Abstract. The problem of scarcity of ground-truth expert delineations of medi-cal image data is a serious one that impedes the training and validation of medi-cal image analysis techniques. We develop an algorithm for the automatic generation of large databases of annotated images from a single reference data-set. We provide a web-based interface through which the users can upload a reference data set (an image and its corresponding segmentation and landmark points), provide custom setting of parameters, and, following server-side com-putations, generate and download an arbitrary number of novel ground-truth data, including segmentations, displacement vector fields, intensity non-uniformity maps, and point correspondences. To produce realistic simulated data, we use variational (statistically-based) and vibrational (physically-based) spatial deformations, nonlinear radiometric warps mimicking imaging non-homogeneity, and additive random noise with different underlying distributions. We outline the algorithmic details, present sample results, and provide the web address to readers for immediate evaluation and usage