diff --git a/src/video_core/command_processor.cpp b/src/video_core/command_processor.cpp
index a78985510..682be89ec 100644
--- a/src/video_core/command_processor.cpp
+++ b/src/video_core/command_processor.cpp
@@ -235,7 +235,8 @@ static void WritePicaReg(u32 id, u32 value, u32 mask) {
 
             for (unsigned int index = 0; index < regs.num_vertices; ++index)
             {
-                unsigned int vertex = is_indexed ? (index_u16 ? index_address_16[index] : index_address_8[index]) : index;
+                // Indexed rendering doesn't use the start offset
+                unsigned int vertex = is_indexed ? (index_u16 ? index_address_16[index] : index_address_8[index]) : (index + regs.vertex_offset);
 
                 // -1 is a common special value used for primitive restart. Since it's unknown if
                 // the PICA supports it, and it would mess up the caching, guard against it here.
diff --git a/src/video_core/pica.h b/src/video_core/pica.h
index f40684d83..5811eb9bc 100644
--- a/src/video_core/pica.h
+++ b/src/video_core/pica.h
@@ -769,7 +769,12 @@ struct Regs {
     // Number of vertices to render
     u32 num_vertices;
 
-    INSERT_PADDING_WORDS(0x5);
+    INSERT_PADDING_WORDS(0x1);
+
+    // The index of the first vertex to render
+    u32 vertex_offset;
+
+    INSERT_PADDING_WORDS(0x3);
 
     // These two trigger rendering of triangles
     u32 trigger_draw;