diff --git a/CHANGELOG.md b/CHANGELOG.md
index b4ceeb1c..27cbacdf 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -5,6 +5,7 @@
 - Bump node version requirement to 20+
 - Bump minimum supported browsers to Firefox 115, iOS/Safari 16
 - Fix text with input x as null
+- Add opacity option to `doc.image()` to control image transparency
 - Fix PDF/UA compliance issues in kitchen-sink-accessible example
 - Add bbox and placement options to PDFStructureElement for PDF/UA compliance
 
diff --git a/docs/images.md b/docs/images.md
index 2e1723b7..8e9ec6ec 100644
--- a/docs/images.md
+++ b/docs/images.md
@@ -18,6 +18,7 @@ be scaled according to the following options.
 - `goTo` - go to anchor (shortcut to create an annotation)
 - `destination` - create anchor to this image
 - `ignoreOrientation` - (true/false) ignore JPEG EXIF orientation. By default, images with JPEG EXIF orientation are properly rotated and/or flipped. Defaults to `false`, unless `ignoreOrientation` option set to `true` when creating the `PDFDocument` object (e.g. `new PDFDocument({ignoreOrientation: true})`)
+- `opacity` - a value between `0` (fully transparent) and `1` (fully opaque). For PNGs that already have an alpha channel, this compounds with the existing transparency
 
 When a `fit` or `cover` array is provided, PDFKit accepts these additional options:
 
diff --git a/lib/mixins/images.js b/lib/mixins/images.js
index 8486b9b4..ff234a8e 100644
--- a/lib/mixins/images.js
+++ b/lib/mixins/images.js
@@ -209,6 +209,10 @@ export default {
 
     this.save();
 
+    if (options.opacity != null) {
+      this._doOpacity(options.opacity, null);
+    }
+
     if (rotateAngle) {
       this.rotate(rotateAngle, {
         origin: [originX, originY],
diff --git a/tests/unit/image.spec.js b/tests/unit/image.spec.js
index af6e4cf1..24a1ca5e 100644
--- a/tests/unit/image.spec.js
+++ b/tests/unit/image.spec.js
@@ -28,4 +28,58 @@ describe('Image', function () {
     expect(jpeg.height).toBe(500);
     expect(jpeg.orientation).toBe(1);
   });
+
+  describe('opacity', function () {
+    test('adds an ExtGState with the correct ca value', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: 0.5 });
+
+      const gstates = document.page.ext_gstates;
+      const entry = Object.values(gstates)[0];
+      expect(entry.data.ca).toBe(0.5);
+    });
+
+    test('registers the ExtGState on the page resources', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: 0.5 });
+
+      expect(Object.keys(document.page.ext_gstates).length).toBe(1);
+    });
+
+    test('clamps opacity below 0 to 0', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: -0.5 });
+
+      const entry = Object.values(document.page.ext_gstates)[0];
+      expect(entry.data.ca).toBe(0);
+    });
+
+    test('clamps opacity above 1 to 1', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: 1.5 });
+
+      const entry = Object.values(document.page.ext_gstates)[0];
+      expect(entry.data.ca).toBe(1);
+    });
+
+    test('reuses the same ExtGState for the same opacity value', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: 0.5 });
+      document.image('./tests/images/bee.png', 100, 0, { opacity: 0.5 });
+
+      // both calls share one entry, not two
+      expect(Object.keys(document.page.ext_gstates).length).toBe(1);
+    });
+
+    test('does not add an ExtGState when no opacity is specified', () => {
+      document.image('./tests/images/bee.png', 0, 0);
+
+      expect(Object.keys(document.page.ext_gstates).length).toBe(0);
+    });
+
+    test('links the ExtGState into the page resources', () => {
+      document.image('./tests/images/bee.png', 0, 0, { opacity: 0.5 });
+      document.end();
+
+      const gstates = document.page.ext_gstates;
+      const [name, ref] = Object.entries(gstates)[0];
+      expect(name).toMatch(/^Gs\d+$/);
+      expect(ref.data.ca).toBe(0.5);
+    });
+  });
 });