The 2024 IVSA conference was dedicated to exploring the concept of “visual accountability” or visually mediated practices of regulation and control. Prior to the Covid-19 pandemic, and accelerating through it, we identified a shift in progress whereby digital images took an increasingly central role in constructing, maintaining, and transforming formal and informal processes of adjudicating what counts as true. Discussions centered on what kinds of images are considered valid, allowed, and accepted as true, how they convince and get authorized, and how they become usable.