diff --git a/reference/opt/shaders-hlsl/frag/texture-size-combined-image-sampler.frag b/reference/opt/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
new file mode 100644
index 00000000..d5c37374
--- /dev/null
+++ b/reference/opt/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
@@ -0,0 +1,30 @@
+Texture2D<float4> uTex : register(t0);
+SamplerState uSampler : register(s1);
+
+static int2 FooOut;
+
+struct SPIRV_Cross_Output
+{
+    int2 FooOut : SV_Target0;
+};
+
+uint2 SPIRV_Cross_textureSize(Texture2D<float4> Tex, uint Level, out uint Param)
+{
+    uint2 ret;
+    Tex.GetDimensions(Level, ret.x, ret.y, Param);
+    return ret;
+}
+
+void frag_main()
+{
+    uint _23_dummy_parameter;
+    FooOut = int2(SPIRV_Cross_textureSize(uTex, uint(0), _23_dummy_parameter));
+}
+
+SPIRV_Cross_Output main()
+{
+    frag_main();
+    SPIRV_Cross_Output stage_output;
+    stage_output.FooOut = FooOut;
+    return stage_output;
+}
diff --git a/reference/shaders-hlsl/frag/texture-size-combined-image-sampler.frag b/reference/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
new file mode 100644
index 00000000..d5c37374
--- /dev/null
+++ b/reference/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
@@ -0,0 +1,30 @@
+Texture2D<float4> uTex : register(t0);
+SamplerState uSampler : register(s1);
+
+static int2 FooOut;
+
+struct SPIRV_Cross_Output
+{
+    int2 FooOut : SV_Target0;
+};
+
+uint2 SPIRV_Cross_textureSize(Texture2D<float4> Tex, uint Level, out uint Param)
+{
+    uint2 ret;
+    Tex.GetDimensions(Level, ret.x, ret.y, Param);
+    return ret;
+}
+
+void frag_main()
+{
+    uint _23_dummy_parameter;
+    FooOut = int2(SPIRV_Cross_textureSize(uTex, uint(0), _23_dummy_parameter));
+}
+
+SPIRV_Cross_Output main()
+{
+    frag_main();
+    SPIRV_Cross_Output stage_output;
+    stage_output.FooOut = FooOut;
+    return stage_output;
+}
diff --git a/shaders-hlsl/frag/texture-size-combined-image-sampler.frag b/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
new file mode 100644
index 00000000..94880595
--- /dev/null
+++ b/shaders-hlsl/frag/texture-size-combined-image-sampler.frag
@@ -0,0 +1,9 @@
+#version 450
+layout(set = 0, binding = 0) uniform texture2D uTex;
+layout(set = 0, binding = 1) uniform sampler uSampler;
+layout(location = 0) out ivec2 FooOut;
+
+void main()
+{
+	FooOut = textureSize(sampler2D(uTex, uSampler), 0);
+}
diff --git a/spirv_hlsl.cpp b/spirv_hlsl.cpp
index b9bca008..a6997c66 100644
--- a/spirv_hlsl.cpp
+++ b/spirv_hlsl.cpp
@@ -3088,8 +3088,11 @@ void CompilerHLSL::emit_instruction(const Instruction &instruction)
 	{
 		uint32_t result_type = ops[0];
 		uint32_t id = ops[1];
-		emit_op(result_type, id, to_expression(ops[2]), true, true);
-		// TODO: Maybe change this when separate samplers/images are supported
+		auto *combined = maybe_get<SPIRCombinedImageSampler>(ops[2]);
+		if (combined)
+			emit_op(result_type, id, to_expression(combined->image), true, true);
+		else
+			emit_op(result_type, id, to_expression(ops[2]), true, true);
 		break;
 	}