A path to further increase the power conversion efficiency of perovskite solar cells is maximizing sunlight absorption using patterned substrates with enhanced light-trapping capabilities. However, to be competitive with traditional solar cells, especially in niche markets, low-cost texturing methods have to be developed. Herein, a roll-to-roll hot embossing method to pattern flexible polyethylene terephthalate (PET) foils is presented as a proof of concept. The cylindrical mold for the embossing process is structured with periodic grooves by picosecond direct laser interference patterning (DLIP). The optical characterization of the textured PET shows a tenfold increase in the haze factor (diffuse-to-global transmittance ratio) compared with flat PET due to the high-intensity diffracted beams. Flexible triple cation perovskite cells deposited onto these patterned substrates show on average an 8% (relative) higher efficiency than similar devices deposited on a reference flat PET substrate. This enhancement can be attributed to the increase in light trapping provided by the textured substrate. Finally, a cost analysis model shows that the additional cost of integrating the proposed hot embossing step into a perovskite solar module manufacturing facility will represent less than 0.35% of the initial fabrication cost.