diff --git a/extensions/notebook-renderers/src/index.ts b/extensions/notebook-renderers/src/index.ts
index efd9a81bfac3c..10fd6c99eb281 100644
--- a/extensions/notebook-renderers/src/index.ts
+++ b/extensions/notebook-renderers/src/index.ts
@@ -33,6 +33,10 @@ function renderImage(outputInfo: OutputItem, element: HTMLElement): IDisposable
 
 	const image = document.createElement('img');
 	image.src = src;
+	const alt = getAltText(outputInfo);
+	if (alt) {
+		image.alt = alt;
+	}
 	const display = document.createElement('div');
 	display.classList.add('display');
 	display.appendChild(image);
@@ -64,12 +68,33 @@ const domEval = (container: Element) => {
 	}
 };
 
+function getAltText(outputInfo: OutputItem) {
+	const metadata = outputInfo.metadata;
+	if (typeof metadata === 'object' && metadata && 'vscode_altText' in metadata && typeof metadata.vscode_altText === 'string') {
+		return metadata.vscode_altText;
+	}
+	return undefined;
+}
+
+function injectTitleForSvg(outputInfo: OutputItem, element: HTMLElement) {
+	if (outputInfo.mime.indexOf('svg') > -1) {
+		const svgElement = element.querySelector('svg');
+		const altText = getAltText(outputInfo);
+		if (svgElement && altText) {
+			const title = document.createElement('title');
+			title.innerText = altText;
+			svgElement.prepend(title);
+		}
+	}
+}
+
 async function renderHTML(outputInfo: OutputItem, container: HTMLElement, signal: AbortSignal, hooks: Iterable<HtmlRenderingHook>): Promise<void> {
 	clearContainer(container);
 	let element: HTMLElement = document.createElement('div');
 	const htmlContent = outputInfo.text();
 	const trustedHtml = ttPolicy?.createHTML(htmlContent) ?? htmlContent;
 	element.innerHTML = trustedHtml as string;
+	injectTitleForSvg(outputInfo, element);
 
 	for (const hook of hooks) {
 		element = (await hook.postRender(outputInfo, element, signal)) ?? element;
diff --git a/src/vs/workbench/contrib/notebook/browser/view/renderers/backLayerWebView.ts b/src/vs/workbench/contrib/notebook/browser/view/renderers/backLayerWebView.ts
index d2712dea5f82b..590d2f00c4288 100644
--- a/src/vs/workbench/contrib/notebook/browser/view/renderers/backLayerWebView.ts
+++ b/src/vs/workbench/contrib/notebook/browser/view/renderers/backLayerWebView.ts
@@ -38,7 +38,7 @@ import { NOTEBOOK_WEBVIEW_BOUNDARY } from 'vs/workbench/contrib/notebook/browser
 import { preloadsScriptStr } from 'vs/workbench/contrib/notebook/browser/view/renderers/webviewPreloads';
 import { transformWebviewThemeVars } from 'vs/workbench/contrib/notebook/browser/view/renderers/webviewThemeMapping';
 import { MarkupCellViewModel } from 'vs/workbench/contrib/notebook/browser/viewModel/markupCellViewModel';
-import { CellUri, INotebookRendererInfo, RendererMessagingSpec } from 'vs/workbench/contrib/notebook/common/notebookCommon';
+import { CellUri, ICellOutput, INotebookRendererInfo, RendererMessagingSpec } from 'vs/workbench/contrib/notebook/common/notebookCommon';
 import { INotebookKernel } from 'vs/workbench/contrib/notebook/common/notebookKernelService';
 import { IScopedRendererMessaging } from 'vs/workbench/contrib/notebook/common/notebookRendererMessagingService';
 import { INotebookService } from 'vs/workbench/contrib/notebook/common/notebookService';
@@ -1422,6 +1422,17 @@ export class BackLayerWebView<T extends ICommonCellInfo> extends Themable {
 		createOutput();
 	}
 
+	private createMetadata(output: ICellOutput, mimeType: string) {
+		if (mimeType.startsWith('image')) {
+			const buffer = output.outputs.find(out => out.mime === 'text/plain')?.data.buffer;
+			if (buffer?.length && buffer?.length > 0) {
+				const altText = new TextDecoder().decode(buffer);
+				return { ...output.metadata, vscode_altText: altText };
+			}
+		}
+		return output.metadata;
+	}
+
 	private _createOutputCreationMessage(cellInfo: T, content: IInsetRenderOutput, cellTop: number, offset: number, createOnIdle: boolean, initiallyHidden: boolean): { readonly message: ICreationRequestMessage; readonly renderer: INotebookRendererInfo | undefined; transfer: readonly ArrayBuffer[] } {
 		const messageBase = {
 			type: 'html',
@@ -1442,7 +1453,7 @@ export class BackLayerWebView<T extends ICommonCellInfo> extends Themable {
 			const output = content.source.model;
 			renderer = content.renderer;
 			const first = output.outputs.find(op => op.mime === content.mimeType)!;
-
+			const metadata = this.createMetadata(output, content.mimeType);
 			const valueBytes = copyBufferIfNeeded(first.data.buffer, transfer);
 			message = {
 				...messageBase,
@@ -1451,7 +1462,7 @@ export class BackLayerWebView<T extends ICommonCellInfo> extends Themable {
 				content: {
 					type: RenderOutputType.Extension,
 					outputId: output.outputId,
-					metadata: output.metadata,
+					metadata: metadata,
 					output: {
 						mime: first.mime,
 						valueBytes,