diff --git a/soh/soh/Enhancements/cosmetics/CosmeticsEditor.cpp b/soh/soh/Enhancements/cosmetics/CosmeticsEditor.cpp
index a02a658877..077732809b 100644
--- a/soh/soh/Enhancements/cosmetics/CosmeticsEditor.cpp
+++ b/soh/soh/Enhancements/cosmetics/CosmeticsEditor.cpp
@@ -2707,6 +2707,7 @@ void RegisterCosmeticHooks() {
               [](s16 sceneNum) { CosmeticsEditor_AutoRandomizeAll(); });
 
     COND_HOOK(OnGameFrameUpdate, true, CosmeticsUpdateTick);
+    COND_HOOK(OnAssetAltChange, true, []() { ApplyOrResetCustomGfxPatches(true); });
 }
 
 void RegisterCosmeticWidgets() {
diff --git a/soh/soh/Enhancements/customequipment.cpp b/soh/soh/Enhancements/customequipment.cpp
index 1ce4c79048..06e6453802 100644
--- a/soh/soh/Enhancements/customequipment.cpp
+++ b/soh/soh/Enhancements/customequipment.cpp
@@ -121,6 +121,8 @@ static bool IsDummyPlayer(const Player* player) {
     return player != nullptr && player->actor.update == DummyPlayer_Update;
 }
 
+static bool sPrevAltAssetsEnabled = false;
+
 void PatchOrUnpatch(const char* resource, const char* gfx, const char* dlist1, const char* dlist2, const char* dlist3,
                     const char* alternateDL) {
     if (resource == NULL || gfx == NULL || dlist1 == NULL || dlist2 == NULL) {
@@ -128,6 +130,7 @@ void PatchOrUnpatch(const char* resource, const char* gfx, const char* dlist1, c
     }
 
     const bool altAssetsRuntime = ResourceMgr_IsAltAssetsEnabled();
+    const bool altAssetsChanged = (altAssetsRuntime != sPrevAltAssetsEnabled);
 
     if (!altAssetsRuntime) {
         // Alt assets are off; ensure any prior patches using these names are reverted.
@@ -136,11 +139,16 @@ void PatchOrUnpatch(const char* resource, const char* gfx, const char* dlist1, c
         if (dlist3 != NULL) {
             ResourceMgr_UnpatchGfxByName(resource, dlist3);
         }
-        // Drop any cached version of the resource so it reloads clean (unpatched) next use.
-        ResourceMgr_UnloadResource(resource);
+        if (altAssetsChanged) {
+            ResourceMgr_UnloadResource(resource);
+        }
         return;
     }
 
+    if (altAssetsChanged) {
+        ResourceMgr_UnloadResource(resource);
+    }
+
     if (!ResourceGetIsCustomByName(gfx)) {
         return;
     }
@@ -510,4 +518,6 @@ void UpdatePatchCustomEquipmentDlists() {
     }
 
     ApplyCommonEquipmentPatches();
+
+    sPrevAltAssetsEnabled = ResourceMgr_IsAltAssetsEnabled();
 }