diff --git a/src/shader_recompiler/backend/spirv/emit_spirv_atomic.cpp b/src/shader_recompiler/backend/spirv/emit_spirv_atomic.cpp
index d7c73ca8f..a342b47b6 100644
--- a/src/shader_recompiler/backend/spirv/emit_spirv_atomic.cpp
+++ b/src/shader_recompiler/backend/spirv/emit_spirv_atomic.cpp
@@ -68,6 +68,22 @@ Id BufferAtomicU32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id
     });
 }
 
+Id BufferAtomicU32CmpSwap(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value,
+                          Id cmp_value,
+                          Id (Sirit::Module::*atomic_func)(Id, Id, Id, Id, Id, Id, Id)) {
+    const auto& buffer = ctx.buffers[handle];
+    if (Sirit::ValidId(buffer.offset)) {
+        address = ctx.OpIAdd(ctx.U32[1], address, buffer.offset);
+    }
+    const Id index = ctx.OpShiftRightLogical(ctx.U32[1], address, ctx.ConstU32(2u));
+    const auto [id, pointer_type] = buffer[EmitContext::PointerType::U32];
+    const Id ptr = ctx.OpAccessChain(pointer_type, id, ctx.u32_zero_value, index);
+    const auto [scope, semantics]{AtomicArgs(ctx)};
+    return BufferAtomicU32BoundsCheck(ctx, index, buffer.size_dwords, [&] {
+        return (ctx.*atomic_func)(ctx.U32[1], ptr, scope, semantics, semantics, value, cmp_value);
+    });
+}
+
 Id ImageAtomicU32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id coords, Id value,
                   Id (Sirit::Module::*atomic_func)(Id, Id, Id, Id, Id)) {
     const auto& texture = ctx.images[handle & 0xFFFF];
@@ -175,6 +191,12 @@ Id EmitBufferAtomicSwap32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id addre
     return BufferAtomicU32(ctx, inst, handle, address, value, &Sirit::Module::OpAtomicExchange);
 }
 
+Id EmitBufferAtomicCmpSwap32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value,
+                             Id cmp_value) {
+    return BufferAtomicU32CmpSwap(ctx, inst, handle, address, value, cmp_value,
+                                  &Sirit::Module::OpAtomicCompareExchange);
+}
+
 Id EmitImageAtomicIAdd32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id coords, Id value) {
     return ImageAtomicU32(ctx, inst, handle, coords, value, &Sirit::Module::OpAtomicIAdd);
 }
diff --git a/src/shader_recompiler/backend/spirv/emit_spirv_instructions.h b/src/shader_recompiler/backend/spirv/emit_spirv_instructions.h
index 172358866..b9707224c 100644
--- a/src/shader_recompiler/backend/spirv/emit_spirv_instructions.h
+++ b/src/shader_recompiler/backend/spirv/emit_spirv_instructions.h
@@ -96,6 +96,8 @@ Id EmitBufferAtomicAnd32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id addres
 Id EmitBufferAtomicOr32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value);
 Id EmitBufferAtomicXor32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value);
 Id EmitBufferAtomicSwap32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value);
+Id EmitBufferAtomicCmpSwap32(EmitContext& ctx, IR::Inst* inst, u32 handle, Id address, Id value,
+                             Id cmp_value);
 Id EmitGetAttribute(EmitContext& ctx, IR::Attribute attr, u32 comp, Id index);
 Id EmitGetAttributeU32(EmitContext& ctx, IR::Attribute attr, u32 comp);
 void EmitSetAttribute(EmitContext& ctx, IR::Attribute attr, Id value, u32 comp);
diff --git a/src/shader_recompiler/frontend/translate/vector_memory.cpp b/src/shader_recompiler/frontend/translate/vector_memory.cpp
index 5c972c607..8c035f26c 100644
--- a/src/shader_recompiler/frontend/translate/vector_memory.cpp
+++ b/src/shader_recompiler/frontend/translate/vector_memory.cpp
@@ -331,6 +331,10 @@ void Translator::BUFFER_ATOMIC(AtomicOp op, const GcnInst& inst) {
         switch (op) {
         case AtomicOp::Swap:
             return ir.BufferAtomicSwap(handle, address, vdata_val, buffer_info);
+        case AtomicOp::CmpSwap: {
+            IR::Value cmp_val = ir.GetVectorReg(vdata + 1);
+            return ir.BufferAtomicCmpSwap(handle, address, vdata_val, cmp_val, buffer_info);
+        }
         case AtomicOp::Add:
             return ir.BufferAtomicIAdd(handle, address, vdata_val, buffer_info);
         case AtomicOp::Smin:
diff --git a/src/shader_recompiler/ir/ir_emitter.cpp b/src/shader_recompiler/ir/ir_emitter.cpp
index dcb734d01..07249edfe 100644
--- a/src/shader_recompiler/ir/ir_emitter.cpp
+++ b/src/shader_recompiler/ir/ir_emitter.cpp
@@ -513,6 +513,11 @@ Value IREmitter::BufferAtomicSwap(const Value& handle, const Value& address, con
     return Inst(Opcode::BufferAtomicSwap32, Flags{info}, handle, address, value);
 }
 
+Value IREmitter::BufferAtomicCmpSwap(const Value& handle, const Value& address, const Value& vdata,
+                                     const Value& cmp_value, BufferInstInfo info) {
+    return Inst(Opcode::BufferAtomicCmpSwap32, Flags{info}, handle, address, vdata, cmp_value);
+}
+
 U32 IREmitter::DataAppend(const U32& counter) {
     return Inst<U32>(Opcode::DataAppend, counter, Imm32(0));
 }
diff --git a/src/shader_recompiler/ir/ir_emitter.h b/src/shader_recompiler/ir/ir_emitter.h
index da7adf42b..7b9b81093 100644
--- a/src/shader_recompiler/ir/ir_emitter.h
+++ b/src/shader_recompiler/ir/ir_emitter.h
@@ -150,6 +150,9 @@ public:
                                         const Value& value, BufferInstInfo info);
     [[nodiscard]] Value BufferAtomicSwap(const Value& handle, const Value& address,
                                          const Value& value, BufferInstInfo info);
+    [[nodiscard]] Value BufferAtomicCmpSwap(const Value& handle, const Value& address,
+                                            const Value& value, const Value& cmp_value,
+                                            BufferInstInfo info);
 
     [[nodiscard]] U32 DataAppend(const U32& counter);
     [[nodiscard]] U32 DataConsume(const U32& counter);
diff --git a/src/shader_recompiler/ir/opcodes.inc b/src/shader_recompiler/ir/opcodes.inc
index 647432bcf..5b3216be6 100644
--- a/src/shader_recompiler/ir/opcodes.inc
+++ b/src/shader_recompiler/ir/opcodes.inc
@@ -126,6 +126,7 @@ OPCODE(BufferAtomicAnd32,                                   U32,            Opaq
 OPCODE(BufferAtomicOr32,                                    U32,            Opaque,         Opaque,         U32,                                            )
 OPCODE(BufferAtomicXor32,                                   U32,            Opaque,         Opaque,         U32,                                            )
 OPCODE(BufferAtomicSwap32,                                  U32,            Opaque,         Opaque,         U32,                                            )
+OPCODE(BufferAtomicCmpSwap32,                               U32,            Opaque,         Opaque,         U32,            U32,                            )
 
 // Vector utility
 OPCODE(CompositeConstructU32x2,                             U32x2,          U32,            U32,                                                            )