diff --git a/src/video_core/amdgpu/liverpool.cpp b/src/video_core/amdgpu/liverpool.cpp
index 6e698038c..8c297ff83 100644
--- a/src/video_core/amdgpu/liverpool.cpp
+++ b/src/video_core/amdgpu/liverpool.cpp
@@ -405,7 +405,9 @@ Liverpool::Task Liverpool::ProcessGraphics(std::span<const u32> dcb, std::span<c
                 }
                 else if (predication->pred_op.Value() == PredicateOperation::Zpass) {
                     if (rasterizer) {
-                        rasterizer->StartPredication();
+                        rasterizer->StartPredication(predication->Address<VAddr>(),
+                            predication->action.Value() == Predication::DrawIfVisible,
+                            predication->hint.Value() == PredicationHint::Wait);
                     }
                 }
                 else {
diff --git a/src/video_core/renderer_vulkan/vk_rasterizer.cpp b/src/video_core/renderer_vulkan/vk_rasterizer.cpp
index 73022f639..12d187403 100644
--- a/src/video_core/renderer_vulkan/vk_rasterizer.cpp
+++ b/src/video_core/renderer_vulkan/vk_rasterizer.cpp
@@ -42,7 +42,9 @@ Rasterizer::Rasterizer(const Instance& instance_, Scheduler& scheduler_,
     : instance{instance_}, scheduler{scheduler_}, page_manager{this},
       buffer_cache{instance, scheduler, *this, liverpool_, texture_cache, page_manager},
       texture_cache{instance, scheduler, buffer_cache, page_manager}, liverpool{liverpool_},
-      memory{Core::Memory::Instance()}, pipeline_cache{instance, scheduler, liverpool} {
+      memory{Core::Memory::Instance()}, pipeline_cache{instance, scheduler, liverpool},
+      occlusion_query_buffer{instance, scheduler, VideoCore::MemoryUsage::DeviceLocal, 0,
+        vk::BufferUsageFlagBits::eConditionalRenderingEXT | vk::BufferUsageFlagBits::eTransferDst, sizeof(u32)*OCCLUSION_QUERIES_COUNT} {
     if (!Config::nullGpu()) {
         liverpool->BindRasterizer(this);
     }
@@ -52,6 +54,7 @@ Rasterizer::Rasterizer(const Instance& instance_, Scheduler& scheduler_,
         .queryCount = OCCLUSION_QUERIES_COUNT,
     }));
     instance.GetDevice().resetQueryPool(occlusion_query_pool, 0, OCCLUSION_QUERIES_COUNT);
+    Vulkan::SetObjectName(instance.GetDevice(), occlusion_query_buffer.Handle(), "OcclusionQueryBuffer:{:#x}", sizeof(u32)*OCCLUSION_QUERIES_COUNT);
 }
 
 Rasterizer::~Rasterizer() = default;
@@ -1272,12 +1275,63 @@ void Rasterizer::ScopedMarkerInsertColor(const std::string_view& str, const u32
              (f32)(color & 0xff) / 255.0f, (f32)((color >> 24) & 0xff) / 255.0f})});
 }
 
-void Rasterizer::StartPredication() {
+void Rasterizer::StartPredication(VAddr addr, bool draw_if_visible, bool wait_for_result) {
+    if (!instance.IsConditionalRenderingSupported()) {
+        return;
+    }
 
+    ASSERT(!active_predication);
+    ASSERT(occlusion_index_mapping.contains(addr));
+
+    auto index = occlusion_index_mapping[addr];
+    LOG_DEBUG(Render_Vulkan, "addr = {:#x}, index = {}", addr, index);
+
+    scheduler.EndRendering();
+    const auto cmdbuf = scheduler.CommandBuffer();
+
+    cmdbuf.copyQueryPoolResults(occlusion_query_pool, index, 1, occlusion_query_buffer.Handle(),
+        index*sizeof(u32), sizeof(u32), wait_for_result ? vk::QueryResultFlagBits::eWait
+        : vk::QueryResultFlagBits::ePartial);
+
+    const auto pre_barrier = vk::BufferMemoryBarrier2{
+        .srcStageMask = vk::PipelineStageFlagBits2::eCopy,
+        .srcAccessMask = vk::AccessFlagBits2::eTransferWrite,
+        .dstStageMask = vk::PipelineStageFlagBits2::eCopy,
+        .dstAccessMask = vk::AccessFlagBits2::eTransferWrite,
+        .buffer = occlusion_query_buffer.Handle(),
+        .offset = index * sizeof(u32),
+        .size = sizeof(u32),
+    };
+    cmdbuf.pipelineBarrier2(vk::DependencyInfo{
+        .dependencyFlags = vk::DependencyFlagBits::eByRegion,
+        .bufferMemoryBarrierCount = 1,
+        .pBufferMemoryBarriers = &pre_barrier,
+    });
+
+    ScopeMarkerBegin("gfx:{}:predication", fmt::ptr(reinterpret_cast<const void*>(addr)));
+    vk::ConditionalRenderingBeginInfoEXT conditional_rendering_info {
+        .buffer = occlusion_query_buffer.Handle(),
+        .offset = index * sizeof(u32),
+        .flags = draw_if_visible ? vk::ConditionalRenderingFlagBitsEXT::eInverted
+                                 : vk::ConditionalRenderingFlagsEXT(),
+    };
+    cmdbuf.beginConditionalRenderingEXT(&conditional_rendering_info);
+
+    active_predication = true;
 }
 
 void Rasterizer::EndPredication() {
+    if (!active_predication) {
+        return;
+    }
 
+    LOG_DEBUG(Render_Vulkan, "");
+
+    scheduler.EndRendering();
+    const auto cmdbuf = scheduler.CommandBuffer();
+    cmdbuf.endConditionalRenderingEXT();
+    ScopeMarkerEnd();
+    active_predication = false;
 }
 
 void Rasterizer::StartOcclusionQuery(VAddr addr) {
diff --git a/src/video_core/renderer_vulkan/vk_rasterizer.h b/src/video_core/renderer_vulkan/vk_rasterizer.h
index 5be1748a8..9883a606f 100644
--- a/src/video_core/renderer_vulkan/vk_rasterizer.h
+++ b/src/video_core/renderer_vulkan/vk_rasterizer.h
@@ -55,7 +55,7 @@ public:
     void ScopedMarkerInsertColor(const std::string_view& str, const u32 color,
                                  bool from_guest = false);
 
-    void StartPredication();
+    void StartPredication(VAddr addr, bool discard_if_zero, bool wait_for_result);
     void EndPredication();
     void StartOcclusionQuery(VAddr addr);
     void EndOcclusionQuery(VAddr addr);
@@ -130,6 +130,8 @@ private:
     vk::QueryPool occlusion_query_pool;
     u32 occlusion_current_index{};
     std::map<VAddr, u32> occlusion_index_mapping;
+    VideoCore::Buffer occlusion_query_buffer;
+    bool active_predication;
 
     boost::container::static_vector<
         std::pair<VideoCore::ImageId, VideoCore::TextureCache::RenderTargetDesc>, 8>