VideoCommon/CMakeLists.txt
index 3504bc63d1..ec8f89c829 100644
--- a/Source/Core/VideoCommon/CMakeLists.txt
+++ b/Source/Core/VideoCommon/CMakeLists.txt
@@ -180,3 +180,8 @@ if(FFmpeg_FOUND)
     )
   endif()
 endif()
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(videocommon PRIVATE use_pch)
+endif()
diff --git a/Source/Core/WinUpdater/CMakeLists.txt b/Source/Core/WinUpdater/CMakeLists.txt
index d31ef9bacb..a57d039209 100644
--- a/Source/Core/WinUpdater/CMakeLists.txt
+++ b/Source/Core/WinUpdater/CMakeLists.txt
@@ -12,3 +12,8 @@ target_link_libraries(winupdater PRIVATE
 )
 
 set_target_properties(winupdater PROPERTIES OUTPUT_NAME "Updater")
+
+if(MSVC)
+  # Add precompiled header
+  target_link_libraries(winupdater PRIVATE use_pch)
+endif()
diff --git a/Source/PCH/CMakeLists.txt b/Source/PCH/CMakeLists.txt
index 7346b24dff..2ee6adaa12 100644
--- a/Source/PCH/CMakeLists.txt
+++ b/Source/PCH/CMakeLists.txt
@@ -1,6 +1,43 @@
-add_library(pch pch.h pch.cpp)
-set(PCH_DIRECTORY ${CMAKE_CURRENT_BINARY_DIR})
-set(PCH_NAME ${PCH.pch})
-target_compile_options(pch PUBLIC /Ycpch.h /Fp${PCH_DIRECTORY}/${PCH_NAME})
+# The PCH that dolphin uses for MSVC is non-standard;
+# Instead of having one PCH per module, dolphin has one PCH shared between all modules.
+# So we need to implement PCH manually, rather than using the PCH support built into cmake
+
+add_library(build_pch pch.h pch.cpp)
+
 # fmt/format.h is included in the PCH
-target_link_libraries(pch PUBLIC fmt::fmt)
+target_link_libraries(build_pch PUBLIC fmt::fmt)
+
+# pch.cpp should be compiled with the /Yc command, which creates the precompiled header
+target_compile_options(build_pch PRIVATE /Ycpch.h)
+
+# /Fp sets the location of the PCH. By forcing it to a fixed location, all modules
+# will share this one PCH. We give it a fixed name so we can depend on it later
+target_compile_options(build_pch PUBLIC /Fp$<TARGET_FILE_DIR:build_pch>/dolphin.pch )
+
+# Sharing a PCH breaks pdb files. So we use the /Z7 option to inline the pdb into
+# the binary. That also requires us to disable minimal rebuilds.
+target_compile_options(build_pch PUBLIC /Z7 /Gm-)
+
+# To get this working with ninja, we need to tell it that compiling pch.cpp generates an extra output
+set_source_files_properties(${CMAKE_CURRENT_SOURCE_DIR}/pch.cpp PROPERTIES
+    OBJECT_OUTPUTS $<TARGET_FILE_DIR:build_pch>/dolphin.pch
+)
+
+# and then create a custom target that depends on the pch output
+# so that ninja won't start building anything that depends on this
+# target before the pch is built
+add_custom_target(force_build_pch
+    DEPENDS $<TARGET_FILE_DIR:build_pch>/dolphin.pch
+)
+
+# linking against this interface libary will cause targets to enable PCH
+add_library(use_pch INTERFACE)
+target_link_libraries(use_pch INTERFACE build_pch)
+
+# targets which use the pch need these compile options
+# /Yu - Use precompiled header named "pch.h"
+# /FI - Force include "pch.h" at top of every source file
+target_compile_options(use_pch INTERFACE /Yupch.h /FIpch.h)
+
+# For ninja, we need to depend on force_build_pch
+add_dependencies(use_pch force_build_pch)
diff --git a/Source/PCH/nopch/pch.h b/Source/PCH/nopch/pch.h
new file mode 100644
index 0000000000..6b7c4c5b31
--- /dev/null
+++ b/Source/PCH/nopch/pch.h
@@ -0,0 +1,4 @@
+// dummy include to help with disabling pch for a single file
+// cmake doesn't provide a clean way to disable MSVC's force include option
+
+// So we can just point it at an empty file instead.