diff --git a/src/mcp/server/mcpserver/exceptions.py b/src/mcp/server/mcpserver/exceptions.py
index 8095c451d..3fdc16a17 100644
--- a/src/mcp/server/mcpserver/exceptions.py
+++ b/src/mcp/server/mcpserver/exceptions.py
@@ -1,5 +1,7 @@
 """Custom exceptions for MCPServer."""
 
+from typing import Any
+
 
 class MCPServerError(Exception):
     """Base error for MCPServer."""
@@ -23,7 +25,22 @@ class ResourceNotFoundError(ResourceError):
 
 
 class ToolError(MCPServerError):
-    """Error in tool operations."""
+    """Error in tool operations.
+
+    Raise this from a tool function to return a ``CallToolResult`` with
+    ``is_error=True``. By default the error message becomes the result's text
+    content. Pass ``content`` to attach arbitrary result content - for example an
+    image or embedded resource - to the error result instead of the message text.
+    """
+
+    def __init__(self, message: str = "", *, content: list[Any] | None = None) -> None:
+        # `content` carries `mcp.types.ContentBlock` items. It is typed as
+        # `list[Any]` rather than `list[ContentBlock]` because this module is
+        # imported during `mcp` package initialization, before `mcp.types` is
+        # importable - referencing that type here would create a circular import.
+        # `_handle_call_tool` places the items straight into `CallToolResult.content`.
+        super().__init__(message)
+        self.content = content
 
 
 class InvalidSignature(Exception):
diff --git a/src/mcp/server/mcpserver/server.py b/src/mcp/server/mcpserver/server.py
index 2064bd60c..22c837ec4 100644
--- a/src/mcp/server/mcpserver/server.py
+++ b/src/mcp/server/mcpserver/server.py
@@ -30,7 +30,7 @@
 from mcp.server.lowlevel.server import LifespanResultT, Server
 from mcp.server.lowlevel.server import lifespan as default_lifespan
 from mcp.server.mcpserver.context import Context
-from mcp.server.mcpserver.exceptions import ResourceError, ResourceNotFoundError
+from mcp.server.mcpserver.exceptions import ResourceError, ResourceNotFoundError, ToolError
 from mcp.server.mcpserver.prompts import Prompt, PromptManager
 from mcp.server.mcpserver.resources import FunctionResource, Resource, ResourceManager
 from mcp.server.mcpserver.tools import Tool, ToolManager
@@ -312,7 +312,12 @@ async def _handle_call_tool(
             return await self.call_tool(params.name, params.arguments or {}, context)
         except MCPError:
             raise
-        except Exception as e:
+        except ToolError as e:
+            # Tool execution failures surface as `ToolError` (the tool layer wraps
+            # any non-`MCPError` exception). Use the content the tool attached, if
+            # any, otherwise fall back to the error message as text.
+            if e.content is not None:
+                return CallToolResult(content=e.content, is_error=True)
             return CallToolResult(content=[TextContent(type="text", text=str(e))], is_error=True)
 
     async def _handle_list_resources(
diff --git a/src/mcp/server/mcpserver/tools/base.py b/src/mcp/server/mcpserver/tools/base.py
index 29894d7d1..9b9a477e4 100644
--- a/src/mcp/server/mcpserver/tools/base.py
+++ b/src/mcp/server/mcpserver/tools/base.py
@@ -118,5 +118,10 @@ async def run(
             # it as a top-level JSON-RPC error rather than wrapping it as a
             # `CallToolResult(isError=True)` execution failure.
             raise
+        except ToolError as e:
+            # The tool deliberately signalled an error. Preserve any content it
+            # attached (e.g. an image) so it survives to the `CallToolResult`,
+            # while keeping the execution-failure prefix on the message.
+            raise ToolError(f"Error executing tool {self.name}: {e}", content=e.content) from e
         except Exception as e:
             raise ToolError(f"Error executing tool {self.name}: {e}") from e
diff --git a/tests/server/mcpserver/tools/test_base.py b/tests/server/mcpserver/tools/test_base.py
index 5e20f61ad..b343d536c 100644
--- a/tests/server/mcpserver/tools/test_base.py
+++ b/tests/server/mcpserver/tools/test_base.py
@@ -2,6 +2,7 @@
 
 from mcp import Client, types
 from mcp.server.mcpserver import Context, MCPServer
+from mcp.server.mcpserver.exceptions import ToolError
 from mcp.server.mcpserver.tools.base import Tool
 from mcp.shared.exceptions import MCPError
 
@@ -54,3 +55,30 @@ async def boom() -> str:
 
     assert isinstance(result, types.CallToolResult)
     assert result.is_error is True
+
+
+@pytest.mark.anyio
+async def test_tool_error_with_content_attaches_that_content_to_the_is_error_result():
+    """SDK-defined: a tool can raise ``ToolError(content=...)`` to return a
+    ``CallToolResult(isError=True)`` carrying arbitrary content - e.g. an image -
+    rather than only the error message as text. The content survives the wrap the
+    tool layer applies to exceptions."""
+    mcp = MCPServer(name="srv")
+
+    @mcp.tool()
+    async def render() -> str:
+        raise ToolError(
+            "rendering failed",
+            content=[types.ImageContent(type="image", data="aGVsbG8=", mime_type="image/png")],
+        )
+
+    async with Client(mcp) as client:
+        result = await client.call_tool("render", {})
+
+    assert isinstance(result, types.CallToolResult)
+    assert result.is_error is True
+    assert len(result.content) == 1
+    block = result.content[0]
+    assert isinstance(block, types.ImageContent)
+    assert block.data == "aGVsbG8="
+    assert block.mime_type == "image/png"