diff --git a/.changeset/dry-worms-knock.md b/.changeset/dry-worms-knock.md
new file mode 100644
index 0000000000..e8412e3be8
--- /dev/null
+++ b/.changeset/dry-worms-knock.md
@@ -0,0 +1,18 @@
+---
+'astro': major
+---
+
+The `image.endpoint` config now allow customizing the route of the image endpoint in addition to the entrypoint. This can be useful in niche situations where the default route `/_image` conflicts with an existing route or your local server setup.
+
+```js
+import { defineConfig } from "astro/config";
+
+defineConfig({
+  image: {
+    endpoint: {
+      route: "/image",
+      entrypoint: "./src/image_endpoint.ts"
+    }
+  },
+})
+```
diff --git a/packages/astro/src/assets/endpoint/config.ts b/packages/astro/src/assets/endpoint/config.ts
index 382645d6ee..a910df25cc 100644
--- a/packages/astro/src/assets/endpoint/config.ts
+++ b/packages/astro/src/assets/endpoint/config.ts
@@ -1,4 +1,9 @@
+import {
+	removeLeadingForwardSlash,
+	removeTrailingForwardSlash,
+} from '@astrojs/internal-helpers/path';
 import { resolveInjectedRoute } from '../../core/routing/manifest/create.js';
+import { getPattern } from '../../core/routing/manifest/pattern.js';
 import type { AstroSettings, ManifestData } from '../../types/astro.js';
 import type { RouteData } from '../../types/public/internal.js';
 
@@ -28,19 +33,34 @@ function getImageEndpointData(
 	cwd?: string,
 ): RouteData {
 	const endpointEntrypoint =
-		settings.config.image.endpoint ??
-		(mode === 'dev' ? 'astro/assets/endpoint/node' : 'astro/assets/endpoint/generic');
+		settings.config.image.endpoint.entrypoint === undefined // If not set, use default endpoint
+			? mode === 'dev'
+				? 'astro/assets/endpoint/node'
+				: 'astro/assets/endpoint/generic'
+			: settings.config.image.endpoint.entrypoint;
+
+	const segments = [
+		[
+			{
+				content: removeTrailingForwardSlash(
+					removeLeadingForwardSlash(settings.config.image.endpoint.route),
+				),
+				dynamic: false,
+				spread: false,
+			},
+		],
+	];
 
 	return {
 		type: 'endpoint',
 		isIndex: false,
-		route: '/_image',
-		pattern: /^\/_image$/,
-		segments: [[{ content: '_image', dynamic: false, spread: false }]],
+		route: settings.config.image.endpoint.route,
+		pattern: getPattern(segments, settings.config.base, settings.config.trailingSlash),
+		segments,
 		params: [],
 		component: resolveInjectedRoute(endpointEntrypoint, settings.config.root, cwd).component,
 		generate: () => '',
-		pathname: '/_image',
+		pathname: settings.config.image.endpoint.route,
 		prerender: false,
 		fallbackRoutes: [],
 	};
diff --git a/packages/astro/src/assets/services/service.ts b/packages/astro/src/assets/services/service.ts
index f798e1dfd1..e22bada898 100644
--- a/packages/astro/src/assets/services/service.ts
+++ b/packages/astro/src/assets/services/service.ts
@@ -33,7 +33,7 @@ interface SharedServiceProps<T extends Record<string, any> = Record<string, any>
 	/**
 	 * Return the URL to the endpoint or URL your images are generated from.
 	 *
-	 * For a local service, your service should expose an endpoint handling the image requests, or use Astro's at `/_image`.
+	 * For a local service, your service should expose an endpoint handling the image requests, or use Astro's which by default, is located at `/_image`.
 	 *
 	 * For external services, this should point to the URL your images are coming from, for instance, `/_vercel/image`
 	 *
@@ -343,7 +343,7 @@ export const baseService: Omit<LocalImageService, 'transform'> = {
 			options[key] && searchParams.append(param, options[key].toString());
 		});
 
-		const imageEndpoint = joinPaths(import.meta.env.BASE_URL, '/_image');
+		const imageEndpoint = joinPaths(import.meta.env.BASE_URL, imageConfig.endpoint.route);
 		return `${imageEndpoint}?${searchParams}`;
 	},
 	parseURL(url) {
diff --git a/packages/astro/src/assets/vite-plugin-assets.ts b/packages/astro/src/assets/vite-plugin-assets.ts
index 5c40d98b4f..7c60a34a2d 100644
--- a/packages/astro/src/assets/vite-plugin-assets.ts
+++ b/packages/astro/src/assets/vite-plugin-assets.ts
@@ -101,7 +101,7 @@ export default function assets({
 	};
 
 	return [
-		// Expose the components and different utilities from `astro:assets` and handle serving images from `/_image` in dev
+		// Expose the components and different utilities from `astro:assets`
 		{
 			name: 'astro:assets',
 			async resolveId(id) {
diff --git a/packages/astro/src/core/build/generate.ts b/packages/astro/src/core/build/generate.ts
index d59e9966e9..9eaf4ff1d6 100644
--- a/packages/astro/src/core/build/generate.ts
+++ b/packages/astro/src/core/build/generate.ts
@@ -412,7 +412,6 @@ async function generatePath(
 	);
 
 	const request = createRequest({
-		base: config.base,
 		url,
 		headers: new Headers(),
 		logger,
diff --git a/packages/astro/src/core/config/schema.ts b/packages/astro/src/core/config/schema.ts
index 60427a19e8..924c10f8fa 100644
--- a/packages/astro/src/core/config/schema.ts
+++ b/packages/astro/src/core/config/schema.ts
@@ -65,6 +65,7 @@ export const ASTRO_CONFIG_DEFAULTS = {
 		inlineStylesheets: 'auto',
 	},
 	image: {
+		endpoint: { entrypoint: undefined, route: '/_image' },
 		service: { entrypoint: 'astro/assets/services/sharp', config: {} },
 	},
 	devToolbar: {
@@ -240,7 +241,15 @@ export const AstroConfigSchema = z.object({
 		.optional(),
 	image: z
 		.object({
-			endpoint: z.string().optional(),
+			endpoint: z
+				.object({
+					route: z
+						.literal('/_image')
+						.or(z.string())
+						.default(ASTRO_CONFIG_DEFAULTS.image.endpoint.route),
+					entrypoint: z.string().optional(),
+				})
+				.default(ASTRO_CONFIG_DEFAULTS.image.endpoint),
 			service: z
 				.object({
 					entrypoint: z
diff --git a/packages/astro/src/core/request.ts b/packages/astro/src/core/request.ts
index 78d2979b5f..3ace80ba8f 100644
--- a/packages/astro/src/core/request.ts
+++ b/packages/astro/src/core/request.ts
@@ -5,7 +5,6 @@ type HeaderType = Headers | Record<string, any> | IncomingHttpHeaders;
 type RequestBody = ArrayBuffer | Blob | ReadableStream | URLSearchParams | FormData;
 
 export interface CreateRequestOptions {
-	base: string;
 	url: URL | string;
 	clientAddress?: string | undefined;
 	headers: HeaderType;
diff --git a/packages/astro/src/types/public/config.ts b/packages/astro/src/types/public/config.ts
index 365b3a75d6..7a712eb5c1 100644
--- a/packages/astro/src/types/public/config.ts
+++ b/packages/astro/src/types/public/config.ts
@@ -904,24 +904,28 @@ export interface AstroUserConfig {
 		/**
 		 * @docs
 		 * @name image.endpoint
-		 * @type {string}
-		 * @default `undefined`
+		 * @type {{route: string, entrypoint: undefined | string}}
+		 * @default `{route: '/_image', entrypoint: undefined}`
 		 * @version 3.1.0
 		 * @description
-		 * Set the endpoint to use for image optimization in dev and SSR. Set to `undefined` to use the default endpoint.
-		 *
-		 * The endpoint will always be injected at `/_image`.
+		 * Set the endpoint to use for image optimization in dev and SSR. The `entrypoint` property can be set to `undefined` to use the default image endpoint.
 		 *
 		 * ```js
 		 * {
 		 *   image: {
-		 *     // Example: Use a custom image endpoint
-		 *     endpoint: './src/image-endpoint.ts',
+		 *     // Example: Use a custom image endpoint at `/custom_endpoint`
+		 *     endpoint: {
+		 * 		 	route: '/custom_endpoint',
+		 * 		 	entrypoint: 'src/my_endpoint.ts',
+		 * 		},
 		 *   },
 		 * }
 		 * ```
 		 */
-		endpoint?: string;
+		endpoint?: {
+			route: '/_image' | (string & {});
+			entrypoint: undefined | string;
+		};
 
 		/**
 		 * @docs
diff --git a/packages/astro/src/vite-plugin-astro-server/route.ts b/packages/astro/src/vite-plugin-astro-server/route.ts
index 2bf5a31e49..8df09b8984 100644
--- a/packages/astro/src/vite-plugin-astro-server/route.ts
+++ b/packages/astro/src/vite-plugin-astro-server/route.ts
@@ -166,9 +166,9 @@ export async function handleRoute({
 	const filePath: URL | undefined = matchedRoute.filePath;
 	const { preloadedComponent } = matchedRoute;
 	route = matchedRoute.route;
+
 	// Allows adapters to pass in locals in dev mode.
 	request = createRequest({
-		base: config.base,
 		url,
 		headers: incomingRequest.headers,
 		method: incomingRequest.method,
diff --git a/packages/astro/test/core-image.test.js b/packages/astro/test/core-image.test.js
index 303bcc7f0d..c3490a5034 100644
--- a/packages/astro/test/core-image.test.js
+++ b/packages/astro/test/core-image.test.js
@@ -646,7 +646,7 @@ describe('astro:image', () => {
 				customEndpointFixture = await loadFixture({
 					root: './fixtures/core-image/',
 					image: {
-						endpoint: './src/custom-endpoint.ts',
+						endpoint: { entrypoint: './src/custom-endpoint.ts' },
 						service: testImageService({ foo: 'bar' }),
 						domains: ['avatars.githubusercontent.com'],
 					},
@@ -1133,7 +1133,7 @@ describe('astro:image', () => {
 				outDir: './dist/server-prod',
 				adapter: testAdapter(),
 				image: {
-					endpoint: 'astro/assets/endpoint/node',
+					endpoint: { entrypoint: 'astro/assets/endpoint/node' },
 					service: testImageService(),
 				},
 			});