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Oh yes I have some .PVR plugin for Paint.net that was shared here on the forums. I only made it .png to show it off here on the thread.

https://github.com/derplayer/PDN-FileTypePVR

Thanks for the link. I am mostly worried about turning back into a .Bin pack. I keep the name of the texture the exact same and everything when editing.

Yes keep the same name
Attention, I used another software to extract images
Begin to extract STR0.BIN with PVR extractor/patcher -> pvrext -e STR0.BIN images
He extract all images in .pvr in the folder images
Then, rename your modification with the same name that original in folder images

Then, put in a "modifications" folder for example the image modified in .PVR
Then you type -> pvrext -p STR0.BIN modifications

Edit : I think the picture must be the same size

Ah has to be the exact same size? That may be difficult to do then. Damn...

to see if it works or not
normally it must be the same size it seems to me if you keep the same height and width

Oh I thought you meant byte size not texture height and width haha, ok that is good then.