diff --git a/docs/syntax/images.md b/docs/syntax/images.md
index 29b4e427e..8c04f5bbd 100644
--- a/docs/syntax/images.md
+++ b/docs/syntax/images.md
@@ -60,38 +60,40 @@ Here is the same image used inline ![Elasticsearch](/syntax/images/observability
 
 ### Inline image titles
 
-Titles are optional making this the minimal syntax required
+Titles are optional making this the minimal syntax required:
 
 ```markdown
 ![Elasticsearch](/syntax/images/observability.png)
 ```
 
-Including a title can be done by supplying it as an optional argument.
+For inline images, the alt text always overrides any title specified in the Markdown. This ensures consistent accessibility where both the `alt` and `title` attributes contain the same descriptive text.
 
 ```markdown
-![Elasticsearch](/syntax/images/observability.png "elasticsearch")
+![Elasticsearch](/syntax/images/observability.png "Different title")
 ```
 
-### Inline image sizing
+![Elasticsearch](/syntax/images/observability.png "Different title =50%x50%")
+
 
-Inline images are supplied at the end through the title argument.
+### Inline image sizing
 
-This is done to maintain maximum compatibility with markdown parsers
-and previewers. 
+Image sizing is specified through the title argument. You can specify just the size without needing to provide a redundant title:
 
 ```markdown
-![alt](img.png "title =WxH")
-![alt](img.png "title =W")
+![alt](img.png "=WxH")
+![alt](img.png "=W")
 ```
 
+In this case, the alt text will be used as both the `alt` and `title` attributes, and the size parameters will be applied.
+
 `W` and `H` can be either an absolute number in pixels or a number followed by `%` to indicate relative sizing.
 
 If `H` is omitted `W` is used as the height as well.
 
 ```markdown
-![alt](img.png "title =250x330")
-![alt](img.png "title =50%x40%")
-![alt](img.png "title =50%")
+![alt](img.png "=250x330")
+![alt](img.png "=50%x40%")
+![alt](img.png "=50%")
 ```
 
 
@@ -138,7 +140,7 @@ The image carousel directive builds upon the image directive.
 
 :::{image} images/applies.png
 :alt: Second image description
-:title: Second image title
+### Title is optional - alt text will be used as title if not specified
 :::
 
 ::::
diff --git a/src/Elastic.Markdown/Myst/Directives/Image/ImageBlock.cs b/src/Elastic.Markdown/Myst/Directives/Image/ImageBlock.cs
index 6e900b6db..e9ede80fe 100644
--- a/src/Elastic.Markdown/Myst/Directives/Image/ImageBlock.cs
+++ b/src/Elastic.Markdown/Myst/Directives/Image/ImageBlock.cs
@@ -74,7 +74,9 @@ public override void FinalizeAndValidate(ParserContext context)
 	{
 		Label = Prop("label", "name");
 		Alt = Prop("alt")?.ReplaceSubstitutions(context) ?? string.Empty;
-		Title = Prop("title")?.ReplaceSubstitutions(context);
+		// Use Alt as Title if no explicit Title is provided
+		var explicitTitle = Prop("title")?.ReplaceSubstitutions(context);
+		Title = string.IsNullOrEmpty(explicitTitle) ? Alt : explicitTitle;
 
 		Align = Prop("align");
 		Height = Prop("height", "h");
diff --git a/src/Elastic.Markdown/Myst/Renderers/HtmxLinkInlineRenderer.cs b/src/Elastic.Markdown/Myst/Renderers/HtmxLinkInlineRenderer.cs
index c7dbede0c..9114f7fe8 100644
--- a/src/Elastic.Markdown/Myst/Renderers/HtmxLinkInlineRenderer.cs
+++ b/src/Elastic.Markdown/Myst/Renderers/HtmxLinkInlineRenderer.cs
@@ -20,7 +20,6 @@ protected override void Write(HtmlRenderer renderer, LinkInline link)
 	{
 		if (renderer.EnableHtmlForInline && !link.IsImage)
 		{
-			// ReSharper disable once UnusedVariable
 			if (link.GetData(nameof(ParserContext.CurrentUrlPath)) is not string currentUrl)
 			{
 				base.Write(renderer, link);
@@ -70,9 +69,42 @@ protected override void Write(HtmlRenderer renderer, LinkInline link)
 
 			_ = renderer.Write("</a>");
 		}
+		else if (link.IsImage)
+		{
+			// Handle inline images with ALT override logic
+			WriteImage(renderer, link);
+		}
 		else
 			base.Write(renderer, link);
 	}
+
+	private static void WriteImage(HtmlRenderer renderer, LinkInline link)
+	{
+		_ = renderer.Write("<img src=\"");
+		_ = renderer.WriteEscapeUrl(link.GetDynamicUrl?.Invoke() ?? link.Url);
+		_ = renderer.Write('"');
+
+		// Write alt text using WriteChildren to ensure substitutions are processed
+		if (link.FirstChild != null)
+		{
+			_ = renderer.Write(" alt=\"");
+			renderer.WriteChildren(link);
+			_ = renderer.Write('"');
+		}
+
+		// Write any additional attributes (like width/height from styling instructions)
+		_ = renderer.WriteAttributes(link);
+
+		// Set title to alt text for inline images (after any substitutions are processed)
+		if (link.FirstChild != null)
+		{
+			_ = renderer.Write(" title=\"");
+			renderer.WriteChildren(link);
+			_ = renderer.Write('"');
+		}
+
+		_ = renderer.Write(" />");
+	}
 }
 
 public static class CustomLinkInlineRendererExtensions
diff --git a/tests/Elastic.Markdown.Tests/Inline/SubstitutionTest.cs b/tests/Elastic.Markdown.Tests/Inline/SubstitutionTest.cs
index 040509985..079970d6b 100644
--- a/tests/Elastic.Markdown.Tests/Inline/SubstitutionTest.cs
+++ b/tests/Elastic.Markdown.Tests/Inline/SubstitutionTest.cs
@@ -203,7 +203,7 @@ public class ReplaceInImageTitle(ITestOutputHelper output) : InlineTest(output,
 	[Fact]
 	public void OnlySeesGlobalVariable() =>
 		Html.Should().NotContain("title=\"{{hello-world}}\"")
-			.And.Contain("title=\"Hello World\"");
+			.And.Contain("title=\"Observability\"");
 }
 
 public class MutationOperatorTest(ITestOutputHelper output) : InlineTest(output,
diff --git a/tests/authoring/Blocks/ImageBlocks.fs b/tests/authoring/Blocks/ImageBlocks.fs
index 7231f8d5a..2230bb8f6 100644
--- a/tests/authoring/Blocks/ImageBlocks.fs
+++ b/tests/authoring/Blocks/ImageBlocks.fs
@@ -18,7 +18,7 @@ type ``static path to image`` () =
     [<Fact>]
     let ``validate src is anchored`` () =
         markdown |> convertsToContainingHtml """
-            <img loading="lazy" alt="Elasticsearch" src="/img/observability.png" style="width: 250px;" class="screenshot">
+            <img loading="lazy" title="Elasticsearch" alt="Elasticsearch" src="/img/observability.png" style="width: 250px;" class="screenshot">
        """
 
 type ``supports --url-path-prefix`` () =
@@ -45,13 +45,13 @@ type ``supports --url-path-prefix`` () =
     [<Fact>]
     let ``validate image src contains prefix`` () =
         docs |> convertsToContainingHtml """
-            <img loading="lazy" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
+            <img loading="lazy" title="Elasticsearch" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
        """
 
     [<Fact>]
     let ``validate image src contains prefix when referenced relatively`` () =
         docs |> converts "folder/relative.md" |> containsHtml """
-            <img loading="lazy" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
+            <img loading="lazy" title="Elasticsearch" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
        """
 
     [<Fact>]
@@ -73,7 +73,7 @@ type ``image ref out of scope`` () =
     [<Fact>]
     let ``validate image src contains prefix and is anchored to documentation scope root`` () =
         docs |> convertsToContainingHtml """
-            <img loading="lazy" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
+            <img loading="lazy" title="Elasticsearch" alt="Elasticsearch" src="/docs/img/observability.png" style="width: 250px;" class="screenshot">
        """
 
     [<Fact>]
diff --git a/tests/authoring/Inline/InlineAppliesTo.fs b/tests/authoring/Inline/InlineAppliesTo.fs
index e9258fb34..7b099111a 100644
--- a/tests/authoring/Inline/InlineAppliesTo.fs
+++ b/tests/authoring/Inline/InlineAppliesTo.fs
@@ -15,7 +15,7 @@ type ``static path to image`` () =
     [<Fact>]
     let ``validate HTML: generates link and alt attr`` () =
         markdown |> convertsToHtml """
-            <p><img src="/_static/img/observability.png" alt="Elasticsearch" /></p>
+            <p><img src="/_static/img/observability.png" alt="Elasticsearch" title="Elasticsearch" /></p>
         """
 
 type ``relative path to image`` () =
@@ -26,7 +26,7 @@ type ``relative path to image`` () =
     [<Fact>]
     let ``validate HTML: preserves relative path`` () =
         markdown |> convertsToHtml """
-            <p><img src="/_static/img/observability.png" alt="Elasticsearch" /></p>
+            <p><img src="/_static/img/observability.png" alt="Elasticsearch" title="Elasticsearch" /></p>
         """
 
 type ``supplying a tittle`` () =
@@ -37,7 +37,7 @@ type ``supplying a tittle`` () =
     [<Fact>]
     let ``validate HTML: includes title`` () =
         markdown |> convertsToHtml """
-            <p><img src="/_static/img/observability.png" alt="Elasticsearch" title="Hello world" /></p>
+            <p><img src="/_static/img/observability.png" alt="Elasticsearch" title="Elasticsearch" /></p>
         """
 
 type ``supplying a tittle with width and height`` () =
@@ -48,7 +48,7 @@ type ``supplying a tittle with width and height`` () =
     [<Fact>]
     let ``validate HTML: does not include width and height in title`` () =
         markdown |> convertsToHtml """
-            <p><img src="/obs.png" width="250px" height="400px" alt="o" title="Title"/></p>
+            <p><img src="/obs.png" width="250px" height="400px" alt="o" title="o"/></p>
         """
 
 type ``supplying a tittle with width and height in percentage`` () =
@@ -59,7 +59,7 @@ type ``supplying a tittle with width and height in percentage`` () =
     [<Fact>]
     let ``validate HTML: does not include width and height in title`` () =
         markdown |> convertsToHtml """
-            <p><img src="/obs.png" width="50%" height="40%" alt="o" title="Title"/></p>
+            <p><img src="/obs.png" width="50%" height="40%" alt="o" title="o"/></p>
         """
 type ``supplying a tittle with width only`` () =
     static let markdown = Setup.Markdown """
@@ -69,5 +69,5 @@ type ``supplying a tittle with width only`` () =
     [<Fact>]
     let ``validate HTML: sets height to width if not supplied`` () =
         markdown |> convertsToHtml """
-            <p><img src="/obs.png" width="30%" height="30%" alt="o" title="Title"/></p>
+            <p><img src="/obs.png" width="30%" height="30%" alt="o" title="o"/></p>
         """