I just realized that there is no option to flip an image Horizontally or vertically, which is in my case a pretty important option to work quickly inside pureref.
PureRef supports flipping selected images by either using Alt+Shift+H/V or Alt+Shift+Left mouse button drag in the direction you want to flip. You can read more here: https://www.pureref.com/handbook/images/#flip-images
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