diff --git a/src/graphics/shader/recompiler/backend/spirv/spirvEmitterTessellation.cpp b/src/graphics/shader/recompiler/backend/spirv/spirvEmitterTessellation.cpp
index 54d25b8e3..d9ce3a8bf 100644
--- a/src/graphics/shader/recompiler/backend/spirv/spirvEmitterTessellation.cpp
+++ b/src/graphics/shader/recompiler/backend/spirv/spirvEmitterTessellation.cpp
@@ -130,10 +130,10 @@ void DefineTessellationInterfaces(EmitterState& state) {
 
 void DefineTessellationExecutionModes(EmitterState& state) {
 	const auto& tess = state.input_info.vertex->tess;
-	// Triangle or quad domain, integer or fractional-odd partitioning, clockwise output.
+	// Triangle or quad domain, integer or fractional-odd partitioning, triangle output.
 	EXIT_NOT_IMPLEMENTED((tess.domain != 1u && tess.domain != 2u) ||
 	                     (tess.partitioning != 0u && tess.partitioning != 2u) ||
-	                     tess.output_topology != 2u);
+	                     (tess.output_topology != 2u && tess.output_topology != 3u));
 	state.builder.RequireCapability(spv::CapabilityTessellation);
 	if (state.program.stage == ShaderType::TessellationControl) {
 		state.builder.AddExecutionMode(state.main_func, spv::ExecutionModeOutputVertices,
@@ -145,7 +145,9 @@ void DefineTessellationExecutionModes(EmitterState& state) {
 		state.builder.AddExecutionMode(
 		    state.main_func, tess.partitioning == 0u ? spv::ExecutionModeSpacingEqual
 		                                             : spv::ExecutionModeSpacingFractionalOdd);
-		state.builder.AddExecutionMode(state.main_func, spv::ExecutionModeVertexOrderCw);
+		state.builder.AddExecutionMode(state.main_func, tess.output_topology == 2u
+		                                                   ? spv::ExecutionModeVertexOrderCw
+		                                                   : spv::ExecutionModeVertexOrderCcw);
 	}
 }
 
diff --git a/tests/ShaderRecompilerComputeTests.cpp b/tests/ShaderRecompilerComputeTests.cpp
index 202db0460..08eef6d86 100644
--- a/tests/ShaderRecompilerComputeTests.cpp
+++ b/tests/ShaderRecompilerComputeTests.cpp
@@ -47480,7 +47480,8 @@ bool HasPatchInterface(const std::string &assembly, const std::string &storage,
              std::string::npos;
 }
 
-void CheckTessellationProgram(const char *name, u32 ls_stride, u32 hs_stride, u32 domain = 1) {
+void CheckTessellationProgram(const char *name, u32 ls_stride, u32 hs_stride, u32 domain = 1,
+                              u32 output_topology = 2) {
   using namespace ShaderRecompiler;
   const bool quad = domain == 2;
   const u32 control_points = quad ? 4 : 3;
@@ -47584,7 +47585,7 @@ void CheckTessellationProgram(const char *name, u32 ls_stride, u32 hs_stride, u3
                                   .output_control_points = control_points,
                                   .domain = domain,
                                   .partitioning = 2,
-                                  .output_topology = 2};
+                                  .output_topology = output_topology};
   AnalyzeTessellationPrograms(local, control, tess);
   Require(name, "decoded interface",
           tess.ls_stride == ls_stride && tess.hs_stride == hs_stride,
@@ -47639,7 +47640,10 @@ void CheckTessellationProgram(const char *name, u32 ls_stride, u32 hs_stride, u3
           ds.assembly.find("TessCoord") != std::string::npos &&
               ds.assembly.find(quad ? "Quads" : "Triangles") != std::string::npos &&
               ds.assembly.find("SpacingFractionalOdd") != std::string::npos &&
-              ds.assembly.find("VertexOrderCw") != std::string::npos,
+              ds.assembly.find(output_topology == 2 ? "VertexOrderCw" : "VertexOrderCcw") !=
+                  std::string::npos &&
+              ds.assembly.find(output_topology == 2 ? "VertexOrderCcw" : "VertexOrderCw") ==
+                  std::string::npos,
           "TES must preserve guest domain, partitioning, and winding");
   std::printf("[host]    %-32s ok\n", name);
 }
@@ -47816,6 +47820,7 @@ void CheckTessellationPrograms() {
   CheckTessellationProgram("TessellationShiftedStride", 124, 128);
   CheckTessellationProgram("TessellationMultipliedStride", 108, 112);
   CheckTessellationProgram("TessellationQuadFactors", 36, 128, 2);
+  CheckTessellationProgram("TessellationCounterclockwiseQuads", 36, 128, 2, 3);
   CheckTessellationProgram("TessellationMaskedControlPoint", 32, 256, 2);
   CheckTessellationPatchConstants();
 }