diff --git a/config/schema/islandora.schema.yml b/config/schema/islandora.schema.yml
index 49de998b3..282f7b3c5 100644
--- a/config/schema/islandora.schema.yml
+++ b/config/schema/islandora.schema.yml
@@ -173,6 +173,10 @@ condition.plugin.node_had_namespace:
 field.formatter.settings.islandora_image:
   type: field.formatter.settings.image
   label: 'Islandora image field display format settings'
+  mapping:
+    image_alt_text:
+      type: string
+      label: "Alt text source"
 
 condition.plugin.islandora_entity_bundle:
   type: condition.plugin
diff --git a/src/Plugin/Field/FieldFormatter/IslandoraImageFormatter.php b/src/Plugin/Field/FieldFormatter/IslandoraImageFormatter.php
index deb6c7690..ffe6d47a2 100644
--- a/src/Plugin/Field/FieldFormatter/IslandoraImageFormatter.php
+++ b/src/Plugin/Field/FieldFormatter/IslandoraImageFormatter.php
@@ -6,9 +6,11 @@
 use Drupal\Core\Field\FieldDefinitionInterface;
 use Drupal\Core\Field\FieldItemListInterface;
 use Drupal\Core\File\FileUrlGeneratorInterface;
+use Drupal\Core\Form\FormStateInterface;
 use Drupal\Core\Session\AccountInterface;
 use Drupal\image\Plugin\Field\FieldFormatter\ImageFormatter;
 use Drupal\islandora\IslandoraUtils;
+use Drupal\islandora\MediaSource\MediaSourceService;
 use Symfony\Component\DependencyInjection\ContainerInterface;
 
 /**
@@ -34,6 +36,13 @@ class IslandoraImageFormatter extends ImageFormatter {
    */
   protected $utils;
 
+  /**
+   * Islandora media source service.
+   *
+   * @var \Drupal\islandora\MediaSource\MediaSourceService
+   */
+  protected $mediaSourceService;
+
   /**
    * Constructs an IslandoraImageFormatter object.
    *
@@ -59,6 +68,8 @@ class IslandoraImageFormatter extends ImageFormatter {
    *   Islandora utils.
    * @param \Drupal\Core\File\FileUrlGeneratorInterface $file_url_generator
    *   The File URL Generator.
+   * @param \Drupal\islandora\MediaSource\MediaSourceService $media_source_service
+   *   Utils to get the source file from media.
    */
   public function __construct(
     $plugin_id,
@@ -71,7 +82,8 @@ public function __construct(
     AccountInterface $current_user,
     EntityStorageInterface $image_style_storage,
     IslandoraUtils $utils,
-    FileUrlGeneratorInterface $file_url_generator
+    FileUrlGeneratorInterface $file_url_generator,
+    MediaSourceService $media_source_service
   ) {
     parent::__construct(
       $plugin_id,
@@ -86,6 +98,7 @@ public function __construct(
       $file_url_generator
     );
     $this->utils = $utils;
+    $this->mediaSourceService = $media_source_service;
   }
 
   /**
@@ -103,10 +116,40 @@ public static function create(ContainerInterface $container, array $configuratio
       $container->get('current_user'),
       $container->get('entity_type.manager')->getStorage('image_style'),
       $container->get('islandora.utils'),
-      $container->get('file_url_generator')
+      $container->get('file_url_generator'),
+      $container->get('islandora.media_source_service')
     );
   }
 
+  /**
+   * {@inheritdoc}
+   */
+  public static function defaultSettings() {
+    return [
+      'image_alt_text' => 'local',
+    ] + parent::defaultSettings();
+  }
+
+  /**
+   * {@inheritdoc}
+   */
+  public function settingsForm(array $form, FormStateInterface $form_state) {
+    $element = parent::settingsForm($form, $form_state);
+    $alt_text_options = [
+      'local' => $this->t('Local'),
+      'original_file_fallback' => $this->t('Local, with fallback to Original File'),
+      'original_file' => $this->t('Original File'),
+    ];
+    $element['image_alt_text'] = [
+      '#title' => $this->t('Alt text source'),
+      '#type' => 'select',
+      '#default_value' => $this->getSetting('image_alt_text'),
+      '#empty_option' => $this->t('None'),
+      '#options' => $alt_text_options,
+    ];
+    return $element;
+  }
+
   /**
    * {@inheritdoc}
    */
@@ -114,28 +157,68 @@ public function viewElements(FieldItemListInterface $items, $langcode) {
     $elements = parent::viewElements($items, $langcode);
 
     $image_link_setting = $this->getSetting('image_link');
-    // Check if the formatter involves a link.
-    if ($image_link_setting != 'content') {
+    $alt_text_setting = $this->getsetting('image_alt_text');
+
+    // Check if we can leave the image as-is:
+    if ($image_link_setting !== 'content' && $alt_text_setting === 'local') {
       return $elements;
     }
-
     $entity = $items->getEntity();
-    if ($entity->isNew() || $entity->getEntityTypeId() != 'media') {
+    if ($entity->isNew() || $entity->getEntityTypeId() !== 'media') {
       return $elements;
     }
 
-    $node = $this->utils->getParentNode($entity);
-
-    if ($node === NULL) {
-      return $elements;
+    if ($alt_text_setting === 'none') {
+      foreach ($elements as $element) {
+        $element['#item']->set('alt', '');
+      }
     }
 
-    $url = $node->toUrl();
+    if ($image_link_setting === 'content' || $alt_text_setting === 'original_file' || $alt_text_setting === 'original_file_fallback') {
+      $node = $this->utils->getParentNode($entity);
+      if ($node === NULL) {
+        return $elements;
+      }
 
-    foreach ($elements as &$element) {
-      $element['#url'] = $url;
-    }
+      if ($image_link_setting === 'content') {
+        // Set image link.
+        $url = $node->toUrl();
+        foreach ($elements as &$element) {
+          $element['#url'] = $url;
+        }
+        unset($element);
+      }
+
+      if ($alt_text_setting === 'original_file' || $alt_text_setting === 'original_file_fallback') {
+        $original_file_term = $this->utils->getTermForUri("http://pcdm.org/use#OriginalFile");
 
+        if ($original_file_term !== NULL) {
+          $original_file_media = $this->utils->getMediaWithTerm($node, $original_file_term);
+
+          if ($original_file_media !== NULL) {
+            $source_field_name = $this->mediaSourceService->getSourceFieldName($original_file_media->bundle());
+            if ($original_file_media->hasField($source_field_name)) {
+              $original_file_files = $original_file_media->get($source_field_name);
+              // XXX: Support the multifile media use case where there could
+              // be multiple files in the source field.
+              $i = 0;
+              foreach ($original_file_files as $file) {
+                if (isset($file->alt)) {
+                  $alt_text = $file->get('alt')->getValue();
+                  if (isset($elements[$i])) {
+                    $element = $elements[$i];
+                    if ($alt_text_setting === 'original_file' || $element['#item']->get('alt')->getValue() === '') {
+                      $elements[$i]['#item']->set('alt', $alt_text);
+                    }
+                    $i++;
+                  }
+                }
+              }
+            }
+          }
+        }
+      }
+    }
     return $elements;
   }