ST_Rotate has a few variants: ST_RotateX, ST_RotateY, and ST_RotateZ, with the ST_Rotate function serving as an alias for ST_RotateZ. Thus, for two-dimensional cases, ST_Rotate is a typical use case.
In the Improving proximity filtering with KNN – advanced recipe, our function calculated the angle to the nearest road from a building's centroid or address point. We can symbolize that building's point according to that rotation factor as a square symbol, but more interestingly, we can explicitly build the area of that footprint in real space and rotate it to match our calculated rotation angle.