diff --git a/.github/actions/spell-check/expect.txt b/.github/actions/spell-check/expect.txt
index dedbb36b59..2b76fc1f52 100644
--- a/.github/actions/spell-check/expect.txt
+++ b/.github/actions/spell-check/expect.txt
@@ -341,6 +341,7 @@ devblogs
 devdocs
 devenum
 devmgmt
+DEVMODE
 DEVMODEW
 DEVMON
 devpkey
@@ -607,6 +608,7 @@ hmenu
 hmodule
 hmonitor
 homljgmgpmcbpjbnjpfijnhipfkiclkd
+HORZSIZE
 Hostbackdropbrush
 hotkeycontrol
 hotkeys
@@ -1129,6 +1131,7 @@ pcelt
 pch
 pchast
 PCIDLIST
+PCTSTR
 PCWSTR
 pdbs
 pdisp
@@ -1272,6 +1275,7 @@ RAlt
 Rasterize
 RAWINPUTDEVICE
 RAWINPUTHEADER
+RAWMODE
 RAWPATH
 rbhid
 rclsid
@@ -1723,6 +1727,7 @@ VERBW
 VERIFYCONTEXT
 verrsrc
 VERSIONINFO
+VERTSIZE
 VFT
 vget
 vgetq
diff --git a/doc/images/overview/MeasureTool_large.png b/doc/images/overview/MeasureTool_large.png
index 5484756fb0..d7e6b5b0f1 100644
Binary files a/doc/images/overview/MeasureTool_large.png and b/doc/images/overview/MeasureTool_large.png differ
diff --git a/doc/images/overview/MeasureTool_small.png b/doc/images/overview/MeasureTool_small.png
index 070d159c36..10b6fe6992 100644
Binary files a/doc/images/overview/MeasureTool_small.png and b/doc/images/overview/MeasureTool_small.png differ
diff --git a/src/common/Display/monitors.cpp b/src/common/Display/monitors.cpp
index c203d15712..2c9a22e425 100644
--- a/src/common/Display/monitors.cpp
+++ b/src/common/Display/monitors.cpp
@@ -52,3 +52,55 @@ MonitorInfo MonitorInfo::GetPrimaryMonitor()
     }
     return monitors[0];
 }
+
+MonitorInfo MonitorInfo::GetFromWindow(const HWND window)
+{
+    auto monitor = MonitorFromWindow(window, MONITOR_DEFAULTTONULL);
+    return MonitorInfo::MonitorInfo(monitor);
+}
+
+MonitorInfo MonitorInfo::GetFromPoint(int32_t x, int32_t y)
+{
+    auto monitor = MonitorFromPoint(POINT{ x, y }, MONITOR_DEFAULTTONULL);
+    return MonitorInfo::MonitorInfo(monitor);
+}
+
+MonitorInfo::Size MonitorInfo::GetSize(const MONITORINFOEX& monitorInfoEx)
+{
+    Size size = {};
+
+    auto device_name = PCTSTR(monitorInfoEx.szDevice);
+
+    auto hdc = CreateDC(device_name, nullptr, nullptr, nullptr);
+    size.width_mm = static_cast<float>(GetDeviceCaps(hdc, HORZSIZE));
+    size.height_mm = static_cast<float>(GetDeviceCaps(hdc, VERTSIZE));
+    if (hdc != nullptr)
+    {
+        ReleaseDC(nullptr, hdc);
+    }
+
+    auto monitor = &monitorInfoEx.rcMonitor;
+    size.width_logical = static_cast<uint32_t>(monitor->right - monitor->left);
+    size.height_logical = static_cast<uint32_t>(monitor->bottom - monitor->top);
+
+    DEVMODE dev_mode = { .dmSize = sizeof DEVMODE };
+    if (EnumDisplaySettingsEx(device_name, ENUM_CURRENT_SETTINGS, &dev_mode, EDS_RAWMODE))
+    {
+        size.width_physical = dev_mode.dmPelsWidth;
+        size.height_physical = dev_mode.dmPelsHeight;
+    }
+
+    return size;
+}
+
+MonitorInfo::Size MonitorInfo::GetSize() const
+{
+    if (this->handle)
+    {
+        return MonitorInfo::GetSize(this->info);
+    }
+    else
+    {
+        return MonitorInfo::Size{};
+    }
+}
diff --git a/src/common/Display/monitors.h b/src/common/Display/monitors.h
index 021f2b9efb..614a2258dd 100644
--- a/src/common/Display/monitors.h
+++ b/src/common/Display/monitors.h
@@ -1,4 +1,5 @@
 #pragma once
+#pragma comment(lib, "Gdi32.lib")
 #include <Windows.h>
 
 #include <compare>
@@ -42,6 +43,15 @@ struct Box
 
 class MonitorInfo
 {
+public:
+    typedef struct Size
+    {
+        uint32_t width_logical, height_logical;
+        uint32_t width_physical, height_physical;
+        float width_mm, height_mm;
+    } Size;
+
+private:
     HMONITOR handle;
     MONITORINFOEX info = {};
 
@@ -53,8 +63,14 @@ public:
     }
     Box GetScreenSize(const bool includeNonWorkingArea) const;
     bool IsPrimary() const;
+    Size GetSize() const;
 
     // Returns monitor rects ordered from left to right
     static std::vector<MonitorInfo> GetMonitors(bool includeNonWorkingArea);
     static MonitorInfo GetPrimaryMonitor();
+    static MonitorInfo GetFromWindow(HWND);
+    static MonitorInfo GetFromPoint(int32_t, int32_t);
+
+private:
+    static Size GetSize(const MONITORINFOEX&);
 };
diff --git a/src/modules/MeasureTool/MeasureToolCore/BoundsToolOverlayUI.cpp b/src/modules/MeasureTool/MeasureToolCore/BoundsToolOverlayUI.cpp
index 0542448939..bbc59eb7f0 100644
--- a/src/modules/MeasureTool/MeasureToolCore/BoundsToolOverlayUI.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/BoundsToolOverlayUI.cpp
@@ -9,7 +9,7 @@
 
 namespace
 {
-    Measurement GetMeasurement(const CursorDrag& currentBounds, POINT cursorPos)
+    Measurement GetMeasurement(const CursorDrag& currentBounds, POINT cursorPos, float px2mmRatio)
     {
         D2D1_RECT_F rect;
         std::tie(rect.left, rect.right) =
@@ -17,7 +17,7 @@ namespace
         std::tie(rect.top, rect.bottom) =
             std::minmax(static_cast<float>(cursorPos.y), currentBounds.startPos.y);
 
-        return Measurement(rect);
+        return Measurement(rect, px2mmRatio);
     }
 
     void CopyToClipboard(HWND window, const BoundsToolState& toolState, POINT cursorPos)
@@ -29,7 +29,8 @@ namespace
 
             if (handle == window && perScreen.currentBounds)
             {
-                allMeasurements.push_back(GetMeasurement(*perScreen.currentBounds, cursorPos));
+                auto px2mmRatio = toolState.commonState->GetPhysicalPx2MmRatio(window);
+                allMeasurements.push_back(GetMeasurement(*perScreen.currentBounds, cursorPos, px2mmRatio));
             }
         }
 
@@ -85,7 +86,8 @@ namespace
 
         if (const bool shiftPress = GetKeyState(VK_SHIFT) & 0x80000; shiftPress && perScreen.currentBounds)
         {
-            perScreen.measurements.push_back(GetMeasurement(*perScreen.currentBounds, cursorPos));
+            auto px2mmRatio = toolState->commonState->GetPhysicalPx2MmRatio(window);
+            perScreen.measurements.push_back(GetMeasurement(*perScreen.currentBounds, cursorPos, px2mmRatio));
         }
 
         perScreen.currentBounds = std::nullopt;
@@ -274,7 +276,7 @@ namespace
                               text.buffer.size(),
                               true,
                               true,
-                              commonState.units);
+                              commonState.units | Measurement::Unit::Pixel); // Always show pixels.
 
         D2D_POINT_2F textBoxPos;
         if (textBoxCenter)
@@ -314,6 +316,7 @@ void DrawBoundsToolTick(const CommonState& commonState,
         D2D1_RECT_F rect;
         std::tie(rect.left, rect.right) = std::minmax(perScreen.currentBounds->startPos.x, perScreen.currentBounds->currentPos.x);
         std::tie(rect.top, rect.bottom) = std::minmax(perScreen.currentBounds->startPos.y, perScreen.currentBounds->currentPos.y);
-        DrawMeasurement(Measurement{ rect }, commonState, window, d2dState, perScreen.currentBounds->currentPos);
+        auto px2mmRatio = toolState.commonState->GetPhysicalPx2MmRatio(window);
+        DrawMeasurement(Measurement{ rect, px2mmRatio }, commonState, window, d2dState, perScreen.currentBounds->currentPos);
     }
 }
diff --git a/src/modules/MeasureTool/MeasureToolCore/D2DState.cpp b/src/modules/MeasureTool/MeasureToolCore/D2DState.cpp
index 0d26dcb0ce..8ebc6b65fe 100644
--- a/src/modules/MeasureTool/MeasureToolCore/D2DState.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/D2DState.cpp
@@ -65,7 +65,7 @@ D2DState::D2DState(const DxgiAPI* dxgi,
 
 void D2DState::DrawTextBox(const wchar_t* text,
                            const size_t textLen,
-                           const std::optional<size_t> halfOpaqueSymbolPos,
+                           const size_t halfOpaqueSymbolPos[2],
                            const D2D_POINT_2F center,
                            const bool screenQuadrantAware,
                            const HWND window) const
@@ -80,8 +80,7 @@ void D2DState::DrawTextBox(const wchar_t* text,
                                                 &textLayout));
     DWRITE_TEXT_METRICS textMetrics = {};
     winrt::check_hresult(textLayout->GetMetrics(&textMetrics));
-    // Assumes text doesn't contain new lines
-    const float lineHeight = textMetrics.height;
+    const float lineHeight = textMetrics.height / (textMetrics.lineCount ? textMetrics.lineCount : 1);
     textMetrics.width += lineHeight;
     textMetrics.height += lineHeight * .5f;
     winrt::check_hresult(textLayout->SetMaxWidth(textMetrics.width));
@@ -147,12 +146,17 @@ void D2DState::DrawTextBox(const wchar_t* text,
     // Draw text & its box
     dxgiWindowState.rt->FillRoundedRectangle(textBoxRect, solidBrushes[Brush::background].get());
 
-    if (halfOpaqueSymbolPos.has_value())
+    if (halfOpaqueSymbolPos[0] > 0)
     {
         DWRITE_TEXT_RANGE textRange = { static_cast<uint32_t>(*halfOpaqueSymbolPos), 2 };
         auto opacityEffect = winrt::make_self<OpacityEffect>();
         opacityEffect->alpha = consts::CROSS_OPACITY;
         winrt::check_hresult(textLayout->SetDrawingEffect(opacityEffect.get(), textRange));
+        if (halfOpaqueSymbolPos[1] > halfOpaqueSymbolPos[0])
+        {
+            textRange = { static_cast<uint32_t>(halfOpaqueSymbolPos[1]), 2 };
+            winrt::check_hresult(textLayout->SetDrawingEffect(opacityEffect.get(), textRange));
+        }
     }
     winrt::check_hresult(textLayout->Draw(nullptr, textRenderer.get(), textRect.left, textRect.top));
 }
diff --git a/src/modules/MeasureTool/MeasureToolCore/D2DState.h b/src/modules/MeasureTool/MeasureToolCore/D2DState.h
index 3d56c37351..cfd8f629f7 100644
--- a/src/modules/MeasureTool/MeasureToolCore/D2DState.h
+++ b/src/modules/MeasureTool/MeasureToolCore/D2DState.h
@@ -35,7 +35,7 @@ struct D2DState
              std::vector<D2D1::ColorF> solidBrushesColors);
     void DrawTextBox(const wchar_t* text,
                      const size_t textLen,
-                     const std::optional<size_t> halfOpaqueSymbolPos,
+                     const size_t halfOpaqueSymbolPos[2],
                      const D2D_POINT_2F center,
                      const bool screenQuadrantAware,
                      const HWND window) const;
diff --git a/src/modules/MeasureTool/MeasureToolCore/MeasureToolOverlayUI.cpp b/src/modules/MeasureTool/MeasureToolCore/MeasureToolOverlayUI.cpp
index 4b948d3446..b25bc46adf 100644
--- a/src/modules/MeasureTool/MeasureToolCore/MeasureToolOverlayUI.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/MeasureToolOverlayUI.cpp
@@ -19,17 +19,17 @@ namespace
     {
         switch (mode)
         {
-            case MeasureToolState::Mode::Cross:
-                return { true, true };
+        case MeasureToolState::Mode::Cross:
+            return { true, true };
 
-            case MeasureToolState::Mode::Vertical:
-                return { false, true };
+        case MeasureToolState::Mode::Vertical:
+            return { false, true };
 
-            case MeasureToolState::Mode::Horizontal:
-                return { true, false };
+        case MeasureToolState::Mode::Horizontal:
+            return { true, false };
 
-            default:
-                throw std::runtime_error("Unknown MeasureToolState Mode");
+        default:
+            throw std::runtime_error("Unknown MeasureToolState Mode");
         }
     }
 
@@ -77,7 +77,7 @@ namespace
         CopyToClipboard(window, *toolState);
 
         auto& perScreen = toolState->perScreen[window];
-        
+
         const bool shiftPress = GetKeyState(VK_SHIFT) & 0x8000;
         if (shiftPress && perScreen.measuredEdges)
         {
@@ -144,10 +144,10 @@ namespace
 
         const auto [crossSymbolPos, measureStringBufLen] =
             measurement.Print(text.buffer.data(),
-                                text.buffer.size(),
-                                drawHorizontalCrossLine,
-                                drawVerticalCrossLine,
-                                commonState.units);
+                              text.buffer.size(),
+                              drawHorizontalCrossLine,
+                              drawVerticalCrossLine,
+                              commonState.units | Measurement::Unit::Pixel); // Always show pixels.
 
         d2dState.DrawTextBox(text.buffer.data(),
                              measureStringBufLen,
diff --git a/src/modules/MeasureTool/MeasureToolCore/Measurement.cpp b/src/modules/MeasureTool/MeasureToolCore/Measurement.cpp
index a6a6584f70..5ddb2cbf39 100644
--- a/src/modules/MeasureTool/MeasureToolCore/Measurement.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/Measurement.cpp
@@ -4,7 +4,8 @@
 
 #include <iostream>
 
-Measurement::Measurement(RECT winRect)
+Measurement::Measurement(RECT winRect, float px2mmRatio) :
+    px2mmRatio{ px2mmRatio }
 {
     rect.left = static_cast<float>(winRect.left);
     rect.right = static_cast<float>(winRect.right);
@@ -12,81 +13,192 @@ Measurement::Measurement(RECT winRect)
     rect.bottom = static_cast<float>(winRect.bottom);
 }
 
-Measurement::Measurement(D2D1_RECT_F d2dRect) :
-    rect{ d2dRect }
+Measurement::Measurement(D2D1_RECT_F d2dRect, float px2mmRatio) :
+    rect{ d2dRect }, px2mmRatio{ px2mmRatio }
 {
 }
 
 namespace
 {
-    inline float Convert(const float pixels, const Measurement::Unit units)
+    inline float Convert(const float pixels, const Measurement::Unit units, float px2mmRatio)
     {
-        switch (units)
+        if (px2mmRatio > 0)
         {
-        case Measurement::Unit::Pixel:
-            return pixels;
-        case Measurement::Unit::Inch:
-            return pixels / 96.f;
-        case Measurement::Unit::Centimetre:
-            return pixels / 96.f * 2.54f;
-        default:
-            return pixels;
+            switch (units)
+            {
+            case Measurement::Unit::Pixel:
+                return pixels;
+            case Measurement::Unit::Inch:
+                return pixels * px2mmRatio / 10.0f / 2.54f;
+            case Measurement::Unit::Centimetre:
+                return pixels * px2mmRatio / 10.0f;
+            case Measurement::Unit::Millimetre:
+                return pixels * px2mmRatio;
+            default:
+                return pixels;
+            }
+        }
+        else
+        {
+            switch (units)
+            {
+            case Measurement::Unit::Pixel:
+                return pixels;
+            case Measurement::Unit::Inch:
+                return pixels / 96.0f;
+            case Measurement::Unit::Centimetre:
+                return pixels / 96.0f * 2.54f;
+            case Measurement::Unit::Millimetre:
+                return pixels / 96.0f / 10.0f * 2.54f;
+            default:
+                return pixels;
+            }
         }
     }
 }
 
+winrt::hstring Measurement::abbreviations[4]{};
+
 inline float Measurement::Width(const Unit units) const
 {
-    return Convert(rect.right - rect.left + 1.f, units);
+    return Convert(rect.right - rect.left + 1.f, units, px2mmRatio);
 }
 
 inline float Measurement::Height(const Unit units) const
 {
-    return Convert(rect.bottom - rect.top + 1.f, units);
+    return Convert(rect.bottom - rect.top + 1.f, units, px2mmRatio);
+}
+
+Measurement::Unit Measurement::GetUnitFromIndex(int index)
+{
+    switch (index)
+    {
+    case 0:
+        return Measurement::Unit::Pixel;
+    case 1:
+        return Measurement::Unit::Inch;
+    case 2:
+        return Measurement::Unit::Centimetre;
+    case 3:
+        return Measurement::Unit::Millimetre;
+    default:
+        return Measurement::Unit::Pixel;
+    }
+}
+
+void Measurement::InitResources()
+{
+    auto rm = winrt::ResourceManager{};
+    auto mm = rm.MainResourceMap();
+    abbreviations[0] = mm.GetValue(L"Resources/MeasurementUnitAbbrPixel").ValueAsString();
+    abbreviations[1] = mm.GetValue(L"Resources/MeasurementUnitAbbrInch").ValueAsString();
+    abbreviations[2] = mm.GetValue(L"Resources/MeasurementUnitAbbrCentimetre").ValueAsString();
+    abbreviations[3] = mm.GetValue(L"Resources/MeasurementUnitAbbrMillimetre").ValueAsString();
+}
+
+const wchar_t* Measurement::GetUnitAbbreviation(Measurement::Unit units)
+{
+    switch (units)
+    {
+    case Unit::Pixel:
+        return abbreviations[0].c_str();
+    case Unit::Inch:
+        return abbreviations[1].c_str();
+    case Unit::Centimetre:
+        return abbreviations[2].c_str();
+    case Unit::Millimetre:
+        return abbreviations[3].c_str();
+    default:
+        return L"??";
+    }
 }
 
 Measurement::PrintResult Measurement::Print(wchar_t* buf,
                                             const size_t bufSize,
                                             const bool printWidth,
                                             const bool printHeight,
-                                            const Unit units) const
+                                            const int units) const
 {
     PrintResult result;
-    if (printWidth)
-    {
-        result.strLen += swprintf_s(buf,
-                                    bufSize,
-                                    L"%g",
-                                    Width(units));
-        if (printHeight)
+
+    auto print = [=, &result](Measurement::Unit unit, const bool paren) {
+        if (paren)
+        {
+            result.strLen += swprintf_s(buf + result.strLen, bufSize - result.strLen, printWidth && printHeight ? L"\n(" : L" (");
+        }
+        if (printWidth)
         {
-            result.crossSymbolPos = result.strLen + 1;
             result.strLen += swprintf_s(buf + result.strLen,
                                         bufSize - result.strLen,
-                                        L" \x00D7 ");
+                                        L"%.4g",
+                                        Width(unit));
+            if (printHeight)
+            {
+                result.crossSymbolPos[paren] = result.strLen + 1;
+                result.strLen += swprintf_s(buf + result.strLen,
+                                            bufSize - result.strLen,
+                                            L" \x00D7 ");
+            }
         }
-    }
+        if (printHeight)
+        {
+            result.strLen += swprintf_s(buf + result.strLen,
+                                        bufSize - result.strLen,
+                                        L"%.4g",
+                                        Height(unit));
+        }
+        switch (unit)
+        {
+        case Measurement::Unit::Pixel:
+            result.strLen += swprintf_s(buf + result.strLen,
+                                        bufSize - result.strLen,
+                                        L" %s",
+                                        Measurement::GetUnitAbbreviation(unit));
+            break;
+        case Measurement::Unit::Inch:
+            result.strLen += swprintf_s(buf + result.strLen,
+                                        bufSize - result.strLen,
+                                        L" %s",
+                                        Measurement::GetUnitAbbreviation(unit));
+            break;
+        case Measurement::Unit::Centimetre:
+            result.strLen += swprintf_s(buf + result.strLen,
+                                        bufSize - result.strLen,
+                                        L" %s",
+                                        Measurement::GetUnitAbbreviation(unit));
 
-    if (printHeight)
-    {
-        result.strLen += swprintf_s(buf + result.strLen,
-                                    bufSize - result.strLen,
-                                    L"%g",
-                                    Height(units));
-    }
+            break;
+        case Measurement::Unit::Millimetre:
+            result.strLen += swprintf_s(buf + result.strLen,
+                                        bufSize - result.strLen,
+                                        L" %s",
+                                        Measurement::GetUnitAbbreviation(unit));
 
-    switch (units)
+            break;
+        }
+        if (paren)
+        {
+            result.strLen += swprintf_s(buf + result.strLen, bufSize - result.strLen, L")");
+        }
+    };
+
+    int count = 0;
+    const Measurement::Unit allUnits[] = {
+        Measurement::Unit::Pixel,
+        Measurement::Unit::Millimetre,
+        Measurement::Unit::Inch,
+        Measurement::Unit::Centimetre,
+    };
+    // We only use two units at most, it would be to long otherwise.
+    for each (Measurement::Unit unit in allUnits)
     {
-    case Measurement::Unit::Inch:
-        result.strLen += swprintf_s(buf + result.strLen,
-                                    bufSize - result.strLen,
-                                    L" in");
-        break;
-    case Measurement::Unit::Centimetre:
-        result.strLen += swprintf_s(buf + result.strLen,
-                                    bufSize - result.strLen,
-                                    L" cm");
-        break;
+        if ((unit & units) == unit)
+        {
+            count += 1;
+            if (count > 2)
+                break;
+            print(unit, count != 1);
+        }
     }
 
     return result;
@@ -117,15 +229,9 @@ void Measurement::PrintToStream(std::wostream& stream,
         stream << Height(units);
     }
 
-    switch (units)
+    // If the unit is pixels, then the abbreviation will not be saved as it used to be.
+    if (units != Measurement::Unit::Pixel)
     {
-    case Measurement::Unit::Inch:
-        stream << L" in";
-
-        break;
-    case Measurement::Unit::Centimetre:
-        stream << L" cm";
-        break;
+        stream << L" " << Measurement::GetUnitAbbreviation(units);
     }
 }
-
diff --git a/src/modules/MeasureTool/MeasureToolCore/Measurement.h b/src/modules/MeasureTool/MeasureToolCore/Measurement.h
index c40788dad3..057800f896 100644
--- a/src/modules/MeasureTool/MeasureToolCore/Measurement.h
+++ b/src/modules/MeasureTool/MeasureToolCore/Measurement.h
@@ -1,4 +1,5 @@
 #pragma once
+#include "pch.h"
 
 #include <dcommon.h>
 #include <windef.h>
@@ -8,38 +9,45 @@ struct Measurement
 {
     enum Unit
     {
-        Pixel,
-        Inch,
-        Centimetre
+        Pixel = 1,
+        Inch = 2,
+        Centimetre = 4,
+        Millimetre = 8,
     };
 
     D2D1_RECT_F rect = {}; // corners are inclusive
 
-    Measurement() = default;
+    float px2mmRatio = 0;
+    static winrt::hstring abbreviations[4]; // Abbreviations of units.
+
     Measurement(const Measurement&) = default;
     Measurement& operator=(const Measurement&) = default;
 
-    explicit Measurement(D2D1_RECT_F d2dRect);
-    explicit Measurement(RECT winRect);
+    explicit Measurement(D2D1_RECT_F d2dRect, float px2mmRatio);
+    explicit Measurement(RECT winRect, float px2mmRatio);
 
     float Width(const Unit units) const;
     float Height(const Unit units) const;
 
     struct PrintResult
     {
-        std::optional<size_t> crossSymbolPos;
+        size_t crossSymbolPos[2] = {};
         size_t strLen = {};
     };
 
+    static void InitResources();
+    static Unit GetUnitFromIndex(int index);
+    static const wchar_t* GetUnitAbbreviation(const Unit units);
+
     PrintResult Print(wchar_t* buf,
                       const size_t bufSize,
                       const bool printWidth,
                       const bool printHeight,
-                      const Unit units) const;
+                      const int units) const;
 
     void PrintToStream(std::wostream& stream,
-                      const bool prependNewLine,
-                      const bool printWidth,
-                      const bool printHeight,
-                      const Unit units) const;
+                       const bool prependNewLine,
+                       const bool printWidth,
+                       const bool printHeight,
+                       const Unit units) const;
 };
diff --git a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.cpp b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.cpp
index 214d8c0818..8a16664165 100644
--- a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.cpp
@@ -62,6 +62,11 @@ namespace winrt::PowerToys::MeasureToolCore::implementation
             _mouseCaptureThread.join();
     }
 
+    void Core::InitResources()
+    {
+        Measurement::InitResources();
+    }
+
     void Core::ResetState()
     {
         _commonState.closeOnOtherMonitors = true;
diff --git a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.h b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.h
index da0b3afb17..1d5f432412 100644
--- a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.h
+++ b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.h
@@ -32,6 +32,7 @@ namespace winrt::PowerToys::MeasureToolCore::implementation
         ~Core();
         void Close();
 
+        void InitResources();
         void StartBoundsTool();
         void StartMeasureTool(const bool horizontal, const bool vertical);
         void SetToolCompletionEvent(ToolSessionCompleted sessionCompletedTrigger);
@@ -45,7 +46,7 @@ namespace winrt::PowerToys::MeasureToolCore::implementation
         wil::shared_event _stopMouseCaptureThreadSignal;
         std::thread _mouseCaptureThread;
         std::vector<std::thread> _screenCaptureThreads;
-        
+
         std::vector<std::unique_ptr<OverlayUIState>> _overlayUIStates;
         Serialized<MeasureToolState> _measureToolState;
         BoundsToolState _boundsToolState;
diff --git a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.idl b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.idl
index 8704c0b6cd..6295c6413f 100644
--- a/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.idl
+++ b/src/modules/MeasureTool/MeasureToolCore/PowerToys.MeasureToolCore.idl
@@ -19,6 +19,7 @@ namespace PowerToys
             void StartBoundsTool();
             void ResetState();
 
+            void InitResources();
             void SetToolbarBoundingBox(Int32 fromX, Int32 fromY, Int32 toX, Int32 toY);
             Single GetDPIScaleForWindow(Int64 windowHandle);
         }
diff --git a/src/modules/MeasureTool/MeasureToolCore/ScreenCapturing.cpp b/src/modules/MeasureTool/MeasureToolCore/ScreenCapturing.cpp
index 09194e21d9..fee7ab809a 100644
--- a/src/modules/MeasureTool/MeasureToolCore/ScreenCapturing.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/ScreenCapturing.cpp
@@ -294,11 +294,12 @@ void UpdateCaptureState(const CommonState& commonState,
                                     cursorPos,
                                     perColorChannelEdgeDetection,
                                     pixelTolerance);
+    auto px2mmRatio = commonState.GetPhysicalPx2MmRatio(window);
 
 #if defined(DEBUG_EDGES)
     char buffer[256];
     sprintf_s(buffer,
-              "Cursor: [%ld,%ld] Bounds: [%ld,%ld]-[%ld,%ld] Screen size: [%zu, %zu]\n",
+              "Cursor: [%ld,%ld] Bounds: [%ld,%ld]-[%ld,%ld] Screen size: [%zu, %zu] Ratio: %g\n",
               cursorPos.x,
               cursorPos.y,
               bounds.left,
@@ -306,11 +307,12 @@ void UpdateCaptureState(const CommonState& commonState,
               bounds.right,
               bounds.bottom,
               textureView.view.width,
-              textureView.view.height);
+              textureView.view.height,
+              px2mmRatio);
     OutputDebugStringA(buffer);
 #endif
     state.Access([&](MeasureToolState& state) {
-        state.perScreen[window].measuredEdges = Measurement{ bounds };
+        state.perScreen[window].measuredEdges = Measurement{ bounds, px2mmRatio };
     });
 }
 
diff --git a/src/modules/MeasureTool/MeasureToolCore/Settings.cpp b/src/modules/MeasureTool/MeasureToolCore/Settings.cpp
index 418b6d1a95..b5e11ef1d1 100644
--- a/src/modules/MeasureTool/MeasureToolCore/Settings.cpp
+++ b/src/modules/MeasureTool/MeasureToolCore/Settings.cpp
@@ -69,7 +69,8 @@ Settings Settings::LoadFromFile()
 
         try
         {
-            result.units = static_cast<Measurement::Unit>(props.GetNamedObject(JSON_KEY_UNITS_OF_MEASURE).GetNamedNumber(JSON_KEY_VALUE));
+            auto index = static_cast<int>(props.GetNamedObject(JSON_KEY_UNITS_OF_MEASURE).GetNamedNumber(JSON_KEY_VALUE));
+            result.units = Measurement::GetUnitFromIndex(index);
         }
         catch (...)
         {
diff --git a/src/modules/MeasureTool/MeasureToolCore/ToolState.h b/src/modules/MeasureTool/MeasureToolCore/ToolState.h
index f769436d43..57d5d04ca1 100644
--- a/src/modules/MeasureTool/MeasureToolCore/ToolState.h
+++ b/src/modules/MeasureTool/MeasureToolCore/ToolState.h
@@ -33,6 +33,17 @@ struct CommonState
 
     POINT cursorPosSystemSpace = {}; // updated atomically
     std::atomic_bool closeOnOtherMonitors = false;
+
+    float GetPhysicalPx2MmRatio(HWND window) const
+    {
+        auto ratio = -1.0f;
+        auto size = MonitorInfo::GetFromWindow(window).GetSize();
+        if (size.width_physical > 0u)
+        {
+            ratio = size.width_mm / static_cast<float>(size.width_physical);
+        }
+        return ratio;
+    }
 };
 
 struct CursorDrag
diff --git a/src/modules/MeasureTool/MeasureToolCore/pch.h b/src/modules/MeasureTool/MeasureToolCore/pch.h
index 16cc5a1a62..95b368b96b 100644
--- a/src/modules/MeasureTool/MeasureToolCore/pch.h
+++ b/src/modules/MeasureTool/MeasureToolCore/pch.h
@@ -49,6 +49,7 @@
 #include <winrt/Microsoft.UI.Xaml.Navigation.h>
 #include <winrt/Microsoft.UI.Xaml.Shapes.h>
 #include <winrt/Microsoft.UI.Dispatching.h>
+#include <winrt/Microsoft.Windows.ApplicationModel.Resources.h>
 #include <winrt/Windows.Graphics.DirectX.h>
 #include <winrt/Windows.Graphics.DirectX.Direct3d11.h>
 #include <winrt/Windows.Graphics.Capture.h>
@@ -73,6 +74,7 @@ namespace winrt
     using namespace Microsoft::UI::Xaml;
     using namespace Microsoft::UI::Xaml::Controls;
     using namespace Microsoft::UI::Xaml::Navigation;
+    using namespace Microsoft::Windows::ApplicationModel::Resources;
 }
 
 template<typename Func>
diff --git a/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml b/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml
index 9c99618a34..8e58d66499 100644
--- a/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml
+++ b/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml
@@ -4,7 +4,6 @@
     xmlns:x="http://schemas.microsoft.com/winfx/2006/xaml"
     xmlns:d="http://schemas.microsoft.com/expression/blend/2008"
     xmlns:mc="http://schemas.openxmlformats.org/markup-compatibility/2006"
-    xmlns:p="using:PowerToys.MeasureToolUI.Properties"
     xmlns:winuiex="using:WinUIEx"
     IsAlwaysOnTop="True"
     IsMaximizable="False"
diff --git a/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml.cs b/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml.cs
index ef35077a95..4f807655da 100644
--- a/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml.cs
+++ b/src/modules/MeasureTool/MeasureToolUI/MeasureToolXAML/MainWindow.xaml.cs
@@ -64,6 +64,7 @@ namespace MeasureToolUI
             _ = SetWindowLong(hwnd, GWL_STYLE, windowStyle);
 
             _coreLogic = core;
+            _coreLogic.InitResources();
             Closed += MainWindow_Closed;
             DisplayArea displayArea = DisplayArea.GetFromWindowId(windowId, DisplayAreaFallback.Nearest);
             float dpiScale = _coreLogic.GetDPIScaleForWindow((int)hwnd);
diff --git a/src/modules/MeasureTool/MeasureToolUI/Strings/en-us/Resources.resw b/src/modules/MeasureTool/MeasureToolUI/Strings/en-us/Resources.resw
index b33f9d43f0..a6fe87f370 100644
--- a/src/modules/MeasureTool/MeasureToolUI/Strings/en-us/Resources.resw
+++ b/src/modules/MeasureTool/MeasureToolUI/Strings/en-us/Resources.resw
@@ -66,4 +66,16 @@
     <data name="BtnClosePanelTooltip.Text" xml:space="preserve">
         <value>Close (Esc)</value>
     </data>
+    <data name="MeasurementUnitAbbrPixel" xml:space="preserve">
+        <value>px</value>
+    </data>
+    <data name="MeasurementUnitAbbrInch" xml:space="preserve">
+        <value>in</value>
+    </data>
+    <data name="MeasurementUnitAbbrCentimetre" xml:space="preserve">
+        <value>cm</value>
+    </data>
+    <data name="MeasurementUnitAbbrMillimetre" xml:space="preserve">
+        <value>mm</value>
+    </data>
 </root>
\ No newline at end of file
diff --git a/src/settings-ui/Settings.UI.Library/MeasureToolProperties.cs b/src/settings-ui/Settings.UI.Library/MeasureToolProperties.cs
index ebda5953d0..5edc9f9175 100644
--- a/src/settings-ui/Settings.UI.Library/MeasureToolProperties.cs
+++ b/src/settings-ui/Settings.UI.Library/MeasureToolProperties.cs
@@ -38,7 +38,6 @@ namespace Microsoft.PowerToys.Settings.UI.Library
         [JsonConverter(typeof(BoolPropertyJsonConverter))]
         public bool PerColorChannelEdgeDetection { get; set; }
 
-        [CmdConfigureIgnore]
         public IntProperty UnitsOfMeasure { get; set; }
 
         public IntProperty PixelTolerance { get; set; }
diff --git a/src/settings-ui/Settings.UI/Assets/Settings/Modules/OOBE/ScreenRuler.gif b/src/settings-ui/Settings.UI/Assets/Settings/Modules/OOBE/ScreenRuler.gif
index b88b00d101..277775ff45 100644
Binary files a/src/settings-ui/Settings.UI/Assets/Settings/Modules/OOBE/ScreenRuler.gif and b/src/settings-ui/Settings.UI/Assets/Settings/Modules/OOBE/ScreenRuler.gif differ
diff --git a/src/settings-ui/Settings.UI/Assets/Settings/Modules/ScreenRuler.png b/src/settings-ui/Settings.UI/Assets/Settings/Modules/ScreenRuler.png
index 8e6a5f3471..d7e6b5b0f1 100644
Binary files a/src/settings-ui/Settings.UI/Assets/Settings/Modules/ScreenRuler.png and b/src/settings-ui/Settings.UI/Assets/Settings/Modules/ScreenRuler.png differ
diff --git a/src/settings-ui/Settings.UI/SettingsXAML/Views/MeasureToolPage.xaml b/src/settings-ui/Settings.UI/SettingsXAML/Views/MeasureToolPage.xaml
index cc67246a2d..a757cce983 100644
--- a/src/settings-ui/Settings.UI/SettingsXAML/Views/MeasureToolPage.xaml
+++ b/src/settings-ui/Settings.UI/SettingsXAML/Views/MeasureToolPage.xaml
@@ -64,13 +64,14 @@
                             Value="{x:Bind ViewModel.PixelTolerance, Mode=TwoWay}" />
                     </tkcontrols:SettingsCard>
 
-                    <!--<tkcontrols:SettingsCard x:Uid="MeasureTool_UnitsOfMeasure" HeaderIcon="{ui:FontIcon Glyph=&#xECC6;}">
-                        <ComboBox SelectedIndex="{x:Bind Path=ViewModel.UnitsOfMeasure, Mode=TwoWay}" MinWidth="{StaticResource SettingActionControlMinWidth}">
+                    <tkcontrols:SettingsCard x:Uid="MeasureTool_UnitsOfMeasure" HeaderIcon="{ui:FontIcon Glyph=&#xECC6;}">
+                        <ComboBox MinWidth="{StaticResource SettingActionControlMinWidth}" SelectedIndex="{x:Bind Path=ViewModel.UnitsOfMeasure, Mode=TwoWay}">
                             <ComboBoxItem x:Uid="MeasureTool_UnitsOfMeasure_Pixels" />
                             <ComboBoxItem x:Uid="MeasureTool_UnitsOfMeasure_Inches" />
                             <ComboBoxItem x:Uid="MeasureTool_UnitsOfMeasure_Centimeters" />
+                            <ComboBoxItem x:Uid="MeasureTool_UnitsOfMeasure_Millimeters" />
                         </ComboBox>
-                    </tkcontrols:SettingsCard>-->
+                    </tkcontrols:SettingsCard>
 
                     <tkcontrols:SettingsCard x:Uid="MeasureTool_DrawFeetOnCross">
                         <ToggleSwitch x:Uid="MeasureTool_DrawFeetOnCross_ToggleSwitch" IsOn="{x:Bind ViewModel.DrawFeetOnCross, Mode=TwoWay}" />
diff --git a/src/settings-ui/Settings.UI/Strings/en-us/Resources.resw b/src/settings-ui/Settings.UI/Strings/en-us/Resources.resw
index 57f6468b0a..2b885d7719 100644
--- a/src/settings-ui/Settings.UI/Strings/en-us/Resources.resw
+++ b/src/settings-ui/Settings.UI/Strings/en-us/Resources.resw
@@ -177,10 +177,10 @@
     <value>Vertical spacing</value>
   </data>
   <data name="MeasureTool_UnitsOfMeasure.Header" xml:space="preserve">
-    <value>Units of measurement</value>
+    <value>Extra units of measurement</value>
   </data>
   <data name="MeasureTool_UnitsOfMeasure_Pixels.Content" xml:space="preserve">
-    <value>Pixels</value>
+    <value>Show only pixels</value>
   </data>
   <data name="MeasureTool_UnitsOfMeasure_Inches.Content" xml:space="preserve">
     <value>Inches</value>
@@ -188,6 +188,9 @@
   <data name="MeasureTool_UnitsOfMeasure_Centimeters.Content" xml:space="preserve">
     <value>Centimeters</value>
   </data>
+  <data name="MeasureTool_UnitsOfMeasure_Millimeters.Content" xml:space="preserve">
+    <value>Millimeters</value>
+  </data>
   <data name="MeasureTool_PixelTolerance.Header" xml:space="preserve">
     <value>Pixel tolerance for edge detection</value>
   </data>