diff --git a/backend/src/routes/export.ts b/backend/src/routes/export.ts
index 494e74c..ff0e228 100644
--- a/backend/src/routes/export.ts
+++ b/backend/src/routes/export.ts
@@ -233,11 +233,12 @@ export async function exportRoutes(app: FastifyInstance) {
   // ---------------------------------------------------------------------------
   // GET /export - Export all user data
   // ---------------------------------------------------------------------------
-  app.get<{ Querystring: { includeSensitive?: string } }>(
+  app.get<{ Querystring: { includeSensitive?: string; includeImages?: string } }>(
     "/export",
     async (request, reply) => {
       const userId = await getUserId(request, reply);
       const includeSensitive = request.query.includeSensitive === "true";
+      const includeImages = request.query.includeImages !== "false"; // Default to true
 
       // 1. Load all medications
       const meds = await db.select().from(medications).where(eq(medications.userId, userId)).orderBy(medications.id);
@@ -264,7 +265,7 @@ export async function exportRoutes(app: FastifyInstance) {
           expiryDate: med.expiryDate,
           notes: med.notes,
           intakeRemindersEnabled: med.intakeRemindersEnabled ?? false,
-          image: imageToBase64(med.imageUrl),
+          image: includeImages ? imageToBase64(med.imageUrl) : null,
         };
       });
 
diff --git a/frontend/src/App.tsx b/frontend/src/App.tsx
index e7908a0..81c914b 100644
--- a/frontend/src/App.tsx
+++ b/frontend/src/App.tsx
@@ -366,6 +366,7 @@ function AppContent() {
 	// Export/Import state
 	const [exporting, setExporting] = useState(false);
 	const [importing, setImporting] = useState(false);
+	const [exportIncludeImages, setExportIncludeImages] = useState(true);
 	// User dropdown state (for mobile click-based behavior)
 	const [userDropdownOpen, setUserDropdownOpen] = useState(false);
 
@@ -1087,10 +1088,10 @@ function AppContent() {
 	}
 
 	// Export data to JSON file
-	async function handleExport() {
+	async function handleExport(includeImages: boolean = true) {
 		setExporting(true);
 		try {
-			const res = await fetch('/api/export?includeSensitive=true', {
+			const res = await fetch(`/api/export?includeSensitive=true&includeImages=${includeImages}`, {
 				credentials: "include",
 			});
 			if (!res.ok) throw new Error("Export failed");
@@ -2847,20 +2848,32 @@ function AppContent() {
 									<div className="setting-section">
 										<div className="setting-group">
 											{/* Export */}
-											<div className="action-card">
+										<div className="action-card" style={{flexDirection: 'column', alignItems: 'stretch'}}>
+											<div style={{display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: '12px'}}>
 												<div className="action-card-content">
 													<span className="action-card-title">{t('exportImport.exportTitle')}</span>
 													<span className="action-card-desc">{t('exportImport.exportDesc')}</span>
 												</div>
-												<button
-													type="button"
-													className="secondary"
-													onClick={handleExport}
-													disabled={exporting}
-												>
-													{exporting ? t('exportImport.exporting') : t('exportImport.export')}
-												</button>
 											</div>
+											<label className="toggle-label" style={{marginBottom: '12px'}}>
+												<input
+													type="checkbox"
+													checked={exportIncludeImages}
+													onChange={(e) => setExportIncludeImages(e.target.checked)}
+												/>
+												<span>{t('exportImport.includeImages')}</span>
+												<span className="info-tooltip" data-tooltip={t('exportImport.includeImagesHint')}>ⓘ</span>
+											</label>
+											<button
+												type="button"
+												className="secondary"
+												onClick={() => handleExport(exportIncludeImages)}
+												disabled={exporting}
+												style={{alignSelf: 'flex-end'}}
+											>
+												{exporting ? t('exportImport.exporting') : t('exportImport.export')}
+											</button>
+										</div>
 											
 											{/* Import */}
 											<div className="action-card">
diff --git a/frontend/src/i18n/de.json b/frontend/src/i18n/de.json
index 63f6389..1781486 100644
--- a/frontend/src/i18n/de.json
+++ b/frontend/src/i18n/de.json
@@ -372,6 +372,8 @@
     "selectFile": "Datei auswählen",
     "includeSensitive": "Sensible Daten einschließen (Benachrichtigungs-URLs)",
     "sensitiveWarning": "Benachrichtigungs-URLs können Passwörter enthalten und werden im Klartext gespeichert.",
+    "includeImages": "Medikamentenbilder einschließen",
+    "includeImagesHint": "Bilder vergrößern die Datei erheblich. Deaktivieren für kleinere Exports (~50 KB statt mehrere MB).",
     "confirmImport": "Alle Daten ersetzen?",
     "confirmImportMessage": "Dies löscht dauerhaft alle deine aktuellen Medikamente, Einnahmehistorie, Einstellungen und Teilen-Links und ersetzt sie durch die importierten Daten.",
     "confirmImportWarning": "Diese Aktion kann nicht rückgängig gemacht werden!",
diff --git a/frontend/src/i18n/en.json b/frontend/src/i18n/en.json
index 76372af..d72b6a9 100644
--- a/frontend/src/i18n/en.json
+++ b/frontend/src/i18n/en.json
@@ -374,6 +374,8 @@
     "selectFile": "Select File",
     "includeSensitive": "Include sensitive data (notification URLs)",
     "sensitiveWarning": "Notification URLs may contain passwords and will be stored in plain text.",
+    "includeImages": "Include medication images",
+    "includeImagesHint": "Images significantly increase file size. Uncheck for smaller exports (~50 KB instead of several MB).",
     "confirmImport": "Replace All Data?",
     "confirmImportMessage": "This will permanently delete all your current medications, dose history, settings, and share links, then replace them with the imported data.",
     "confirmImportWarning": "This action cannot be undone!",