diff --git a/api/serializers.py b/api/serializers.py
index 3bb6dae0..794a99fe 100644
--- a/api/serializers.py
+++ b/api/serializers.py
@@ -179,7 +179,7 @@ class HeightSerializer(CoreModelSerializer, TaggableSerializer):
 class NoteSerializer(CoreModelSerializer, TaggableSerializer):
     class Meta:
         model = models.Note
-        fields = ("id", "child", "note", "time", "tags")
+        fields = ("id", "child", "note", "image", "time", "tags")
 
 
 class SleepSerializer(CoreModelWithDurationSerializer, TaggableSerializer):
diff --git a/api/tests.py b/api/tests.py
index 546ee5b1..61f94941 100644
--- a/api/tests.py
+++ b/api/tests.py
@@ -479,6 +479,7 @@ class NoteAPITestCase(TestBase.BabyBuddyAPITestCaseBase):
                 "id": 1,
                 "child": 1,
                 "note": "Fake note.",
+                "image": None,
                 "time": "2017-11-17T22:45:00-05:00",
                 "tags": [],
             },
diff --git a/core/admin.py b/core/admin.py
index e082191a..621c125c 100644
--- a/core/admin.py
+++ b/core/admin.py
@@ -173,6 +173,7 @@ class HeightAdmin(ImportExportMixin, ExportActionMixin, admin.ModelAdmin):
 class NoteImportExportResource(ImportExportResourceBase):
     class Meta:
         model = models.Note
+        exclude = ("image",)
 
 
 @admin.register(models.Note)
diff --git a/core/forms.py b/core/forms.py
index 62a2da65..3c11f832 100644
--- a/core/forms.py
+++ b/core/forms.py
@@ -186,6 +186,8 @@ class NoteForm(CoreModelForm, TaggableModelForm):
     class Meta:
         model = models.Note
         fields = ["child", "note", "time", "tags"]
+        if settings.BABY_BUDDY["ALLOW_UPLOADS"]:
+            fields.insert(2, "image")
         widgets = {
             "child": ChildRadioSelect,
             "time": DateTimeInput(),
diff --git a/core/migrations/0031_note_image.py b/core/migrations/0031_note_image.py
new file mode 100644
index 00000000..db7d0de3
--- /dev/null
+++ b/core/migrations/0031_note_image.py
@@ -0,0 +1,19 @@
+# Generated by Django 4.2.5 on 2023-10-20 23:37
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("core", "0030_weightpercentile_weightpercentile_unique_age_sex"),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name="note",
+            name="image",
+            field=models.ImageField(
+                blank=True, null=True, upload_to="notes/images/", verbose_name="Image"
+            ),
+        ),
+    ]
diff --git a/core/models.py b/core/models.py
index 3c41c7be..0b53d588 100644
--- a/core/models.py
+++ b/core/models.py
@@ -404,6 +404,9 @@ class Note(models.Model):
     time = models.DateTimeField(
         blank=False, default=timezone.localtime, verbose_name=_("Time")
     )
+    image = models.ImageField(
+        blank=True, null=True, upload_to="notes/images/", verbose_name=_("Image")
+    )
     tags = TaggableManager(blank=True, through=Tagged)
 
     objects = models.Manager()
diff --git a/core/templates/core/note_list.html b/core/templates/core/note_list.html
index 40f68578..7d67186c 100644
--- a/core/templates/core/note_list.html
+++ b/core/templates/core/note_list.html
@@ -1,5 +1,5 @@
 {% extends 'babybuddy/page.html' %}
-{% load datetime i18n widget_tweaks %}
+{% load datetime i18n imagekit widget_tweaks %}
 
 {% block title %}{% trans "Notes" %}{% endblock %}
 
@@ -26,6 +26,7 @@
                     {% if not unique_child %}
                         <th>{% trans "Child" %}</th>
                     {% endif %}
+                    <th>{% trans "Image" %}</th>
                     <th>{% trans "Note" %}</th>
                     <th>{% trans "Tags" %}</th>
                 </tr>
@@ -54,6 +55,12 @@
                         {% if not unique_child %}
                             <td><a href="{% url 'core:child' note.child.slug %}">{{ note.child }}</a></td>
                         {% endif %}
+                        <td>
+                            {% if note.image %}
+                                {% thumbnail '40x40' note.image as thumb %}
+                                <a href="{{ note.image.url }}" target="_blank"><img src="{{ thumb.url }}" class="img-fluid" /></a>
+                            {% endif %}
+                        </td>
                         <td>{{ note.note }}</td>
                         <td>
                             {% include "core/render_tag_list.html" with tags=note.tags.all %}