A hysteretic current mode buck-boost voltage regulator including a buck-boost voltage converter, a switching controller, a window circuit, a ramp circuit, and a timing circuit. The timing circuit may be additional ramp circuits. The voltage converter is toggled between first and second switching states during a boost mode, is toggled between third and fourth switching states during a buck mode, and is sequentially cycled through each switching state during a buck-boost mode. The ramp circuit develops a ramp voltage that simulates current through the voltage converter, and switching is determined using the ramp voltage compared with window voltages provided by the window circuit. The window voltages establish frequency, and may be adjusted based on the input and output voltages. The timing circuit provides timing indications during the buck-boost mode to ensure that the second and fourth switching states have approximately the same duration to provide symmetry of the ramp signal.