diff --git a/src/changelog/unreleased.md b/src/changelog/unreleased.md
index 272561000..cb53b417f 100644
--- a/src/changelog/unreleased.md
+++ b/src/changelog/unreleased.md
@@ -59,3 +59,4 @@ changelog entry.
 - On Wayland, ensure that external event loop is woken-up when using pump_events and integrating via `FD`.
 - On Wayland, apply fractional scaling to custom cursors.
 - On macOS, fixed `run_app_on_demand` returning without closing open windows.
+- On macOS, fixed `VideoMode::refresh_rate_millihertz` for fractional refresh rates.
diff --git a/src/platform_impl/macos/monitor.rs b/src/platform_impl/macos/monitor.rs
index bf7ee708e..dab09039d 100644
--- a/src/platform_impl/macos/monitor.rs
+++ b/src/platform_impl/macos/monitor.rs
@@ -281,12 +281,12 @@ impl MonitorHandle {
             };
 
             modes.into_iter().map(move |mode| {
-                let cg_refresh_rate_hertz = ffi::CGDisplayModeGetRefreshRate(mode).round() as i64;
+                let cg_refresh_rate_hertz = ffi::CGDisplayModeGetRefreshRate(mode);
 
                 // CGDisplayModeGetRefreshRate returns 0.0 for any display that
                 // isn't a CRT
-                let refresh_rate_millihertz = if cg_refresh_rate_hertz > 0 {
-                    (cg_refresh_rate_hertz * 1000) as u32
+                let refresh_rate_millihertz = if cg_refresh_rate_hertz > 0.0 {
+                    (cg_refresh_rate_hertz * 1000.0).round() as u32
                 } else {
                     refresh_rate_millihertz
                 };