diff --git a/README.md b/README.md
index 0575f3e..4194abf 100644
--- a/README.md
+++ b/README.md
@@ -30,6 +30,7 @@ File in the extended format should follow the specification:
 <!-- Attachment: <local path> -->
 <!-- Label: <label 1> -->
 <!-- Label: <label 2> -->
+<!-- Image-Align: <left|center|right> -->
 
 <page contents>
 ```
@@ -73,6 +74,12 @@ Setting the sidebar creates a column on the right side.  You're able to add any
 
 You can set a page emoji icon by specifying the icon in the headers.
 
+```markdown
+<!-- Image-Align: center -->
+```
+
+You can set the alignment for all images in the page. Common values are `left`, `center`, and `right`. This adds the `ac:align` attribute to image tags. Can also be set globally via the `--image-align` CLI option (per-page header takes precedence).
+
 Mark supports Go templates, which can be included into article by using path
 to the template relative to current working dir, e.g.:
 
@@ -845,6 +852,7 @@ GLOBAL OPTIONS:
    --d2-scale float                         defines the scaling factor for d2 renderings. (default: 1) [$MARK_D2_SCALE]
    --features string [ --features string ]  Enables optional features. Current features: d2, mermaid, mention, mkdocsadmonitions (default: "mermaid", "mention") [$MARK_FEATURES]
    --insecure-skip-tls-verify               skip TLS certificate verification (useful for self-signed certificates) [$MARK_INSECURE_SKIP_TLS_VERIFY]
+   --image-align string                     set image alignment (left, center, right). Can be overridden per-file via the Image-Align header. [$MARK_IMAGE_ALIGN]
    --help, -h                               show help
    --version, -v                            print the version
 ```
@@ -859,6 +867,7 @@ password = "password-or-api-key-for-confluence-cloud"
 base-url = "http://confluence.local"
 title-from-h1 = true
 drop-h1 = true
+image-align = "center"
 ```
 
 **NOTE**: Labels aren't supported when using `minor-edit`!
diff --git a/markdown/markdown.go b/markdown/markdown.go
index 15885ab..da7e78b 100644
--- a/markdown/markdown.go
+++ b/markdown/markdown.go
@@ -53,7 +53,7 @@ func (c *ConfluenceExtension) Extend(m goldmark.Markdown) {
 		util.Prioritized(crenderer.NewConfluenceFencedCodeBlockRenderer(c.Stdlib, c, c.MarkConfig), 100),
 		util.Prioritized(crenderer.NewConfluenceHTMLBlockRenderer(c.Stdlib), 100),
 		util.Prioritized(crenderer.NewConfluenceHeadingRenderer(c.MarkConfig.DropFirstH1), 100),
-		util.Prioritized(crenderer.NewConfluenceImageRenderer(c.Stdlib, c, c.Path), 100),
+		util.Prioritized(crenderer.NewConfluenceImageRenderer(c.Stdlib, c, c.Path, c.MarkConfig.ImageAlign), 100),
 		util.Prioritized(crenderer.NewConfluenceParagraphRenderer(), 100),
 		util.Prioritized(crenderer.NewConfluenceLinkRenderer(), 100),
 		util.Prioritized(crenderer.NewConfluenceTaskListRenderer(), 100),
diff --git a/metadata/metadata.go b/metadata/metadata.go
index b70edb1..5ca9e2d 100644
--- a/metadata/metadata.go
+++ b/metadata/metadata.go
@@ -26,6 +26,7 @@ const (
 	HeaderInclude     = `Include`
 	HeaderSidebar     = `Sidebar`
 	ContentAppearance = `Content-Appearance`
+	HeaderImageAlign  = `Image-Align`
 )
 
 type Meta struct {
@@ -39,6 +40,7 @@ type Meta struct {
 	Attachments       []string
 	Labels            []string
 	ContentAppearance string
+	ImageAlign        string
 }
 
 const (
@@ -130,6 +132,17 @@ func ExtractMeta(data []byte, spaceFromCli string, titleFromH1 bool, titleFromFi
 				meta.ContentAppearance = FullWidthContentAppearance
 			}
 
+		case HeaderImageAlign:
+			align := strings.ToLower(strings.TrimSpace(value))
+			if align != "left" && align != "center" && align != "right" {
+				log.Warningf(
+					nil,
+					`unknown image alignment %q, expected one of: left, center, right; passing through to Confluence`,
+					value,
+				)
+			}
+			meta.ImageAlign = align
+
 		default:
 			log.Errorf(
 				nil,
diff --git a/renderer/image.go b/renderer/image.go
index f024016..474ca7f 100644
--- a/renderer/image.go
+++ b/renderer/image.go
@@ -20,15 +20,17 @@ type ConfluenceImageRenderer struct {
 	Stdlib      *stdlib.Lib
 	Path        string
 	Attachments attachment.Attacher
+	ImageAlign  string
 }
 
 // NewConfluenceRenderer creates a new instance of the ConfluenceRenderer
-func NewConfluenceImageRenderer(stdlib *stdlib.Lib, attachments attachment.Attacher, path string, opts ...html.Option) renderer.NodeRenderer {
+func NewConfluenceImageRenderer(stdlib *stdlib.Lib, attachments attachment.Attacher, path string, imageAlign string, opts ...html.Option) renderer.NodeRenderer {
 	return &ConfluenceImageRenderer{
 		Config:      html.NewConfig(),
 		Stdlib:      stdlib,
 		Path:        path,
 		Attachments: attachments,
+		ImageAlign:  imageAlign,
 	}
 }
 
@@ -55,6 +57,7 @@ func (r *ConfluenceImageRenderer) renderImage(writer util.BufWriter, source []by
 			writer,
 			"ac:image",
 			struct {
+				Align      string
 				Width      string
 				Height     string
 				Title      string
@@ -62,6 +65,7 @@ func (r *ConfluenceImageRenderer) renderImage(writer util.BufWriter, source []by
 				Attachment string
 				Url        string
 			}{
+				r.ImageAlign,
 				"",
 				"",
 				string(n.Title),
@@ -78,6 +82,7 @@ func (r *ConfluenceImageRenderer) renderImage(writer util.BufWriter, source []by
 			writer,
 			"ac:image",
 			struct {
+				Align      string
 				Width      string
 				Height     string
 				Title      string
@@ -85,6 +90,7 @@ func (r *ConfluenceImageRenderer) renderImage(writer util.BufWriter, source []by
 				Attachment string
 				Url        string
 			}{
+				r.ImageAlign,
 				"",
 				"",
 				string(n.Title),
diff --git a/stdlib/stdlib.go b/stdlib/stdlib.go
index 5ef845d..370fcb0 100644
--- a/stdlib/stdlib.go
+++ b/stdlib/stdlib.go
@@ -211,6 +211,7 @@ func templates(api *confluence.API) (*template.Template, error) {
 
 		`ac:image`: text(
 			`<ac:image`,
+			`{{ if .Align }} ac:align="{{ .Align }}"{{ end }}`,
 			`{{ if .Width }} ac:width="{{ .Width }}"{{ end }}`,
 			`{{ if .Height }} ac:height="{{ .Height }}"{{ end }}`,
 			`{{ if .Title }} ac:title="{{ .Title }}"{{ end }}`,
diff --git a/types/types.go b/types/types.go
index 832daeb..de8ba4e 100644
--- a/types/types.go
+++ b/types/types.go
@@ -6,4 +6,5 @@ type MarkConfig struct {
 	DropFirstH1   bool
 	StripNewlines bool
 	Features      []string
+	ImageAlign    string
 }
diff --git a/util/cli.go b/util/cli.go
index d90cd79..c7df2d2 100644
--- a/util/cli.go
+++ b/util/cli.go
@@ -223,6 +223,7 @@ func processFile(
 			DropFirstH1:   cmd.Bool("drop-h1"),
 			StripNewlines: cmd.Bool("strip-linebreaks"),
 			Features:      cmd.StringSlice("features"),
+			ImageAlign:    getImageAlign(cmd, meta),
 		}
 		html, _ := mark.CompileMarkdown(markdown, stdlib, file, cfg)
 		fmt.Println(html)
@@ -302,6 +303,7 @@ func processFile(
 		DropFirstH1:   cmd.Bool("drop-h1"),
 		StripNewlines: cmd.Bool("strip-linebreaks"),
 		Features:      cmd.StringSlice("features"),
+		ImageAlign:    getImageAlign(cmd, meta),
 	}
 
 	html, inlineAttachments := mark.CompileMarkdown(markdown, stdlib, file, cfg)
@@ -474,6 +476,28 @@ func determineLabelsToAdd(meta *metadata.Meta, labelInfo *confluence.LabelInfo)
 	return labels
 }
 
+func getImageAlign(cmd *cli.Command, meta *metadata.Meta) string {
+	// Header comment takes precedence over CLI flag
+	if meta != nil && meta.ImageAlign != "" {
+		return meta.ImageAlign
+	}
+
+	cliAlign := cmd.String("image-align")
+	if cliAlign != "" {
+		align := strings.ToLower(strings.TrimSpace(cliAlign))
+		if align != "left" && align != "center" && align != "right" {
+			log.Warningf(
+				nil,
+				"unknown --image-align value %q, expected one of: left, center, right; passing through to Confluence",
+				cliAlign,
+			)
+		}
+		return align
+	}
+
+	return ""
+}
+
 func ConfigFilePath() string {
 	fp, err := os.UserConfigDir()
 	if err != nil {
diff --git a/util/flags.go b/util/flags.go
index abb6c98..db32470 100644
--- a/util/flags.go
+++ b/util/flags.go
@@ -213,6 +213,12 @@ var Flags = []cli.Flag{
 		Usage:   "skip TLS certificate verification (useful for self-signed certificates)",
 		Sources: cli.NewValueSourceChain(cli.EnvVar("MARK_INSECURE_SKIP_TLS_VERIFY"), altsrctoml.TOML("insecure-skip-tls-verify", altsrc.NewStringPtrSourcer(&filename))),
 	},
+	&cli.StringFlag{
+		Name:    "image-align",
+		Value:   "",
+		Usage:   "set image alignment (left, center, right). Can be overridden per-file via the Image-Align header.",
+		Sources: cli.NewValueSourceChain(cli.EnvVar("MARK_IMAGE_ALIGN"), altsrctoml.TOML("image-align", altsrc.NewStringPtrSourcer(&filename))),
+	},
 }
 
 // CheckFlags validates combinations and values of global flags.