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This chapter seeks to present a limited overview of some aspects of manipulated and/or fake images that contribute to society ‘becoming post-truth’. It subclassifies levels of manipulation and also presents the finding from a descriptive survey that gauges perceptions on awareness and recognisability of fake images. It also presents perceptions of effect on individuals of images modified for aesthetic reasons and carried by social media. The majority of respondents seemed affected by this, but with only a minority whose perception of self was affected. Another result of the survey is that there is a general mistrust of images not carried by gatekept sources.