This study investigates the effect of imposing symmetric transverse acoustic excitation and counter-rotating air swirl flow on a confined hollow cone spray sheet. We study the impact of these forcing conditions on two unstable modes—sheet flapping and sinuous wave growth modes—and their phasic relationship. We used the shadowgraphy technique, and only the sheet edges were analyzed using the method of snapshot proper orthogonal decomposition (POD). In this study, we used postprocessing techniques to estimate the nondimensional breakup length, phase averaged cone angle, and continuous wavelet transform (CWT) frequency. Results show that imposing acoustic excitation alone causes the sheet edges to flap, axisymmetrically, at the pressure antinode, while at the pressure node and base flow condition, the asymmetric sinuous wave mode is dominant. At the pressure intermediary, we find the possible dominance of both modes. While the dominant effect of air swirl alone was difficult to ascertain, results from CWT analysis show that POD mode 1 and mode 3 have very similar spectral content, with mode 3 showing a flapping mode. Finally, air swirl flow has a more dominant effect than acoustics in causing sheet breakup.