diff --git a/src/__tests__/config.test.ts b/src/__tests__/config.test.ts
index 47cdc6627..693fc8d27 100644
--- a/src/__tests__/config.test.ts
+++ b/src/__tests__/config.test.ts
@@ -36,6 +36,7 @@ test('resetToDefaults() resets internal config to defaults', () => {
       switch: 'A',
       scrollView: 'A',
       modal: 'A',
+      image: 'A',
     },
   });
   expect(getConfig().hostComponentNames).toEqual({
@@ -44,6 +45,7 @@ test('resetToDefaults() resets internal config to defaults', () => {
     switch: 'A',
     scrollView: 'A',
     modal: 'A',
+    image: 'A',
   });
 
   resetToDefaults();
diff --git a/src/__tests__/host-component-names.test.tsx b/src/__tests__/host-component-names.test.tsx
index ca526742d..533c679ec 100644
--- a/src/__tests__/host-component-names.test.tsx
+++ b/src/__tests__/host-component-names.test.tsx
@@ -17,6 +17,7 @@ describe('getHostComponentNames', () => {
         switch: 'banana',
         scrollView: 'banana',
         modal: 'banana',
+        image: 'banana',
       },
     });
 
@@ -26,6 +27,7 @@ describe('getHostComponentNames', () => {
       switch: 'banana',
       scrollView: 'banana',
       modal: 'banana',
+      image: 'banana',
     });
   });
 
@@ -40,6 +42,7 @@ describe('getHostComponentNames', () => {
       switch: 'RCTSwitch',
       scrollView: 'RCTScrollView',
       modal: 'Modal',
+      image: 'Image',
     });
     expect(getConfig().hostComponentNames).toBe(hostComponentNames);
   });
@@ -70,6 +73,7 @@ describe('configureHostComponentNamesIfNeeded', () => {
       switch: 'RCTSwitch',
       scrollView: 'RCTScrollView',
       modal: 'Modal',
+      image: 'Image',
     });
   });
 
@@ -81,6 +85,7 @@ describe('configureHostComponentNamesIfNeeded', () => {
         switch: 'banana',
         scrollView: 'banana',
         modal: 'banana',
+        image: 'banana',
       },
     });
 
@@ -92,6 +97,7 @@ describe('configureHostComponentNamesIfNeeded', () => {
       switch: 'banana',
       scrollView: 'banana',
       modal: 'banana',
+      image: 'banana',
     });
   });
 
diff --git a/src/config.ts b/src/config.ts
index fd867a895..75b7eb665 100644
--- a/src/config.ts
+++ b/src/config.ts
@@ -26,6 +26,7 @@ export type HostComponentNames = {
   switch: string;
   scrollView: string;
   modal: string;
+  image: string;
 };
 
 export type InternalConfig = Config & {
diff --git a/src/helpers/format-default.ts b/src/helpers/format-default.ts
index 223140753..7ee42b5b1 100644
--- a/src/helpers/format-default.ts
+++ b/src/helpers/format-default.ts
@@ -9,6 +9,7 @@ const propsToDisplay = [
   'accessibilityLabelledBy',
   'accessibilityRole',
   'accessibilityViewIsModal',
+  'alt',
   'aria-busy',
   'aria-checked',
   'aria-disabled',
diff --git a/src/helpers/host-component-names.tsx b/src/helpers/host-component-names.tsx
index cd4b52239..f806e392c 100644
--- a/src/helpers/host-component-names.tsx
+++ b/src/helpers/host-component-names.tsx
@@ -1,6 +1,6 @@
 import * as React from 'react';
 import { ReactTestInstance } from 'react-test-renderer';
-import { Modal, ScrollView, Switch, Text, TextInput, View } from 'react-native';
+import { Modal, ScrollView, Switch, Image, Text, TextInput, View } from 'react-native';
 import { configureInternal, getConfig, HostComponentNames } from '../config';
 import { renderWithAct } from '../render-act';
 import { HostTestInstance } from './component-tree';
@@ -37,6 +37,7 @@ function detectHostComponentNames(): HostComponentNames {
         <Switch testID="switch" />
         <ScrollView testID="scrollView" />
         <Modal testID="modal" />
+        <Image testID="image" />
       </View>,
     );
 
@@ -46,6 +47,7 @@ function detectHostComponentNames(): HostComponentNames {
       switch: getByTestId(renderer.root, 'switch').type as string,
       scrollView: getByTestId(renderer.root, 'scrollView').type as string,
       modal: getByTestId(renderer.root, 'modal').type as string,
+      image: getByTestId(renderer.root, 'image').type as string,
     };
   } catch (error) {
     const errorMessage =
@@ -108,3 +110,11 @@ export function isHostScrollView(element?: ReactTestInstance | null): element is
 export function isHostModal(element?: ReactTestInstance | null): element is HostTestInstance {
   return element?.type === getHostComponentNames().modal;
 }
+
+/**
+ * Checks if the given element is a host Image element.
+ * @param element The element to check.
+ */
+export function isHostImage(element?: ReactTestInstance | null): element is HostTestInstance {
+  return element?.type === getHostComponentNames().image;
+}
diff --git a/src/queries/__tests__/alt-text.test.tsx b/src/queries/__tests__/alt-text.test.tsx
new file mode 100644
index 000000000..d1baeb6b6
--- /dev/null
+++ b/src/queries/__tests__/alt-text.test.tsx
@@ -0,0 +1,150 @@
+import React from 'react';
+import { Image, View } from 'react-native';
+import { render, screen } from '../..';
+
+const Banana = () => (
+  <View>
+    <Image alt="Image of a fresh banana" />
+    <Image alt="Image of a brown banana" />
+  </View>
+);
+
+test('it can locate an image by alt text', () => {
+  render(
+    <View>
+      <Image alt="alt text" />
+      <Image alt="other text" />
+    </View>,
+  );
+
+  expect(screen.getByAltText('alt text')).toBeTruthy();
+  expect(screen.getByAltText('other text')).toBeTruthy();
+
+  expect(screen.getAllByAltText('alt text')).toHaveLength(1);
+  expect(screen.getAllByAltText('other text')).toHaveLength(1);
+});
+
+test('supports a regex matcher', () => {
+  render(
+    <View>
+      <Image alt="alt text" />
+      <Image alt="other text" />
+    </View>,
+  );
+
+  expect(screen.getByAltText(/alt/)).toBeTruthy();
+  expect(screen.getAllByAltText(/alt/)).toHaveLength(1);
+  expect(screen.getAllByAltText(/text/)).toHaveLength(2);
+});
+
+test('getByAltText, queryByAltText', () => {
+  render(<Banana />);
+  const component = screen.getByAltText(/fresh banana/);
+
+  expect(() => screen.getByAltText('InExistent')).toThrow(
+    'Unable to find an element with alt text: InExistent',
+  );
+
+  expect(screen.getByAltText(/fresh banana/)).toBe(component);
+  expect(screen.queryByAltText('InExistent')).toBeNull();
+
+  expect(() => screen.getByAltText(/banana/)).toThrow(
+    'Found multiple elements with alt text: /banana/',
+  );
+  expect(() => screen.queryByAltText(/banana/)).toThrow(
+    'Found multiple elements with alt text: /banana/',
+  );
+});
+
+test('getAllByAltText, queryAllByAltText', () => {
+  render(<Banana />);
+  const imageElements = screen.getAllByAltText(/banana/);
+
+  expect(imageElements.length).toBe(2);
+  expect(imageElements[0].props.alt).toBe('Image of a fresh banana');
+  expect(imageElements[1].props.alt).toBe('Image of a brown banana');
+
+  const queriedImageElements = screen.queryAllByAltText(/banana/);
+
+  expect(queriedImageElements.length).toBe(2);
+  expect(queriedImageElements[0]).toBe(imageElements[0]);
+  expect(queriedImageElements[1]).toBe(imageElements[1]);
+});
+
+test('findByAltText and findAllByAltText work asynchronously', async () => {
+  const options = { timeout: 10 }; // Short timeout so that this test runs quickly
+  render(<View />);
+  await expect(screen.findByAltText('alt text', {}, options)).rejects.toBeTruthy();
+  await expect(screen.findAllByAltText('alt text', {}, options)).rejects.toBeTruthy();
+
+  setTimeout(
+    () =>
+      screen.rerender(
+        <View>
+          <Image alt="alt text" />
+        </View>,
+      ),
+    20,
+  );
+
+  await expect(screen.findByAltText('alt text')).resolves.toBeTruthy();
+  await expect(screen.findAllByAltText('alt text')).resolves.toHaveLength(1);
+}, 20000);
+
+test('byAltText queries support hidden option', () => {
+  render(<Image style={{ display: 'none' }} alt="hidden" />);
+
+  expect(screen.getByAltText('hidden', { includeHiddenElements: true })).toBeTruthy();
+
+  expect(screen.queryByAltText('hidden')).toBeFalsy();
+  expect(screen.queryByAltText('hidden', { includeHiddenElements: false })).toBeFalsy();
+  expect(() => screen.getByAltText('hidden', { includeHiddenElements: false }))
+    .toThrowErrorMatchingInlineSnapshot(`
+    "Unable to find an element with alt text: hidden
+
+    <Image
+      alt="hidden"
+      style={
+        {
+          "display": "none",
+        }
+      }
+    />"
+  `);
+});
+
+test('error message renders the element tree, preserving only helpful props', async () => {
+  render(<Image alt="alt text" key="3" />);
+
+  expect(() => screen.getByAltText('FOO')).toThrowErrorMatchingInlineSnapshot(`
+    "Unable to find an element with alt text: FOO
+
+    <Image
+      alt="alt text"
+    />"
+  `);
+
+  expect(() => screen.getAllByAltText('FOO')).toThrowErrorMatchingInlineSnapshot(`
+    "Unable to find an element with alt text: FOO
+
+    <Image
+      alt="alt text"
+    />"
+  `);
+
+  await expect(screen.findByAltText('FOO')).rejects.toThrowErrorMatchingInlineSnapshot(`
+    "Unable to find an element with alt text: FOO
+
+    <Image
+      alt="alt text"
+    />"
+  `);
+
+  await expect(screen.findAllByAltText('FOO')).rejects.toThrowErrorMatchingInlineSnapshot(`
+    "Unable to find an element with alt text: FOO
+
+    <Image
+      alt="alt text"
+    />"
+  `);
+});
diff --git a/src/queries/alt-text.ts b/src/queries/alt-text.ts
new file mode 100644
index 000000000..654892771
--- /dev/null
+++ b/src/queries/alt-text.ts
@@ -0,0 +1,69 @@
+import type { ReactTestInstance } from 'react-test-renderer';
+import { findAll } from '../helpers/find-all';
+import { isHostImage } from '../helpers/host-component-names';
+import { matches, TextMatch, TextMatchOptions } from '../matches';
+import { makeQueries } from './make-queries';
+import type {
+  FindAllByQuery,
+  FindByQuery,
+  GetAllByQuery,
+  GetByQuery,
+  QueryAllByQuery,
+  QueryByQuery,
+} from './make-queries';
+import type { CommonQueryOptions } from './options';
+
+type ByAltTextOptions = CommonQueryOptions & TextMatchOptions;
+
+export function matchAltText(
+  element: ReactTestInstance,
+  expectedAltText: TextMatch,
+  options: TextMatchOptions = {},
+) {
+  const altText = element.props.alt;
+  if (altText == null) return false;
+
+  const { normalizer, exact } = options;
+
+  return matches(expectedAltText, altText, normalizer, exact);
+}
+
+const queryAllByAltText = (
+  instance: ReactTestInstance,
+): QueryAllByQuery<TextMatch, ByAltTextOptions> =>
+  function queryAllByAltTextFn(text, options = {}) {
+    return findAll(instance, (node) => isHostImage(node) && matchAltText(node, text, options), {
+      ...options,
+      matchDeepestOnly: true,
+    });
+  };
+
+const getMultipleError = (text: TextMatch) =>
+  `Found multiple elements with alt text: ${String(text)}`;
+
+const getMissingError = (text: TextMatch) =>
+  `Unable to find an element with alt text: ${String(text)}`;
+
+const { getBy, getAllBy, queryBy, queryAllBy, findBy, findAllBy } = makeQueries(
+  queryAllByAltText,
+  getMissingError,
+  getMultipleError,
+);
+
+export type ByAltTextQueries = {
+  getByAltText: GetByQuery<TextMatch, ByAltTextOptions>;
+  getAllByAltText: GetAllByQuery<TextMatch, ByAltTextOptions>;
+  queryByAltText: QueryByQuery<TextMatch, ByAltTextOptions>;
+  queryAllByAltText: QueryAllByQuery<TextMatch, ByAltTextOptions>;
+  findByAltText: FindByQuery<TextMatch, ByAltTextOptions>;
+  findAllByAltText: FindAllByQuery<TextMatch, ByAltTextOptions>;
+};
+
+export const bindByAltTextQueries = (instance: ReactTestInstance): ByAltTextQueries => ({
+  getByAltText: getBy(instance),
+  getAllByAltText: getAllBy(instance),
+  queryByAltText: queryBy(instance),
+  queryAllByAltText: queryAllBy(instance),
+  findByAltText: findBy(instance),
+  findAllByAltText: findAllBy(instance),
+});
diff --git a/src/screen.ts b/src/screen.ts
index 1fcbd3e2a..81f03cf72 100644
--- a/src/screen.ts
+++ b/src/screen.ts
@@ -115,6 +115,12 @@ const defaultScreen: Screen = {
   queryAllByText: notImplemented,
   findByText: notImplemented,
   findAllByText: notImplemented,
+  getByAltText: notImplemented,
+  getAllByAltText: notImplemented,
+  queryByAltText: notImplemented,
+  queryAllByAltText: notImplemented,
+  findByAltText: notImplemented,
+  findAllByAltText: notImplemented,
 };
 
 export let screen: Screen = defaultScreen;
diff --git a/src/within.ts b/src/within.ts
index 59db8bf1a..8c64482bf 100644
--- a/src/within.ts
+++ b/src/within.ts
@@ -8,6 +8,7 @@ import { bindByHintTextQueries } from './queries/hint-text';
 import { bindByRoleQueries } from './queries/role';
 import { bindByA11yStateQueries } from './queries/accessibility-state';
 import { bindByA11yValueQueries } from './queries/accessibility-value';
+import { bindByAltTextQueries } from './queries/alt-text';
 import { bindUnsafeByTypeQueries } from './queries/unsafe-type';
 import { bindUnsafeByPropsQueries } from './queries/unsafe-props';
 
@@ -22,6 +23,7 @@ export function within(instance: ReactTestInstance) {
     ...bindByRoleQueries(instance),
     ...bindByA11yStateQueries(instance),
     ...bindByA11yValueQueries(instance),
+    ...bindByAltTextQueries(instance),
     ...bindUnsafeByTypeQueries(instance),
     ...bindUnsafeByPropsQueries(instance),
   };