Sign up for their borderless account: https://transferwise.com/gb/borderless/

It enables you to receive money from over 30 countries without any fees. You get bank details for:

* Australia * UK * Eurozone * US * New Zealand

So you can take payouts from any of those countries (e.g. USD goes to your US bank account attached to the borderless account, GBP to your UK bank account, and so on.)

But how do you add the account to PayPal, you can only put sort and account number, not the American USD bank account details. I can only put a 6 digits sort code, not the ACH which has more than 6 digits.

In the "add bank" page, the first field is country. For me (in Canada) I have the option of choosing Canada or United States.

Set up a Transferwise US$ borderless account, and then add it as a bank account to paypal using the ACH routing number. Then you can withdraw from us$ paypal to us$ transferwise (zero fees), then transfer from transferwise to your local bank account (roughly 0.5% forex fee).