diff --git a/UnleashedRecomp/patches/aspect_ratio_patches.cpp b/UnleashedRecomp/patches/aspect_ratio_patches.cpp
index d0823820..07893db2 100644
--- a/UnleashedRecomp/patches/aspect_ratio_patches.cpp
+++ b/UnleashedRecomp/patches/aspect_ratio_patches.cpp
@@ -1019,8 +1019,17 @@ static double ComputeObjGetItemX(uint32_t type)
 
         x *= g_aspectRatioScale;
 
-        if (type != 47)
-            x += g_aspectRatioOffsetX * 2.0 + (1280.0 * (1.0 - g_aspectRatioScale));
+        double scaleOffset = (1280.0 * (1.0 - g_aspectRatioScale));
+
+        if (Config::UIScaleMode == EUIScaleMode::Edge)
+        {
+            if (type != 47) // Medal
+                x += g_aspectRatioOffsetX * 2.0 + scaleOffset;
+        }
+        else if (Config::UIScaleMode == EUIScaleMode::Centre)
+        {
+            x += g_aspectRatioOffsetX + scaleOffset;
+        }
 
         auto backBuffer = Video::GetBackBuffer();
         return (x - (0.5 * backBuffer->width)) / (0.5 * backBuffer->height) * OBJ_GET_ITEM_TANGENT;
diff --git a/UnleashedRecomp/ui/options_menu.cpp b/UnleashedRecomp/ui/options_menu.cpp
index e79247e8..10010020 100644
--- a/UnleashedRecomp/ui/options_menu.cpp
+++ b/UnleashedRecomp/ui/options_menu.cpp
@@ -157,12 +157,18 @@ static void DrawScanlineBars()
 
     SetShaderModifier(IMGUI_SHADER_MODIFIER_NONE);
 
+    float optionsX;
+    if (g_aspectRatio >= WIDE_ASPECT_RATIO)
+        optionsX = g_aspectRatioOffsetX;
+    else
+        optionsX = (1.0f - g_narrowOffsetScale) * -20.0f;
+
     // Options text
     DrawTextWithOutline
     (
         g_dfsogeistdFont,
         Scale(48.0f),
-        { Scale((1.0f - g_narrowOffsetScale) * -20.0f + 122.0f), Scale(56.0f) },
+        { Scale(optionsX + 122.0f), Scale(56.0f) },
         IM_COL32(255, 190, 33, 255),
         Localise("Options_Header_Name").c_str(),
         4,