diff --git a/src/calibre/ebooks/conversion/plugins/pdf_output.py b/src/calibre/ebooks/conversion/plugins/pdf_output.py
index c5f5450986..e10a94aad5 100644
--- a/src/calibre/ebooks/conversion/plugins/pdf_output.py
+++ b/src/calibre/ebooks/conversion/plugins/pdf_output.py
@@ -238,4 +238,7 @@ class PDFOutput(OutputFormatPlugin):
             oeb_output = plugin_for_output_format('oeb')
             oeb_output.convert(oeb_book, oeb_dir, self.input_plugin, self.opts, self.log)
             opfpath = glob.glob(os.path.join(oeb_dir, '*.opf'))[0]
-            convert(opfpath, self.opts, metadata=self.metadata, output_path=self.output_path, log=self.log)
+            convert(
+                opfpath, self.opts, metadata=self.metadata, output_path=self.output_path,
+                log=self.log, cover_data=self.cover_data
+            )
diff --git a/src/calibre/ebooks/pdf/html_writer.py b/src/calibre/ebooks/pdf/html_writer.py
index 1c8a39144d..87c633566b 100644
--- a/src/calibre/ebooks/pdf/html_writer.py
+++ b/src/calibre/ebooks/pdf/html_writer.py
@@ -6,17 +6,21 @@ from __future__ import absolute_import, division, print_function, unicode_litera
 
 import os
 
-from PyQt5.Qt import QApplication, QTimer, QUrl
+from PyQt5.Qt import (
+    QApplication, QBuffer, QMarginsF, QPageLayout, QPainter, QPdfWriter, QTimer,
+    QUrl
+)
 from PyQt5.QtWebEngineWidgets import QWebEnginePage
 
 from calibre.constants import iswindows
 from calibre.ebooks.oeb.polish.container import Container as ContainerBase
 from calibre.ebooks.oeb.polish.split import merge_html
 from calibre.ebooks.pdf.image_writer import (
-    PDFMetadata, get_page_layout, update_metadata
+    PDFMetadata, draw_image_page, get_page_layout, update_metadata
 )
 from calibre.gui2 import setup_unix_signals
 from calibre.gui2.webengine import secure_webengine
+from calibre.utils.img import image_from_data
 from calibre.utils.logging import default_log
 from calibre.utils.podofo import get_podofo
 from polyglot.builtins import range
@@ -98,7 +102,28 @@ class Renderer(QWebEnginePage):
         return self.pdf_data
 
 
-def convert(opf_path, opts, metadata=None, output_path=None, log=default_log):
+def add_cover(pdf_doc, cover_data, page_layout, opts):
+    buf = QBuffer()
+    buf.open(QBuffer.ReadWrite)
+    cover_layout = QPageLayout(page_layout)
+    cover_layout.setMargins(QMarginsF(0, 0, 0, 0))
+    img = image_from_data(cover_data)
+    writer = QPdfWriter(buf)
+    writer.setPageLayout(cover_layout)
+    painter = QPainter()
+    painter.begin(writer)
+    try:
+        draw_image_page(painter, img, preserve_aspect_ratio=opts.preserve_cover_aspect_ratio)
+    finally:
+        painter.end()
+    cover_pdf = buf.data().data()
+    podofo = get_podofo()
+    cover_pdf_doc = podofo.PDFDoc()
+    cover_pdf_doc.load(cover_pdf)
+    pdf_doc.insert_existing_page(cover_pdf_doc)
+
+
+def convert(opf_path, opts, metadata=None, output_path=None, log=default_log, cover_data=None):
     container = Container(opf_path, log)
     spine_names = [name for name, is_linear in container.spine_names]
     master = spine_names[0]
@@ -115,6 +140,9 @@ def convert(opf_path, opts, metadata=None, output_path=None, log=default_log):
     pdf_doc = podofo.PDFDoc()
     pdf_doc.load(pdf_data)
 
+    if cover_data:
+        add_cover(pdf_doc, cover_data, page_layout, opts)
+
     if metadata is not None:
         update_metadata(pdf_doc, PDFMetadata(metadata))
 
diff --git a/src/calibre/utils/podofo/doc.cpp b/src/calibre/utils/podofo/doc.cpp
index da0f6161c2..cadbcd1a2c 100644
--- a/src/calibre/utils/podofo/doc.cpp
+++ b/src/calibre/utils/podofo/doc.cpp
@@ -219,6 +219,24 @@ PDFDoc_append(PDFDoc *self, PyObject *args) {
     Py_RETURN_NONE;
 } // }}}
 
+// insert_existing_page() {{{
+static PyObject *
+PDFDoc_insert_existing_page(PDFDoc *self, PyObject *args) {
+    PDFDoc *src_doc;
+    int src_page = 0, at = 0;
+
+    if (!PyArg_ParseTuple(args, "O!|ii", &PDFDocType, &src_doc, &src_page, &at)) return NULL;
+
+    try {
+        self->doc->InsertExistingPageAt(*src_doc->doc, src_page, at);
+    } catch (const PdfError & err) {
+        podofo_set_exception(err);
+        return NULL;
+    }
+
+    Py_RETURN_NONE;
+} // }}}
+
 // set_box() {{{
 static PyObject *
 PDFDoc_set_box(PDFDoc *self, PyObject *args) {
@@ -629,6 +647,9 @@ static PyMethodDef PDFDoc_methods[] = {
     {"append", (PyCFunction)PDFDoc_append, METH_VARARGS,
      "append(doc) -> Append doc (which must be a PDFDoc) to this document."
     },
+    {"insert_existing_page", (PyCFunction)PDFDoc_insert_existing_page, METH_VARARGS,
+     "insert_existing_page(src_doc, src_page, at) -> Insert the page src_page from src_doc at index: at."
+    },
     {"set_box", (PyCFunction)PDFDoc_set_box, METH_VARARGS,
      "set_box(page_num, box, left, bottom, width, height) -> Set the PDF bounding box for the page numbered nu, box must be one of: MediaBox, CropBox, TrimBox, BleedBox, ArtBox. The numbers are interpreted as pts."
     },