diff --git a/src/components/PaintControls.vue b/src/components/PaintControls.vue
index 5a1ec713c..8bb591622 100644
--- a/src/components/PaintControls.vue
+++ b/src/components/PaintControls.vue
@@ -49,6 +49,16 @@
       </v-item-group>
     </v-row>
     <template v-if="mode === PaintMode.CirclePaint || mode === PaintMode.Erase">
+      <v-row no-gutters align="center" class="mb-2">
+        <span class="mr-2">Sync Views</span>
+        <v-switch
+          v-model="crossPlaneSync"
+          color="primary"
+          density="compact"
+          hide-details
+          class="ml-3"
+        ></v-switch>
+      </v-row>
       <v-row no-gutters>Size (pixels)</v-row>
       <v-row no-gutters align="center">
         <v-slider
@@ -135,7 +145,8 @@ import { useImageStatsStore } from '@/src/store/image-stats';
 
 const paintStore = usePaintToolStore();
 const imageStatsStore = useImageStatsStore();
-const { brushSize, activeMode, thresholdRange } = storeToRefs(paintStore);
+const { brushSize, activeMode, thresholdRange, crossPlaneSync } =
+  storeToRefs(paintStore);
 const { currentImageID } = useCurrentImage();
 
 const currentImageStats = computed(() => {
diff --git a/src/components/tools/paint/PaintWidget2D.vue b/src/components/tools/paint/PaintWidget2D.vue
index bf26884b8..c2e233835 100644
--- a/src/components/tools/paint/PaintWidget2D.vue
+++ b/src/components/tools/paint/PaintWidget2D.vue
@@ -93,13 +93,17 @@ export default defineComponent({
 
     onVTKEvent(widget, 'onStartInteractionEvent', () => {
       // StartInteraction cannot occur if origin is null.
-      const indexPoint = worldPointToIndex(widgetState.getBrush().getOrigin()!);
+      const origin = widgetState.getBrush().getOrigin()!;
+      const indexPoint = worldPointToIndex(origin);
       paintStore.startStroke(indexPoint, viewAxisIndex.value);
+      paintStore.updatePaintPosition(origin, viewId.value);
     });
 
     onVTKEvent(widget, 'onInteractionEvent', () => {
-      const indexPoint = worldPointToIndex(widgetState.getBrush().getOrigin()!);
+      const origin = widgetState.getBrush().getOrigin()!;
+      const indexPoint = worldPointToIndex(origin);
       paintStore.placeStrokePoint(indexPoint, viewAxisIndex.value);
+      paintStore.updatePaintPosition(origin, viewId.value);
     });
 
     onVTKEvent(widget, 'onEndInteractionEvent', () => {
diff --git a/src/io/state-file/index.ts b/src/io/state-file/index.ts
index 839951019..c448cff43 100644
--- a/src/io/state-file/index.ts
+++ b/src/io/state-file/index.ts
@@ -36,6 +36,7 @@ export async function serialize() {
         activeSegmentGroupID: null,
         activeSegment: null,
         brushSize: 8,
+        crossPlaneSync: false,
       },
       crop: {},
       current: Tools.WindowLevel,
diff --git a/src/io/state-file/schema.ts b/src/io/state-file/schema.ts
index 7c81999d2..55f0fb45d 100644
--- a/src/io/state-file/schema.ts
+++ b/src/io/state-file/schema.ts
@@ -371,6 +371,7 @@ const Paint = z.object({
   activeSegmentGroupID: z.string().nullable(),
   activeSegment: z.number().nullish(),
   brushSize: z.number(),
+  crossPlaneSync: z.boolean().default(false),
   labelmapOpacity: z.number().optional(), // labelmapOpacity now ignored.  Opacity per segment group via layerColoring store.
 });
 
diff --git a/src/store/tools/paint.ts b/src/store/tools/paint.ts
index 55e7057ba..afb7e8689 100644
--- a/src/store/tools/paint.ts
+++ b/src/store/tools/paint.ts
@@ -1,15 +1,19 @@
-import type { Vector2 } from '@kitware/vtk.js/types';
+import type { Vector2, Vector3 } from '@kitware/vtk.js/types';
 import { useCurrentImage } from '@/src/composables/useCurrentImage';
 import type { Manifest, StateFile } from '@/src/io/state-file/schema';
 import type { Maybe } from '@/src/types';
 import { useImageStatsStore } from '@/src/store/image-stats';
-import { computed, ref } from 'vue';
+import { computed, ref, unref, watch } from 'vue';
 import { watchImmediate } from '@vueuse/core';
 import { vec3 } from 'gl-matrix';
 import { defineStore } from 'pinia';
 import { PaintMode } from '@/src/core/tools/paint';
+import { getLPSAxisFromDir } from '@/src/utils/lps';
 import { Tools } from './types';
 import { useSegmentGroupStore } from '../segmentGroups';
+import useViewSliceStore from '../view-configs/slicing';
+import { useViewStore } from '../views';
+import { useViewCameraStore } from '../view-configs/camera';
 
 const DEFAULT_BRUSH_SIZE = 4;
 const DEFAULT_THRESHOLD_RANGE: Vector2 = [
@@ -27,9 +31,16 @@ export const usePaintToolStore = defineStore('paint', () => {
   const strokePoints = ref<vec3[]>([]);
   const isActive = ref(false);
   const thresholdRange = ref<Vector2>([...DEFAULT_THRESHOLD_RANGE]);
+  const crossPlaneSync = ref(false);
+  const paintPosition = ref<Vector3>([0, 0, 0]);
+  const activePaintViewID = ref<Maybe<string>>(null);
 
-  const { currentImageID, currentImageData } = useCurrentImage();
+  const { currentImageID, currentImageData, currentImageMetadata } =
+    useCurrentImage();
   const imageStatsStore = useImageStatsStore();
+  const viewSliceStore = useViewSliceStore();
+  const viewStore = useViewStore();
+  const viewCameraStore = useViewCameraStore();
 
   function getWidgetFactory(this: _This) {
     return this.$paint.factory;
@@ -42,6 +53,16 @@ export const usePaintToolStore = defineStore('paint', () => {
     return segmentGroupStore.dataIndex[activeSegmentGroupID.value] ?? null;
   });
 
+  const currentViewIDs = computed(() => {
+    const imageID = unref(currentImageID);
+    if (imageID) {
+      return viewStore.viewIDs.filter(
+        (viewID) => !!viewSliceStore.getConfig(viewID, imageID)
+      );
+    }
+    return [];
+  });
+
   // --- actions --- //
 
   /**
@@ -284,12 +305,56 @@ export const usePaintToolStore = defineStore('paint', () => {
     thresholdRange.value = range;
   }
 
+  function setCrossPlaneSync(enabled: boolean) {
+    crossPlaneSync.value = enabled;
+  }
+
+  watch(paintPosition, (worldPosition) => {
+    if (!crossPlaneSync.value || !isActive.value) return;
+
+    const imageID = unref(currentImageID);
+    const metadata = unref(currentImageMetadata);
+    if (!imageID || !metadata?.lpsOrientation || !metadata?.worldToIndex)
+      return;
+
+    const { lpsOrientation, worldToIndex } = metadata;
+    const indexPos = vec3.create();
+    vec3.transformMat4(indexPos, worldPosition, worldToIndex);
+
+    currentViewIDs.value.forEach((viewID) => {
+      const sliceConfig = viewSliceStore.getConfig(viewID, imageID);
+      if (!sliceConfig) return;
+
+      // Update slice position
+      const axis = getLPSAxisFromDir(sliceConfig.axisDirection);
+      const index = lpsOrientation[axis];
+      const slice = Math.round(indexPos[index]);
+      if (slice !== sliceConfig.slice) {
+        viewSliceStore.updateConfig(viewID, imageID, { slice });
+      }
+
+      // Center camera on paint position (skip active view)
+      if (activePaintViewID.value && viewID === activePaintViewID.value) {
+        return;
+      }
+      viewCameraStore.updateConfig(viewID, imageID, {
+        focalPoint: worldPosition,
+      });
+    });
+  });
+
+  function updatePaintPosition(worldPosition: Vector3, activeViewID?: string) {
+    paintPosition.value = worldPosition;
+    activePaintViewID.value = activeViewID;
+  }
+
   function serialize(state: StateFile) {
     const { paint } = state.manifest.tools;
 
     paint.activeSegmentGroupID = activeSegmentGroupID.value ?? null;
     paint.brushSize = brushSize.value;
     paint.activeSegment = activeSegment.value;
+    paint.crossPlaneSync = crossPlaneSync.value;
   }
 
   function deserialize(
@@ -307,6 +372,7 @@ export const usePaintToolStore = defineStore('paint', () => {
       setActiveSegmentGroup(activeSegmentGroupID.value);
       setActiveSegment.call(this, paint.activeSegment);
     }
+    setCrossPlaneSync(paint.crossPlaneSync ?? false);
   }
 
   return {
@@ -317,6 +383,7 @@ export const usePaintToolStore = defineStore('paint', () => {
     strokePoints,
     isActive,
     thresholdRange,
+    crossPlaneSync,
 
     getWidgetFactory,
 
@@ -329,6 +396,8 @@ export const usePaintToolStore = defineStore('paint', () => {
     setBrushSize,
     setSliceAxis,
     setThresholdRange,
+    setCrossPlaneSync,
+    updatePaintPosition,
     startStroke,
     placeStrokePoint,
     endStroke,