diff --git a/ChocolArm64/Memory/AMemory.cs b/ChocolArm64/Memory/AMemory.cs
index c02bf172f9..da5cf00749 100644
--- a/ChocolArm64/Memory/AMemory.cs
+++ b/ChocolArm64/Memory/AMemory.cs
@@ -33,19 +33,25 @@ namespace ChocolArm64.Memory
 
         private byte* RamPtr;
 
+        private int HostPageSize;
+
         public AMemory()
         {
             Manager = new AMemoryMgr();
 
             Monitors = new Dictionary<int, ArmMonitor>();
 
+            IntPtr Size = (IntPtr)AMemoryMgr.RamSize + AMemoryMgr.PageSize;
+
             if (RuntimeInformation.IsOSPlatform(OSPlatform.Windows))
             {
-                Ram = AMemoryWin32.Allocate((IntPtr)AMemoryMgr.RamSize + AMemoryMgr.PageSize);
+                Ram = AMemoryWin32.Allocate(Size);
+
+                HostPageSize = AMemoryWin32.GetPageSize(Ram, Size);
             }
             else
             {
-                Ram = Marshal.AllocHGlobal((IntPtr)AMemoryMgr.RamSize + AMemoryMgr.PageSize);
+                Ram = Marshal.AllocHGlobal(Size);
             }
 
             RamPtr = (byte*)Ram;
@@ -149,49 +155,53 @@ namespace ChocolArm64.Memory
             }
         }
 
-        public long GetHostPageSize()
+        public int GetHostPageSize()
         {
-            if (!RuntimeInformation.IsOSPlatform(OSPlatform.Windows))
-            {
-                return AMemoryMgr.PageSize;
-            }
-
-            IntPtr MemAddress = new IntPtr(RamPtr);
-            IntPtr MemSize    = new IntPtr(AMemoryMgr.RamSize);
-
-            long PageSize = AMemoryWin32.IsRegionModified(MemAddress, MemSize, Reset: false);
-
-            if (PageSize < 1)
-            {
-                throw new InvalidOperationException();
-            }
-
-            return PageSize;
+            return HostPageSize;
         }
 
-        public bool IsRegionModified(long Position, long Size)
+        public bool[] IsRegionModified(long Position, long Size)
         {
             if (!RuntimeInformation.IsOSPlatform(OSPlatform.Windows))
             {
-                return true;
+                return null;
             }
 
             long EndPos = Position + Size;
 
             if ((ulong)EndPos < (ulong)Position)
             {
-                return false;
+                return null;
             }
 
             if ((ulong)EndPos > AMemoryMgr.RamSize)
             {
-                return false;
+                return null;
             }
 
             IntPtr MemAddress = new IntPtr(RamPtr + Position);
             IntPtr MemSize    = new IntPtr(Size);
 
-            return AMemoryWin32.IsRegionModified(MemAddress, MemSize, Reset: true) != 0;
+            int HostPageMask = HostPageSize - 1;
+
+            Position &= ~HostPageMask;
+
+            Size = EndPos - Position;
+
+            IntPtr[] Addresses  = new IntPtr[(Size + HostPageMask) / HostPageSize];
+
+            AMemoryWin32.IsRegionModified(MemAddress, MemSize, Addresses, out int Count);
+
+            bool[] Modified = new bool[Addresses.Length];
+
+            for (int Index = 0; Index < Count; Index++)
+            {
+                long VA = Addresses[Index].ToInt64() - Ram.ToInt64();
+
+                Modified[(VA - Position) / HostPageSize] = true;
+            }
+
+            return Modified;
         }
 
         public sbyte ReadSByte(long Position)
diff --git a/ChocolArm64/Memory/AMemoryWin32.cs b/ChocolArm64/Memory/AMemoryWin32.cs
index d097dc8718..387ca32c2e 100644
--- a/ChocolArm64/Memory/AMemoryWin32.cs
+++ b/ChocolArm64/Memory/AMemoryWin32.cs
@@ -49,7 +49,7 @@ namespace ChocolArm64.Memory
             VirtualFree(Address, IntPtr.Zero, MEM_RELEASE);
         }
 
-        public unsafe static long IsRegionModified(IntPtr Address, IntPtr Size, bool Reset)
+        public unsafe static int GetPageSize(IntPtr Address, IntPtr Size)
         {
             IntPtr[] Addresses = new IntPtr[1];
 
@@ -57,17 +57,36 @@ namespace ChocolArm64.Memory
 
             long Granularity;
 
-            int Flags = Reset ? WRITE_WATCH_FLAG_RESET : 0;
-
             GetWriteWatch(
-                Flags,
+                0,
                 Address,
                 Size,
                 Addresses,
                 &Count,
                 &Granularity);
 
-            return Count != 0 ? Granularity : 0;
+            return (int)Granularity;
+        }
+
+        public unsafe static void IsRegionModified(
+            IntPtr   Address,
+            IntPtr   Size,
+            IntPtr[] Addresses,
+            out int  AddrCount)
+        {
+            long Count = Addresses.Length;
+
+            long Granularity;
+
+            GetWriteWatch(
+                WRITE_WATCH_FLAG_RESET,
+                Address,
+                Size,
+                Addresses,
+                &Count,
+                &Granularity);
+
+            AddrCount = (int)Count;
         }
     }
 }
\ No newline at end of file
diff --git a/Ryujinx.HLE/Gpu/Engines/NvGpuEngine3d.cs b/Ryujinx.HLE/Gpu/Engines/NvGpuEngine3d.cs
index 10c99494b2..b9f9cc4974 100644
--- a/Ryujinx.HLE/Gpu/Engines/NvGpuEngine3d.cs
+++ b/Ryujinx.HLE/Gpu/Engines/NvGpuEngine3d.cs
@@ -464,19 +464,17 @@ namespace Ryujinx.HLE.Gpu.Engines
 
             GalTextureSampler Sampler = TextureFactory.MakeSampler(Gpu, Vmm, TscPosition);
 
-            long TextureAddress = Vmm.ReadInt64(TicPosition + 4) & 0xffffffffffff;
+            long Key = Vmm.ReadInt64(TicPosition + 4) & 0xffffffffffff;
 
-            long Key = TextureAddress;
+            Key = Vmm.GetPhysicalAddress(Key);
 
-            TextureAddress = Vmm.GetPhysicalAddress(TextureAddress);
-
-            if (IsFrameBufferPosition(TextureAddress))
+            if (IsFrameBufferPosition(Key))
             {
                 //This texture is a frame buffer texture,
                 //we shouldn't read anything from memory and bind
                 //the frame buffer texture instead, since we're not
                 //really writing anything to memory.
-                Gpu.Renderer.FrameBuffer.BindTexture(TextureAddress, TexIndex);
+                Gpu.Renderer.FrameBuffer.BindTexture(Key, TexIndex);
             }
             else
             {
@@ -544,6 +542,8 @@ namespace Ryujinx.HLE.Gpu.Engines
         {
             long IndexPosition = MakeInt64From2xInt32(NvGpuEngine3dReg.IndexArrayAddress);
 
+            long IboKey = Vmm.GetPhysicalAddress(IndexPosition);
+
             int IndexEntryFmt = ReadRegister(NvGpuEngine3dReg.IndexArrayFormat);
             int IndexFirst    = ReadRegister(NvGpuEngine3dReg.IndexBatchFirst);
             int IndexCount    = ReadRegister(NvGpuEngine3dReg.IndexBatchCount);
@@ -561,16 +561,16 @@ namespace Ryujinx.HLE.Gpu.Engines
             {
                 int IbSize = IndexCount * IndexEntrySize;
 
-                bool IboCached = Gpu.Renderer.Rasterizer.IsIboCached(IndexPosition, (uint)IbSize);
+                bool IboCached = Gpu.Renderer.Rasterizer.IsIboCached(IboKey, (uint)IbSize);
 
-                if (!IboCached || Vmm.IsRegionModified(IndexPosition, (uint)IbSize, NvGpuBufferType.Index))
+                if (!IboCached || Vmm.IsRegionModified(IboKey, (uint)IbSize, NvGpuBufferType.Index))
                 {
                     byte[] Data = Vmm.ReadBytes(IndexPosition, (uint)IbSize);
 
-                    Gpu.Renderer.Rasterizer.CreateIbo(IndexPosition, Data);
+                    Gpu.Renderer.Rasterizer.CreateIbo(IboKey, Data);
                 }
 
-                Gpu.Renderer.Rasterizer.SetIndexArray(IndexPosition, IbSize, IndexFormat);
+                Gpu.Renderer.Rasterizer.SetIndexArray(IboKey, IbSize, IndexFormat);
             }
 
             List<GalVertexAttrib>[] Attribs = new List<GalVertexAttrib>[32];
@@ -619,20 +619,22 @@ namespace Ryujinx.HLE.Gpu.Engines
                     continue;
                 }
 
+                long VboKey = Vmm.GetPhysicalAddress(VertexPosition);
+
                 int Stride = Control & 0xfff;
 
                 long VbSize = (VertexEndPos - VertexPosition) + 1;
 
-                bool VboCached = Gpu.Renderer.Rasterizer.IsVboCached(VertexPosition, VbSize);
+                bool VboCached = Gpu.Renderer.Rasterizer.IsVboCached(VboKey, VbSize);
 
-                if (!VboCached || Vmm.IsRegionModified(VertexPosition, VbSize, NvGpuBufferType.Vertex))
+                if (!VboCached || Vmm.IsRegionModified(VboKey, VbSize, NvGpuBufferType.Vertex))
                 {
                     byte[] Data = Vmm.ReadBytes(VertexPosition, VbSize);
 
-                    Gpu.Renderer.Rasterizer.CreateVbo(VertexPosition, Data);
+                    Gpu.Renderer.Rasterizer.CreateVbo(VboKey, Data);
                 }
 
-                Gpu.Renderer.Rasterizer.SetVertexArray(Index, Stride, VertexPosition, Attribs[Index].ToArray());
+                Gpu.Renderer.Rasterizer.SetVertexArray(Index, Stride, VboKey, Attribs[Index].ToArray());
             }
 
             GalPrimitiveType PrimType = (GalPrimitiveType)(PrimCtrl & 0xffff);
@@ -641,7 +643,7 @@ namespace Ryujinx.HLE.Gpu.Engines
             {
                 int VertexBase = ReadRegister(NvGpuEngine3dReg.VertexArrayElemBase);
 
-                Gpu.Renderer.Rasterizer.DrawElements(IndexPosition, IndexFirst, VertexBase, PrimType);
+                Gpu.Renderer.Rasterizer.DrawElements(IboKey, IndexFirst, VertexBase, PrimType);
             }
             else
             {
diff --git a/Ryujinx.HLE/Gpu/Memory/NvGpuBufferType.cs b/Ryujinx.HLE/Gpu/Memory/NvGpuBufferType.cs
index 7474aa33fa..469cd6cd0c 100644
--- a/Ryujinx.HLE/Gpu/Memory/NvGpuBufferType.cs
+++ b/Ryujinx.HLE/Gpu/Memory/NvGpuBufferType.cs
@@ -4,6 +4,7 @@ namespace Ryujinx.HLE.Gpu.Memory
     {
         Index,
         Vertex,
-        Texture
+        Texture,
+        Count
     }
 }
\ No newline at end of file
diff --git a/Ryujinx.HLE/Gpu/Memory/NvGpuVmm.cs b/Ryujinx.HLE/Gpu/Memory/NvGpuVmm.cs
index 36f6406a1e..0c81dd1508 100644
--- a/Ryujinx.HLE/Gpu/Memory/NvGpuVmm.cs
+++ b/Ryujinx.HLE/Gpu/Memory/NvGpuVmm.cs
@@ -274,11 +274,9 @@ namespace Ryujinx.HLE.Gpu.Memory
             PageTable[L0][L1] = TgtAddr;
         }
 
-        public bool IsRegionModified(long Position, long Size, NvGpuBufferType BufferType)
+        public bool IsRegionModified(long PA, long Size, NvGpuBufferType BufferType)
         {
-            long PA = GetPhysicalAddress(Position);
-
-            return Cache.IsRegionModified(Memory, BufferType, Position, PA, Size);
+            return Cache.IsRegionModified(Memory, BufferType, PA, Size);
         }
 
         public byte ReadByte(long Position)
diff --git a/Ryujinx.HLE/Gpu/Memory/NvGpuVmmCache.cs b/Ryujinx.HLE/Gpu/Memory/NvGpuVmmCache.cs
index c7108f00ca..ac9bd850e0 100644
--- a/Ryujinx.HLE/Gpu/Memory/NvGpuVmmCache.cs
+++ b/Ryujinx.HLE/Gpu/Memory/NvGpuVmmCache.cs
@@ -11,43 +11,53 @@ namespace Ryujinx.HLE.Gpu.Memory
 
         private class CachedPage
         {
-            private List<(long Start, long End)> Regions;
+            private struct Range
+            {
+                public long Start;
+                public long End;
+
+                public Range(long Start, long End)
+                {
+                    this.Start = Start;
+                    this.End   = End;
+                }
+            }
+
+            private List<Range>[] Regions;
 
             public LinkedListNode<long> Node { get; set; }
 
-            public int Count => Regions.Count;
-
             public int Timestamp { get; private set; }
 
-            public long PABase { get; private set; }
-
-            public NvGpuBufferType BufferType { get; private set; }
-
-            public CachedPage(long PABase, NvGpuBufferType BufferType)
+            public CachedPage()
             {
-                this.PABase     = PABase;
-                this.BufferType = BufferType;
+                Regions = new List<Range>[(int)NvGpuBufferType.Count];
 
-                Regions = new List<(long, long)>();
+                for (int Index = 0; Index < Regions.Length; Index++)
+                {
+                    Regions[Index] = new List<Range>();
+                }
             }
 
-            public bool AddRange(long Start, long End)
+            public bool AddRange(long Start, long End, NvGpuBufferType BufferType)
             {
-                for (int Index = 0; Index < Regions.Count; Index++)
-                {
-                    (long RgStart, long RgEnd) = Regions[Index];
+                List<Range> BtRegions = Regions[(int)BufferType];
 
-                    if (Start >= RgStart && End <= RgEnd)
+                for (int Index = 0; Index < BtRegions.Count; Index++)
+                {
+                    Range Rg = BtRegions[Index];
+
+                    if (Start >= Rg.Start && End <= Rg.End)
                     {
                         return false;
                     }
 
-                    if (Start <= RgEnd && RgStart <= End)
+                    if (Start <= Rg.End && Rg.Start <= End)
                     {
-                        long MinStart = Math.Min(RgStart, Start);
-                        long MaxEnd   = Math.Max(RgEnd,   End);
+                        long MinStart = Math.Min(Rg.Start, Start);
+                        long MaxEnd   = Math.Max(Rg.End,   End);
 
-                        Regions[Index] = (MinStart, MaxEnd);
+                        BtRegions[Index] = new Range(MinStart, MaxEnd);
 
                         Timestamp = Environment.TickCount;
 
@@ -55,12 +65,24 @@ namespace Ryujinx.HLE.Gpu.Memory
                     }
                 }
 
-                Regions.Add((Start, End));
+                BtRegions.Add(new Range(Start, End));
 
                 Timestamp = Environment.TickCount;
 
                 return true;
             }
+
+            public int GetTotalCount()
+            {
+                int Count = 0;
+
+                for (int Index = 0; Index < Regions.Length; Index++)
+                {
+                    Count += Regions[Index].Count;
+                }
+
+                return Count;
+            }
         }
 
         private Dictionary<long, CachedPage> Cache;
@@ -76,71 +98,61 @@ namespace Ryujinx.HLE.Gpu.Memory
             SortedCache = new LinkedList<long>();
         }
 
-        public bool IsRegionModified(
-            AMemory         Memory,
-            NvGpuBufferType BufferType,
-            long            VA,
-            long            PA,
-            long            Size)
+        public bool IsRegionModified(AMemory Memory, NvGpuBufferType BufferType, long PA, long Size)
         {
+            bool[] Modified = Memory.IsRegionModified(PA, Size);
+
+            if (Modified == null)
+            {
+                return true;
+            }
+
             ClearCachedPagesIfNeeded();
 
             long PageSize = Memory.GetHostPageSize();
 
             long Mask = PageSize - 1;
 
-            long VAEnd = VA + Size;
             long PAEnd = PA + Size;
 
             bool RegMod = false;
 
-            while (VA < VAEnd)
-            {
-                long Key    = VA & ~Mask;
-                long PABase = PA & ~Mask;
+            int Index = 0;
+
+            while (PA < PAEnd)
+            {
+                long Key = PA & ~Mask;
 
-                long VAPgEnd = Math.Min((VA + PageSize) & ~Mask, VAEnd);
                 long PAPgEnd = Math.Min((PA + PageSize) & ~Mask, PAEnd);
 
                 bool IsCached = Cache.TryGetValue(Key, out CachedPage Cp);
 
-                bool PgReset = false;
-
-                if (!IsCached)
+                if (IsCached)
                 {
-                    Cp = new CachedPage(PABase, BufferType);
+                    CpCount -= Cp.GetTotalCount();
 
-                    Cache.Add(Key, Cp);
+                    SortedCache.Remove(Cp.Node);
                 }
                 else
                 {
-                    CpCount -= Cp.Count;
+                    Cp = new CachedPage();
 
-                    SortedCache.Remove(Cp.Node);
-
-                    if (Cp.PABase     != PABase ||
-                        Cp.BufferType != BufferType)
-                    {
-                        PgReset = true;
-                    }
+                    Cache.Add(Key, Cp);
                 }
 
-                PgReset |= Memory.IsRegionModified(PA, PAPgEnd - PA) && IsCached;
-
-                if (PgReset)
+                if (Modified[Index++] && IsCached)
                 {
-                    Cp = new CachedPage(PABase, BufferType);
+                    Cp = new CachedPage();
 
                     Cache[Key] = Cp;
                 }
 
                 Cp.Node = SortedCache.AddLast(Key);
 
-                RegMod |= Cp.AddRange(VA, VAPgEnd);
+                RegMod |= Cp.AddRange(PA, PAPgEnd, BufferType);
 
-                CpCount += Cp.Count;
+                CpCount += Cp.GetTotalCount();
 
-                VA = VAPgEnd;
                 PA = PAPgEnd;
             }
 
@@ -169,7 +181,7 @@ namespace Ryujinx.HLE.Gpu.Memory
 
                 Cache.Remove(Key);
 
-                CpCount -= Cp.Count;
+                CpCount -= Cp.GetTotalCount();
 
                 TimeDelta = RingDelta(Cp.Timestamp, Timestamp);
             }