diff --git a/assets/xml/textures/icon_item_static.xml b/assets/xml/textures/icon_item_static.xml
index e8b842c74d..ca772fddda 100644
--- a/assets/xml/textures/icon_item_static.xml
+++ b/assets/xml/textures/icon_item_static.xml
@@ -173,7 +173,7 @@
         <Texture Name="gNamePanelRightTex" OutName="name_panel_right" Format="ia8" Width="72" Height="24" Offset="0x86E80"/>
         <Texture Name="gLButtonTex" OutName="l_button" Format="ia8" Width="24" Height="32" Offset="0x87540"/>
         <Texture Name="gRButtonTex" OutName="r_button" Format="ia8" Width="24" Height="32" Offset="0x87840"/>
-        <Texture Name="gUnknownJPTex" OutName="unknown_JP" Format="ia8" Width="80" Height="16" Offset="0x87B40"/>
+        <Texture Name="gUnknownJPNTex" OutName="unknown_jpn" Format="ia8" Width="80" Height="16" Offset="0x87B40"/>
         <Texture Name="gSongNoteTex" OutName="song_note" Format="ia8" Width="16" Height="24" Offset="0x88040"/>
         <Texture Name="gMagicArrowEquipEffectTex" OutName="magic_arrow_equip_effect" Format="ia8" Width="32" Height="32" Offset="0x881C0"/>
         <DList Name="gItemNamePanelDL" Offset="0x885C0"/>
diff --git a/assets/xml/textures/icon_item_static_pal.xml b/assets/xml/textures/icon_item_static_pal.xml
index 411f0f2015..474a13f249 100644
--- a/assets/xml/textures/icon_item_static_pal.xml
+++ b/assets/xml/textures/icon_item_static_pal.xml
@@ -175,7 +175,7 @@
         <Texture Name="gNamePanelRightTex" OutName="name_panel_right" Format="ia8" Width="72" Height="24" Offset="0x88280"/>
         <Texture Name="gLButtonTex" OutName="l_button" Format="ia8" Width="24" Height="32" Offset="0x88940"/>
         <Texture Name="gRButtonTex" OutName="r_button" Format="ia8" Width="24" Height="32" Offset="0x88C40"/>
-        <Texture Name="gUnknownJPTex" OutName="unknown_JP" Format="ia8" Width="80" Height="16" Offset="0x88F40"/>
+        <Texture Name="gUnknownJPNTex" OutName="unknown_jpn" Format="ia8" Width="80" Height="16" Offset="0x88F40"/>
         <Texture Name="gSongNoteTex" OutName="song_note" Format="ia8" Width="16" Height="24" Offset="0x89440"/>
         <Texture Name="gMagicArrowEquipEffectTex" OutName="magic_arrow_equip_effect" Format="ia8" Width="32" Height="32" Offset="0x895C0"/>
         <DList Name="gItemNamePanelDL" Offset="0x899C0"/>
diff --git a/assets/xml/textures/parameter_static.xml b/assets/xml/textures/parameter_static.xml
index 4cfe67916e..41f110180a 100644
--- a/assets/xml/textures/parameter_static.xml
+++ b/assets/xml/textures/parameter_static.xml
@@ -29,7 +29,7 @@
         <Texture Name="gOcarinaBtnIconCLeftTex" OutName="ocarina_c_left" Format="ia8" Width="16" Height="16" Offset="0x2C40"/>
         <Texture Name="gOcarinaBtnIconCUpTex" OutName="ocarina_c_up" Format="ia8" Width="16" Height="16" Offset="0x2D40"/>
         <Texture Name="gOcarinaTrebleClefTex" OutName="ocarina_treble_clef" Format="i4" Width="16" Height="32" Offset="0x2E40"/>
-        <Texture Name="gNaviCUpJPTex" OutName="navi_c_up_jp" Format="ia4" Width="32" Height="8" Offset="0x2F40"/>
+        <Texture Name="gNaviCUpJPNTex" OutName="navi_c_up_jpn" Format="ia4" Width="32" Height="8" Offset="0x2F40"/>
         <Texture Name="gNaviCUpENGTex" OutName="navi_c_up_eng" Format="ia4" Width="32" Height="8" Offset="0x2FC0"/>
         <Texture Name="gCounterDigit0Tex" OutName="counter_digit_0" Format="i8" Width="8" Height="16" Offset="0x3040"/>
         <Texture Name="gCounterDigit1Tex" OutName="counter_digit_1" Format="i8" Width="8" Height="16" Offset="0x30C0"/>
diff --git a/include/regs.h b/include/regs.h
index 4a11f7a557..7878d5aada 100644
--- a/include/regs.h
+++ b/include/regs.h
@@ -112,9 +112,18 @@
 #define R_PAUSE_PAGE_SWITCH_FRAME_ADVANCE_ON     ZREG(13)
 #define R_C_BTN_COLOR(i)                         ZREG(39 + (i))
 #define R_B_BTN_COLOR(i)                         ZREG(43 + (i))
+#if OOT_NTSC
+#define R_START_LABEL_SCALE                      ZREG(48)
+#define R_START_LABEL_DD(i)                      ZREG(49 + (i))
+#define R_START_LABEL_WIDTH                      ZREG(51)
+#define R_START_LABEL_HEIGHT                     ZREG(52)
+#define R_START_LABEL_Y(i)                       ZREG(53 + (i))
+#define R_START_LABEL_X(i)                       ZREG(55 + (i))
+#else
 #define R_START_LABEL_DD(i)                      ZREG(48 + (i))
 #define R_START_LABEL_Y(i)                       ZREG(51 + (i))
 #define R_START_LABEL_X(i)                       ZREG(54 + (i))
+#endif
 #define R_C_UP_BTN_X                             ZREG(62)
 #define R_C_UP_BTN_Y                             ZREG(63)
 #define R_START_BTN_X                            ZREG(68)
@@ -164,11 +173,21 @@
 #define R_ROOM_CULL_USED_ENTRIES                 iREG(88)
 #define R_ROOM_CULL_DEBUG_TARGET                 iREG(89)
 #define R_B_LABEL_DD                             WREG(0)
+#if OOT_NTSC
+#define R_B_LABEL_SCALE(i)                       WREG(8 + (i))
+#define R_B_LABEL_X(i)                           WREG(10 + (i))
+#define R_B_LABEL_Y(i)                           WREG(12 + (i))
+#define R_A_LABEL_Z(i)                           WREG(14 + (i))
+#endif
 #define R_OW_MINIMAP_X                           WREG(29)
 #define R_OW_MINIMAP_Y                           WREG(30)
 #define R_MINIMAP_DISABLED                       WREG(31)
+#if OOT_PAL
+#define R_B_LABEL_SCALE(i)                       WREG(37 + (i))
 #define R_B_LABEL_X(i)                           WREG(40 + (i))
 #define R_B_LABEL_Y(i)                           WREG(43 + (i))
+#define R_A_LABEL_Z(i)                           WREG(46 + (i))
+#endif
 #define R_DGN_MINIMAP_X                          WREG(68)
 #define R_DGN_MINIMAP_Y                          WREG(69)
 #define R_TEXTBOX_X                              VREG(0)
diff --git a/src/code/z_construct.c b/src/code/z_construct.c
index 143697e199..ac1291e2d0 100644
--- a/src/code/z_construct.c
+++ b/src/code/z_construct.c
@@ -328,6 +328,17 @@ void Regs_InitDataImpl(void) {
     R_C_BTN_COLOR(2) = 0;
     ZREG(46) = 1;
     ZREG(47) = 1;
+
+#if OOT_NTSC
+    R_START_LABEL_DD(0) = 86;
+    R_START_LABEL_DD(1) = 100;
+    R_START_LABEL_WIDTH = 0;
+    R_START_LABEL_HEIGHT = 0;
+    R_START_LABEL_Y(0) = 21;
+    R_START_LABEL_Y(1) = 20;
+    R_START_LABEL_X(0) = 122;
+    R_START_LABEL_X(1) = 120;
+#else
     R_START_LABEL_DD(0) = 100;
     R_START_LABEL_DD(1) = 89;
     R_START_LABEL_DD(2) = 92;
@@ -337,6 +348,8 @@ void Regs_InitDataImpl(void) {
     R_START_LABEL_X(0) = 120;
     R_START_LABEL_X(1) = 119;
     R_START_LABEL_X(2) = 119;
+#endif
+
     ZREG(61) = 1;
     R_C_UP_BTN_X = C_UP_BUTTON_X;
     R_C_UP_BTN_Y = C_UP_BUTTON_Y;
@@ -464,6 +477,18 @@ void Regs_InitDataImpl(void) {
     WREG(5) = 3;
     WREG(6) = 8;
     WREG(7) = 0;
+
+#if OOT_NTSC
+    R_B_LABEL_SCALE(0) = 100;
+    R_B_LABEL_SCALE(1) = 109;
+    R_B_LABEL_X(0) = 151;
+    R_B_LABEL_X(1) = 148;
+    R_B_LABEL_Y(0) = 23;
+    R_B_LABEL_Y(1) = 22;
+    R_A_LABEL_Z(0) = -380;
+    R_A_LABEL_Z(1) = -350;
+#else
+    // Same as above, although these regs are now unused in PAL versions
     WREG(8) = 100;
     WREG(9) = 109;
     WREG(10) = 151;
@@ -472,6 +497,8 @@ void Regs_InitDataImpl(void) {
     WREG(13) = 22;
     WREG(14) = -380;
     WREG(15) = -350;
+#endif
+
     WREG(16) = -175;
     WREG(17) = 155;
     WREG(18) = 10;
@@ -492,18 +519,20 @@ void Regs_InitDataImpl(void) {
     WREG(33) = 60;
     WREG(35) = 0;
     WREG(36) = 0;
-    WREG(37) = 100;
-    WREG(38) = 99;
-    WREG(39) = 109;
+
+#if OOT_PAL
+    R_B_LABEL_SCALE(0) = 100;
+    R_B_LABEL_SCALE(1) = 99;
+    R_B_LABEL_SCALE(2) = 109;
     R_B_LABEL_X(0) = B_BUTTON_X - 9;
     R_B_LABEL_X(1) = B_BUTTON_X - 11;
     R_B_LABEL_X(2) = B_BUTTON_X - 12;
     R_B_LABEL_Y(0) = B_BUTTON_Y + 6;
     R_B_LABEL_Y(1) = B_BUTTON_Y + 5;
     R_B_LABEL_Y(2) = B_BUTTON_Y + 5;
-    WREG(46) = -380;
-    WREG(47) = -360;
-    WREG(48) = -350;
+    R_A_LABEL_Z(0) = -380;
+    R_A_LABEL_Z(1) = -360;
+    R_A_LABEL_Z(2) = -350;
     WREG(49) = -48;
     WREG(50) = 16;
     WREG(51) = -62;
@@ -522,6 +551,8 @@ void Regs_InitDataImpl(void) {
     WREG(64) = -37;
     WREG(65) = 30;
     WREG(66) = -50;
+#endif
+
     R_DGN_MINIMAP_X = 204;
     R_DGN_MINIMAP_Y = 140;
     WREG(87) = 80;
diff --git a/src/code/z_kaleido_setup.c b/src/code/z_kaleido_setup.c
index 36a01c1239..3148d6fb58 100644
--- a/src/code/z_kaleido_setup.c
+++ b/src/code/z_kaleido_setup.c
@@ -83,8 +83,8 @@ void KaleidoSetup_Update(PlayState* play) {
             // mainState is also overwritten later before being used.
             pauseCtx->mainState = PAUSE_MAIN_STATE_SWITCHING_PAGE;
 
-            //! @bug REG collision
-            if (R_START_LABEL_DD(0) == 0) {
+            //! @bug REG collision, ZREG(48) is also R_START_LABEL_SCALE for NTSC and R_START_LABEL_DD(0) for PAL
+            if (ZREG(48) == 0) {
                 // Never reached, unused, and the data would be wrong anyway
                 // (scrolling left from this would not bring to the initial page)
                 pauseCtx->eye.x = sKaleidoSetupUnusedEyeX[pauseCtx->pageIndex];
diff --git a/src/code/z_parameter.c b/src/code/z_parameter.c
index 8a32dd2a2b..9dc97ff1fc 100644
--- a/src/code/z_parameter.c
+++ b/src/code/z_parameter.c
@@ -2097,7 +2097,11 @@ void func_80086D5C(s32* buf, u16 size) {
 }
 
 void Interface_LoadActionLabel(InterfaceContext* interfaceCtx, u16 action, s16 loadOffset) {
+#if OOT_NTSC
+    static void* sDoActionTextures[] = { gAttackDoActionJPNTex, gCheckDoActionJPNTex };
+#else
     static void* sDoActionTextures[] = { gAttackDoActionENGTex, gCheckDoActionENGTex };
+#endif
 
     if (action >= DO_ACTION_MAX) {
         action = DO_ACTION_NONE;
@@ -2762,15 +2766,17 @@ void Interface_DrawActionLabel(GraphicsContext* gfxCtx, void* texture) {
 }
 
 void Interface_DrawItemButtons(PlayState* play) {
-    static void* cUpLabelTextures[] = { gNaviCUpENGTex, gNaviCUpENGTex, gNaviCUpENGTex };
+    static void* cUpLabelTextures[] = LANGUAGE_ARRAY(gNaviCUpJPNTex, gNaviCUpENGTex, gNaviCUpENGTex, gNaviCUpENGTex);
     static s16 startButtonLeftPos[] = { 132, 130, 130 };
     InterfaceContext* interfaceCtx = &play->interfaceCtx;
     Player* player = GET_PLAYER(play);
     PauseContext* pauseCtx = &play->pauseCtx;
     s16 temp; // Used as both an alpha value and a button index
+#if OOT_PAL
     s16 texCoordScale;
     s16 width;
     s16 height;
+#endif
 
     OPEN_DISPS(play->state.gfxCtx, "../z_parameter.c", 2900);
 
@@ -2811,9 +2817,16 @@ void Interface_DrawItemButtons(PlayState* play) {
             // Start Button Texture, Color & Label
             gDPPipeSync(OVERLAY_DISP++);
             gDPSetPrimColor(OVERLAY_DISP++, 0, 0, 120, 120, 120, interfaceCtx->startAlpha);
+
+#if OOT_NTSC
+            gSPTextureRectangle(OVERLAY_DISP++, 132 << 2, 17 << 2, (132 + 22) << 2, 39 << 2, G_TX_RENDERTILE, 0, 0,
+                                (s32)(1.4277344 * (1 << 10)), (s32)(1.4277344 * (1 << 10)));
+#else
             gSPTextureRectangle(OVERLAY_DISP++, startButtonLeftPos[gSaveContext.language] << 2, 17 << 2,
                                 (startButtonLeftPos[gSaveContext.language] + 22) << 2, 39 << 2, G_TX_RENDERTILE, 0, 0,
                                 (s32)(1.4277344 * (1 << 10)), (s32)(1.4277344 * (1 << 10)));
+#endif
+
             gDPPipeSync(OVERLAY_DISP++);
             gDPSetPrimColor(OVERLAY_DISP++, 0, 0, 255, 255, 255, interfaceCtx->startAlpha);
             gDPSetEnvColor(OVERLAY_DISP++, 0, 0, 0, 0);
@@ -2824,6 +2837,16 @@ void Interface_DrawItemButtons(PlayState* play) {
                                    DO_ACTION_TEX_WIDTH, DO_ACTION_TEX_HEIGHT, 0, G_TX_NOMIRROR | G_TX_WRAP,
                                    G_TX_NOMIRROR | G_TX_WRAP, G_TX_NOMASK, G_TX_NOMASK, G_TX_NOLOD, G_TX_NOLOD);
 
+#if OOT_NTSC
+            R_START_LABEL_SCALE = (1 << 10) / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
+            R_START_LABEL_WIDTH = DO_ACTION_TEX_WIDTH / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
+            R_START_LABEL_HEIGHT = DO_ACTION_TEX_HEIGHT / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
+            gSPTextureRectangle(OVERLAY_DISP++, R_START_LABEL_X(gSaveContext.language) << 2,
+                                R_START_LABEL_Y(gSaveContext.language) << 2,
+                                (R_START_LABEL_X(gSaveContext.language) + R_START_LABEL_WIDTH) << 2,
+                                (R_START_LABEL_Y(gSaveContext.language) + R_START_LABEL_HEIGHT) << 2, G_TX_RENDERTILE,
+                                0, 0, R_START_LABEL_SCALE, R_START_LABEL_SCALE);
+#else
             texCoordScale = (1 << 10) / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
             width = DO_ACTION_TEX_WIDTH / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
             height = DO_ACTION_TEX_HEIGHT / (R_START_LABEL_DD(gSaveContext.language) / 100.0f);
@@ -2832,6 +2855,7 @@ void Interface_DrawItemButtons(PlayState* play) {
                                 (R_START_LABEL_X(gSaveContext.language) + width) << 2,
                                 (R_START_LABEL_Y(gSaveContext.language) + height) << 2, G_TX_RENDERTILE, 0, 0,
                                 texCoordScale, texCoordScale);
+#endif
         }
     }
 
@@ -3285,7 +3309,7 @@ void Interface_Draw(PlayState* play) {
                                    DO_ACTION_TEX_WIDTH, DO_ACTION_TEX_HEIGHT, 0, G_TX_NOMIRROR | G_TX_WRAP,
                                    G_TX_NOMIRROR | G_TX_WRAP, G_TX_NOMASK, G_TX_NOMASK, G_TX_NOLOD, G_TX_NOLOD);
 
-            R_B_LABEL_DD = (1 << 10) / (WREG(37 + gSaveContext.language) / 100.0f);
+            R_B_LABEL_DD = (1 << 10) / (R_B_LABEL_SCALE(gSaveContext.language) / 100.0f);
             gSPTextureRectangle(OVERLAY_DISP++, R_B_LABEL_X(gSaveContext.language) << 2,
                                 R_B_LABEL_Y(gSaveContext.language) << 2,
                                 (R_B_LABEL_X(gSaveContext.language) + DO_ACTION_TEX_WIDTH) << 2,
@@ -3347,7 +3371,7 @@ void Interface_Draw(PlayState* play) {
                           PRIMITIVE, ENVIRONMENT, TEXEL0, ENVIRONMENT, TEXEL0, 0, PRIMITIVE, 0);
         gDPSetPrimColor(OVERLAY_DISP++, 0, 0, 255, 255, 255, interfaceCtx->aAlpha);
         gDPSetEnvColor(OVERLAY_DISP++, 0, 0, 0, 0);
-        Matrix_Translate(0.0f, 0.0f, WREG(46 + gSaveContext.language) / 10.0f, MTXMODE_NEW);
+        Matrix_Translate(0.0f, 0.0f, R_A_LABEL_Z(gSaveContext.language) / 10.0f, MTXMODE_NEW);
         Matrix_Scale(1.0f, 1.0f, 1.0f, MTXMODE_APPLY);
         Matrix_RotateX(interfaceCtx->unk_1F4 / 10000.0f, MTXMODE_APPLY);
         gSPMatrix(OVERLAY_DISP++, MATRIX_NEW(play->state.gfxCtx, "../z_parameter.c", 3701),