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Hello,

There's no equivalence in MS Word documents to clear: both. If you create a DOCX and then add an image, you can check you need to add line breaks to get that output (https://answers.microsoft.com/en-us/msoffice/forum/all/how-to-make-a-paragraph-stand-clear-of-floating/11a525d5-0d0c-402f-a8bb-0ef21accb619) or use absolute values to position the images.

Although you can do this task using phpdocx_image from HTML Extended, you'd need to use absolute values and it's a complex task. The easiest solution is using tables to get that output (hiding the borders if needed):

$html = '
    <style>
        td {
            vertical-align: top;
        }
    </style>
    <table>
        <tr>
            <td width="200px;">
                <img src="image.png">
            </td>
            <td width="400px;">
                Lorem ipsum
            </td>
        </tr>
    </table>
    <table>
        <tr>
            <td width="300px;">
                <img src="imageb.png">
            </td>
            <td width="300px;">
                Lorem ipsum
            </td>
        </tr>
    </table>
';

$docx->embedHTML($html);

Regards.