Not officially, you would have to find someone who offers you paypal money (or any other kind), for example by using sourceop or tf2outpost.
Chances are that you may get scammed if you don't have much trading experience.
The safest way would be to trade for marketable items (e.g. keys, like you already said) and sell those items on the market - though the downside is that you will only get Steam Wallet money that you can't cash out - but the upside is, that you can't get scammed that way.
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And besides, steam takes 15%. Therefore paypal will make you get more money and the buyer gets the keys for cheaper. If you are going to do this I would advice you to trade someone on maybe reddit with tons of rep. And maybe have a middle man. From what I've heard, you can withdraw the money for a certain amount of time when using paypal. So you have to trade with the right person.
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Can i sell ref for real money i have 35 ref i would like to sell them for money because buying keys and selling them for money takes time i just wanna know if i can sell all my ref at once for real money
THANKS FOR READING.
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