diff --git a/src/components/cart.js b/src/components/cart.js
index bb5be0a9..4adc0a0d 100644
--- a/src/components/cart.js
+++ b/src/components/cart.js
@@ -116,6 +116,7 @@ export default class Cart extends Component {
       data.classes = this.classes;
       data.text = this.config.lineItem.text;
       data.lineItemImage = this.imageForLineItem(data);
+      data.lineItemImageAltText = this.imageAltTextForLineItem(data);
       data.variantTitle = data.variant.title === 'Default Title' ? '' : data.variant.title;
       return acc + this.childTemplate.render({data}, (output) => `<li id="${lineItem.id}" class=${this.classes.lineItem.lineItem}>${output}</li>`);
     }, '');
@@ -215,6 +216,14 @@ export default class Cart extends Component {
     }
   }
 
+  imageAltTextForLineItem(lineItem) {
+    if (lineItem.variant.image) {
+      return lineItem.variant.image.altText || lineItem.title;
+    } else {
+      return null;
+    }
+  }
+
   /**
    * sets model to null and removes checkout from localStorage
    * @return {Promise} promise resolving to the cart model
diff --git a/src/templates/line-item.js b/src/templates/line-item.js
index b66f341d..0dfb2966 100644
--- a/src/templates/line-item.js
+++ b/src/templates/line-item.js
@@ -1,5 +1,5 @@
 const lineItemTemplates = {
-  image: '<div class="{{data.classes.lineItem.image}}" style="background-image: url({{data.lineItemImage}})" data-element="lineItem.image"></div>',
+  image: '<div class="{{data.classes.lineItem.image}}" style="background-image: url({{data.lineItemImage}})" data-element="lineItem.image" {{#data.lineItemImageAltText}} role="img" aria-label="{{data.lineItemImageAltText}}" {{/data.lineItemImageAltText}}></div>',
   variantTitle: '<div class="{{data.classes.lineItem.variantTitle}}" data-element="lineItem.variantTitle">{{data.variantTitle}}</div>',
 
   title: '<span class="{{data.classes.lineItem.itemTitle}}" data-element="lineItem.itemTitle">{{data.title}}</span>',
diff --git a/test/unit/cart/cart.js b/test/unit/cart/cart.js
index 3774909f..d02af3a1 100644
--- a/test/unit/cart/cart.js
+++ b/test/unit/cart/cart.js
@@ -130,13 +130,17 @@ describe('Cart class', () => {
   describe('get lineItemsHtml', () => {
     const variantAmount = '5.00';
     let formatMoneySpy;
+    let renderSpy;
+
 
     beforeEach(() => {
       formatMoneySpy = sinon.spy(formatMoney, 'default');
+      renderSpy = sinon.spy(cart.childTemplate, 'render');
     });
 
     afterEach(() => {
       formatMoneySpy.restore();
+      renderSpy.restore();
     });
 
     it('calls render and returns an html <li /> string', () => {
@@ -157,7 +161,6 @@ describe('Cart class', () => {
         discountAllocations: [],
       }];
 
-      const renderSpy = sinon.spy(cart.childTemplate, 'render');
       const cartLineItemsHtml = cart.lineItemsHtml;
       assert.include(cartLineItemsHtml, 'data-line-item-id="123"');
       assert.match(cartLineItemsHtml, /<li\b.*>[\s\S]*<\/li>/);
@@ -188,6 +191,69 @@ describe('Cart class', () => {
       assert.include(cartLineItemsHtml, `<span class="visuallyhidden">${quantityIncrementAccessibilityLabel}</span>`);
     });
 
+    describe('Line item image', () => {
+      beforeEach(() => {
+        cart.lineItemCache = [{
+          id: 123,
+          title: 'test',
+          variantTitle: 'test2',
+          quantity: 1,
+          variant: {
+            image: {
+              src: 'cdn.shopify.com/image.jpg',
+            },
+            priceV2: {
+              amount: '5.00',
+              currencyCode: 'CAD',
+            },
+          },
+          discountAllocations: [],
+        }];
+      });
+
+      it('renders the child template with a line item image', () => {
+        const mockLineItemImage = 'mock-image-src.com';
+        const imageForLineItemStub = sinon.stub(cart, 'imageForLineItem').returns(mockLineItemImage);
+
+        const cartLineItemsHtml = cart.lineItemsHtml;
+        const renderData = renderSpy.getCall(0).args[0].data;
+
+        assert.calledOnce(imageForLineItemStub);
+        assert.equal(renderData.lineItemImage, mockLineItemImage);
+        assert.include(cartLineItemsHtml, `style="background-image: url(${mockLineItemImage})"`);
+
+        imageForLineItemStub.restore();
+      });
+
+      it('renders the child template line item image with a role and aria-label if alt text is not null', () => {
+        const mockLineItemImageAltText = 'alt text';
+        const imageAltTextForLineItemStub = sinon.stub(cart, 'imageAltTextForLineItem').returns(mockLineItemImageAltText);
+
+        const cartLineItemsHtml = cart.lineItemsHtml;
+        const renderData = renderSpy.getCall(0).args[0].data;
+
+        assert.calledOnce(imageAltTextForLineItemStub);
+        assert.equal(renderData.lineItemImageAltText, mockLineItemImageAltText);
+        assert.include(cartLineItemsHtml, `role="img" aria-label="${mockLineItemImageAltText}"`);
+
+        imageAltTextForLineItemStub.restore();
+      });
+
+      it('renders the child template line item image without a role or aria-label if alt text is null', () => {
+        const mockLineItemImageAltText = null;
+        const imageAltTextForLineItemStub = sinon.stub(cart, 'imageAltTextForLineItem').returns(mockLineItemImageAltText);
+
+        const cartLineItemsHtml = cart.lineItemsHtml;
+        const renderData = renderSpy.getCall(0).args[0].data;
+
+        assert.calledOnce(imageAltTextForLineItemStub);
+        assert.equal(renderData.lineItemImageAltText, mockLineItemImageAltText);
+        assert.notInclude(cartLineItemsHtml, 'role="img" aria-label');
+
+        imageAltTextForLineItemStub.restore();
+      });
+    });
+
     describe('price without discounts', () => {
       beforeEach(() => {
         cart.childTemplate.contents.price = true;
@@ -501,6 +567,49 @@ describe('Cart class', () => {
     });
   });
 
+  describe('imageAltTextForLineItem', () => {
+    it('returns null if the line item variant image does not exist', () => {
+      const lineItem = {
+        variant: {
+          id: 123,
+        },
+      };
+      const altText = cart.imageAltTextForLineItem(lineItem);
+
+      assert.equal(altText, null);
+    });
+
+    it('returns the line item variant image alt text if it exists', () => {
+      const lineItem = {
+        title: 'title',
+        variant: {
+          id: 123,
+          image: {
+            altText: 'image alt text',
+          },
+        },
+      };
+      const altText = cart.imageAltTextForLineItem(lineItem);
+
+      assert.equal(altText, lineItem.variant.image.altText);
+    });
+
+    it('returns the line item title if the variant image alt text does not exist', () => {
+      const lineItem = {
+        title: 'title',
+        variant: {
+          id: 123,
+          image: {
+            src: 'cdn.shopify.com/variant_image.jpg',
+          },
+        },
+      };
+      const altText = cart.imageAltTextForLineItem(lineItem);
+
+      assert.equal(altText, lineItem.title);
+    });
+  });
+
   describe('fetchData()', () => {
     it('resolves to null if key does not exist in localStorage', () => {
       localStorage.removeItem(cart.localStorageCheckoutKey);