diff --git a/gallery/src/pages/components/ha-alert.ts b/gallery/src/pages/components/ha-alert.ts
index ced4c5a44b31..a0d3f309fb31 100644
--- a/gallery/src/pages/components/ha-alert.ts
+++ b/gallery/src/pages/components/ha-alert.ts
@@ -98,7 +98,9 @@ const alerts: {
     description: "Alert with slotted image",
     type: "warning",
     iconSlot: html`<span slot="icon" class="image"
-      ><img src="https://www.home-assistant.io/images/home-assistant-logo.svg"
+      ><img
+        alt="Home Assistant logo"
+        src="https://www.home-assistant.io/images/home-assistant-logo.svg"
     /></span>`,
   },
   {
diff --git a/hassio/src/addon-view/info/hassio-addon-info.ts b/hassio/src/addon-view/info/hassio-addon-info.ts
index 3cc3d230100c..a6e8c9921705 100644
--- a/hassio/src/addon-view/info/hassio-addon-info.ts
+++ b/hassio/src/addon-view/info/hassio-addon-info.ts
@@ -404,6 +404,7 @@ class HassioAddonInfo extends LitElement {
                 ? html`
                     <img
                       class="logo"
+                      alt=""
                       src="/api/hassio/addons/${this.addon.slug}/logo"
                     />
                   `
diff --git a/src/components/ha-addon-picker.ts b/src/components/ha-addon-picker.ts
index cd8b7c4bf536..ae6ab774fce4 100644
--- a/src/components/ha-addon-picker.ts
+++ b/src/components/ha-addon-picker.ts
@@ -16,7 +16,11 @@ const rowRenderer: ComboBoxLitRenderer<HassioAddonInfo> = (
   <span>${item.name}</span>
   <span slot="secondary">${item.slug}</span>
   ${item.icon
-    ? html`<img slot="graphic" .src="/api/hassio/addons/${item.slug}/icon" />`
+    ? html`<img
+        alt=""
+        slot="graphic"
+        .src="/api/hassio/addons/${item.slug}/icon"
+      />`
     : ""}
 </mwc-list-item>`;
 
diff --git a/src/components/ha-config-entry-picker.ts b/src/components/ha-config-entry-picker.ts
index 733598b00301..237a108f25ce 100644
--- a/src/components/ha-config-entry-picker.ts
+++ b/src/components/ha-config-entry-picker.ts
@@ -59,6 +59,7 @@ class HaConfigEntryPicker extends LitElement {
     >
     <span slot="secondary">${item.localized_domain_name}</span>
     <img
+      alt=""
       slot="graphic"
       src=${brandsUrl({
         domain: item.domain,
diff --git a/src/components/tile/ha-tile-image.ts b/src/components/tile/ha-tile-image.ts
index 099074941270..783b22583b04 100644
--- a/src/components/tile/ha-tile-image.ts
+++ b/src/components/tile/ha-tile-image.ts
@@ -1,14 +1,19 @@
 import { CSSResultGroup, html, css, LitElement, TemplateResult } from "lit";
 import { customElement, property } from "lit/decorators";
+import { ifDefined } from "lit/directives/if-defined";
 
 @customElement("ha-tile-image")
 export class HaTileImage extends LitElement {
   @property() public imageUrl?: string;
 
+  @property() public imageAlt?: string;
+
   protected render(): TemplateResult {
     return html`
       <div class="image">
-        ${this.imageUrl ? html`<img src=${this.imageUrl} />` : null}
+        ${this.imageUrl
+          ? html`<img alt=${ifDefined(this.imageAlt)} src=${this.imageUrl} />`
+          : null}
       </div>
     `;
   }
diff --git a/src/dialogs/image-cropper-dialog/image-cropper-dialog.ts b/src/dialogs/image-cropper-dialog/image-cropper-dialog.ts
index 74e3711235a1..94b6d22065c7 100644
--- a/src/dialogs/image-cropper-dialog/image-cropper-dialog.ts
+++ b/src/dialogs/image-cropper-dialog/image-cropper-dialog.ts
@@ -74,7 +74,7 @@ export class HaImagecropperDialog extends LitElement {
           round: Boolean(this._params?.options.round),
         })}"
       >
-        <img />
+        <img alt=${this.hass.localize("ui.dialogs.image_cropper.crop_image")} />
       </div>
       <mwc-button slot="secondaryAction" @click=${this.closeDialog}>
         ${this.hass.localize("ui.common.cancel")}
diff --git a/src/onboarding/integration-badge.ts b/src/onboarding/integration-badge.ts
index 62e48d1b00c5..fc440b158906 100644
--- a/src/onboarding/integration-badge.ts
+++ b/src/onboarding/integration-badge.ts
@@ -19,6 +19,7 @@ class IntegrationBadge extends LitElement {
     return html`
       <div class="icon">
         <img
+          alt=""
           src=${brandsUrl({
             domain: this.domain,
             type: "icon",
diff --git a/src/panels/config/areas/ha-config-area-page.ts b/src/panels/config/areas/ha-config-area-page.ts
index e4e3911d2d8a..2c5fee76fa61 100644
--- a/src/panels/config/areas/ha-config-area-page.ts
+++ b/src/panels/config/areas/ha-config-area-page.ts
@@ -258,7 +258,8 @@ class HaConfigAreaPage extends SubscribeMixin(LitElement) {
           <div class="column">
             ${area.picture
               ? html`<div class="img-container">
-                  <img src=${area.picture} /><ha-icon-button
+                  <img alt=${area.name} src=${area.picture} />
+                  <ha-icon-button
                     .path=${mdiPencil}
                     .entry=${area}
                     @click=${this._showSettings}
diff --git a/src/panels/config/devices/ha-config-device-page.ts b/src/panels/config/devices/ha-config-device-page.ts
index 2e6fd4f8b48e..66166f717b1f 100644
--- a/src/panels/config/devices/ha-config-device-page.ts
+++ b/src/panels/config/devices/ha-config-device-page.ts
@@ -656,6 +656,10 @@ export class HaConfigDevicePage extends LitElement {
                     integrations.length
                       ? html`
                           <img
+                            alt=${domainToName(
+                              this.hass.localize,
+                              integrations[0].domain
+                            )}
                             src=${brandsUrl({
                               domain: integrations[0].domain,
                               type: "logo",
diff --git a/src/panels/config/energy/components/ha-energy-grid-settings.ts b/src/panels/config/energy/components/ha-energy-grid-settings.ts
index c04993b0ec9f..f55c2d57b00a 100644
--- a/src/panels/config/energy/components/ha-energy-grid-settings.ts
+++ b/src/panels/config/energy/components/ha-energy-grid-settings.ts
@@ -220,6 +220,7 @@ export class EnergyGridSettings extends LitElement {
           ${this._co2ConfigEntry
             ? html`<div class="row" .entry=${this._co2ConfigEntry}>
                 <img
+                  alt=""
                   referrerpolicy="no-referrer"
                   src=${brandsUrl({
                     domain: "co2signal",
@@ -244,6 +245,7 @@ export class EnergyGridSettings extends LitElement {
             : html`
                 <div class="row border-bottom">
                   <img
+                    alt=""
                     referrerpolicy="no-referrer"
                     src=${brandsUrl({
                       domain: "co2signal",
diff --git a/src/panels/config/energy/dialogs/dialog-energy-solar-settings.ts b/src/panels/config/energy/dialogs/dialog-energy-solar-settings.ts
index d6ebd03533f6..3423932916fc 100644
--- a/src/panels/config/energy/dialogs/dialog-energy-solar-settings.ts
+++ b/src/panels/config/energy/dialogs/dialog-energy-solar-settings.ts
@@ -130,6 +130,7 @@ export class DialogEnergySolarSettings
                     style="display: flex; align-items: center;"
                   >
                     <img
+                      alt=""
                       referrerpolicy="no-referrer"
                       style="height: 24px; margin-right: 16px;"
                       src=${brandsUrl({
diff --git a/src/panels/config/hardware/ha-config-hardware.ts b/src/panels/config/hardware/ha-config-hardware.ts
index 83f664934d88..33a82523d9d7 100644
--- a/src/panels/config/hardware/ha-config-hardware.ts
+++ b/src/panels/config/hardware/ha-config-hardware.ts
@@ -249,7 +249,7 @@ class HaConfigHardware extends SubscribeMixin(LitElement) {
                         .twoline=${Boolean(boardId)}
                       >
                         ${imageURL
-                          ? html`<img slot="graphic" src=${imageURL} />`
+                          ? html`<img alt="" slot="graphic" src=${imageURL} />`
                           : ""}
                         <span class="primary-text">
                           ${boardName ||
diff --git a/src/panels/config/integrations/ha-domain-integrations.ts b/src/panels/config/integrations/ha-domain-integrations.ts
index 12ce88a8622f..ea420b9e37c4 100644
--- a/src/panels/config/integrations/ha-domain-integrations.ts
+++ b/src/panels/config/integrations/ha-domain-integrations.ts
@@ -48,6 +48,7 @@ class HaDomainIntegrations extends LitElement {
                 hasMeta
               >
                 <img
+                  alt=""
                   slot="graphic"
                   loading="lazy"
                   src=${brandsUrl({
diff --git a/src/panels/config/integrations/ha-integration-header.ts b/src/panels/config/integrations/ha-integration-header.ts
index 1682f5a81390..b060fcdaf676 100644
--- a/src/panels/config/integrations/ha-integration-header.ts
+++ b/src/panels/config/integrations/ha-integration-header.ts
@@ -81,6 +81,7 @@ export class HaIntegrationHeader extends LitElement {
       <slot name="above-header"></slot>
       <div class="header">
         <img
+          alt=""
           src=${brandsUrl({
             domain: this.domain,
             type: "icon",
diff --git a/src/panels/config/integrations/ha-integration-list-item.ts b/src/panels/config/integrations/ha-integration-list-item.ts
index ec13615013dc..b497e9a143d4 100644
--- a/src/panels/config/integrations/ha-integration-list-item.ts
+++ b/src/panels/config/integrations/ha-integration-list-item.ts
@@ -47,6 +47,7 @@ export class HaIntegrationListItem extends ListItemBase {
       )}"
     >
       <img
+        alt=""
         loading="lazy"
         src=${brandsUrl({
           domain: this.integration.domain,
diff --git a/src/panels/config/repairs/ha-config-repairs.ts b/src/panels/config/repairs/ha-config-repairs.ts
index 2cadd4a9b91c..e24a5f1dfd70 100644
--- a/src/panels/config/repairs/ha-config-repairs.ts
+++ b/src/panels/config/repairs/ha-config-repairs.ts
@@ -52,6 +52,7 @@ class HaConfigRepairs extends LitElement {
               @click=${this._openShowMoreDialog}
             >
               <img
+                alt=${domainToName(this.hass.localize, issue.domain)}
                 loading="lazy"
                 src=${brandsUrl({
                   domain: issue.issue_domain || issue.domain,
diff --git a/src/panels/config/repairs/integrations-startup-time.ts b/src/panels/config/repairs/integrations-startup-time.ts
index fb7332990589..24456e8e74f9 100644
--- a/src/panels/config/repairs/integrations-startup-time.ts
+++ b/src/panels/config/repairs/integrations-startup-time.ts
@@ -65,6 +65,7 @@ class IntegrationsStartupTime extends LitElement {
               href=${docLink}
             >
               <img
+                alt=""
                 loading="lazy"
                 src=${brandsUrl({
                   domain: setup.domain,
diff --git a/src/panels/config/tags/dialog-tag-detail.ts b/src/panels/config/tags/dialog-tag-detail.ts
index a084f22e771b..995273a1cf09 100644
--- a/src/panels/config/tags/dialog-tag-detail.ts
+++ b/src/panels/config/tags/dialog-tag-detail.ts
@@ -244,7 +244,14 @@ class DialogTagDetail
       canvas.height / 3
     );
 
-    this._qrCode = html`<img src=${canvas.toDataURL()}></img>`;
+    this._qrCode = html`<img
+        alt=${this.hass.localize(
+          "ui.panel.config.tag.qr_code_image",
+          "name",
+          this._name
+        )}
+        src=${canvas.toDataURL()}
+      ></img>`;
   }
 
   static get styles(): CSSResultGroup {
diff --git a/src/panels/lovelace/cards/hui-picture-card.ts b/src/panels/lovelace/cards/hui-picture-card.ts
index 20a2a2f31551..ffcf4f500983 100644
--- a/src/panels/lovelace/cards/hui-picture-card.ts
+++ b/src/panels/lovelace/cards/hui-picture-card.ts
@@ -101,7 +101,10 @@ export class HuiPictureCard extends LitElement implements LovelaceCard {
           ),
         })}
       >
-        <img src=${this.hass.hassUrl(this._config.image)} />
+        <img
+          alt=${this._config.alt_text}
+          src=${this.hass.hassUrl(this._config.image)}
+        />
       </ha-card>
     `;
   }
diff --git a/src/panels/lovelace/cards/types.ts b/src/panels/lovelace/cards/types.ts
index 75f1d2bdee1d..584931081c03 100644
--- a/src/panels/lovelace/cards/types.ts
+++ b/src/panels/lovelace/cards/types.ts
@@ -329,6 +329,7 @@ export interface PictureCardConfig extends LovelaceCardConfig {
   hold_action?: ActionConfig;
   double_tap_action?: ActionConfig;
   theme?: string;
+  alt_text?: string;
 }
 
 export interface PictureElementsCardConfig extends LovelaceCardConfig {
diff --git a/src/panels/lovelace/editor/config-elements/hui-picture-card-editor.ts b/src/panels/lovelace/editor/config-elements/hui-picture-card-editor.ts
index 8174a049e2f1..ee75869fc6a2 100644
--- a/src/panels/lovelace/editor/config-elements/hui-picture-card-editor.ts
+++ b/src/panels/lovelace/editor/config-elements/hui-picture-card-editor.ts
@@ -20,6 +20,7 @@ const cardConfigStruct = assign(
     tap_action: optional(actionConfigStruct),
     hold_action: optional(actionConfigStruct),
     theme: optional(string()),
+    alt_text: optional(string()),
   })
 );
 
@@ -53,6 +54,10 @@ export class HuiPictureCardEditor
     return this._config!.theme || "";
   }
 
+  get _alt_text(): string {
+    return this._config!.alt_text || "";
+  }
+
   protected render(): TemplateResult {
     if (!this.hass || !this._config) {
       return html``;
@@ -72,6 +77,16 @@ export class HuiPictureCardEditor
           .configValue=${"image"}
           @input=${this._valueChanged}
         ></ha-textfield>
+        <ha-textfield
+          .label="${this.hass.localize(
+            "ui.panel.lovelace.editor.card.generic.alt_text"
+          )} (${this.hass.localize(
+            "ui.panel.lovelace.editor.card.config.optional"
+          )})"
+          .value=${this._alt_text}
+          .configValue=${"alt_text"}
+          @input=${this._valueChanged}
+        ></ha-textfield>
         <ha-theme-picker
           .hass=${this.hass}
           .value=${this._theme}
diff --git a/src/panels/lovelace/header-footer/hui-picture-header-footer.ts b/src/panels/lovelace/header-footer/hui-picture-header-footer.ts
index 200744f85c17..169f55d57636 100644
--- a/src/panels/lovelace/header-footer/hui-picture-header-footer.ts
+++ b/src/panels/lovelace/header-footer/hui-picture-header-footer.ts
@@ -68,6 +68,7 @@ export class HuiPictureHeaderFooter
 
     return html`
       <img
+        alt=${this._config!.alt_text}
         @action=${this._handleAction}
         .actionHandler=${actionHandler({
           hasHold: hasAction(this._config!.hold_action),
diff --git a/src/panels/lovelace/header-footer/structs.ts b/src/panels/lovelace/header-footer/structs.ts
index f913c8b32fbf..a588c4178db5 100644
--- a/src/panels/lovelace/header-footer/structs.ts
+++ b/src/panels/lovelace/header-footer/structs.ts
@@ -17,6 +17,7 @@ export const pictureHeaderFooterConfigStruct = object({
   tap_action: optional(actionConfigStruct),
   hold_action: optional(actionConfigStruct),
   double_tap_action: optional(actionConfigStruct),
+  alt_text: optional(string()),
 });
 
 export const buttonsHeaderFooterConfigStruct = object({
diff --git a/src/panels/lovelace/header-footer/types.ts b/src/panels/lovelace/header-footer/types.ts
index 45ff294723a0..424855205294 100644
--- a/src/panels/lovelace/header-footer/types.ts
+++ b/src/panels/lovelace/header-footer/types.ts
@@ -27,4 +27,5 @@ export interface PictureHeaderFooterConfig extends LovelaceHeaderFooterConfig {
   tap_action?: ActionConfig;
   hold_action?: ActionConfig;
   double_tap_action?: ActionConfig;
+  alt_text?: string;
 }
diff --git a/src/panels/profile/ha-long-lived-access-token-dialog.ts b/src/panels/profile/ha-long-lived-access-token-dialog.ts
index 5786a783a491..e7365098437d 100644
--- a/src/panels/profile/ha-long-lived-access-token-dialog.ts
+++ b/src/panels/profile/ha-long-lived-access-token-dialog.ts
@@ -85,7 +85,14 @@ export class HaLongLivedAccessTokenDialog extends LitElement {
       canvas.height / 3
     );
 
-    this._qrCode = html`<img src=${canvas.toDataURL()}></img>`;
+    this._qrCode = html`<img
+        alt=${this.hass.localize(
+          "ui.panel.profile.long_lived_access_tokens.qr_code_image",
+          "name",
+          this._params!.name
+        )}
+        src=${canvas.toDataURL()}
+      ></img>`;
   }
 
   static get styles(): CSSResultGroup {
diff --git a/src/translations/en.json b/src/translations/en.json
index 4792ad0ee062..4a7df56ca1df 100755
--- a/src/translations/en.json
+++ b/src/translations/en.json
@@ -747,7 +747,8 @@
         "close": "Close"
       },
       "image_cropper": {
-        "crop": "Crop"
+        "crop": "Crop",
+        "crop_image": "Picture to crop"
       },
       "more_info_control": {
         "dismiss": "Dismiss dialog",
@@ -1373,6 +1374,7 @@
           "confirm_remove_title": "Remove tag?",
           "confirm_remove": "Are you sure you want to remove tag {tag}?",
           "automation_title": "Tag {name} is scanned",
+          "qr_code_image": "QR code for tag {name}",
           "headers": {
             "icon": "Icon",
             "name": "Name",
@@ -4117,6 +4119,7 @@
               "description": "The Light card allows you to change the brightness of the light."
             },
             "generic": {
+              "alt_text": "Alternative Text",
               "aspect_ratio": "Aspect Ratio",
               "attribute": "Attribute",
               "camera_image": "Camera Entity",
@@ -4459,7 +4462,8 @@
           "name": "Name",
           "prompt_name": "Give the token a name",
           "prompt_copy_token": "Copy your access token. It will not be shown again.",
-          "empty_state": "You have no long-lived access tokens yet."
+          "empty_state": "You have no long-lived access tokens yet.",
+          "qr_code_image": "QR code for token {name}"
         }
       },
       "shopping_list": {