diff --git a/pcsx2/GS/Renderers/HW/GSRendererHW.cpp b/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
index 18500378ddb4b..4e7c748ede979 100644
--- a/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
+++ b/pcsx2/GS/Renderers/HW/GSRendererHW.cpp
@@ -1586,106 +1586,146 @@ void GSRendererHW::RoundSpriteOffset()
 	for (u32 i = 0; i < count; i += 2)
 	{
 		// Performance note: if it had any impact on perf, someone would port it to SSE (AKA GSVector)
-
-		// Compute the coordinate of first and last texels (in native with a linear filtering)
+		// if the draw is page aligned, then don't round it.
+		const int tex_width = std::max(1, (v[i + 1].U - v[i].U) >> 4);
 		const int ox = m_context->XYOFFSET.OFX;
-		const int X0 = v[i].XYZ.X - ox;
-		const int X1 = v[i + 1].XYZ.X - ox;
 		const int Lx = (v[i + 1].XYZ.X - v[i].XYZ.X);
-		const float ax0 = alpha0(Lx, X0, X1);
-		const float ax1 = alpha1(Lx, X0, X1);
-		const u16 tx0 = Interpolate_UV(ax0, v[i].U, v[i + 1].U);
-		const u16 tx1 = Interpolate_UV(ax1, v[i].U, v[i + 1].U);
-#ifdef DEBUG_U
-		if (debug)
-		{
-			fprintf(stderr, "u0:%d and u1:%d\n", v[i].U, v[i + 1].U);
-			fprintf(stderr, "a0:%f and a1:%f\n", ax0, ax1);
-			fprintf(stderr, "t0:%d and t1:%d\n", tx0, tx1);
-		}
-#endif
 
-		const int oy = m_context->XYOFFSET.OFY;
-		const int Y0 = v[i].XYZ.Y - oy;
-		const int Y1 = v[i + 1].XYZ.Y - oy;
-		const int Ly = (v[i + 1].XYZ.Y - v[i].XYZ.Y);
-		const float ay0 = alpha0(Ly, Y0, Y1);
-		const float ay1 = alpha1(Ly, Y0, Y1);
-		const u16 ty0 = Interpolate_UV(ay0, v[i].V, v[i + 1].V);
-		const u16 ty1 = Interpolate_UV(ay1, v[i].V, v[i + 1].V);
-#ifdef DEBUG_V
-		if (debug)
+		if ((((Lx - ox) >> 4) % tex_width) != 0)
 		{
-			fprintf(stderr, "v0:%d and v1:%d\n", v[i].V, v[i + 1].V);
-			fprintf(stderr, "a0:%f and a1:%f\n", ay0, ay1);
-			fprintf(stderr, "t0:%d and t1:%d\n", ty0, ty1);
-		}
-#endif
-
+			// Compute the coordinate of first and last texels (in native with a linear filtering)
+			const int X0 = v[i].XYZ.X - ox;
+			const int X1 = v[i + 1].XYZ.X - ox;
+			const float ax0 = alpha0(Lx, X0, X1);
+			const float ax1 = alpha1(Lx, X0, X1);
+			const u16 tx0 = Interpolate_UV(ax0, v[i].U, v[i + 1].U);
+			const u16 tx1 = Interpolate_UV(ax1, v[i].U, v[i + 1].U);
+			//DevCon.Warning("Tex width %d draw width %d (X %x -> %x U %x -> %x", tex_width, ((v[i + 1].XYZ.X - v[i].XYZ.X) >> 4), X0, X1, v[i].U, v[i+1].U);
 #ifdef DEBUG_U
-		if (debug)
-			fprintf(stderr, "GREP_BEFORE %d => %d\n", v[i].U, v[i + 1].U);
-#endif
-#ifdef DEBUG_V
-		if (debug)
-			fprintf(stderr, "GREP_BEFORE %d => %d\n", v[i].V, v[i + 1].V);
+			if (debug)
+			{
+				fprintf(stderr, "u0:%d and u1:%d\n", v[i].U, v[i + 1].U);
+				fprintf(stderr, "a0:%f and a1:%f\n", ax0, ax1);
+				fprintf(stderr, "t0:%d and t1:%d\n", tx0, tx1);
+			}
 #endif
-
 #if 1
-		// Use rounded value of the newly computed texture coordinate. It ensures
-		// that sampling will remains inside texture boundary
-		//
-		// Note for bilinear: by definition it will never work correctly! A sligh modification
-		// of interpolation migth trigger a discard (with alpha testing)
-		// Let's use something simple that correct really bad case (for a couple of 2D games).
-		// I hope it won't create too much glitches.
-		if (linear)
-		{
-			const int Lu = v[i + 1].U - v[i].U;
-			// Note 32 is based on taisho-mononoke
-			if ((Lu > 0) && (Lu <= (Lx + 32)))
+			// Use rounded value of the newly computed texture coordinate. It ensures
+			// that sampling will remains inside texture boundary
+			//
+			// Note for bilinear: by definition it will never work correctly! A sligh modification
+			// of interpolation migth trigger a discard (with alpha testing)
+			// Let's use something simple that correct really bad case (for a couple of 2D games).
+			// I hope it won't create too much glitches.
+			if (linear)
 			{
-				v[i + 1].U -= 8;
+				const int Lu = v[i + 1].U - v[i].U;
+				// Note 32 is based on taisho-mononoke
+				if ((Lu > 0) && (Lu <= (Lx + 32)))
+				{
+					v[i + 1].U -= 8;
+				}
 			}
+			else
+			{
+				if (tx0 <= tx1)
+				{
+					v[i].U = tx0;
+					v[i + 1].U = tx1 + 16;
+				}
+				else
+				{
+					v[i].U = tx0 + 15;
+					v[i + 1].U = tx1;
+				}
+			}
+#endif
 		}
 		else
 		{
-			if (tx0 <= tx1)
+			if (((v[i + 1].U & 0xf) ^ ((v[i + 1].XYZ.X - ox) & 0xf)) && ((v[i + 1].U - v[i].U) >> 4) == tex_width && (Lx >> 4) / tex_width <= 2)
 			{
-				v[i].U = tx0;
-				v[i + 1].U = tx1 + 16;
+				v[i].U &= ~0xf;
+				v[i + 1].U -= 8;
 			}
 			else
 			{
-				v[i].U = tx0 + 15;
-				v[i + 1].U = tx1;
+				v[i].U &= ~0xf;
+				v[i + 1].U &= ~0xf;
+				v[i].U |= (v[i].XYZ.X - ox) & 0xf;
+				v[i + 1].U |= (v[i + 1].XYZ.X - ox) & 0xf;
 			}
 		}
+
+		const int tex_height = std::max(1, (v[i + 1].V - v[i].V) >> 4);
+		const int oy = m_context->XYOFFSET.OFY;
+		const int Ly = (v[i + 1].XYZ.Y - v[i].XYZ.Y);
+
+		if ((((Ly - oy) >> 4) % tex_height) != 0)
+		{
+			const int Y0 = v[i].XYZ.Y - oy;
+			const int Y1 = v[i + 1].XYZ.Y - oy;
+			const float ay0 = alpha0(Ly, Y0, Y1);
+			const float ay1 = alpha1(Ly, Y0, Y1);
+			const u16 ty0 = Interpolate_UV(ay0, v[i].V, v[i + 1].V);
+			const u16 ty1 = Interpolate_UV(ay1, v[i].V, v[i + 1].V);
+#ifdef DEBUG_V
+			if (debug)
+			{
+				fprintf(stderr, "v0:%d and v1:%d\n", v[i].V, v[i + 1].V);
+				fprintf(stderr, "a0:%f and a1:%f\n", ay0, ay1);
+				fprintf(stderr, "t0:%d and t1:%d\n", ty0, ty1);
+			}
 #endif
 #if 1
-		if (linear)
-		{
-			const int Lv = v[i + 1].V - v[i].V;
-			if ((Lv > 0) && (Lv <= (Ly + 32)))
+			if (linear)
 			{
-				v[i + 1].V -= 8;
+				const int Lv = v[i + 1].V - v[i].V;
+				if ((Lv > 0) && (Lv <= (Ly + 32)))
+				{
+					v[i + 1].V -= 8;
+				}
+		}
+			else
+			{
+				if (ty0 <= ty1)
+				{
+					v[i].V = ty0;
+					v[i + 1].V = ty1 + 16;
+				}
+				else
+				{
+					v[i].V = ty0 + 15;
+					v[i + 1].V = ty1;
+				}
 			}
+#endif
 		}
 		else
 		{
-			if (ty0 <= ty1)
+			if (((v[i + 1].V & 0xf) ^ ((v[i + 1].XYZ.Y - oy) & 0xf)) && ((v[i + 1].V - v[i].V) >> 4) == tex_height && (Ly >> 4) / tex_height <= 2)
 			{
-				v[i].V = ty0;
-				v[i + 1].V = ty1 + 16;
+				v[i].V &= ~0xf;
+				v[i + 1].V -= 8;
 			}
 			else
 			{
-				v[i].V = ty0 + 15;
-				v[i + 1].V = ty1;
+				v[i].V &= ~0xf;
+				v[i + 1].V &= ~0xf;
+				v[i].V |= (v[i].XYZ.Y - oy) & 0xf;
+				v[i + 1].V |= (v[i + 1].XYZ.Y - oy) & 0xf;
 			}
 		}
+#ifdef DEBUG_U
+		if (debug)
+			fprintf(stderr, "GREP_BEFORE %d => %d\n", v[i].U, v[i + 1].U);
+#endif
+#ifdef DEBUG_V
+		if (debug)
+			fprintf(stderr, "GREP_BEFORE %d => %d\n", v[i].V, v[i + 1].V);
 #endif
 
+
 #ifdef DEBUG_U
 		if (debug)
 			fprintf(stderr, "GREP_AFTER %d => %d\n\n", v[i].U, v[i + 1].U);