Patrick Dean:

So yes, there are times when only a big neon orange arrow and baby blue text highlighting will do when it comes to image and screenshot annotations (and for this I still use Skitch, but Pinpoint works too). For all of those other times though, like when you actually want markups and labeling that don’t advertise your sense of aesthetics has been left in the trunk of a car currently on fire on the side of the highway, try This — because beautiful annotations do exist.

I had been using Pinpoint for the occasional image annotation, but I switched to This after reading Patrick’s review. The app has some limitations, but nothing I can’t put up with.