diff --git a/package-lock.json b/package-lock.json
index 7cbfbcce6..86c48d54a 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -10,7 +10,7 @@
       "hasInstallScript": true,
       "dependencies": {
         "@aws-sdk/client-s3": "^3.321.1",
-        "@kitware/vtk.js": "^28.6.0",
+        "@kitware/vtk.js": "^28.8.3",
         "@netlify/edge-functions": "^2.0.0",
         "@sentry/vue": "^7.54.0",
         "@vueuse/core": "^8.5.0",
@@ -3674,9 +3674,9 @@
       }
     },
     "node_modules/@kitware/vtk.js": {
-      "version": "28.6.0",
-      "resolved": "https://registry.npmjs.org/@kitware/vtk.js/-/vtk.js-28.6.0.tgz",
-      "integrity": "sha512-a7uh/34svNbNGvizAvjeJxvzTEBZ2nIVL85AcE3mEqFop/d7ix2m/lbNAJtB6zKp7H6EQAU5RoMmTElg2rD1NA==",
+      "version": "28.8.3",
+      "resolved": "https://registry.npmjs.org/@kitware/vtk.js/-/vtk.js-28.8.3.tgz",
+      "integrity": "sha512-PajTPmJ9+9nJMOEsZvrZFN9ni/PhYRRHfSe81n3SJxTXg6Ktf093ClbYBb+8p3rVYzsdEAia9kFZaBlr9rOxpg==",
       "dependencies": {
         "@babel/runtime": "7.17.9",
         "commander": "9.2.0",
@@ -23685,9 +23685,9 @@
       }
     },
     "@kitware/vtk.js": {
-      "version": "28.6.0",
-      "resolved": "https://registry.npmjs.org/@kitware/vtk.js/-/vtk.js-28.6.0.tgz",
-      "integrity": "sha512-a7uh/34svNbNGvizAvjeJxvzTEBZ2nIVL85AcE3mEqFop/d7ix2m/lbNAJtB6zKp7H6EQAU5RoMmTElg2rD1NA==",
+      "version": "28.8.3",
+      "resolved": "https://registry.npmjs.org/@kitware/vtk.js/-/vtk.js-28.8.3.tgz",
+      "integrity": "sha512-PajTPmJ9+9nJMOEsZvrZFN9ni/PhYRRHfSe81n3SJxTXg6Ktf093ClbYBb+8p3rVYzsdEAia9kFZaBlr9rOxpg==",
       "requires": {
         "@babel/runtime": "7.17.9",
         "commander": "9.2.0",
diff --git a/package.json b/package.json
index 9825acffe..8f00b45fa 100644
--- a/package.json
+++ b/package.json
@@ -25,7 +25,7 @@
   },
   "dependencies": {
     "@aws-sdk/client-s3": "^3.321.1",
-    "@kitware/vtk.js": "^28.6.0",
+    "@kitware/vtk.js": "^28.8.3",
     "@netlify/edge-functions": "^2.0.0",
     "@sentry/vue": "^7.54.0",
     "@vueuse/core": "^8.5.0",
diff --git a/src/components/LayoutGrid.vue b/src/components/LayoutGrid.vue
index 6205f90f7..8301b926d 100644
--- a/src/components/LayoutGrid.vue
+++ b/src/components/LayoutGrid.vue
@@ -23,6 +23,7 @@ import { Component, computed, defineComponent, PropType, toRefs } from 'vue';
 import { storeToRefs } from 'pinia';
 import VtkTwoView from './VtkTwoView.vue';
 import VtkObliqueView from './VtkObliqueView.vue';
+import VtkObliqueThreeView from './VtkObliqueThreeView.vue';
 import VtkThreeView from './VtkThreeView.vue';
 import { Layout, LayoutDirection } from '../types/layout';
 import { useViewStore } from '../store/views';
@@ -32,6 +33,7 @@ const TYPE_TO_COMPONENT: Record<ViewType, Component> = {
   '2D': VtkTwoView,
   '3D': VtkThreeView,
   'Oblique': VtkObliqueView,
+  'Oblique3D': VtkObliqueThreeView,
 };
 
 export default defineComponent({
diff --git a/src/components/VtkObliqueThreeView.vue b/src/components/VtkObliqueThreeView.vue
new file mode 100644
index 000000000..fd740707d
--- /dev/null
+++ b/src/components/VtkObliqueThreeView.vue
@@ -0,0 +1,236 @@
+<template>
+  <div class="vtk-container-wrapper vtk-three-container">
+    <div class="vtk-container" :class="active ? 'active' : ''">
+      <div class="vtk-sub-container">
+        <div
+          class="vtk-view"
+          ref="vtkContainerRef"
+          data-testid="vtk-view vtk-three-view"
+        />
+      </div>
+      <div class="overlay-no-events tool-layer">
+        <pan-tool :viewId="viewID" />
+      </div>
+      <view-overlay-grid class="overlay-no-events view-annotations">
+        <template v-slot:top-left>
+          <div class="annotation-cell">
+            <v-btn
+              class="pointer-events-all"
+              dark
+              icon
+              size="medium"
+              variant="text"
+              @click="resetCamera"
+            >
+              <v-icon size="medium" class="py-1">
+                mdi-camera-flip-outline
+              </v-icon>
+              <v-tooltip
+                location="right"
+                activator="parent"
+                transition="slide-x-transition"
+              >
+                Reset Camera
+              </v-tooltip>
+            </v-btn>
+          </div>
+        </template>
+      </view-overlay-grid>
+    </div>
+  </div>
+</template>
+
+<script lang="ts">
+import {
+  computed,
+  defineComponent,
+  inject,
+  onBeforeUnmount,
+  onMounted,
+  PropType,
+  ref,
+  toRefs,
+  watch,
+} from 'vue';
+import { storeToRefs } from 'pinia';
+import { vec3 } from 'gl-matrix';
+
+import vtkImageDataOutlineFilter from '@kitware/vtk.js/Filters/General/ImageDataOutlineFilter';
+import vtkGeometryRepresentationProxy from '@kitware/vtk.js/Proxy/Representations/GeometryRepresentationProxy';
+
+import ViewOverlayGrid from '@src/components/ViewOverlayGrid.vue';
+import { useVTKCallback } from '@/src/composables/useVTKCallback';
+import PanTool from './tools/PanTool.vue';
+import { LPSAxisDir } from '../types/lps';
+import { useViewProxy } from '../composables/useViewProxy';
+import vtkLPSView3DProxy from '../vtk/LPSView3DProxy';
+import vtkLPSView2DProxy from '../vtk/LPSView2DProxy';
+import { ViewProxyType } from '../core/proxies';
+import { useCurrentImage } from '../composables/useCurrentImage';
+import { useCameraOrientation } from '../composables/useCameraOrientation';
+import { InitViewIDs } from '../config';
+import { useResizeObserver } from '../composables/useResizeObserver';
+import { useCustomEvents } from '../store/custom-events';
+import { /* ToolContainer, VTKTwoViewWidgetManager, */ VTKResliceCursor } from '../constants';
+import { useSceneBuilder } from '../composables/useSceneBuilder';
+
+export default defineComponent({
+  props: {
+    id: {
+      type: String,
+      required: true,
+    },
+    viewDirection: {
+      type: String as PropType<LPSAxisDir>,
+      required: true,
+    },
+    viewUp: {
+      type: String as PropType<LPSAxisDir>,
+      required: true,
+    },
+  },
+  components: {
+    ViewOverlayGrid,
+    PanTool,
+  },
+  setup(props) {
+    const { id: viewID, viewDirection, viewUp } = toRefs(props);
+    const vtkContainerRef = ref<HTMLElement>();
+
+    // --- computed vars --- //
+    const { currentImageData, currentImageID, currentImageMetadata } = useCurrentImage();
+
+    // --- view proxy setup --- //
+
+    const { viewProxy, setContainer: setViewProxyContainer } =
+      useViewProxy<vtkLPSView3DProxy>(viewID, ViewProxyType.Oblique3D);
+
+    const { baseImageRep } = useSceneBuilder<vtkGeometryRepresentationProxy>(viewID, {
+      baseImage: currentImageID
+    });
+
+    // Get a 2D Oblique view proxy to fetch the reslice representations.
+    // We don't create new reslice reps, we just re-use those already
+    // created by the 2D Oblique Views.
+    const oblique2DViewProxies = computed(() => {
+      const { viewProxy: obliqueAxialViewProxy } =
+        useViewProxy<vtkLPSView2DProxy>(InitViewIDs.ObliqueAxial, ViewProxyType.Oblique);
+      const { viewProxy: obliqueSagittalViewProxy } =
+        useViewProxy<vtkLPSView2DProxy>(InitViewIDs.ObliqueSagittal, ViewProxyType.Oblique);
+      const { viewProxy: obliqueCoronalViewProxy } =
+        useViewProxy<vtkLPSView2DProxy>(InitViewIDs.ObliqueCoronal, ViewProxyType.Oblique);
+      return [obliqueAxialViewProxy, obliqueSagittalViewProxy, obliqueCoronalViewProxy];
+    });
+
+    function addResliceProxiesToView(): void {
+      oblique2DViewProxies.value?.forEach((proxyRef) => {
+        const reps = proxyRef.value?.getRepresentations();
+        if (reps && reps.length > 0) {
+          viewProxy.value.addRepresentation(reps[0]);
+        }
+      });
+    }
+
+    onBeforeUnmount(() => {
+      setViewProxyContainer(null);
+      viewProxy.value.setContainer(null);
+    });
+
+    onMounted(() => {
+      viewProxy.value.setOrientationAxesVisibility(true);
+      viewProxy.value.setOrientationAxesType('cube');
+      viewProxy.value.setBackground([0, 0, 0, 0]);
+      setViewProxyContainer(vtkContainerRef.value);
+      addResliceProxiesToView();
+    });
+
+    const resliceCursorRef = inject(VTKResliceCursor);
+    if (!resliceCursorRef) {
+      throw Error('Cannot access global ResliceCursor instance.');
+    }
+
+    const onPlanesUpdated = useVTKCallback(
+      resliceCursorRef.value.getWidgetState().onModified
+    );
+
+    onPlanesUpdated(() => {
+      viewProxy.value.renderLater();
+    });
+
+    // --- camera setup --- //
+
+    const { cameraUpVec, cameraDirVec } = useCameraOrientation(
+      viewDirection,
+      viewUp,
+      currentImageMetadata
+    );
+
+    useResizeObserver(vtkContainerRef, () => viewProxy.value.resize());
+
+    const resetCamera = () => {
+      const bounds = currentImageMetadata.value.worldBounds;
+      const center = [
+        (bounds[0] + bounds[1]) / 2,
+        (bounds[2] + bounds[3]) / 2,
+        (bounds[4] + bounds[5]) / 2,
+      ] as vec3;
+
+      viewProxy.value.updateCamera(
+        cameraDirVec.value,
+        cameraUpVec.value,
+        center
+      );
+      addResliceProxiesToView();
+      viewProxy.value.resetCamera();
+      viewProxy.value.renderLater();
+    };
+
+    // Listen to ResetViews event.
+    const events = useCustomEvents();
+    const { resetViews } = storeToRefs(events);
+    watch(
+      resetViews, () => {
+        resetCamera();
+    });
+
+    watch([baseImageRep, currentImageData],
+      () => {
+        const image = currentImageData.value;
+        const outlineRep = baseImageRep.value;
+        if (image && outlineRep) {
+          const outlineFilter = vtkImageDataOutlineFilter.newInstance();
+          outlineFilter.setInputData(image);
+          outlineFilter.setGenerateFaces(false);
+          outlineFilter.setGenerateLines(true);
+          outlineRep.getMapper().setInputConnection(outlineFilter.getOutputPort());
+          const actor = outlineRep.getActors()?.at(0);
+          if (actor) {
+            actor.getProperty().setLineWidth(3.0);
+          }
+        }
+
+        addResliceProxiesToView();
+      },
+      { immediate: true }
+    );
+
+
+    return {
+      vtkContainerRef,
+      viewID,
+      active: false,
+      resetCamera,
+    };
+  },
+});
+</script>
+
+<style scoped src="@/src/components/styles/vtk-view.css"></style>
+<style scoped src="@/src/components/styles/utils.css"></style>
+
+<style scoped>
+.vtk-three-container {
+  background-color: black;
+  grid-template-columns: auto;
+}
+</style>
diff --git a/src/components/VtkObliqueView.vue b/src/components/VtkObliqueView.vue
index 18d182ed3..67addb7c0 100644
--- a/src/components/VtkObliqueView.vue
+++ b/src/components/VtkObliqueView.vue
@@ -130,10 +130,10 @@ import {
   watchEffect,
 } from 'vue';
 import { storeToRefs } from 'pinia';
-import { vec3 } from 'gl-matrix';
+import { vec3, mat3 } from 'gl-matrix';
 import { onKeyStroke } from '@vueuse/core';
 
-import type { Matrix3x3, Vector3 } from '@kitware/vtk.js/types';
+import type { Vector3 } from '@kitware/vtk.js/types';
 import vtkMatrixBuilder from '@kitware/vtk.js/Common/Core/MatrixBuilder';
 import { useResizeToFit } from '@src/composables/useResizeToFit';
 import vtkLPSView2DProxy from '@src/vtk/LPSView2DProxy';
@@ -583,7 +583,7 @@ export default defineComponent({
 
         if (curImageData.value) {
           const d9 = curImageData.value.getDirection();
-          const mat = Array.from(d9) as Matrix3x3;
+          const mat = Array.from(d9) as mat3;
           Object.values(planes).forEach((plane) => {
             const {normal, viewUp: vup} = plane;
             vec3.transformMat3(normal, normal, mat);
diff --git a/src/config.ts b/src/config.ts
index c4a94ced8..9bbeef8d2 100644
--- a/src/config.ts
+++ b/src/config.ts
@@ -14,10 +14,11 @@ export const InitViewIDs: Record<string, string> = {
   Coronal: 'Coronal',
   Sagittal: 'Sagittal',
   Axial: 'Axial',
+  Three: '3D',
   ObliqueCoronal: 'ObliqueCoronal',
   ObliqueSagittal: 'ObliqueSagittal',
   ObliqueAxial: 'ObliqueAxial',
-  Three: '3D',
+  ObliqueThree: 'Oblique3D',
 };
 
 /**
@@ -73,6 +74,13 @@ export const InitViewSpecs: Record<string, ViewSpec> = {
       viewUp: 'Superior',
     },
   },
+  [InitViewIDs.ObliqueThree]: {
+    viewType: 'Oblique3D',
+    props: {
+      viewDirection: 'Posterior',
+      viewUp: 'Superior',
+    },
+  },
 };
 
 /**
@@ -127,9 +135,17 @@ export const Layouts: Record<string, Layout> = [
   },
   {
     name: 'Oblique Only',
-    direction: LayoutDirection.V,
-    // items: [InitViewIDs.ObliqueAxial, InitViewIDs.Axial],
-    items: [InitViewIDs.ObliqueAxial, InitViewIDs.ObliqueCoronal, InitViewIDs.ObliqueSagittal],
+    direction: LayoutDirection.H,
+    items: [
+      {
+        direction: LayoutDirection.V,
+        // items: [InitViewIDs.ObliqueCoronal],
+        items: [InitViewIDs.ObliqueCoronal, InitViewIDs.ObliqueThree],
+      },
+      { direction: LayoutDirection.V,
+        items: [InitViewIDs.ObliqueSagittal, InitViewIDs.ObliqueAxial],
+      }
+    ],
   },
   {
     name: '3D Only',
diff --git a/src/core/proxies.ts b/src/core/proxies.ts
index f17a7d768..be77fad75 100644
--- a/src/core/proxies.ts
+++ b/src/core/proxies.ts
@@ -10,6 +10,7 @@ export enum ViewProxyType {
   Volume = 'View3D',
   Slice = 'View2D',
   Oblique = 'Oblique',
+  Oblique3D = 'Oblique3D',
 }
 
 /**
diff --git a/src/io/state-file/schema.ts b/src/io/state-file/schema.ts
index e24ae503f..174ad6e5a 100644
--- a/src/io/state-file/schema.ts
+++ b/src/io/state-file/schema.ts
@@ -219,6 +219,7 @@ const ViewType = z.union([
   z.literal('2D'),
   z.literal('3D'),
   z.literal('Oblique'),
+  z.literal('Oblique3D'),
 ]) satisfies z.ZodType<ViewType>;
 
 export type ViewConfig = z.infer<typeof ViewConfig>;
diff --git a/src/shims-vtk.d.ts b/src/shims-vtk.d.ts
index 2ceadbc91..51beb6d12 100644
--- a/src/shims-vtk.d.ts
+++ b/src/shims-vtk.d.ts
@@ -281,3 +281,14 @@ declare module '@kitware/vtk.js/Widgets/Widgets3D/ResliceCursorWidget' {
   // Just forwarding vtk-js's definition as default export:
   export default vtkResliceCursorWidget;
 }
+
+declare module '@kitware/vtk.js/Proxy/Representations/GeometryRepresentationProxy' {
+  // import vtkGeometryRepresentationProxy from '@kitware/vtk.js/Proxy/Representations/GeometryRepresentationProxy';
+  import vtkAbstractRepresentationProxy from '@kitware/vtk.js/Proxy/Core/AbstractRepresentationProxy';
+  export interface vtkGeometryRepresentationProxy extends vtkAbstractRepresentationProxy {
+    setVisibility(visible: boolean): boolean;
+    getVisibility(): boolean;
+  }
+
+  export default vtkGeometryRepresentationProxy;
+}
diff --git a/src/types/views.ts b/src/types/views.ts
index 4bb309a0b..53535d925 100644
--- a/src/types/views.ts
+++ b/src/types/views.ts
@@ -4,7 +4,7 @@ import {
   PiecewiseNode,
 } from '@kitware/vtk.js/Proxy/Core/PiecewiseFunctionProxy';
 
-export type ViewType = '2D' | '3D' | 'Oblique';
+export type ViewType = '2D' | '3D' | 'Oblique' | 'Oblique3D';
 
 export interface ViewSpec {
   viewType: ViewType;
diff --git a/src/vtk/proxy.js b/src/vtk/proxy.js
index 8d1a94f1f..d7ff9487b 100644
--- a/src/vtk/proxy.js
+++ b/src/vtk/proxy.js
@@ -54,6 +54,7 @@ export default {
       View3D: createDefaultView(vtkLPSView3DProxy),
       View2D: createDefaultView(vtkLPSView2DProxy),
       Oblique: createDefaultView(vtkLPSView2DProxy),
+      Oblique3D: createDefaultView(vtkLPSView3DProxy),
     },
   },
   representations: {
@@ -68,5 +69,8 @@ export default {
     Oblique: {
       vtkImageData: { name: 'ImageReslice' },
     },
+    Oblique3D: {
+      vtkImageData: { name: 'Geometry' },
+    },
   },
 };