diff --git a/src/ocrmypdf/_pipeline.py b/src/ocrmypdf/_pipeline.py
index ab38a76d..97d5b718 100644
--- a/src/ocrmypdf/_pipeline.py
+++ b/src/ocrmypdf/_pipeline.py
@@ -588,12 +588,17 @@ def create_pdf_page_from_image(image: Path, page_context: PageContext):
     # except that the hocr renderer does not understand non-square DPI. The
     # sandwich renderer would be fine.
     output_file = page_context.get_path('visible.pdf')
-    dpi = get_page_square_dpi(page_context.pageinfo, page_context.options)
-    layout_fun = img2pdf.get_fixed_dpi_layout_fun(dpi)
+
+    pageinfo = page_context.pageinfo
+    pagesize = 72.0 * float(pageinfo.width_inches), 72.0 * float(pageinfo.height_inches)
+    if pageinfo.rotation % 180 == 90:
+        pagesize = pagesize[1], pagesize[0]
 
     # This create a single page PDF
     with open(image, 'rb') as imfile, open(output_file, 'wb') as pdf:
         log.debug('convert')
+
+        layout_fun = img2pdf.get_layout_fun(pagesize)
         img2pdf.convert(
             imfile, with_pdfrw=False, layout_fun=layout_fun, outputstream=pdf
         )
diff --git a/tests/test_tesseract.py b/tests/test_tesseract.py
index 57ece9af..f7331e48 100644
--- a/tests/test_tesseract.py
+++ b/tests/test_tesseract.py
@@ -45,7 +45,8 @@ def test_skip_pages_does_not_replicate(resources, basename, outdir):
         assert len(page.images) == 1, "skipped page was replicated"
 
     for n, info_out_n in enumerate(info):
-        assert info_out_n.width_inches == info_in[n].width_inches
+        assert info_out_n.width_inches == info_in[n].width_inches, "output resized"
+        assert info_out_n.height_inches == info_in[n].height_inches, "output resized"
 
 
 def test_content_preservation(resources, outpdf):