diff --git a/src/data/camera.ts b/src/data/camera.ts
index cca3671377..26d928f754 100644
--- a/src/data/camera.ts
+++ b/src/data/camera.ts
@@ -6,6 +6,7 @@ import { timeCacheEntityPromiseFunc } from "../common/util/time-cache-entity-pro
 import { HomeAssistant } from "../types";
 import { getSignedPath } from "./auth";
 
+export const CAMERA_ORIENTATIONS = [1, 2, 3, 4, 6, 8];
 export const CAMERA_SUPPORT_ON_OFF = 1;
 export const CAMERA_SUPPORT_STREAM = 2;
 
@@ -26,6 +27,7 @@ export interface CameraEntity extends HassEntityBase {
 
 export interface CameraPreferences {
   preload_stream: boolean;
+  orientation: number;
 }
 
 export interface CameraThumbnail {
@@ -109,11 +111,13 @@ export const fetchCameraPrefs = (hass: HomeAssistant, entityId: string) =>
     entity_id: entityId,
   });
 
+type ValueOf<T extends any[]> = T[number];
 export const updateCameraPrefs = (
   hass: HomeAssistant,
   entityId: string,
   prefs: {
     preload_stream?: boolean;
+    orientation?: ValueOf<typeof CAMERA_ORIENTATIONS>;
   }
 ) =>
   hass.callWS<CameraPreferences>({
diff --git a/src/panels/config/entities/entity-registry-settings.ts b/src/panels/config/entities/entity-registry-settings.ts
index f554e5bbf4..e87fd4ea02 100644
--- a/src/panels/config/entities/entity-registry-settings.ts
+++ b/src/panels/config/entities/entity-registry-settings.ts
@@ -19,7 +19,10 @@ import { computeDomain } from "../../../common/entity/compute_domain";
 import { domainIcon } from "../../../common/entity/domain_icon";
 import { supportsFeature } from "../../../common/entity/supports-feature";
 import { stringCompare } from "../../../common/string/compare";
-import { LocalizeFunc } from "../../../common/translations/localize";
+import {
+  LocalizeFunc,
+  LocalizeKeys,
+} from "../../../common/translations/localize";
 import "../../../components/ha-alert";
 import "../../../components/ha-area-picker";
 import "../../../components/ha-expansion-panel";
@@ -32,6 +35,7 @@ import type { HaSwitch } from "../../../components/ha-switch";
 import "../../../components/ha-textfield";
 import {
   CameraPreferences,
+  CAMERA_ORIENTATIONS,
   CAMERA_SUPPORT_STREAM,
   fetchCameraPrefs,
   STREAM_TYPE_HLS,
@@ -586,12 +590,12 @@ export class EntityRegistrySettings extends SubscribeMixin(LitElement) {
               <ha-settings-row>
                 <span slot="heading"
                   >${this.hass.localize(
-                    "ui.dialogs.entity_registry.editor.preload_stream"
+                    "ui.dialogs.entity_registry.editor.stream.preload_stream"
                   )}</span
                 >
                 <span slot="description"
                   >${this.hass.localize(
-                    "ui.dialogs.entity_registry.editor.preload_stream_description"
+                    "ui.dialogs.entity_registry.editor.stream.preload_stream_description"
                   )}</span
                 >
                 <ha-switch
@@ -600,6 +604,38 @@ export class EntityRegistrySettings extends SubscribeMixin(LitElement) {
                 >
                 </ha-switch>
               </ha-settings-row>
+              <ha-settings-row>
+                <span slot="heading"
+                  >${this.hass.localize(
+                    "ui.dialogs.entity_registry.editor.stream.stream_orientation"
+                  )}</span
+                >
+                <span slot="description"
+                  >${this.hass.localize(
+                    "ui.dialogs.entity_registry.editor.stream.stream_orientation_description"
+                  )}</span
+                >
+                <ha-select
+                  .label=${this.hass.localize(
+                    "ui.dialogs.entity_registry.editor.stream.stream_orientation"
+                  )}
+                  naturalMenuWidth
+                  fixedMenuPosition
+                  @selected=${this._handleCameraOrientationChanged}
+                  @closed=${stopPropagation}
+                >
+                  ${CAMERA_ORIENTATIONS.map((num) => {
+                    const localizeStr =
+                      "ui.dialogs.entity_registry.editor.stream.stream_orientation_" +
+                      num.toString();
+                    return html`
+                      <mwc-list-item value=${num}>
+                        ${this.hass.localize(localizeStr as LocalizeKeys)}
+                      </mwc-list-item>
+                    `;
+                  })}
+                </ha-select>
+              </ha-settings-row>
             `
           : ""}
         <ha-expansion-panel
@@ -841,6 +877,20 @@ export class EntityRegistrySettings extends SubscribeMixin(LitElement) {
     }
   }
 
+  private async _handleCameraOrientationChanged(ev) {
+    try {
+      this._cameraPrefs = await updateCameraPrefs(
+        this.hass,
+        this.entry.entity_id,
+        {
+          orientation: ev.currentTarget.value,
+        }
+      );
+    } catch (err: any) {
+      showAlertDialog(this, { text: err.message });
+    }
+  }
+
   private _viewStatusChanged(ev: CustomEvent): void {
     switch ((ev.target as any).value) {
       case "enabled":
diff --git a/src/translations/en.json b/src/translations/en.json
index 139fdd1707..848a3c5e4f 100755
--- a/src/translations/en.json
+++ b/src/translations/en.json
@@ -898,8 +898,20 @@
           "follow_device_area": "Follow device area",
           "change_device_area": "Change device area",
           "configure_state": "{integration} options",
-          "preload_stream": "Preload camera stream",
-          "preload_stream_description": "This keeps the camera stream open in the background so it shows quicker. Warning! This is device intensive."
+          "stream": {
+            "preload_stream": "Preload camera stream",
+            "preload_stream_description": "This keeps the camera stream open in the background so it shows quicker. Warning! This is device intensive.",
+            "stream_orientation": "Camera stream orientation",
+            "stream_orientation_description": "The orientation transformation to use for the camera stream.",
+            "stream_orientation_1": "No orientation transform",
+            "stream_orientation_2": "Mirror",
+            "stream_orientation_3": "Rotate 180",
+            "stream_orientation_4": "Flip",
+            "stream_orientation_5": "Rotate left and flip",
+            "stream_orientation_6": "Rotate left",
+            "stream_orientation_7": "Rotate right and flip",
+            "stream_orientation_8": "Rotate right"
+          }
         }
       },
       "helper_settings": {