There seem to be a growing plethora of Perl modules for creating and
manipulating PDF files.

PDF::API2 is 'The Next Generation' of Text::PDF::API which initially provided a
nice API around the Text::PDF::* modules created by Martin Hosken.

Features:
- Works with more than one PDF file open at once
- It presents a object-oriented API to the user
- Supports the 14 base PDF Core Fonts
- Supports TrueType fonts
- Supports Adobe-Type1 Fonts (pfb/pfa/afm)
- Supports native Embedding of bitmap images (jpeg, ppm, png,gif)
- Supports modification of existing pdfs and import/cloning of pages

WWW: https://metacpan.org/release/PDF-API2