diff --git a/data/tr2/ship/cfg/TR2X_gameflow.json5 b/data/tr2/ship/cfg/TR2X_gameflow.json5
index d0ae911ee..780e7d8b9 100644
--- a/data/tr2/ship/cfg/TR2X_gameflow.json5
+++ b/data/tr2/ship/cfg/TR2X_gameflow.json5
@@ -7,7 +7,11 @@
         {},
 
         // 1. The Great Wall
-        {},
+        {
+            "injections": [
+                "data/injections/wall_itemrots.bin",
+            ],
+        },
 
         // 2. Venice
         {},
@@ -19,14 +23,23 @@
         {
             "injections": [
                 "data/injections/opera_fd.bin",
+                "data/injections/opera_itemrots.bin",
             ],
         },
 
         // 5. Offshore Rig
-        {},
+        {
+            "injections": [
+                "data/injections/rig_itemrots.bin",
+            ],
+        },
 
         // 6. Diving Area
-        {},
+        {
+            "injections": [
+                "data/injections/diving_itemrots.bin",
+            ],
+        },
 
         // 7. 40 Fathoms
         {},
@@ -35,6 +48,7 @@
         {
             "injections": [
                 "data/injections/wreck_fd.bin",
+                "data/injections/wreck_itemrots.bin",
             ],
         },
 
@@ -42,12 +56,17 @@
         {},
 
         // 10. The Deck
-        {},
+        {
+            "injections": [
+                "data/injections/deck_itemrots.bin",
+            ],
+        },
 
         // 11. Tibetan Foothills
         {
             "injections": [
                 "data/injections/tibet_fd.bin",
+                "data/injections/tibet_itemrots.bin",
             ],
             "object_strings": {
                 "O_TIGER": "Snow Leopard",
@@ -55,12 +74,17 @@
         },
 
         // 12. Barkhang Monastery
-        {},
+        {
+            "injections": [
+                "data/injections/barkhang_itemrots.bin",
+            ],
+        },
 
         // 13. Catacombs of the Talion
         {
             "injections": [
                 "data/injections/catacombs_fd.bin",
+                "data/injections/catacombs_itemrots.bin",
             ],
             "object_strings": {
                 "O_TIGER": "Snow Leopard",
@@ -71,6 +95,7 @@
         {
             "injections": [
                 "data/injections/palace_fd.bin",
+                "data/injections/palace_itemrots.bin",
             ],
             "object_strings": {
                 "O_TIGER": "Snow Leopard",
@@ -81,6 +106,7 @@
         {
             "injections": [
                 "data/injections/xian_fd.bin",
+                "data/injections/xian_itemrots.bin",
             ],
         },
 
@@ -88,6 +114,7 @@
         {
             "injections": [
                 "data/injections/floating_fd.bin",
+                "data/injections/floating_itemrots.bin",
             ],
         },
 
@@ -95,7 +122,11 @@
         {},
 
         // 18. Home Sweet Home
-        {},
+        {
+            "injections": [
+                "data/injections/house_itemrots.bin",
+            ],
+        },
 
         // 19. Demo 1
         {},
diff --git a/data/tr2/ship/data/injections/barkhang_itemrots.bin b/data/tr2/ship/data/injections/barkhang_itemrots.bin
new file mode 100644
index 000000000..262ef7b52
Binary files /dev/null and b/data/tr2/ship/data/injections/barkhang_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/catacombs_itemrots.bin b/data/tr2/ship/data/injections/catacombs_itemrots.bin
new file mode 100644
index 000000000..3921df0c8
Binary files /dev/null and b/data/tr2/ship/data/injections/catacombs_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/deck_itemrots.bin b/data/tr2/ship/data/injections/deck_itemrots.bin
new file mode 100644
index 000000000..5780386b8
Binary files /dev/null and b/data/tr2/ship/data/injections/deck_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/diving_itemrots.bin b/data/tr2/ship/data/injections/diving_itemrots.bin
new file mode 100644
index 000000000..abf48974f
Binary files /dev/null and b/data/tr2/ship/data/injections/diving_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/floating_itemrots.bin b/data/tr2/ship/data/injections/floating_itemrots.bin
new file mode 100644
index 000000000..e9bdb3607
Binary files /dev/null and b/data/tr2/ship/data/injections/floating_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/house_itemrots.bin b/data/tr2/ship/data/injections/house_itemrots.bin
new file mode 100644
index 000000000..05fc3bfc8
Binary files /dev/null and b/data/tr2/ship/data/injections/house_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/opera_itemrots.bin b/data/tr2/ship/data/injections/opera_itemrots.bin
new file mode 100644
index 000000000..73ddb6395
Binary files /dev/null and b/data/tr2/ship/data/injections/opera_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/palace_itemrots.bin b/data/tr2/ship/data/injections/palace_itemrots.bin
new file mode 100644
index 000000000..204f68b98
Binary files /dev/null and b/data/tr2/ship/data/injections/palace_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/rig_itemrots.bin b/data/tr2/ship/data/injections/rig_itemrots.bin
new file mode 100644
index 000000000..ca967a144
Binary files /dev/null and b/data/tr2/ship/data/injections/rig_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/tibet_itemrots.bin b/data/tr2/ship/data/injections/tibet_itemrots.bin
new file mode 100644
index 000000000..e401fcb5d
Binary files /dev/null and b/data/tr2/ship/data/injections/tibet_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/wall_itemrots.bin b/data/tr2/ship/data/injections/wall_itemrots.bin
new file mode 100644
index 000000000..49cf00f5f
Binary files /dev/null and b/data/tr2/ship/data/injections/wall_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/wreck_itemrots.bin b/data/tr2/ship/data/injections/wreck_itemrots.bin
new file mode 100644
index 000000000..a29637893
Binary files /dev/null and b/data/tr2/ship/data/injections/wreck_itemrots.bin differ
diff --git a/data/tr2/ship/data/injections/xian_itemrots.bin b/data/tr2/ship/data/injections/xian_itemrots.bin
new file mode 100644
index 000000000..a7dd4dc4d
Binary files /dev/null and b/data/tr2/ship/data/injections/xian_itemrots.bin differ
diff --git a/docs/tr2/CHANGELOG.md b/docs/tr2/CHANGELOG.md
index 51c074a5e..d4eac3f41 100644
--- a/docs/tr2/CHANGELOG.md
+++ b/docs/tr2/CHANGELOG.md
@@ -3,6 +3,7 @@
 - added an option to fix inventory item usage duplication (#1586)
 - added optional automatic key/puzzle inventory item pre-selection (#1884)
 - added a search feature to the config tool (#1889)
+- added an option to fix rotation on some pickup items to better suit 3D pickup mode (#1613)
 - fixed a crash relating to audio decoding (#1895)
 - fixed depth problems when drawing certain rooms (#1853, regression from 0.6)
 - fixed Lara getting stuck in her hit animation if she is hit while mounting the boat or skidoo (#1606)
diff --git a/src/tr2/config.h b/src/tr2/config.h
index 12020e1b1..decef0d95 100644
--- a/src/tr2/config.h
+++ b/src/tr2/config.h
@@ -15,6 +15,7 @@ typedef struct {
 
     struct {
         bool enable_3d_pickups;
+        bool fix_item_rots;
     } visuals;
 
     struct {
diff --git a/src/tr2/config_map.def b/src/tr2/config_map.def
index f3397d068..8839a6d13 100644
--- a/src/tr2/config_map.def
+++ b/src/tr2/config_map.def
@@ -4,6 +4,7 @@ CFG_BOOL(g_Config, gameplay.fix_item_duplication_glitch, false)
 CFG_BOOL(g_Config, gameplay.enable_auto_item_selection, true)
 CFG_BOOL(g_Config, gameplay.fix_floor_data_issues, true)
 CFG_BOOL(g_Config, visuals.enable_3d_pickups, true)
+CFG_BOOL(g_Config, visuals.fix_item_rots, true)
 CFG_ENUM(g_Config, rendering.screenshot_format, SCREENSHOT_FORMAT_JPEG, SCREENSHOT_FORMAT)
 CFG_INT32(g_Config, rendering.turbo_speed, 0)
 CFG_INT32(g_Config, input.keyboard_layout, INPUT_LAYOUT_DEFAULT)
diff --git a/src/tr2/game/inject.c b/src/tr2/game/inject.c
index 02a5cb712..2ba305462 100644
--- a/src/tr2/game/inject.c
+++ b/src/tr2/game/inject.c
@@ -21,6 +21,7 @@ typedef enum {
 typedef enum {
     INJ_GENERAL = 0,
     INJ_FLOOR_DATA = 4,
+    INJ_ITEM_POSITION = 7,
 } INJECTION_TYPE;
 
 typedef enum {
@@ -89,6 +90,9 @@ static void M_LoadFromFile(INJECTION *const injection, const char *filename)
     case INJ_FLOOR_DATA:
         injection->relevant = g_Config.gameplay.fix_floor_data_issues;
         break;
+    case INJ_ITEM_POSITION:
+        injection->relevant = g_Config.visuals.fix_item_rots;
+        break;
     default:
         LOG_WARNING("%s is of unknown type %d", filename, injection->type);
         break;
diff --git a/tools/tr2/config/TR2X_ConfigTool/Resources/Lang/en.json b/tools/tr2/config/TR2X_ConfigTool/Resources/Lang/en.json
index 01b5ff41b..a567aa392 100644
--- a/tools/tr2/config/TR2X_ConfigTool/Resources/Lang/en.json
+++ b/tools/tr2/config/TR2X_ConfigTool/Resources/Lang/en.json
@@ -33,6 +33,10 @@
       "Title": "Fix floor data issues",
       "Description": "Fixes original issues with floor data/triggers."
     },
+    "fix_item_rots": {
+      "Title": "Fix item rotation issues",
+      "Description": "Fixes original issues with some incorrectly rotated pickups when using the 3D pickups option."
+    },
     "enable_auto_item_selection": {
       "Title": "Key item pre-selection",
       "Description": "When Lara presses action against a keyhole or puzzle slot, and she has the corresponding item in the inventory, that item will be pre-selected."
diff --git a/tools/tr2/config/TR2X_ConfigTool/Resources/specification.json b/tools/tr2/config/TR2X_ConfigTool/Resources/specification.json
index d20cacc5a..53c991675 100644
--- a/tools/tr2/config/TR2X_ConfigTool/Resources/specification.json
+++ b/tools/tr2/config/TR2X_ConfigTool/Resources/specification.json
@@ -31,6 +31,11 @@
           "Field": "fix_floor_data_issues",
           "DataType": "Bool",
           "DefaultValue": true
+        },
+        {
+          "Field": "fix_item_rots",
+          "DataType": "Bool",
+          "DefaultValue": true
         }
       ]
     },