diff --git a/osu.Game/Graphics/UserInterface/ShearedToggleButton.cs b/osu.Game/Graphics/UserInterface/ShearedToggleButton.cs
index 0bbcb2b976..9ef09d799e 100644
--- a/osu.Game/Graphics/UserInterface/ShearedToggleButton.cs
+++ b/osu.Game/Graphics/UserInterface/ShearedToggleButton.cs
@@ -49,15 +49,15 @@ namespace osu.Game.Graphics.UserInterface
             Active.BindDisabledChanged(disabled => Action = disabled ? null : Active.Toggle, true);
             Active.BindValueChanged(_ =>
             {
-                updateActiveState();
+                UpdateActiveState();
                 playSample();
             });
 
-            updateActiveState();
+            UpdateActiveState();
             base.LoadComplete();
         }
 
-        private void updateActiveState()
+        protected virtual void UpdateActiveState()
         {
             DarkerColour = Active.Value ? ColourProvider.Highlight1 : ColourProvider.Background3;
             LighterColour = Active.Value ? ColourProvider.Colour0 : ColourProvider.Background1;
diff --git a/osu.Game/Overlays/Mods/AddPresetButton.cs b/osu.Game/Overlays/Mods/AddPresetButton.cs
new file mode 100644
index 0000000000..e73ee3956a
--- /dev/null
+++ b/osu.Game/Overlays/Mods/AddPresetButton.cs
@@ -0,0 +1,38 @@
+// Copyright (c) ppy Pty Ltd <contact@ppy.sh>. Licensed under the MIT Licence.
+// See the LICENCE file in the repository root for full licence text.
+
+using osu.Framework.Allocation;
+using osu.Framework.Graphics;
+using osu.Game.Graphics;
+using osu.Game.Graphics.UserInterface;
+using osuTK;
+
+namespace osu.Game.Overlays.Mods
+{
+    public class AddPresetButton : ShearedToggleButton
+    {
+        [Resolved]
+        private OsuColour colours { get; set; } = null!;
+
+        public AddPresetButton()
+            : base(1)
+        {
+            RelativeSizeAxes = Axes.X;
+            Height = ModSelectPanel.HEIGHT;
+
+            // shear will be applied at a higher level in `ModPresetColumn`.
+            Content.Shear = Vector2.Zero;
+            Padding = new MarginPadding();
+
+            Text = "+";
+            TextSize = 30;
+        }
+
+        protected override void UpdateActiveState()
+        {
+            DarkerColour = Active.Value ? colours.Orange1 : ColourProvider.Background3;
+            LighterColour = Active.Value ? colours.Orange0 : ColourProvider.Background1;
+            TextColour = Active.Value ? ColourProvider.Background6 : ColourProvider.Content1;
+        }
+    }
+}
diff --git a/osu.Game/Overlays/Mods/ModPresetColumn.cs b/osu.Game/Overlays/Mods/ModPresetColumn.cs
index bed4cff0ea..7f453637e7 100644
--- a/osu.Game/Overlays/Mods/ModPresetColumn.cs
+++ b/osu.Game/Overlays/Mods/ModPresetColumn.cs
@@ -31,6 +31,10 @@ namespace osu.Game.Overlays.Mods
         {
             AccentColour = colours.Orange1;
             HeaderText = ModSelectOverlayStrings.PersonalPresets;
+
+            AddPresetButton addPresetButton;
+            ItemsFlow.Add(addPresetButton = new AddPresetButton());
+            ItemsFlow.SetLayoutPosition(addPresetButton, float.PositiveInfinity);
         }
 
         protected override void LoadComplete()
@@ -64,7 +68,7 @@ namespace osu.Game.Overlays.Mods
 
             if (!presets.Any())
             {
-                ItemsFlow.Clear();
+                ItemsFlow.RemoveAll(panel => panel is ModPresetPanel);
                 return;
             }
 
@@ -77,7 +81,8 @@ namespace osu.Game.Overlays.Mods
 
             latestLoadTask = loadTask = LoadComponentsAsync(panels, loaded =>
             {
-                ItemsFlow.ChildrenEnumerable = loaded;
+                ItemsFlow.RemoveAll(panel => panel is ModPresetPanel);
+                ItemsFlow.AddRange(loaded);
             }, (cancellationTokenSource = new CancellationTokenSource()).Token);
             loadTask.ContinueWith(_ =>
             {
diff --git a/osu.Game/Overlays/Mods/ModSelectPanel.cs b/osu.Game/Overlays/Mods/ModSelectPanel.cs
index abf327a388..b3df00f8f9 100644
--- a/osu.Game/Overlays/Mods/ModSelectPanel.cs
+++ b/osu.Game/Overlays/Mods/ModSelectPanel.cs
@@ -43,8 +43,7 @@ namespace osu.Game.Overlays.Mods
         }
 
         public const float CORNER_RADIUS = 7;
-
-        protected const float HEIGHT = 42;
+        public const float HEIGHT = 42;
 
         protected virtual float IdleSwitchWidth => 14;
         protected virtual float ExpandedSwitchWidth => 30;