diff --git a/rpcs3/rpcs3qt/vfs_dialog_path_widget.cpp b/rpcs3/rpcs3qt/vfs_dialog_path_widget.cpp
index 090e97ee69..a540278133 100644
--- a/rpcs3/rpcs3qt/vfs_dialog_path_widget.cpp
+++ b/rpcs3/rpcs3qt/vfs_dialog_path_widget.cpp
@@ -16,14 +16,15 @@ vfs_dialog_path_widget::vfs_dialog_path_widget(const QString& name, const QStrin
 
 	for (const QString& dir : all_dirs)
 	{
-		QListWidgetItem* item = new QListWidgetItem(dir, m_dir_list);
+		QListWidgetItem* item = add_directory(dir);
+
 		if (dir == current_path)
 			selected_item = item;
 	}
 
 	// We must show the currently selected config.
 	if (!selected_item)
-		selected_item = new QListWidgetItem(current_path, m_dir_list);
+		selected_item = add_directory(current_path);
 
 	selected_item->setSelected(true);
 
@@ -54,21 +55,64 @@ vfs_dialog_path_widget::vfs_dialog_path_widget(const QString& name, const QStrin
 
 	setLayout(vbox);
 
+	update_selection();
+
+	connect(m_dir_list->model(), &QAbstractItemModel::dataChanged, this, [this](const QModelIndex&, const QModelIndex&, const QList<int>& roles)
+	{
+		if (m_is_changing_data || (!roles.empty() && !roles.contains(Qt::ItemDataRole::CheckStateRole)))
+		{
+			return;
+		}
+
+		// Check if an item was selected
+		const QString selected_path = m_selected_config_label->text() == EmptyPath ? "" : m_selected_config_label->text();
+		QAbstractItemModel* model = m_dir_list->model();
+
+		for (int i = 0; i < model->rowCount(); ++i)
+		{
+			if (model->index(i, 0).data(Qt::ItemDataRole::CheckStateRole).toInt() != Qt::Checked) continue;
+
+			const QString path = model->index(i, 0).data(Qt::ItemDataRole::DisplayRole).toString();
+			if (path == selected_path) continue;
+
+			// Select new path
+			m_selected_config_label->setText(path.isEmpty() ? EmptyPath : path);
+			update_selection();
+			break;
+		}
+	});
+
 	connect(m_dir_list, &QListWidget::currentRowChanged, this, [this, button_remove_dir](int row)
 	{
-		QListWidgetItem* item = m_dir_list->item(row);
-		m_selected_config_label->setText((item && !item->text().isEmpty()) ? item->text() : EmptyPath);
-		button_remove_dir->setEnabled(item && row > 0);
+		button_remove_dir->setEnabled(m_dir_list->item(row) && row > 0);
 	});
 }
 
-void vfs_dialog_path_widget::reset() const
+void vfs_dialog_path_widget::reset()
 {
 	m_dir_list->clear();
-	m_dir_list->setCurrentItem(new QListWidgetItem(m_default_path, m_dir_list));
+	m_dir_list->setCurrentItem(add_directory(m_default_path));
+	update_selection();
 }
 
-void vfs_dialog_path_widget::add_new_directory() const
+QListWidgetItem* vfs_dialog_path_widget::add_directory(const QString& path)
+{
+	// Make sure to only add a path once
+	for (int i = 0; i < m_dir_list->count(); ++i)
+	{
+		if (m_dir_list->item(i)->text() == path)
+		{
+			return nullptr;
+		}
+	}
+
+	QListWidgetItem* item = new QListWidgetItem(path, m_dir_list);
+	item->setFlags(item->flags() | Qt::ItemIsUserCheckable);
+
+	return item;
+}
+
+void vfs_dialog_path_widget::add_new_directory()
 {
 	QString dir = QFileDialog::getExistingDirectory(nullptr, tr("Choose a directory"), QCoreApplication::applicationDirPath(), QFileDialog::DontResolveSymlinks);
 
@@ -78,19 +122,57 @@ void vfs_dialog_path_widget::add_new_directory() const
 	if (!dir.endsWith("/"))
 		dir += '/';
 
-	m_dir_list->setCurrentItem(new QListWidgetItem(dir, m_dir_list));
+	m_dir_list->setCurrentItem(add_directory(dir));
+	update_selection();
 }
 
-void vfs_dialog_path_widget::remove_directory() const
+void vfs_dialog_path_widget::remove_directory()
 {
-	const int row = m_dir_list->currentRow();
-	if (row > 0)
+	if (const int row = m_dir_list->currentRow(); row > 0)
 	{
 		QListWidgetItem* item = m_dir_list->takeItem(row);
 		delete item;
+
+		update_selection();
 	}
 }
 
+void vfs_dialog_path_widget::update_selection()
+{
+	const int count = m_dir_list->count();
+	if (count <= 0) return;
+
+	const QString selected_path = m_selected_config_label->text();
+	bool found_path = false;
+
+	m_is_changing_data = true;
+
+	for (int i = 0; i < count; i++)
+	{
+		if (QListWidgetItem* item = m_dir_list->item(i))
+		{
+			const bool is_selected = item->text() == selected_path;
+			item->setCheckState(is_selected ? Qt::CheckState::Checked : Qt::CheckState::Unchecked);
+
+			if (is_selected)
+			{
+				m_dir_list->setCurrentItem(item);
+				found_path = true;
+			}
+		}
+	}
+
+	if (!found_path)
+	{
+		QListWidgetItem* item = m_dir_list->item(0);
+		m_selected_config_label->setText(item->text().isEmpty() ? EmptyPath : item->text());
+		item->setCheckState(Qt::CheckState::Checked);
+		m_dir_list->setCurrentItem(item);
+	}
+
+	m_is_changing_data = false;
+}
+
 QStringList vfs_dialog_path_widget::get_dir_list() const
 {
 	QStringList all_dirs;
diff --git a/rpcs3/rpcs3qt/vfs_dialog_path_widget.h b/rpcs3/rpcs3qt/vfs_dialog_path_widget.h
index a90a43d378..698d090509 100644
--- a/rpcs3/rpcs3qt/vfs_dialog_path_widget.h
+++ b/rpcs3/rpcs3qt/vfs_dialog_path_widget.h
@@ -22,11 +22,14 @@ public:
 	std::string get_selected_path() const;
 
 	// Reset this widget without saving the settings yet
-	void reset() const;
+	void reset();
 
 protected:
-	void add_new_directory() const;
-	void remove_directory() const;
+	QListWidgetItem* add_directory(const QString& path);
+	void add_new_directory();
+	void remove_directory();
+
+	void update_selection();
 
 	const QString EmptyPath = tr("Empty Path");
 
@@ -35,6 +38,7 @@ protected:
 	std::shared_ptr<gui_settings> m_gui_settings;
 
 	// UI variables needed in higher scope
-	QListWidget* m_dir_list;
-	QLabel* m_selected_config_label;
+	QListWidget* m_dir_list = nullptr;
+	QLabel* m_selected_config_label = nullptr;
+	bool m_is_changing_data = false;
 };