diff --git a/crates/typst-layout/src/rules.rs b/crates/typst-layout/src/rules.rs
index 829a402d3..915751d9f 100644
--- a/crates/typst-layout/src/rules.rs
+++ b/crates/typst-layout/src/rules.rs
@@ -222,9 +222,10 @@ const LINK_MARKER_RULE: ShowFn<LinkMarker> = |elem, _, _| Ok(elem.body.clone());
 const LINK_RULE: ShowFn<LinkElem> = |elem, engine, styles| {
     let body = elem.body.clone();
     let dest = elem.dest.resolve(engine.introspector).at(elem.span())?;
-    let url = || dest.as_url().map(|url| url.clone().into_inner());
-    // TODO(accessibility): remove custom alt field and generate alt text
-    let alt = elem.alt.get_cloned(styles).or_else(url);
+    let alt = match elem.alt.get_cloned(styles) {
+        Some(alt) => Some(alt),
+        None => dest.alt_text(engine, styles)?,
+    };
     Ok(body.linked(dest, alt))
 };
 
diff --git a/crates/typst-library/src/model/bibliography.rs b/crates/typst-library/src/model/bibliography.rs
index 4cc252f5b..529f1db40 100644
--- a/crates/typst-library/src/model/bibliography.rs
+++ b/crates/typst-library/src/model/bibliography.rs
@@ -795,8 +795,8 @@ impl<'a> Generator<'a> {
                         renderer.display_elem_child(elem, &mut None, false)?;
                     if let Some(location) = first_occurrences.get(item.key.as_str()) {
                         let dest = Destination::Location(*location);
-                        // TODO(accessibility): generate alt text
-                        content = content.linked(dest, None);
+                        let alt = content.plain_text();
+                        content = content.linked(dest, Some(alt));
                     }
                     StrResult::Ok(content)
                 })
@@ -931,8 +931,8 @@ impl ElemRenderer<'_> {
         if let Some(hayagriva::ElemMeta::Entry(i)) = elem.meta {
             if let Some(location) = (self.link)(i) {
                 let dest = Destination::Location(location);
-                // TODO(accessibility): generate alt text
-                content = content.linked(dest, None);
+                let alt = content.plain_text();
+                content = content.linked(dest, Some(alt));
             }
         }
 
diff --git a/crates/typst-library/src/model/link.rs b/crates/typst-library/src/model/link.rs
index fe92ebd19..5d40a306e 100644
--- a/crates/typst-library/src/model/link.rs
+++ b/crates/typst-library/src/model/link.rs
@@ -1,15 +1,18 @@
 use std::ops::Deref;
+use std::str::FromStr;
 
 use comemo::Tracked;
 use ecow::{eco_format, EcoString};
 
-use crate::diag::{bail, StrResult};
+use crate::diag::{bail, SourceResult, StrResult};
+use crate::engine::Engine;
 use crate::foundations::{
     cast, elem, Content, Label, Packed, Repr, ShowSet, Smart, StyleChain, Styles,
 };
-use crate::introspection::{Introspector, Locatable, Location};
-use crate::layout::Position;
-use crate::text::TextElem;
+use crate::introspection::{Counter, CounterKey, Introspector, Locatable, Location};
+use crate::layout::{PageElem, Position};
+use crate::model::NumberingPattern;
+use crate::text::{LocalName, TextElem};
 
 /// Links to a URL or a location in the document.
 ///
@@ -216,12 +219,26 @@ pub enum Destination {
 }
 
 impl Destination {
-    pub fn as_url(&self) -> Option<&Url> {
-        if let Self::Url(v) = self {
-            Some(v)
-        } else {
-            None
-        }
+    pub fn alt_text(
+        &self,
+        engine: &mut Engine,
+        styles: StyleChain,
+    ) -> SourceResult<Option<EcoString>> {
+        let alt = match self {
+            Destination::Url(url) => Some(url.clone().into_inner()),
+            Destination::Position(_) => None,
+            &Destination::Location(loc) => {
+                let numbering = loc
+                    .page_numbering(engine)
+                    .unwrap_or_else(|| NumberingPattern::from_str("1").unwrap().into());
+                let content = Counter::new(CounterKey::Page)
+                    .display_at_loc(engine, loc, styles, &numbering)?;
+                let page_nr = content.plain_text();
+                let page_str = PageElem::local_name_in(styles);
+                Some(eco_format!("{page_str} {page_nr}"))
+            }
+        };
+        Ok(alt)
     }
 }