diff --git a/pcsx2/GS/Renderers/DX11/GSDevice11.cpp b/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
index 4816638c91..9500b5ce42 100644
--- a/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
+++ b/pcsx2/GS/Renderers/DX11/GSDevice11.cpp
@@ -2614,10 +2614,10 @@ void GSDevice11::RenderHW(GSHWDrawConfig& config)
 
 	GSTexture* draw_rt_clone = nullptr;
 
-	// Used as "bind rt" flag when texture barrier is unsupported.
 	if (config.require_one_barrier || (config.tex && config.tex == config.rt))
 	{
 		// Requires a copy of the RT.
+		// Used as "bind rt" flag when texture barrier is unsupported for tex is fb.
 		draw_rt_clone = CreateTexture(rtsize.x, rtsize.y, 1, colclip_rt ? GSTexture::Format::ColorClip : GSTexture::Format::Color, true);
 		if (draw_rt_clone)
 		{
@@ -2629,6 +2629,19 @@ void GSDevice11::RenderHW(GSHWDrawConfig& config)
 		}
 	}
 
+	GSTexture* draw_ds_clone = nullptr;
+
+	if (config.tex && config.tex == config.ds)
+	{
+		// DX requires a copy when sampling the depth buffer.
+		draw_ds_clone = CreateDepthStencil(rtsize.x, rtsize.y, config.ds->GetFormat(), false);
+		if (draw_ds_clone)
+		{
+			CopyRect(config.ds, draw_ds_clone, config.drawarea, config.drawarea.left, config.drawarea.top);
+			PSSetShaderResource(0, draw_ds_clone);
+		}
+	}
+
 	SetupVS(config.vs, &config.cb_vs);
 	SetupPS(config.ps, &config.cb_ps, config.sampler);
 
@@ -2681,6 +2694,10 @@ void GSDevice11::RenderHW(GSHWDrawConfig& config)
 
 	if (draw_rt_clone)
 		Recycle(draw_rt_clone);
+
+	if (draw_ds_clone)
+		Recycle(draw_ds_clone);
+
 	if (primid_tex)
 		Recycle(primid_tex);
 
diff --git a/pcsx2/GS/Renderers/DX12/GSDevice12.cpp b/pcsx2/GS/Renderers/DX12/GSDevice12.cpp
index 34c876c341..77268085da 100644
--- a/pcsx2/GS/Renderers/DX12/GSDevice12.cpp
+++ b/pcsx2/GS/Renderers/DX12/GSDevice12.cpp
@@ -3828,6 +3828,7 @@ void GSDevice12::RenderHW(GSHWDrawConfig& config)
 	GSTexture12* draw_rt = static_cast<GSTexture12*>(config.rt);
 	GSTexture12* draw_ds = static_cast<GSTexture12*>(config.ds);
 	GSTexture12* draw_rt_clone = nullptr;
+	GSTexture12* draw_ds_clone = nullptr;
 
 	// Align the render area to 128x128, hopefully avoiding render pass restarts for small render area changes (e.g. Ratchet and Clank).
 	const GSVector2i rtsize(config.rt ? config.rt->GetSize() : config.ds->GetSize());
@@ -3883,7 +3884,7 @@ void GSDevice12::RenderHW(GSHWDrawConfig& config)
 	// bind textures before checking the render pass, in case we need to transition them
 	if (config.tex)
 	{
-		PSSetShaderResource(0, config.tex, config.tex != config.rt);
+		PSSetShaderResource(0, config.tex, config.tex != config.rt && config.tex != config.ds);
 		PSSetSampler(config.sampler);
 	}
 	if (config.pal)
@@ -3907,15 +3908,16 @@ void GSDevice12::RenderHW(GSHWDrawConfig& config)
 		}
 	}
 
-	if (config.require_one_barrier || (config.tex && config.tex == config.rt)) // Used as "bind rt" flag when texture barrier is unsupported.
+	if (config.require_one_barrier || (config.tex && config.tex == config.rt))
 	{
-		// requires a copy of the RT
+		// Requires a copy of the RT.
+		// Used as "bind rt" flag when texture barrier is unsupported for tex is fb.
 		draw_rt_clone = static_cast<GSTexture12*>(CreateTexture(rtsize.x, rtsize.y, 1, colclip_rt ? GSTexture::Format::ColorClip : GSTexture::Format::Color, true));
 		if (draw_rt_clone)
 		{
 			EndRenderPass();
 
-			GL_PUSH("Copy RT to temp texture for fbmask {%d,%d %dx%d}", config.drawarea.left, config.drawarea.top,
+			GL_PUSH("Copy RT to temp texture {%d,%d %dx%d}", config.drawarea.left, config.drawarea.top,
 				config.drawarea.width(), config.drawarea.height());
 
 			draw_rt_clone->SetState(GSTexture::State::Invalidated);
@@ -3927,6 +3929,23 @@ void GSDevice12::RenderHW(GSHWDrawConfig& config)
 		}
 	}
 
+	if (config.tex && config.tex == config.ds)
+	{
+		// DX requires a copy when sampling the depth buffer.
+		draw_ds_clone = static_cast<GSTexture12*>(CreateDepthStencil(rtsize.x, rtsize.y, config.ds->GetFormat(), false));
+		if (draw_ds_clone)
+		{
+			EndRenderPass();
+
+			GL_PUSH("Copy RT to temp texture {%d,%d %dx%d}", config.drawarea.left, config.drawarea.top,
+				config.drawarea.width(), config.drawarea.height());
+
+			draw_ds_clone->SetState(GSTexture::State::Invalidated);
+			CopyRect(config.ds, draw_ds_clone, config.drawarea, config.drawarea.left, config.drawarea.top);
+			PSSetShaderResource(0, draw_ds_clone, true);
+		}
+	}
+
 	// Switch to colclip target for colclip hw rendering
 	if (pipe.ps.colclip_hw)
 	{
@@ -4073,6 +4092,9 @@ void GSDevice12::RenderHW(GSHWDrawConfig& config)
 	if (draw_rt_clone)
 		Recycle(draw_rt_clone);
 
+	if (draw_ds_clone)
+		Recycle(draw_ds_clone);
+
 	if (date_image)
 		Recycle(date_image);