diff --git a/server/src/services/media.service.spec.ts b/server/src/services/media.service.spec.ts
index 994ba436a..b45308257 100644
--- a/server/src/services/media.service.spec.ts
+++ b/server/src/services/media.service.spec.ts
@@ -2939,6 +2939,8 @@ describe(MediaService.name, () => {
             '7',
             '-global_quality:v',
             '23',
+            '-b:v',
+            '6897k',
             '-maxrate',
             '10000k',
             '-bufsize',
diff --git a/server/src/utils/media.ts b/server/src/utils/media.ts
index b3a617c36..eb775e20d 100644
--- a/server/src/utils/media.ts
+++ b/server/src/utils/media.ts
@@ -788,6 +788,12 @@ export class QsvSwDecodeConfig extends BaseHWConfig {
     const options = [`-${this.useCQP() ? 'q:v' : 'global_quality:v'}`, `${this.config.crf}`];
     const bitrates = this.getBitrateDistribution();
     if (bitrates.max > 0) {
+      // Workaround for https://github.com/immich-app/immich/issues/29220, to be revisited
+      // QSV seems to ignore -maxrate without -b:v
+      // -b:v alongside global_quality uses QVBR
+      if (!this.useCQP()) {
+        options.push('-b:v', `${bitrates.target}${bitrates.unit}`);
+      }
       options.push('-maxrate', `${bitrates.max}${bitrates.unit}`, '-bufsize', `${bitrates.max * 2}${bitrates.unit}`);
     }
     return options;