diff --git a/packages/integrations/cloudflare/package.json b/packages/integrations/cloudflare/package.json
index 2b4c3e560e14..817dd8f44880 100644
--- a/packages/integrations/cloudflare/package.json
+++ b/packages/integrations/cloudflare/package.json
@@ -23,6 +23,7 @@
     "./entrypoints/middleware.js": "./dist/entrypoints/middleware.js",
     "./image-service": "./dist/entrypoints/image-service.js",
     "./image-endpoint": "./dist/entrypoints/image-endpoint.js",
+    "./image-transform-endpoint": "./dist/entrypoints/image-transform-endpoint.js",
     "./handler": "./dist/utils/handler.js",
     "./package.json": "./package.json"
   },
diff --git a/packages/integrations/cloudflare/src/entrypoints/image-transform-endpoint.ts b/packages/integrations/cloudflare/src/entrypoints/image-transform-endpoint.ts
new file mode 100644
index 000000000000..b8be3e847693
--- /dev/null
+++ b/packages/integrations/cloudflare/src/entrypoints/image-transform-endpoint.ts
@@ -0,0 +1,10 @@
+import type { APIRoute } from 'astro';
+import { transform } from '../utils/image-binding-transform.js';
+
+export const prerender = false;
+
+// @ts-expect-error The Header types between libdom and @cloudflare/workers-types are causing issues
+export const GET: APIRoute = async (ctx) => {
+	// @ts-expect-error The runtime locals types are not populated here
+	return transform(ctx.request.url, ctx.locals.runtime.env.IMAGES, ctx.locals.runtime.env.ASSETS);
+};
diff --git a/packages/integrations/cloudflare/src/index.ts b/packages/integrations/cloudflare/src/index.ts
index 2d706e7b3d41..1bdd49e697b6 100644
--- a/packages/integrations/cloudflare/src/index.ts
+++ b/packages/integrations/cloudflare/src/index.ts
@@ -100,6 +100,23 @@ export type Options = {
 	 */
 	sessionKVBindingName?: string;
 
+	/**
+	 * When configured as `cloudflare-binding`, the Cloudflare Images binding will be used to transform images:
+	 * - https://developers.cloudflare.com/images/transform-images/bindings/
+	 *
+	 * By default, this will use the "IMAGES" binding name, but this can be customised in your `wrangler.json`:
+	 *
+	 * ```json
+	 * {
+	 *   "images": {
+	 *     "binding": "IMAGES" // <-- this should match `imagesBindingName`
+	 *   }
+	 * }
+	 * ```
+	 *
+	 */
+	imagesBindingName?: string;
+
 	/**
 	 * This configuration option allows you to specify a custom entryPoint for your Cloudflare Worker.
 	 * The entry point is the file that will be executed when your Worker is invoked.
@@ -165,6 +182,17 @@ export default function createIntegration(args?: Options): AstroIntegration {
 
 				const isBuild = command === 'build';
 
+				if (isBuild && args?.imageService === 'cloudflare-binding') {
+					const bindingName = args?.imagesBindingName ?? 'IMAGES';
+
+					logger.info(
+						`Enabling image processing with Cloudflare Images for production with the "${bindingName}" Images binding.`,
+					);
+					logger.info(
+						`If you see the error "Invalid binding \`${bindingName}\`" in your build output, you need to add the binding to your wrangler config file.`,
+					);
+				}
+
 				if (!session?.driver) {
 					const sessionDir = isBuild ? undefined : createCodegenDir();
 					const bindingName = args?.sessionKVBindingName ?? 'SESSION';
@@ -365,6 +393,9 @@ export default function createIntegration(args?: Options): AstroIntegration {
 						'globalThis.__ASTRO_SESSION_BINDING_NAME': JSON.stringify(
 							args?.sessionKVBindingName ?? 'SESSION',
 						),
+						'globalThis.__ASTRO_IMAGES_BINDING_NAME': JSON.stringify(
+							args?.imagesBindingName ?? 'IMAGES',
+						),
 						...vite.define,
 					};
 				}
diff --git a/packages/integrations/cloudflare/src/utils/handler.ts b/packages/integrations/cloudflare/src/utils/handler.ts
index 8b54836f84c3..9c6ff9b50026 100644
--- a/packages/integrations/cloudflare/src/utils/handler.ts
+++ b/packages/integrations/cloudflare/src/utils/handler.ts
@@ -32,6 +32,10 @@ declare global {
 	// eslint-disable-next-line no-var
 	var __ASTRO_SESSION_BINDING_NAME: string;
 
+	// This is not a real global, but is injected using Vite define to allow us to specify the Images binding name in the config.
+	// eslint-disable-next-line no-var
+	var __ASTRO_IMAGES_BINDING_NAME: string;
+
 	// Just used to pass the KV binding to unstorage.
 	// eslint-disable-next-line no-var
 	var __env__: Partial<Env>;
diff --git a/packages/integrations/cloudflare/src/utils/image-binding-transform.ts b/packages/integrations/cloudflare/src/utils/image-binding-transform.ts
new file mode 100644
index 000000000000..4ab4bbb71684
--- /dev/null
+++ b/packages/integrations/cloudflare/src/utils/image-binding-transform.ts
@@ -0,0 +1,46 @@
+// @ts-expect-error Not sure how to make this typecheck properly
+import { imageConfig } from 'astro:assets';
+import { isRemotePath } from '@astrojs/internal-helpers/path';
+import { isRemoteAllowed } from '@astrojs/internal-helpers/remote';
+
+import type {
+	Fetcher,
+	ImagesBinding,
+	ImageTransform,
+	ReadableStream,
+} from '@cloudflare/workers-types';
+
+export async function transform(rawUrl: string, images: ImagesBinding, assets: Fetcher) {
+	const url = new URL(rawUrl);
+
+	const href = url.searchParams.get('href');
+
+	if (!href || (isRemotePath(href) && !isRemoteAllowed(href, imageConfig))) {
+		return new Response('Forbidden', { status: 403 });
+	}
+
+	const imageSrc = new URL(href, url.origin);
+	const content = await (isRemotePath(href) ? fetch(imageSrc) : assets.fetch(imageSrc));
+	if (!content.body) {
+		return new Response(null, { status: 404 });
+	}
+	const input = images.input(content.body as ReadableStream);
+
+	const format = url.searchParams.get('f');
+
+	if (!format || !['avif', 'webp', 'jpeg'].includes(format)) {
+		return new Response(`The "${format}" format is not supported`, { status: 400 });
+	}
+
+	return (
+		await input
+			.transform({
+				width: url.searchParams.has('w') ? parseInt(url.searchParams.get('w')!) : undefined,
+				height: url.searchParams.has('h') ? parseInt(url.searchParams.get('h')!) : undefined,
+				// `quality` is documented, but doesn't appear to work in manual testing...
+				// quality: url.searchParams.get('q'),
+				fit: url.searchParams.get('fit') as ImageTransform['fit'],
+			})
+			.output({ format: `image/${format as 'webp' | 'avif' | 'jpeg'}` })
+	).response();
+}
diff --git a/packages/integrations/cloudflare/src/utils/image-config.ts b/packages/integrations/cloudflare/src/utils/image-config.ts
index 967b1b014390..a309f5007f08 100644
--- a/packages/integrations/cloudflare/src/utils/image-config.ts
+++ b/packages/integrations/cloudflare/src/utils/image-config.ts
@@ -1,7 +1,12 @@
 import type { AstroConfig, AstroIntegrationLogger, HookParameters } from 'astro';
 import { passthroughImageService, sharpImageService } from 'astro/config';
 
-export type ImageService = 'passthrough' | 'cloudflare' | 'compile' | 'custom';
+export type ImageService =
+	| 'passthrough'
+	| 'cloudflare'
+	| 'cloudflare-binding'
+	| 'compile'
+	| 'custom';
 
 export function setImageConfig(
 	service: ImageService,
@@ -21,6 +26,17 @@ export function setImageConfig(
 						? sharpImageService()
 						: { entrypoint: '@astrojs/cloudflare/image-service' },
 			};
+		case 'cloudflare-binding':
+			return {
+				...config,
+				service: command === 'dev' ? sharpImageService() : undefined,
+				endpoint:
+					command === 'dev'
+						? undefined
+						: {
+								entrypoint: '@astrojs/cloudflare/image-transform-endpoint',
+							},
+			};
 
 		case 'compile':
 			return {