diff --git a/Support-passing-the-same-key-multiple-times-in-confi.patch b/Support-passing-the-same-key-multiple-times-in-confi.patch
new file mode 100644
index 0000000..0496d4e
--- /dev/null
+++ b/Support-passing-the-same-key-multiple-times-in-confi.patch
@@ -0,0 +1,76 @@
+From d498b3997167865a42f4c663eac518cae3a0daeb Mon Sep 17 00:00:00 2001
+From: =?UTF-8?q?Filipe=20La=C3=ADns?= <lains@riseup.net>
+Date: Fri, 17 Mar 2023 21:23:19 +0000
+Subject: [PATCH] Support passing the same key multiple times in
+ --config-settings (#11853)
+
+(cherry picked from commit 1268487cbab1b2ffab881b5961c0476e655b6c88)
+---
+ news/11681.feature.rst              |  4 ++++
+ src/pip/_internal/cli/cmdoptions.py |  8 +++++++-
+ tests/unit/test_pyproject_config.py | 15 ++++++++++++---
+ 3 files changed, 23 insertions(+), 4 deletions(-)
+ create mode 100644 news/11681.feature.rst
+
+diff --git a/news/11681.feature.rst b/news/11681.feature.rst
+new file mode 100644
+index 000000000..a0d918b19
+--- /dev/null
++++ b/news/11681.feature.rst
+@@ -0,0 +1,4 @@
++The ``--config-settings``/``-C`` option now supports using the same key multiple
++times. When the same key is specified multiple times, all values are passed to
++the build backend as a list, as opposed to the previous behavior where pip would
++only pass the last value is the same key was used multiple times.
+diff --git a/src/pip/_internal/cli/cmdoptions.py b/src/pip/_internal/cli/cmdoptions.py
+index b4e2560de..4179f98a5 100644
+--- a/src/pip/_internal/cli/cmdoptions.py
++++ b/src/pip/_internal/cli/cmdoptions.py
+@@ -803,7 +803,13 @@ def _handle_config_settings(
+     if dest is None:
+         dest = {}
+         setattr(parser.values, option.dest, dest)
+-    dest[key] = val
++    if key in dest:
++        if isinstance(dest[key], list):
++            dest[key].append(val)
++        else:
++            dest[key] = [dest[key], val]
++    else:
++        dest[key] = val
+ 
+ 
+ config_settings: Callable[..., Option] = partial(
+diff --git a/tests/unit/test_pyproject_config.py b/tests/unit/test_pyproject_config.py
+index 9937f3880..c7e469560 100644
+--- a/tests/unit/test_pyproject_config.py
++++ b/tests/unit/test_pyproject_config.py
+@@ -1,3 +1,5 @@
++from typing import Dict, List
++
+ import pytest
+ 
+ from pip._internal.commands import create_command
+@@ -36,9 +38,16 @@ def test_set_config_empty_value() -> None:
+     assert options.config_settings == {"x": ""}
+ 
+ 
+-def test_replace_config_value() -> None:
++@pytest.mark.parametrize(
++    ("passed", "expected"),
++    [
++        (["x=hello", "x=world"], {"x": ["hello", "world"]}),
++        (["x=hello", "x=world", "x=other"], {"x": ["hello", "world", "other"]}),
++    ],
++)
++def test_multiple_config_values(passed: List[str], expected: Dict[str, str]) -> None:
+     i = create_command("install")
+     options, _ = i.parse_args(
+-        ["xxx", "--config-settings", "x=hello", "--config-settings", "x=world"]
++        ["xxx", *(f"--config-settings={option}" for option in passed)]
+     )
+-    assert options.config_settings == {"x": "world"}
++    assert options.config_settings == expected
+-- 
+2.40.1
+
diff --git a/python-pip.spec b/python-pip.spec
index 08aedb1..8a0640f 100644
--- a/python-pip.spec
+++ b/python-pip.spec
@@ -21,7 +21,7 @@
 
 Name:           python-%{srcname}
 Version:        %{base_version}%{?prerel:~%{prerel}}
-Release:        2%{?dist}
+Release:        3%{?dist}
 Summary:        A tool for installing and managing Python packages
 
 # We bundle a lot of libraries with pip, which itself is under MIT license.
@@ -90,6 +90,13 @@ Patch:          nowarn-pip._internal.main.patch
 # Upstream issue: https://github.com/pypa/packaging/issues/368
 Patch:          no-version-warning.patch
 
+# Support passing the same key multiple times in --config-settings
+# This is needed for pyproject-rpm-macros to have consistent behavior across
+# Fedora releases.
+# Based on:
+#   https://github.com/pypa/pip/commit/1268487cbab1b2ffab881b5961c0476e655b6c88
+Patch:          Support-passing-the-same-key-multiple-times-in-confi.patch
+
 # Downstream only patch
 # Users might have local installations of pip from using
 # `pip install --user --upgrade pip` on older/newer versions.
@@ -390,6 +397,9 @@ pytest_k='not completion'
 %{python_wheel_dir}/%{python_wheel_name}
 
 %changelog
+* Tue May 30 2023 Maxwell G <maxwell@gtmx.me> - 22.3.1-3
+- Backport patch to support passing the same key multiple times in --config-settings
+
 * Fri Jan 20 2023 Fedora Release Engineering <releng@fedoraproject.org> - 22.3.1-2
 - Rebuilt for https://fedoraproject.org/wiki/Fedora_38_Mass_Rebuild