A handheld punch tool includes a housing defining a first axis, a motor contained within the housing, the motor having a motor shaft defining a second axis, and a head coupled to the housing and rotatable relative to the housing about a third axis. The head includes a drive member reciprocable along the third axis in response to rotation of the motor shaft about the second axis and a punch coupled to the drive member and reciprocable along a fourth axis in response to reciprocation of the drive member along the third axis. The third axis is perpendicular to the first axis, and the fourth axis is parallel to the third axis such that rotation of the head about the third axis varies a position of the punch relative to the housing.