diff --git a/system/src/Grav/Common/Page/Medium/Medium.php b/system/src/Grav/Common/Page/Medium/Medium.php
index d02a43163..c8473efbe 100644
--- a/system/src/Grav/Common/Page/Medium/Medium.php
+++ b/system/src/Grav/Common/Page/Medium/Medium.php
@@ -288,6 +288,8 @@ public function parsedownElement($title = null, $alt = null, $class = null, $id
                 $attributes['alt'] = $alt;
             } elseif (!empty($this->items['alt'])) {
                 $attributes['alt'] = $this->items['alt'];
+            } elseif (!empty($this->items['alt_text'])) {
+                $attributes['alt'] = $this->items['alt_text'];
             }
         }