diff --git a/src/mdformat/renderer/_context.py b/src/mdformat/renderer/_context.py
index 238dd07d..73150c3d 100644
--- a/src/mdformat/renderer/_context.py
+++ b/src/mdformat/renderer/_context.py
@@ -218,6 +218,8 @@ def image(node: RenderTreeNode, context: RenderContext) -> str:
     uri = maybe_add_link_brackets(uri)
     title = node.attrs.get("title")
     if title is not None:
+        assert isinstance(title, str)
+        title = title.replace('"', '\\"')
         return f'![{description}]({uri} "{title}")'
     return f"![{description}]({uri})"
 
diff --git a/tests/data/default_style.md b/tests/data/default_style.md
index 7f1d4538..eed8b3ed 100644
--- a/tests/data/default_style.md
+++ b/tests/data/default_style.md
@@ -130,6 +130,17 @@ references:
 [ref2]: link3 "title"
 .
 
+link and image titles with embedded quotes
+.
+[text](link1 "a \"quoted\" title")
+
+![text](img.png "a \"quoted\" title")
+.
+[text](link1 "a \"quoted\" title")
+
+![text](img.png "a \"quoted\" title")
+.
+
 thematic breaks
 .
 something something