Hi, I have a PiSound and a R.Pi touch screen attached. But PatchBox loads with the screen upside down. Any clues as to how to flip it around?
Hey, the same information as available for Raspbian applies to Patchbox OS 
Try adding lcd_rotate=2 to /boot/config.txt and reboot.
Source: https://www.raspberrypi.org/documentation/configuration/config-txt/video.md
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Brilliant, thank you