A synthetic ripple regulator including a synthetic ripple voltage generator that generates a synthetic ripple voltage indicative of the ripple current through an output inductor. The regulator uses the synthetically generated ripple voltage to control toggling of a hysteretic comparator for developing the pulse width modulation (PWM) signal that controls switching of the regulator. In a non-limiting implementation, a transconductance amplifier monitors the phase node voltage of the inductor and supplies an inductor voltage-representative current to a ripple capacitor, which produces the synthetic ripple voltage. Using the replicated inductor current for ripple regulation results in low output ripple, input voltage feed forward, and simplified compensation.