diff --git a/CHANGELOG.md b/CHANGELOG.md
index b04e11ad..8020b3ce 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -6,6 +6,11 @@ The format is based on [Keep a Changelog](http://keepachangelog.com/en/1.0.0/).
 This project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.html),
 with the exception that 0.x versions can break between minor versions.
 
+## Unreleased
+### Fixed
+
+- Fix rendering of image alt text to include contents of code spans (`` `code` ``). (#398)
+
 ## [0.25.1] - 2025-08-01
 ### Fixed
 - footnotes: Fix parsing of footnote definitions containing multiple paragraphs
diff --git a/commonmark/src/main/java/org/commonmark/renderer/html/CoreHtmlNodeRenderer.java b/commonmark/src/main/java/org/commonmark/renderer/html/CoreHtmlNodeRenderer.java
index 0603aa01..5c536558 100644
--- a/commonmark/src/main/java/org/commonmark/renderer/html/CoreHtmlNodeRenderer.java
+++ b/commonmark/src/main/java/org/commonmark/renderer/html/CoreHtmlNodeRenderer.java
@@ -311,6 +311,11 @@ public void visit(Text text) {
             sb.append(text.getLiteral());
         }
 
+        @Override
+        public void visit(Code code) {
+            sb.append(code.getLiteral());
+        }
+
         @Override
         public void visit(SoftLineBreak softLineBreak) {
             sb.append('\n');
diff --git a/commonmark/src/test/java/org/commonmark/test/HtmlRendererTest.java b/commonmark/src/test/java/org/commonmark/test/HtmlRendererTest.java
index 413bb9d8..02d97094 100644
--- a/commonmark/src/test/java/org/commonmark/test/HtmlRendererTest.java
+++ b/commonmark/src/test/java/org/commonmark/test/HtmlRendererTest.java
@@ -279,6 +279,16 @@ public void imageAltTextWithEntities() {
         assertThat(defaultRenderer().render(parse("![foo &auml;](/url)\n"))).isEqualTo("<p><img src=\"/url\" alt=\"foo \u00E4\" /></p>\n");
     }
 
+    @Test
+    public void imageAltTextWithInlines() {
+        assertThat(defaultRenderer().render(parse("![_foo_ **bar** [link](/url)](/url)\n"))).isEqualTo("<p><img src=\"/url\" alt=\"foo bar link\" /></p>\n");
+    }
+
+    @Test
+    public void imageAltTextWithCode() {
+        assertThat(defaultRenderer().render(parse("![`foo` bar](/url)\n"))).isEqualTo("<p><img src=\"/url\" alt=\"foo bar\" /></p>\n");
+    }
+
     @Test
     public void canRenderContentsOfSingleParagraph() {
         Node paragraphs = parse("Here I have a test [link](http://www.google.com)");