Right-click any folder in the VS Code Explorer → Paste Image from Clipboard
→ type a file name → saves whatever's on your clipboard (e.g. a Win+Shift+S
snip) as a PNG directly into that folder.
Usage
Take a screenshot (Win+Shift+S), which puts the image on the clipboard.
Right-click a folder in the Explorer sidebar.
Click Paste Image from Clipboard.
Confirm/edit the file name.
How it works
Reads the Windows clipboard via a small PowerShell script
(System.Windows.Forms.Clipboard), Windows-only.