diff --git a/src/spice2x/acio/mdxf/mdxf.cpp b/src/spice2x/acio/mdxf/mdxf.cpp
index de9aa7d..48a9f65 100644
--- a/src/spice2x/acio/mdxf/mdxf.cpp
+++ b/src/spice2x/acio/mdxf/mdxf.cpp
@@ -53,17 +53,12 @@ static struct {
 
 static bool STATUS_BUFFER_FREEZE = false;
 
-typedef enum {
-    THREAD_MODE = 0,
-    BACKFILL_MODE = 1
-} MDXFBufferFillMode;
-
- /* Decides which method to use for populating ring buffer entries for "padding". Could possibly be made configurable through spicecfg.
+ /* Decides which method to use for populating ring buffer entries for "padding". Overwritten in spicecfg using P4IO Buffer Algorithm option.
     THREAD_MODE: Spins a thread running at THREAD_REFRESH_RATE_HZ which periodically fills the ring buffer with auxiliary entries. Falls back on BACKFILL_MODE
         if the game's refresh rate is fast enough to forego starting the thread.
     BACKFILL_MODE: On every update cycle, fill the ring buffer with entries for the last known state BACKFILL_INTERVAL_MS apart from each other 
         from the time of the last entry to the current time before adding the entry for the current state. */
-static const MDXFBufferFillMode BUFFER_FILL_MODE = THREAD_MODE;
+acio::MDXFBufferFillMode acio::MDXF_BUFFER_FILL_MODE = acio::THREAD_MODE;
 
 typedef enum {
     ARKMDXP4_POLL = 0,
@@ -270,7 +265,7 @@ static bool __cdecl ac_io_mdxf_update_control_status_buffer_impl(int node, MDXFP
             if (!IS_MDXF_ACTIVE) {
                 IS_MDXF_ACTIVE = true;
             }
-            if (BUFFER_FILL_MODE == THREAD_MODE) {
+            if (acio::MDXF_BUFFER_FILL_MODE == acio::THREAD_MODE) {
                 count_calls_from_game();
             }
         }
@@ -463,7 +458,7 @@ void acio::MDXFModule::attach() {
 }
 
 acio::MDXFModule::~MDXFModule() {
-    if (BUFFER_FILL_MODE == THREAD_MODE) {
+    if (acio::MDXF_BUFFER_FILL_MODE == acio::THREAD_MODE) {
         mdxf_thread_stop();
     }
 }
\ No newline at end of file
diff --git a/src/spice2x/acio/mdxf/mdxf.h b/src/spice2x/acio/mdxf/mdxf.h
index a90ca8a..481502b 100644
--- a/src/spice2x/acio/mdxf/mdxf.h
+++ b/src/spice2x/acio/mdxf/mdxf.h
@@ -3,6 +3,13 @@
 #include "../module.h"
 
 namespace acio {
+    
+    typedef enum {
+        THREAD_MODE = 0,
+        BACKFILL_MODE = 1
+    } MDXFBufferFillMode;
+
+    extern MDXFBufferFillMode MDXF_BUFFER_FILL_MODE;
 
     class MDXFModule : public ACIOModule {
     public:
diff --git a/src/spice2x/launcher/launcher.cpp b/src/spice2x/launcher/launcher.cpp
index 4f5b34e..2d1be66 100644
--- a/src/spice2x/launcher/launcher.cpp
+++ b/src/spice2x/launcher/launcher.cpp
@@ -10,6 +10,7 @@
 #include "api/modules/capture.h"
 #include "acio/acio.h"
 #include "acio/icca/icca.h"
+#include "acio/mdxf/mdxf.h"
 #include "api/controller.h"
 #include "avs/automap.h"
 #include "avs/core.h"
@@ -1149,6 +1150,14 @@ int main_implementation(int argc, char *argv[]) {
             rawinput::RAWINPUT_REQUIRE_FOCUS = false;
         }
     }
+    if (options[launcher::Options::DDRP4IOBufferMode].is_active()) {
+        if (options[launcher::Options::DDRP4IOBufferMode].value_text() == "thread") {
+            acio::MDXF_BUFFER_FILL_MODE = acio::THREAD_MODE;
+        } else if (options[launcher::Options::DDRP4IOBufferMode].value_text() == "backfill") {
+            acio::MDXF_BUFFER_FILL_MODE = acio::BACKFILL_MODE;
+        } 
+        // else - default (no value)
+    }
 
     if (options[launcher::Options::MidiAlgoVer].is_active()) {
         if (options[launcher::Options::MidiAlgoVer].value_text() == "legacy") {
diff --git a/src/spice2x/launcher/options.cpp b/src/spice2x/launcher/options.cpp
index 38a4bb0..b3aad57 100644
--- a/src/spice2x/launcher/options.cpp
+++ b/src/spice2x/launcher/options.cpp
@@ -2291,6 +2291,24 @@ static const std::vector<OptionDefinition> OPTION_DEFINITIONS = {
         .setting_name = "20",
         .category = "I/O Options",
     },
+    {
+        // DDRP4IOBufferMode
+        .title = "DDR P4IO Buffer Algorithm",
+        .name = "ddrp4iobuffer",
+        .desc =
+            "Remember to restart after changing this value.\n\n"
+            "Sets the algorithm used to populate entries to the buffer of controller polls read by the game.\n\n"
+            "Thread: Starts a thread to periodically insert polls into the buffer (defaults to Backfill if game's refresh rate is at least 120Hz).\n\n"
+            "Backfill: Fills the buffer on each frame with last known state info at short regular intervals up to the current time, then writes the current state.\n\n"
+            "Only has an effect when emulating P4IO (arkmdxp4.dll)",
+        .type = OptionType::Enum,
+        .game_name = "Dance Dance Revolution",
+        .category = "Game Options (Advanced)",
+        .elements = {
+            {"thread", ""},
+            {"backfill", ""},
+        },
+    },
     {
         // InputRequiresFocus
         .title = "Input Requires Focus",
diff --git a/src/spice2x/launcher/options.h b/src/spice2x/launcher/options.h
index ff442b6..2db19a3 100644
--- a/src/spice2x/launcher/options.h
+++ b/src/spice2x/launcher/options.h
@@ -241,6 +241,7 @@ namespace launcher {
             IIDXRecDisable,
             MidiAlgoVer,
             MidiNoteSustain,
+            DDRP4IOBufferMode,
             InputRequiresFocus,
             NostalgiaPoke,
             ForceBackBufferCount,