diff --git a/api/config.lua b/api/config.lua
index 09dc5cdd..f0c2bbcf 100644
--- a/api/config.lua
+++ b/api/config.lua
@@ -480,6 +480,8 @@ function pfUI:LoadConfig()
   pfUI:UpdateConfig("castbar",    nil,           "use_unitfonts",    "0")
 
   pfUI:UpdateConfig("tooltip",    nil,           "position",         "chat")
+  pfUI:UpdateConfig("tooltip",    nil,           "cursoralign",      "native")
+  pfUI:UpdateConfig("tooltip",    nil,           "cursoroffset",     "20")
   pfUI:UpdateConfig("tooltip",    nil,           "extguild",         "1")
   pfUI:UpdateConfig("tooltip",    nil,           "alpha",            "0.8")
   pfUI:UpdateConfig("tooltip",    "compare",     "showalways",       "0")
diff --git a/modules/gui.lua b/modules/gui.lua
index acd853b3..9132bd3e 100644
--- a/modules/gui.lua
+++ b/modules/gui.lua
@@ -472,6 +472,13 @@ pfUI:RegisterModule("gui", function ()
     "cursor:" .. T["Cursor"]
   }
 
+  pfUI.gui.dropdowns.tooltip_align = {
+    "native:" .. T["Native"],
+    "top:" .. T["Top"],
+    "left:" .. T["Left"],
+    "right:" .. T["Right"]
+  }
+
   pfUI.gui.dropdowns.gmserver_text = {
     "elysium:" .. T["Elysium Based Core"],
   }
@@ -1265,6 +1272,8 @@ pfUI:RegisterModule("gui", function ()
   pfUI.gui.tabs.tooltip.tabs.general:SetScript("OnShow", function()
     if not this.setup then
       CreateConfig(this, T["Tooltip Position"], C.tooltip, "position", "dropdown", pfUI.gui.dropdowns.tooltip_position)
+      CreateConfig(this, T["Cursor Tooltip Align"], C.tooltip, "cursoralign", "dropdown", pfUI.gui.dropdowns.tooltip_align)
+      CreateConfig(this, T["Cursor Tooltip Offset"], C.tooltip, "cursoroffset")
       CreateConfig(this, T["Enable Extended Guild Information"], C.tooltip, "extguild", "checkbox")
       CreateConfig(this, T["Custom Transparency"], C.tooltip, "alpha")
       CreateConfig(this, T["Always Show Item Comparison"], C.tooltip.compare, "showalways", "checkbox")
diff --git a/modules/tooltip.lua b/modules/tooltip.lua
index 31414faa..4eb1bac7 100644
--- a/modules/tooltip.lua
+++ b/modules/tooltip.lua
@@ -5,6 +5,30 @@ CreateBackdrop(GameTooltip, nil, nil, alpha)
   if C.tooltip.position == "cursor" then
     function _G.GameTooltip_SetDefaultAnchor(tooltip, parent)
       tooltip:SetOwner(parent, "ANCHOR_CURSOR")
+      if C.tooltip.cursoralign ~= "native" then
+        -- create mouse follow frame
+        if not tooltip.cursor then
+          tooltip.cursor = CreateFrame("Frame")
+          tooltip.cursor:SetWidth(tonumber(C.tooltip.cursoroffset) * 2)
+          tooltip.cursor:SetHeight(tonumber(C.tooltip.cursoroffset) * 2)
+          tooltip.cursor:SetScript("OnUpdate", function()
+            local x, y = GetCursorPosition()
+            this:SetPoint("CENTER", UIParent, "BOTTOMLEFT", x, y)
+            if C.tooltip.cursoralign == "top" then
+              tooltip.cursor:SetWidth(tooltip:GetWidth())
+            end
+          end)
+        end
+
+        -- adjust tooltip to mouse frame
+        if C.tooltip.cursoralign == "top" then
+          tooltip:SetPoint("BOTTOMLEFT", tooltip.cursor, "TOPLEFT", 0, 0)
+        elseif C.tooltip.cursoralign == "left" then
+          tooltip:SetPoint("BOTTOMRIGHT", tooltip.cursor, "TOPLEFT", 0, 0)
+        elseif C.tooltip.cursoralign == "right" then
+          tooltip:SetPoint("BOTTOMLEFT", tooltip.cursor, "TOPRIGHT", 0, 0)
+        end
+      end
     end
   end