diff --git a/games-emulation/pcsx2_patches/Manifest b/games-emulation/pcsx2_patches/Manifest
new file mode 100644
index 0000000000000..471531cc9ebaf
--- /dev/null
+++ b/games-emulation/pcsx2_patches/Manifest
@@ -0,0 +1 @@
+DIST pcsx2_patches-0_p20230623.tar.gz 598611 BLAKE2B 5a2fb1b31f9448064d7ce46c11b1dadbf1960403c082c8cee5a4c897e9c7db334a70d1f088ad18893bad89e12ef4369e2a6cba3e493fe11846848180a755b0c4 SHA512 55b7221c8f5124a44f73aa552491d1ceac796e0c34179439ba2a599891691ece19ad35b16600fa3eea1031fdcf6f5f2ee2d9da9226656ade1413b83c983383a9
diff --git a/games-emulation/pcsx2_patches/metadata.xml b/games-emulation/pcsx2_patches/metadata.xml
new file mode 100644
index 0000000000000..dadfc4f6e874d
--- /dev/null
+++ b/games-emulation/pcsx2_patches/metadata.xml
@@ -0,0 +1,12 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!DOCTYPE pkgmetadata SYSTEM "https://www.gentoo.org/dtd/metadata.dtd">
+<pkgmetadata>
+	<maintainer type="project">
+		<email>games@gentoo.org</email>
+		<name>Gentoo Games Project</name>
+	</maintainer>
+	<stabilize-allarches/>
+	<upstream>
+		<remote-id type="github">PCSX2/pcsx2_patches</remote-id>
+	</upstream>
+</pkgmetadata>
diff --git a/games-emulation/pcsx2_patches/pcsx2_patches-0_p20230623.ebuild b/games-emulation/pcsx2_patches/pcsx2_patches-0_p20230623.ebuild
new file mode 100644
index 0000000000000..97b5bf34a19b8
--- /dev/null
+++ b/games-emulation/pcsx2_patches/pcsx2_patches-0_p20230623.ebuild
@@ -0,0 +1,54 @@
+# Copyright 2023 Gentoo Authors
+# Distributed under the terms of the GNU General Public License v2
+
+EAPI=8
+
+PYTHON_COMPAT=( python3_{10..12} )
+inherit python-any-r1
+
+if [[ ${PV} == 9999 ]]; then
+	inherit git-r3
+	EGIT_REPO_URI="https://github.com/PCSX2/pcsx2_patches.git"
+else
+	HASH_PCSX2_PATCHES=665e8779d10ef046da2a46118c2d1efc02d8cb2c
+	SRC_URI="
+		https://github.com/PCSX2/pcsx2_patches/archive/${HASH_PCSX2_PATCHES}.tar.gz
+			-> ${P}.tar.gz"
+	S=${WORKDIR}/${PN}-${HASH_PCSX2_PATCHES}
+	KEYWORDS="~amd64"
+fi
+
+DESCRIPTION="Collection of game patches for use with PCSX2 (e.g. widescreen hacks)"
+HOMEPAGE="https://github.com/PCSX2/pcsx2_patches/"
+
+# these are normally distributed by upstream with PCSX2 which is GPL-3+
+LICENSE="GPL-3+"
+SLOT="0"
+
+BDEPEND="${PYTHON_DEPS}"
+
+src_compile() {
+	# upstream uses a constantly replaced "latest" patches.zip (currently no
+	# real releases), and github's .zip archives cannot be used either due to
+	# having the patches/ subdirectory -- so we use a snapshot and repack
+	# (could use app-arch/zip, but python is more likely to skip a dependency)
+	ebegin "Creating patches.zip"
+	"${PYTHON}" - <<-EOF
+		import pathlib
+		from zipfile import ZipFile, ZIP_DEFLATED
+
+		patches = pathlib.Path("patches/")
+
+		with ZipFile("patches.zip", "w", ZIP_DEFLATED, compresslevel=9) as archive:
+		    for file in patches.iterdir():
+		        archive.write(file, arcname=file.name)
+	EOF
+	eend ${?} || die
+}
+
+src_install() {
+	insinto /usr/share/pcsx2/resources
+	doins patches.zip
+
+	einstalldocs
+}
diff --git a/games-emulation/pcsx2_patches/pcsx2_patches-9999.ebuild b/games-emulation/pcsx2_patches/pcsx2_patches-9999.ebuild
new file mode 100644
index 0000000000000..c843add3dbc24
--- /dev/null
+++ b/games-emulation/pcsx2_patches/pcsx2_patches-9999.ebuild
@@ -0,0 +1,54 @@
+# Copyright 2023 Gentoo Authors
+# Distributed under the terms of the GNU General Public License v2
+
+EAPI=8
+
+PYTHON_COMPAT=( python3_{10..12} )
+inherit python-any-r1
+
+if [[ ${PV} == 9999 ]]; then
+	inherit git-r3
+	EGIT_REPO_URI="https://github.com/PCSX2/pcsx2_patches.git"
+else
+	HASH_PCSX2_PATCHES=
+	SRC_URI="
+		https://github.com/PCSX2/pcsx2_patches/archive/${HASH_PCSX2_PATCHES}.tar.gz
+			-> ${P}.tar.gz"
+	S=${WORKDIR}/${PN}-${HASH_PCSX2_PATCHES}
+	KEYWORDS="~amd64"
+fi
+
+DESCRIPTION="Collection of game patches for use with PCSX2 (e.g. widescreen hacks)"
+HOMEPAGE="https://github.com/PCSX2/pcsx2_patches/"
+
+# these are normally distributed by upstream with PCSX2 which is GPL-3+
+LICENSE="GPL-3+"
+SLOT="0"
+
+BDEPEND="${PYTHON_DEPS}"
+
+src_compile() {
+	# upstream uses a constantly replaced "latest" patches.zip (currently no
+	# real releases), and github's .zip archives cannot be used either due to
+	# having the patches/ subdirectory -- so we use a snapshot and repack
+	# (could use app-arch/zip, but python is more likely to skip a dependency)
+	ebegin "Creating patches.zip"
+	"${PYTHON}" - <<-EOF
+		import pathlib
+		from zipfile import ZipFile, ZIP_DEFLATED
+
+		patches = pathlib.Path("patches/")
+
+		with ZipFile("patches.zip", "w", ZIP_DEFLATED, compresslevel=9) as archive:
+		    for file in patches.iterdir():
+		        archive.write(file, arcname=file.name)
+	EOF
+	eend ${?} || die
+}
+
+src_install() {
+	insinto /usr/share/pcsx2/resources
+	doins patches.zip
+
+	einstalldocs
+}