A pick tool assembly (100) comprises a strike tip (210), a holder (230) and a reversible attachment mechanism 245, 350) for coupling the strike tip (210) to the holder (230), in which the strike tip (210) comprises a strike surface including an apex. The pick tool assembly (100) will be configured such that the strike tip (210) can be non-moveably coupled to the holder (230) in a plurality of mutually opposite orientations relative to the holder, the orientations being about a symmetry axis (L) through the apex. The attachment mechanism will limit the opposite orientations (245-ii, 245-ii) to being at least about 160 degrees azimuthally apart, and be configured such that the strike tip (210) may be coupled to the holder assembly (230) in either of two and only two mutually opposite orientations.