diff --git a/api_tests/src/image.spec.ts b/api_tests/src/image.spec.ts
index ed96451a2..7ac6e7221 100644
--- a/api_tests/src/image.spec.ts
+++ b/api_tests/src/image.spec.ts
@@ -41,6 +41,9 @@ afterAll(async () => {
 });
 
 test("Upload image and delete it", async () => {
+  const healthz = await fetch(alphaUrl + "/pictrs/healthz");
+  expect(healthz.status).toBe(200);
+
   // Before running this test, you need to delete all previous images in the DB
   await deleteAllImages(alpha);
 
diff --git a/crates/routes/src/images.rs b/crates/routes/src/images.rs
index 307d0ab9f..f535c9147 100644
--- a/crates/routes/src/images.rs
+++ b/crates/routes/src/images.rs
@@ -37,7 +37,8 @@ pub fn config(
     )
     // This has optional query params: /image/{filename}?format=jpg&thumbnail=256
     .service(web::resource("/pictrs/image/{filename}").route(web::get().to(full_res)))
-    .service(web::resource("/pictrs/image/delete/{token}/{filename}").route(web::get().to(delete)));
+    .service(web::resource("/pictrs/image/delete/{token}/{filename}").route(web::get().to(delete)))
+    .service(web::resource("/pictrs/healthz").route(web::get().to(healthz)));
 }
 
 trait ProcessUrl {
@@ -248,6 +249,25 @@ async fn delete(
   Ok(HttpResponse::build(res.status()).body(BodyStream::new(res.bytes_stream())))
 }
 
+async fn healthz(
+  req: HttpRequest,
+  client: web::Data<ClientWithMiddleware>,
+  context: web::Data<LemmyContext>,
+) -> LemmyResult<HttpResponse> {
+  let pictrs_config = context.settings().pictrs_config()?;
+  let url = format!("{}healthz", pictrs_config.url);
+
+  let mut client_req = adapt_request(&req, &client, url);
+
+  if let Some(addr) = req.head().peer_addr {
+    client_req = client_req.header("X-Forwarded-For", addr.to_string());
+  }
+
+  let res = client_req.send().await?;
+
+  Ok(HttpResponse::build(convert_status(res.status())).body(BodyStream::new(res.bytes_stream())))
+}
+
 pub async fn image_proxy(
   Query(params): Query<ImageProxyParams>,
   req: HttpRequest,