diff --git a/crates/console/src/plugin/mod.rs b/crates/console/src/plugin/mod.rs
index 4411ccc..d2ff750 100644
--- a/crates/console/src/plugin/mod.rs
+++ b/crates/console/src/plugin/mod.rs
@@ -408,8 +408,7 @@ fn publish_client_action_input(
         physical.movement_ready = false;
         physical.look_ready = false;
     } else {
-        out.pad_sensitivity =
-            settings.pad_sensitivity / frame::GameSettings::PAD_SENSITIVITY_DEFAULT;
+        out.pad_sensitivity = settings.pad_look_sensitivity();
         out.pad_ads_sensitivity = settings.pad_ads_sensitivity;
         out.pad_acceleration = settings.pad_acceleration;
         if let Some(pad) = pad {
diff --git a/crates/console/src/user_settings.rs b/crates/console/src/user_settings.rs
index 04eb60f..c097e6d 100644
--- a/crates/console/src/user_settings.rs
+++ b/crates/console/src/user_settings.rs
@@ -354,7 +354,11 @@ fn serialize_settings(settings: &frame::GameSettings, binds: &KeyBinds) -> Strin
         format!("player_name={safe_name}"),
         format!("pad_layout={}", settings.pad_layout),
         format!("pad_stick_layout={}", settings.pad_stick_layout),
-        format!("pad_sensitivity={:.2}", settings.pad_sensitivity),
+        format!("pad_sensitivity_preset={}", settings.pad_sensitivity_preset),
+        format!(
+            "pad_custom_sensitivity={:.3}",
+            settings.pad_custom_sensitivity
+        ),
         format!("pad_ads_sensitivity={:.2}", settings.pad_ads_sensitivity),
         format!("pad_invert={}", settings.pad_invert),
         format!("pad_curve={}", settings.pad_curve),
@@ -448,7 +452,15 @@ fn parse_settings(source: &str, settings: &mut frame::GameSettings, binds: &mut
             "player_name" => settings.player_name = value.to_owned(),
             "pad_layout" => parse_into(value, &mut settings.pad_layout),
             "pad_stick_layout" => parse_into(value, &mut settings.pad_stick_layout),
-            "pad_sensitivity" => parse_into(value, &mut settings.pad_sensitivity),
+            // Preserve the effective speed of configs saved with the old 1-10 slider.
+            "pad_sensitivity" => {
+                if let Ok(old) = value.parse::<f32>() {
+                    settings.pad_custom_sensitivity = old.clamp(1.0, 10.0) / 3.0;
+                    settings.pad_sensitivity_preset = 0;
+                }
+            }
+            "pad_sensitivity_preset" => parse_into(value, &mut settings.pad_sensitivity_preset),
+            "pad_custom_sensitivity" => parse_into(value, &mut settings.pad_custom_sensitivity),
             "pad_ads_sensitivity" => parse_into(value, &mut settings.pad_ads_sensitivity),
             "pad_invert" => parse_into(value, &mut settings.pad_invert),
             "pad_curve" => parse_into(value, &mut settings.pad_curve),
@@ -532,7 +544,11 @@ pub(crate) fn native_menu_settings(
             "ui_bloom" => settings.bloom = value == "1",
             "ui_pad_layout" => parse_into(value, &mut settings.pad_layout),
             "ui_pad_stick_layout" => parse_into(value, &mut settings.pad_stick_layout),
-            "ui_pad_sensitivity" => parse_into(value, &mut settings.pad_sensitivity),
+            "ui_pad_sensitivity_preset" => parse_into(value, &mut settings.pad_sensitivity_preset),
+            "ui_pad_custom_sensitivity" => {
+                parse_into(value, &mut settings.pad_custom_sensitivity);
+                settings.pad_sensitivity_preset = 0;
+            }
             "ui_pad_ads_sensitivity" => parse_into(value, &mut settings.pad_ads_sensitivity),
             "ui_pad_invert" => settings.pad_invert = value == "1",
             "ui_pad_curve" => parse_into(value, &mut settings.pad_curve),
@@ -572,7 +588,14 @@ pub(crate) fn native_menu_settings(
     dvars.set("ui_r_vsync", if settings.vsync { "1" } else { "0" });
     dvars.set("ui_pad_layout", settings.pad_layout.to_string());
     dvars.set("ui_pad_stick_layout", settings.pad_stick_layout.to_string());
-    dvars.set("ui_pad_sensitivity", settings.pad_sensitivity.to_string());
+    dvars.set(
+        "ui_pad_sensitivity_preset",
+        settings.pad_sensitivity_preset.to_string(),
+    );
+    dvars.set(
+        "ui_pad_custom_sensitivity",
+        settings.pad_custom_sensitivity.to_string(),
+    );
     dvars.set(
         "ui_pad_ads_sensitivity",
         settings.pad_ads_sensitivity.to_string(),
diff --git a/crates/frame/src/settings.rs b/crates/frame/src/settings.rs
index 1a61f89..1f422df 100644
--- a/crates/frame/src/settings.rs
+++ b/crates/frame/src/settings.rs
@@ -40,7 +40,9 @@ pub struct GameSettings {
 
     pub pad_layout: u8,
     pub pad_stick_layout: u8,
-    pub pad_sensitivity: f32,
+    /// Zero selects the independently saved custom multiplier; 1..=10 select presets.
+    pub pad_sensitivity_preset: u8,
+    pub pad_custom_sensitivity: f32,
     pub pad_ads_sensitivity: f32,
     pub pad_invert: bool,
     pub pad_curve: u8,
@@ -71,7 +73,8 @@ impl Default for GameSettings {
             player_name: "Player".to_owned(),
             pad_layout: 0,
             pad_stick_layout: 0,
-            pad_sensitivity: Self::PAD_SENSITIVITY_DEFAULT,
+            pad_sensitivity_preset: 0,
+            pad_custom_sensitivity: 1.0,
             pad_ads_sensitivity: 1.0,
             pad_invert: false,
             pad_curve: 0,
@@ -90,7 +93,18 @@ impl GameSettings {
     pub const FOV_DEFAULT: f32 = 65.0;
     pub const FOV_MIN: f32 = 65.0;
     pub const FOV_MAX: f32 = 120.0;
-    pub const PAD_SENSITIVITY_DEFAULT: f32 = 3.0;
+    // IW4x ui_mp/pc_options_gamepad.menu: SENSITIVITY_1 through SENSITIVITY_10.
+    pub const PAD_SENSITIVITY_PRESETS: [f32; 10] =
+        [0.6, 1.0, 1.4, 1.8, 2.0, 2.2, 2.6, 3.0, 3.5, 4.0];
+
+    pub fn pad_look_sensitivity(&self) -> f32 {
+        self.pad_sensitivity_preset
+            .checked_sub(1)
+            .and_then(|index| Self::PAD_SENSITIVITY_PRESETS.get(usize::from(index)))
+            .copied()
+            .unwrap_or(self.pad_custom_sensitivity)
+    }
+
     pub const PAD_LAYOUT_CUSTOM: u8 = 255;
 
     pub fn touch(&mut self) {
@@ -126,12 +140,8 @@ impl GameSettings {
                 default
             }
         };
-        self.pad_sensitivity = finite(
-            self.pad_sensitivity,
-            1.0,
-            10.0,
-            Self::PAD_SENSITIVITY_DEFAULT,
-        );
+        self.pad_sensitivity_preset = self.pad_sensitivity_preset.min(10);
+        self.pad_custom_sensitivity = finite(self.pad_custom_sensitivity, 0.1, 5.0, 1.0);
         self.pad_ads_sensitivity = finite(self.pad_ads_sensitivity, 0.5, 1.5, 1.0);
         self.pad_deadzone_left = finite(self.pad_deadzone_left, 0.0, 0.4, 0.12);
         self.pad_deadzone_right = finite(self.pad_deadzone_right, 0.0, 0.4, 0.12);
diff --git a/crates/ui/menus/controller.json b/crates/ui/menus/controller.json
index ff4e9bc..08c2982 100644
--- a/crates/ui/menus/controller.json
+++ b/crates/ui/menus/controller.json
@@ -262,12 +262,127 @@
      "name": "controller_label_3"
     }
    },
+   {
+    "name": "video_display_mode",
+    "fields": {
+     "item_type": 12,
+     "static_flags": 0,
+     "dvar": "ui_pad_sensitivity_preset",
+     "choices": [
+      [
+       "Custom",
+       "0"
+      ],
+      [
+       "1",
+       "1"
+      ],
+      [
+       "2",
+       "2"
+      ],
+      [
+       "3",
+       "3"
+      ],
+      [
+       "4",
+       "4"
+      ],
+      [
+       "5",
+       "5"
+      ],
+      [
+       "6",
+       "6"
+      ],
+      [
+       "7",
+       "7"
+      ],
+      [
+       "8",
+       "8"
+      ],
+      [
+       "9",
+       "9"
+      ],
+      [
+       "10",
+       "10"
+      ]
+     ],
+     "vis_exp": "1",
+     "disabled_exp": "0",
+     "text_key": "",
+     "text_exp": "",
+     "text_align_mode": 10,
+     "text_align_x": -8,
+     "text_align_y": 0,
+     "fore_color": [
+      1,
+      1,
+      1,
+      1
+     ],
+     "rect": {
+      "x": 232,
+      "y": 68,
+      "w": 344,
+      "h": 20
+     },
+     "handlers": {
+      "action": [
+       {
+        "Script": "play mouse_click;"
+       }
+      ],
+      "focus": [
+       {
+        "Script": "play mouse_over; setItemColor self backcolor 0 0 0 1;"
+       }
+      ],
+      "leave_focus": [
+       {
+        "Script": "setItemColor self backcolor 0 0 0 0;"
+       }
+      ]
+     },
+     "text_scale": 0.375,
+     "style": 1,
+     "background": "menu_button_selection_bar",
+     "back_color": [
+      0,
+      0,
+      0,
+      0
+     ],
+     "name": "ui_pad_sensitivity_preset"
+    }
+   },
+   {
+    "name": "video_display_mode_label",
+    "fields": {
+     "vis_exp": "1",
+     "text_key": "Sensitivity Preset",
+     "rect": {
+      "x": 232,
+      "y": 68,
+      "w": 344,
+      "h": 20
+     },
+     "text_scale": 0.32,
+     "name": "controller_sensitivity_preset_label"
+    }
+   },
    {
     "name": "video_brightness",
     "fields": {
      "item_type": 10,
      "static_flags": 0,
-     "dvar": "ui_pad_sensitivity",
+     "dvar": "ui_pad_custom_sensitivity",
      "choices": [],
      "vis_exp": "1",
      "disabled_exp": "0",
@@ -284,7 +399,7 @@
      ],
      "rect": {
       "x": 420,
-      "y": 68,
+      "y": 88,
       "w": 112,
       "h": 20
      },
@@ -305,24 +420,24 @@
       0
      ],
      "slider": {
-      "min": 1,
-      "max": 10,
+      "min": 0.1,
+      "max": 5.0,
       "step": 0.1,
       "display_range": null,
-      "suffix": "",
+      "suffix": "x",
       "decimals": 1
      },
-     "name": "ui_pad_sensitivity"
+     "name": "ui_pad_custom_sensitivity"
     }
    },
    {
     "name": "video_brightness_label",
     "fields": {
-     "text_key": "Look Sensitivity",
+     "text_key": "Custom Sensitivity",
      "vis_exp": "1",
      "rect": {
       "x": 232,
-      "y": 68,
+      "y": 88,
       "w": 344,
       "h": 20
      },
@@ -351,7 +466,7 @@
      ],
      "rect": {
       "x": 420,
-      "y": 88,
+      "y": 108,
       "w": 112,
       "h": 20
      },
@@ -391,7 +506,7 @@
      "vis_exp": "1",
      "rect": {
       "x": 232,
-      "y": 88,
+      "y": 108,
       "w": 344,
       "h": 20
      },
@@ -429,7 +544,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 108,
+      "y": 128,
       "w": 344,
       "h": 20
      },
@@ -469,7 +584,7 @@
      "text_key": "Look Inversion",
      "rect": {
       "x": 232,
-      "y": 108,
+      "y": 128,
       "w": 344,
       "h": 20
      },
@@ -512,7 +627,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 128,
+      "y": 148,
       "w": 344,
       "h": 20
      },
@@ -552,7 +667,7 @@
      "text_key": "Response Curve",
      "rect": {
       "x": 232,
-      "y": 128,
+      "y": 148,
       "w": 344,
       "h": 20
      },
@@ -591,7 +706,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 148,
+      "y": 168,
       "w": 344,
       "h": 20
      },
@@ -631,7 +746,7 @@
      "text_key": "Look Acceleration",
      "rect": {
       "x": 232,
-      "y": 148,
+      "y": 168,
       "w": 344,
       "h": 20
      },
@@ -666,7 +781,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 168,
+      "y": 188,
       "w": 344,
       "h": 20
      },
@@ -706,7 +821,7 @@
      "text_key": "Aim Assist",
      "rect": {
       "x": 232,
-      "y": 168,
+      "y": 188,
       "w": 344,
       "h": 20
      },
@@ -745,7 +860,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 188,
+      "y": 208,
       "w": 344,
       "h": 20
      },
@@ -785,7 +900,7 @@
      "text_key": "Vibration",
      "rect": {
       "x": 232,
-      "y": 188,
+      "y": 208,
       "w": 344,
       "h": 20
      },
@@ -815,7 +930,7 @@
      ],
      "rect": {
       "x": 420,
-      "y": 208,
+      "y": 228,
       "w": 112,
       "h": 20
      },
@@ -855,7 +970,7 @@
      "vis_exp": "1",
      "rect": {
       "x": 232,
-      "y": 208,
+      "y": 228,
       "w": 344,
       "h": 20
      },
@@ -884,7 +999,7 @@
      ],
      "rect": {
       "x": 420,
-      "y": 228,
+      "y": 248,
       "w": 112,
       "h": 20
      },
@@ -924,7 +1039,7 @@
      "vis_exp": "1",
      "rect": {
       "x": 232,
-      "y": 228,
+      "y": 248,
       "w": 344,
       "h": 20
      },
@@ -970,7 +1085,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 248,
+      "y": 268,
       "w": 344,
       "h": 20
      },
@@ -1010,7 +1125,7 @@
      "text_key": "Controller Prompts",
      "rect": {
       "x": 232,
-      "y": 248,
+      "y": 268,
       "w": 344,
       "h": 20
      },
@@ -1040,7 +1155,7 @@
      ],
      "rect": {
       "x": 232,
-      "y": 268,
+      "y": 288,
       "w": 344,
       "h": 20
      },
@@ -1080,7 +1195,7 @@
      "text_key": "Test Vibration",
      "rect": {
       "x": 232,
-      "y": 268,
+      "y": 288,
       "w": 344,
       "h": 20
      },