diff --git a/Source/Windows/ARM64EC/Module.S b/Source/Windows/ARM64EC/Module.S
index 9d8e169ee..6510dd447 100644
--- a/Source/Windows/ARM64EC/Module.S
+++ b/Source/Windows/ARM64EC/Module.S
@@ -81,3 +81,20 @@ ret_sp_misaligned:
   adrp lr, X64ReturnInstr
   ldr lr, [lr, #:lo12:X64ReturnInstr]
   br x17
+
+  // Calls NtContinue directly to allow continuing from a full native context, as the NTDLL NtContinue export takes in
+  // an x64 context with EC and the conversion to that loses the ARM64EC ABI-disallowed registers that FEX uses.
+.global "#NtContinueNative"
+"#NtContinueNative":
+  adrp x16, WineSyscallDispatcher
+  ldr x16, [x16, #:lo12:WineSyscallDispatcher]
+  cbz x16, direct_syscall
+wine_syscall:
+  mov x9, x30
+  adrp x8, WineNtContinueSyscallId
+  ldr x8, [x8, #:lo12:WineNtContinueSyscallId]
+  blr x16
+  ret
+direct_syscall:
+  svc #0x43
+  ret
diff --git a/Source/Windows/ARM64EC/Module.cpp b/Source/Windows/ARM64EC/Module.cpp
index 8b6a0195e..8584afcf9 100644
--- a/Source/Windows/ARM64EC/Module.cpp
+++ b/Source/Windows/ARM64EC/Module.cpp
@@ -46,9 +46,17 @@ $end_info$
 #include <wine/debug.h>
 
 class ECSyscallHandler;
+
+extern "C" {
 void* X64ReturnInstr; // See Module.S
 extern void* ExitFunctionEC;
 
+// Wine doesn't support issuing direct system calls with SVC, and unlike Windows it doesn't have a 'stable' syscall number for NtContinue
+void* WineSyscallDispatcher;
+// TODO: this really shouldn't be hardcoded, once wine gains proper syscall thunks this can be dropped.
+uint64_t WineNtContinueSyscallId = 0x1a;
+}
+
 struct ThreadCPUArea {
   static constexpr size_t TEBCPUAreaOffset = 0x1788;
   CHPE_V2_CPU_AREA_INFO* Area;
@@ -85,6 +93,9 @@ struct ThreadCPUArea {
   }
 };
 
+
+extern "C" NTSTATUS NtContinueNative(ARM64_NT_CONTEXT* NativeContext, BOOLEAN Alert);
+
 namespace {
 fextl::unique_ptr<FEXCore::Context::Context> CTX;
 fextl::unique_ptr<FEX::DummyHandlers::DummySignalDelegator> SignalDelegator;
@@ -437,7 +448,12 @@ void ProcessInit() {
   X64ReturnInstr = ::VirtualAlloc(nullptr, FEXCore::Utils::FEX_PAGE_SIZE, MEM_COMMIT, PAGE_EXECUTE_READWRITE);
   *reinterpret_cast<uint8_t*>(X64ReturnInstr) = 0xc3;
 
-  Exception::KiUserExceptionDispatcher = GetRedirectedProcAddress(GetModuleHandle("ntdll.dll"), "KiUserExceptionDispatcher");
+  const auto NtDll = GetModuleHandle("ntdll.dll");
+  Exception::KiUserExceptionDispatcher = GetRedirectedProcAddress(NtDll, "KiUserExceptionDispatcher");
+  const auto WineSyscallDispatcherPtr = reinterpret_cast<void**>(GetProcAddress(NtDll, "__wine_syscall_dispatcher"));
+  if (WineSyscallDispatcherPtr) {
+    WineSyscallDispatcher = *WineSyscallDispatcherPtr;
+  }
 }
 
 void ProcessTerm() {}