Deep learning-based methods have achieved a breakthrough in image anomaly detection, but their complexity introduces a considerable challenge to understanding why an instance is predicted to be anomalous. We introduce a novel explanation method that generates multiple counterfactual examples for each anomaly, capturing diverse concepts of anomalousness. A counterfactual example is a modification of the anomaly that is perceived as normal by the anomaly detector. The method provides a high-level semantic explanation of the mechanism that triggered the anomaly detector, allowing users to explore "what-if scenarios." Qualitative and quantitative analyses across various image datasets show that the method applied to state-of-the-art anomaly detectors can achieve high-quality semantic explanations of detectors.