diff --git a/Source/Core/Core/Config/GraphicsSettings.cpp b/Source/Core/Core/Config/GraphicsSettings.cpp
index dcf6e817d8..9a9bf41485 100644
--- a/Source/Core/Core/Config/GraphicsSettings.cpp
+++ b/Source/Core/Core/Config/GraphicsSettings.cpp
@@ -97,8 +97,8 @@ const Info<bool> GFX_CPU_CULL{{System::GFX, "Settings", "CPUCull"}, false};
 
 const Info<TriState> GFX_MTL_MANUALLY_UPLOAD_BUFFERS{
     {System::GFX, "Settings", "ManuallyUploadBuffers"}, TriState::Auto};
-const Info<bool> GFX_MTL_USE_PRESENT_DRAWABLE{{System::GFX, "Settings", "MTLUsePresentDrawable"},
-                                              false};
+const Info<TriState> GFX_MTL_USE_PRESENT_DRAWABLE{
+    {System::GFX, "Settings", "MTLUsePresentDrawable"}, TriState::Auto};
 
 const Info<bool> GFX_SW_DUMP_OBJECTS{{System::GFX, "Settings", "SWDumpObjects"}, false};
 const Info<bool> GFX_SW_DUMP_TEV_STAGES{{System::GFX, "Settings", "SWDumpTevStages"}, false};
diff --git a/Source/Core/Core/Config/GraphicsSettings.h b/Source/Core/Core/Config/GraphicsSettings.h
index ad8d2aeb7f..c1f301a4a9 100644
--- a/Source/Core/Core/Config/GraphicsSettings.h
+++ b/Source/Core/Core/Config/GraphicsSettings.h
@@ -85,7 +85,7 @@ extern const Info<bool> GFX_PREFER_VS_FOR_LINE_POINT_EXPANSION;
 extern const Info<bool> GFX_CPU_CULL;
 
 extern const Info<TriState> GFX_MTL_MANUALLY_UPLOAD_BUFFERS;
-extern const Info<bool> GFX_MTL_USE_PRESENT_DRAWABLE;
+extern const Info<TriState> GFX_MTL_USE_PRESENT_DRAWABLE;
 
 extern const Info<bool> GFX_SW_DUMP_OBJECTS;
 extern const Info<bool> GFX_SW_DUMP_TEV_STAGES;
diff --git a/Source/Core/VideoBackends/Metal/MTLRenderer.mm b/Source/Core/VideoBackends/Metal/MTLRenderer.mm
index 7d6c583599..7e915f045a 100644
--- a/Source/Core/VideoBackends/Metal/MTLRenderer.mm
+++ b/Source/Core/VideoBackends/Metal/MTLRenderer.mm
@@ -459,7 +459,9 @@ void Metal::Renderer::PresentBackbuffer()
       // when windowed (or fullscreen with vsync enabled, but that's more understandable).
       // On the other hand, it helps Xcode's GPU captures start and stop on frame boundaries
       // which is convenient.  Put it here as a default-off config, which we can override in Xcode.
-      if (g_ActiveConfig.bUsePresentDrawable)
+      // It also seems to improve frame pacing, so enable it by default with vsync
+      if (g_ActiveConfig.iUsePresentDrawable == TriState::On ||
+          (g_ActiveConfig.iUsePresentDrawable == TriState::Auto && g_ActiveConfig.bVSyncActive))
         [g_state_tracker->GetRenderCmdBuf() presentDrawable:m_drawable];
       else
         [g_state_tracker->GetRenderCmdBuf()
diff --git a/Source/Core/VideoCommon/VideoConfig.cpp b/Source/Core/VideoCommon/VideoConfig.cpp
index eb00555487..f37d8e9595 100644
--- a/Source/Core/VideoCommon/VideoConfig.cpp
+++ b/Source/Core/VideoCommon/VideoConfig.cpp
@@ -56,7 +56,7 @@ void VideoConfig::Refresh()
   bVSync = Config::Get(Config::GFX_VSYNC);
   iAdapter = Config::Get(Config::GFX_ADAPTER);
   iManuallyUploadBuffers = Config::Get(Config::GFX_MTL_MANUALLY_UPLOAD_BUFFERS);
-  bUsePresentDrawable = Config::Get(Config::GFX_MTL_USE_PRESENT_DRAWABLE);
+  iUsePresentDrawable = Config::Get(Config::GFX_MTL_USE_PRESENT_DRAWABLE);
 
   bWidescreenHack = Config::Get(Config::GFX_WIDESCREEN_HACK);
   aspect_mode = Config::Get(Config::GFX_ASPECT_RATIO);
diff --git a/Source/Core/VideoCommon/VideoConfig.h b/Source/Core/VideoCommon/VideoConfig.h
index 036b5955ba..df6f608760 100644
--- a/Source/Core/VideoCommon/VideoConfig.h
+++ b/Source/Core/VideoCommon/VideoConfig.h
@@ -177,7 +177,7 @@ struct VideoConfig final
 
   // Metal only config
   TriState iManuallyUploadBuffers = TriState::Auto;
-  bool bUsePresentDrawable = false;
+  TriState iUsePresentDrawable = TriState::Auto;
 
   // Enable API validation layers, currently only supported with Vulkan.
   bool bEnableValidationLayer = false;