diff --git a/src/runtime/image.ts b/src/runtime/image.ts
index a49cfb860..c3de92a27 100644
--- a/src/runtime/image.ts
+++ b/src/runtime/image.ts
@@ -1,6 +1,17 @@
 import { defu } from 'defu'
 import { hasProtocol, parseURL, joinURL, withLeadingSlash } from 'ufo'
-import type { ImageOptions, ImageSizesOptions, CreateImageOptions, ResolvedImage, ImageCTX, $Img, ImageSizes, ImageSizesVariant } from '../types/image'
+import type {
+  ImageOptions,
+  ImageSizesOptions,
+  CreateImageOptions,
+  ResolvedImage,
+  ImageCTX,
+  $Img,
+  ImageSizes,
+  ImageSizesVariant,
+  WidthAndHeightFromSize,
+  HandleVariantHeightOptions
+} from '../types/image'
 import { imageMeta } from './utils/meta'
 import { checkDensities, parseDensities, parseSize, parseSizes } from './utils'
 import { prerenderStaticImages } from './utils/prerender'
@@ -201,39 +212,86 @@ function getSizes (ctx: ImageCTX, input: string, opts: ImageSizesOptions): Image
   }
 }
 
-function getSizesVariant (key: string, size: string, height: number | undefined, hwRatio: number, ctx: ImageCTX): ImageSizesVariant | undefined {
-  const screenMaxWidth = (ctx.options.screens && ctx.options.screens[key]) || parseInt(key)
-  const isFluid = size.endsWith('vw')
-  if (!isFluid && /^\d+$/.test(size)) {
-    size = size + 'px'
+function getWidthAndHeightFromSize (size: string): WidthAndHeightFromSize {
+  if (size.includes('/')) {
+    const [widthFromSize, heightFromSize] = size.split('/')
+    return { widthFromSize, heightFromSize }
   }
-  if (!isFluid && !size.endsWith('px')) {
+  return { widthFromSize: size, heightFromSize: null }
+}
+
+function handleVariantHeight ({
+  heightFromSize,
+  hwRatio,
+  _cWidth,
+  height
+}: HandleVariantHeightOptions): number | undefined {
+  if (heightFromSize) {
+    return parseInt(heightFromSize)
+  }
+  if (hwRatio) {
+    return Math.round(_cWidth * hwRatio)
+  }
+  return height
+}
+
+function getSizesVariant (
+  key: string,
+  size: string,
+  height: number | undefined,
+  hwRatio: number,
+  ctx: ImageCTX
+): ImageSizesVariant | undefined {
+  const screenMaxWidth =
+    (ctx.options.screens && ctx.options.screens[key]) || parseInt(key)
+
+  // eslint-disable-next-line prefer-const
+  let { widthFromSize, heightFromSize } = getWidthAndHeightFromSize(size)
+  const isFluid = widthFromSize.endsWith('vw')
+  if (!isFluid && /^\d+$/.test(widthFromSize)) {
+    widthFromSize = widthFromSize + 'px'
+  }
+  if (!isFluid && !widthFromSize.endsWith('px')) {
     return undefined
   }
-  let _cWidth = parseInt(size)
+  let _cWidth = parseInt(widthFromSize)
   if (!screenMaxWidth || !_cWidth) {
     return undefined
   }
   if (isFluid) {
     _cWidth = Math.round((_cWidth / 100) * screenMaxWidth)
   }
-  const _cHeight = hwRatio ? Math.round(_cWidth * hwRatio) : height
+
+  const _cHeight = handleVariantHeight({
+    heightFromSize,
+    hwRatio,
+    _cWidth,
+    height
+  })
   return {
-    size,
+    size: widthFromSize,
     screenMaxWidth,
     _cWidth,
     _cHeight
   }
 }
 
-function getVariantSrc (ctx: ImageCTX, input: string, opts: ImageSizesOptions, variant: ImageSizesVariant, density: number) {
-  return ctx.$img!(input,
+function getVariantSrc (
+  ctx: ImageCTX,
+  input: string,
+  opts: ImageSizesOptions,
+  variant: ImageSizesVariant,
+  density: number
+) {
+  return ctx.$img!(
+    input,
     {
       ...opts.modifiers,
       width: variant._cWidth ? variant._cWidth * density : undefined,
       height: variant._cHeight ? variant._cHeight * density : undefined
     },
-    opts)
+    opts
+  )
 }
 
 function finaliseSizeVariants (sizeVariants: any[]) {
diff --git a/src/runtime/utils/index.ts b/src/runtime/utils/index.ts
index 3f4532fac..afbd2a1a0 100644
--- a/src/runtime/utils/index.ts
+++ b/src/runtime/utils/index.ts
@@ -108,24 +108,33 @@ export function parseDensities (input: string | undefined = ''): number[] {
 
 export function checkDensities (densities: number[]) {
   if (densities.length === 0) {
-    throw new Error('`densities` must not be empty, configure to `1` to render regular size only (DPR 1.0)')
+    throw new Error(
+      '`densities` must not be empty, configure to `1` to render regular size only (DPR 1.0)'
+    )
   }
   if (process.dev && Array.from(densities).some(d => d > 2)) {
     // eslint-disable-next-line no-console
-    console.warn('[nuxt] [image] Density values above `2` are not recommended. See https://observablehq.com/@eeeps/visual-acuity-and-device-pixel-ratio.')
+    console.warn(
+      '[nuxt] [image] Density values above `2` are not recommended. See https://observablehq.com/@eeeps/visual-acuity-and-device-pixel-ratio.'
+    )
   }
 }
 
-export function parseSizes (input: Record<string, string | number> | string): Record<string, string> {
+export function parseSizes (
+  input: Record<string, string | number> | string
+): Record<string, string> {
   const sizes: Record<string, string> = {}
   // string => object
   if (typeof input === 'string') {
     for (const entry of input.split(/[\s,]+/).filter(e => e)) {
-      const s = entry.split(':')
-      if (s.length !== 2) {
-        sizes['1px'] = s[0].trim()
+      const sizeParts = entry.split(':')
+      if (sizeParts.length !== 2) {
+        const [size] = sizeParts
+        const DEFAULT_BREAKPOINT = '1px'
+        sizes[DEFAULT_BREAKPOINT] = size.trim()
       } else {
-        sizes[s[0].trim()] = s[1].trim()
+        const [breakpoint, size] = sizeParts
+        sizes[breakpoint.trim()] = size.trim()
       }
     }
   } else {
diff --git a/src/types/image.ts b/src/types/image.ts
index fd8ed6805..2e493c61d 100644
--- a/src/types/image.ts
+++ b/src/types/image.ts
@@ -116,3 +116,15 @@ export interface ImageSizesVariant {
   _cWidth: number
   _cHeight?: number | undefined
 }
+
+export type WidthAndHeightFromSize = {
+  widthFromSize: string;
+  heightFromSize: string | null;
+};
+
+export type HandleVariantHeightOptions = {
+  heightFromSize:WidthAndHeightFromSize['heightFromSize'];
+  hwRatio:number;
+  _cWidth:number;
+  height?:number;
+}
diff --git a/test/unit/image.test.ts b/test/unit/image.test.ts
index d7036e122..0658ca16a 100644
--- a/test/unit/image.test.ts
+++ b/test/unit/image.test.ts
@@ -156,6 +156,15 @@ describe('Renders simple image', () => {
     const domNonce = img.element.getAttribute('nonce')
     expect(domNonce).toBe('stub-nonce')
   })
+
+  it('works with responsive height', () => {
+    const img = mountImage({
+      src: '/image.png',
+      sizes: '100px/20px sm:100px/10px md:10px lg:200px/50px',
+      densities: 'x1 x2'
+    })
+    expect(img.html()).toMatchInlineSnapshot('"<img src="/_ipx/s_400x100/image.png" data-nuxt-img="" sizes="(max-width: 640px) 100px, (max-width: 768px) 100px, (max-width: 1024px) 10px, 200px" srcset="/_ipx/w_10/image.png 10w, /_ipx/w_20/image.png 20w, /_ipx/s_100x10/image.png 100w, /_ipx/s_200x50/image.png 200w, /_ipx/s_400x100/image.png 400w">"')
+  })
 })
 
 const getImageLoad = (cb = () => {}) => {