I've been given a picture to recreate and the font height is specified in pixels. Is there a way to set up an SKPaint object to draw text to a pixel height instead of a point height?
You could use the ratio... formula:
points = pixels * 72 / 96
where 96 is the pixels per inch on a 100% DPI
I actually think the API documentation is wrong, at least that's the information I got from the Skia mailing list
The SkPaint.textSize is actually the height, in pixels, that a glyph with height 1 em would get when rendered on the canvas (length #13 in this image) 
_The documentation incorrectly states SkPaint.TextSize is the height in points._
To verify this, I made a test program that uses this font from the Google Skia repo that has glyphs designed to have a height of 1 em units.
Here's the output of the program, the SkPaint.TextSize is 64 pixels, as is the height of the rectangle.

Good to know. Is this our docs that are wrong? I was not able to find any references to points with regards to text.
The pleasure is all mine, SkiaSharp rocks!
Only the Skia docs are wrong it seems, but the SkiaSharp doc is so brief that it is hard to understand the meaning :-)
Gets or sets the text size is not that useful for most users I guess? IMHO size could refer to width, height, line height, em height, etc...
Ah, yes. Heh, we need to improve that...
Would you like to open a PR ;)
Sure!
Fixed the docs.
Most helpful comment
I actually think the API documentation is wrong, at least that's the information I got from the Skia mailing list
The
SkPaint.textSizeis actually the height, in pixels, that a glyph with height1 emwould get when rendered on the canvas (length #13 in this image)_The documentation incorrectly states
SkPaint.TextSizeis the height in points._To verify this, I made a test program that uses this font from the Google Skia repo that has glyphs designed to have a height of 1 em units.
Here's the output of the program, the
SkPaint.TextSizeis 64 pixels, as is the height of the rectangle.