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What are some alternatives?
GIMP - GIMP is a multiplatform photo manipulation tool.
Sketch - Professional digital design for Mac.
Pixelmator - Pixelmator is an image-editing application for Mac and iPad.
Affinity Designer - Professional creative software, exclusively for Mac.
Affinity Photo - Affinity is the imaging and design suite for creative professionals exclusively for Mac.
Inkscape - Inkscape is a free, open source professional vector graphics editor for Windows, Mac OS X and Linux.