This is what Win32::Word::Writer
is for, automating away the drudgery of those common operations described in the other post about Win32::OLE.
As for the images, I guess you'll need to create images in a format Word understands and then use the appropriate Word API methods to include them.
If you start off with text, it may be clearer how to do that, or how to figure out how to do it.
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