diff --git a/cmake/src/main/hook/patch/CMakeLists.txt b/cmake/src/main/hook/patch/CMakeLists.txt
index 17c2234..9d55729 100644
--- a/cmake/src/main/hook/patch/CMakeLists.txt
+++ b/cmake/src/main/hook/patch/CMakeLists.txt
@@ -21,6 +21,7 @@ set(SOURCE_FILES
         ${SRC}/piubtn.c
         ${SRC}/piuio.c
         ${SRC}/piuio-exit.c
+        ${SRC}/piuio-khack.c
         ${SRC}/ram-wipe.c
         ${SRC}/redir.c
         ${SRC}/sigsegv.c
diff --git a/src/main/hook/patch/piuio-khack.c b/src/main/hook/patch/piuio-khack.c
new file mode 100644
index 0000000..8341817
--- /dev/null
+++ b/src/main/hook/patch/piuio-khack.c
@@ -0,0 +1,132 @@
+#include "capnhook/hook/usbhook.h"
+
+#include "io/piuio/defs.h"
+
+#include "util/log.h"
+
+#define PATCH_PIUIO_KHACK_CTRL_REQ_TYPE 0
+#define PATCH_PIUIO_KHACK_CTRL_REQ 0
+#define PATCH_PIUIO_KHACK_TIMEOUT 10011
+#define PATCH_PIUIO_KHACK_BUFFER_SIZE PIUIO_DRV_BUFFER_SIZE * 4
+
+static enum cnh_result patch_piuio_khack_usbhook(struct cnh_usbhook_irp *irp);
+
+static usb_dev_handle* _patch_piuio_khack_usb_handle;
+
+void patch_piuio_khack_init()
+{
+    cnh_usbhook_push_handler(patch_piuio_khack_usbhook);
+    log_info("Initialized");
+}
+
+static enum cnh_result patch_piuio_khack_usbhook(struct cnh_usbhook_irp *irp)
+{
+    enum cnh_result result;
+    uint8_t out_buffer[PATCH_PIUIO_KHACK_BUFFER_SIZE];
+    uint8_t in_buffer[PATCH_PIUIO_KHACK_BUFFER_SIZE];
+
+    if (irp->op != CNH_USBHOOK_IRP_OP_OPEN && _patch_piuio_khack_usb_handle != irp->handle) {
+        return cnh_usbhook_invoke_next(irp);
+    }
+
+    switch (irp->op) {
+        case CNH_USBHOOK_IRP_OP_OPEN:
+        {
+            if (irp->open_usb_dev->descriptor.idVendor == PIUIO_DRV_VID &&
+                    irp->open_usb_dev->descriptor.idProduct == PIUIO_DRV_PID) {
+
+                if (_patch_piuio_khack_usb_handle) {
+                    log_warn("Already detected PIUIO previously, ignoring re-detection");
+
+                    irp->handle = _patch_piuio_khack_usb_handle;
+                    result = CNH_RESULT_SUCCESS;
+                } else {
+                    log_info("Detected PIUIO");
+
+                    result = cnh_usbhook_invoke_next(irp);
+
+                    if (result == CNH_RESULT_SUCCESS) {
+                        _patch_piuio_khack_usb_handle = irp->handle;
+                    }
+                }
+            } else {
+                result = cnh_usbhook_invoke_next(irp);
+            }
+
+            break;
+        }
+
+        case CNH_USBHOOK_IRP_OP_CTRL_MSG:
+        {
+            // Identifiers for custom kernel hack introduced by some update in ITG 2 back in the days
+            if (irp->ctrl_req_type == PATCH_PIUIO_KHACK_CTRL_REQ_TYPE &&
+                    irp->ctrl_req == PATCH_PIUIO_KHACK_CTRL_REQ &&
+                    irp->ctrl_timeout == PATCH_PIUIO_KHACK_TIMEOUT) {
+
+                // Hack combines the four calls for each sensor into a single call
+                if (irp->ctrl_buffer.nbytes != PATCH_PIUIO_KHACK_BUFFER_SIZE) {
+                    log_error("Invalid buffer size for kernel hack: %d", irp->ctrl_buffer.nbytes);
+                    return CNH_RESULT_INVALID_PARAMETER;
+                }
+
+                memcpy(out_buffer, irp->ctrl_buffer.bytes, irp->ctrl_buffer.nbytes);
+
+                // Split the hack into single calls
+                for (uint8_t i = 0; i < 4; i++) {
+                    irp->ctrl_req_type = PIUIO_DRV_USB_CTRL_TYPE_OUT;
+                    irp->ctrl_req = PIUIO_DRV_USB_CTRL_REQUEST;
+                    irp->ctrl_timeout = PIUIO_DRV_USB_REQ_TIMEOUT;
+                    irp->ctrl_buffer.pos = 0;
+                    irp->ctrl_buffer.nbytes = PIUIO_DRV_BUFFER_SIZE;
+
+                    memcpy(irp->ctrl_buffer.bytes, &out_buffer[PIUIO_DRV_BUFFER_SIZE * i], PIUIO_DRV_BUFFER_SIZE);
+
+                    result = cnh_usbhook_invoke_next_reset_advance(irp);
+
+                    if (result != CNH_RESULT_SUCCESS) {
+                        return result;
+                    }
+
+                    irp->ctrl_req_type = PIUIO_DRV_USB_CTRL_TYPE_IN;
+                    irp->ctrl_req = PIUIO_DRV_USB_CTRL_REQUEST;
+                    irp->ctrl_timeout = PIUIO_DRV_USB_REQ_TIMEOUT;
+                    irp->ctrl_buffer.pos = 0;
+                    irp->ctrl_buffer.nbytes = PIUIO_DRV_BUFFER_SIZE;
+
+                    result = cnh_usbhook_invoke_next_reset_advance(irp);
+
+                    if (result != CNH_RESULT_SUCCESS) {
+                        return result;
+                    }
+
+                    memcpy(&in_buffer[PIUIO_DRV_BUFFER_SIZE * i], irp->ctrl_buffer.bytes, PIUIO_DRV_BUFFER_SIZE);
+                }
+
+                irp->ctrl_req_type = PATCH_PIUIO_KHACK_CTRL_REQ_TYPE;
+                irp->ctrl_req = PATCH_PIUIO_KHACK_CTRL_REQ;
+                irp->ctrl_timeout = PATCH_PIUIO_KHACK_TIMEOUT;
+                irp->ctrl_buffer.pos = PATCH_PIUIO_KHACK_BUFFER_SIZE;
+                irp->ctrl_buffer.nbytes = PATCH_PIUIO_KHACK_BUFFER_SIZE;
+
+                memcpy(irp->ctrl_buffer.bytes, in_buffer, PATCH_PIUIO_KHACK_BUFFER_SIZE);
+            }
+
+            break;
+        }
+
+        case CNH_USBHOOK_IRP_OP_CLOSE:
+        {
+            _patch_piuio_khack_usb_handle = NULL;
+
+            result = cnh_usbhook_invoke_next(irp);
+
+            break;
+        }
+
+        default:
+            result = cnh_usbhook_invoke_next(irp);
+            break;
+    }
+
+    return result;
+}
\ No newline at end of file
diff --git a/src/main/hook/patch/piuio-khack.h b/src/main/hook/patch/piuio-khack.h
new file mode 100644
index 0000000..acce38c
--- /dev/null
+++ b/src/main/hook/patch/piuio-khack.h
@@ -0,0 +1,10 @@
+#pragma once
+
+/**
+ * Initialize this module which adds code handling the custom kernel hack for
+ * piuio devices lowering call overhead to the kernel. However, with newer
+ * hardware the impact of this hack has become less and this introduces some
+ * sort of compatibility issue if you just want to run the games without
+ * having to depend on an additional kernel module handling this hack.
+ */
+void patch_piuio_khack_init();
\ No newline at end of file