diff --git a/packages/markitdown/src/markitdown/converters/_pptx_converter.py b/packages/markitdown/src/markitdown/converters/_pptx_converter.py
index 087da32..a41be7a 100644
--- a/packages/markitdown/src/markitdown/converters/_pptx_converter.py
+++ b/packages/markitdown/src/markitdown/converters/_pptx_converter.py
@@ -4,6 +4,7 @@ import os
 import io
 import re
 import html
+import uuid
 
 from typing import BinaryIO, Any
 from operator import attrgetter
@@ -139,17 +140,61 @@ class PptxConverter(DocumentConverter):
                     alt_text = "\n".join([llm_description, alt_text]) or shape.name
                     alt_text = re.sub(r"[\r\n\[\]]", " ", alt_text)
                     alt_text = re.sub(r"\s+", " ", alt_text).strip()
+                    
+                    uploader = kwargs.get("upload_handler")
+                    keep_data_uris = kwargs.get("keep_data_uris", False)
 
-                    # If keep_data_uris is True, use base64 encoding for images
-                    if kwargs.get("keep_data_uris", False):
+                    try:
                         blob = shape.image.blob
-                        content_type = shape.image.content_type or "image/png"
-                        b64_string = base64.b64encode(blob).decode("utf-8")
-                        md_content += f"\n![{alt_text}](data:{content_type};base64,{b64_string})\n"
-                    else:
-                        # A placeholder name
-                        filename = re.sub(r"\W", "", shape.name) + ".jpg"
-                        md_content += "\n![" + alt_text + "](" + filename + ")\n"
+                        original_ext = os.path.splitext(shape.image.filename)[1] if shape.image.filename else ".jpg"
+                        unique_filename = f"{uuid.uuid4().hex}{original_ext}"
+                        
+                        # Use uploader if available
+                        if uploader:
+                            meta = {
+                                "filename": unique_filename,
+                                "content_type": shape.image.content_type or "image/png",
+                            }
+                            image_url = uploader(blob, meta)
+                            
+                            # Verify if a valid URL was returned
+                            if image_url and isinstance(image_url, str) and image_url.strip():
+                                md_content += f"\n![{alt_text}]({image_url})\n"
+                            else:
+                                print(f"Warning: Upload handler returned invalid URL for {unique_filename}")
+                                # Fallback if uploader fails
+                                if keep_data_uris:
+                                    content_type = shape.image.content_type or "image/png"
+                                    b64_string = base64.b64encode(blob).decode("utf-8")
+                                    md_content += f"\n![{alt_text}](data:{content_type};base64,{b64_string})\n"
+                                else:
+                                    filename = re.sub(r"\W", "", shape.name) + ".jpg"
+                                    md_content += "\n![" + alt_text + "](" + filename + ")\n"
+                        # No uploader but data URI retention is enabled
+                        elif keep_data_uris:
+                            content_type = shape.image.content_type or "image/png"
+                            b64_string = base64.b64encode(blob).decode("utf-8")
+                            md_content += f"\n![{alt_text}](data:{content_type};base64,{b64_string})\n"
+                        # Default case: use filename only
+                        else:
+                            filename = re.sub(r"\W", "", shape.name) + ".jpg"
+                            md_content += "\n![" + alt_text + "](" + filename + ")\n"
+                            
+                    except Exception as e:
+                        print(f"Error processing image: {str(e)}")
+                        # Default handling on error
+                        if keep_data_uris:
+                            try:
+                                blob = shape.image.blob
+                                content_type = shape.image.content_type or "image/png"
+                                b64_string = base64.b64encode(blob).decode("utf-8")
+                                md_content += f"\n![{alt_text}](data:{content_type};base64,{b64_string})\n"
+                            except:
+                                filename = re.sub(r"\W", "", shape.name) + ".jpg"
+                                md_content += "\n![" + alt_text + "](" + filename + ")\n"
+                        else:
+                            filename = re.sub(r"\W", "", shape.name) + ".jpg"
+                            md_content += "\n![" + alt_text + "](" + filename + ")\n"
 
                 # Tables
                 if self._is_table(shape):
diff --git a/packages/markitdown/tests/test_upload_handler.py b/packages/markitdown/tests/test_upload_handler.py
new file mode 100644
index 0000000..0bab572
--- /dev/null
+++ b/packages/markitdown/tests/test_upload_handler.py
@@ -0,0 +1,201 @@
+import os
+import pytest
+from markitdown import MarkItDown, StreamInfo
+import re
+
+
+
+
+TEST_FILES_DIR = os.path.join(os.path.dirname(__file__), "test_files")
+
+@pytest.mark.parametrize("filename", ["test.pptx"])
+def test_convert_with_upload_handler_url_format(filename):
+    """Tests if the URL returned by the upload_handler is  included in the converted markdown in the correct format when converting a PPTX file."""
+    markitdown = MarkItDown()
+    
+    file_path = os.path.join(TEST_FILES_DIR, filename)
+    
+
+    def validation_upload_handler(image_blob, meta):
+        assert "filename" in meta
+        assert re.match(r"[a-f0-9]{32}\.[a-zA-Z]+", meta["filename"]) # Check if filename is in UUID format
+        return f"http://test.com/{meta['filename']}"
+    
+    with open(file_path, "rb") as stream:
+        result = markitdown.convert(
+            stream,
+            stream_info=StreamInfo(
+                extension=".pptx", 
+                mimetype="application/vnd.openxmlformats-officedocument.presentationml.presentation",
+            ),
+            upload_handler=validation_upload_handler
+        )
+    
+    # Verify that the URL is included in the returned markdown
+    assert "http://test.com/" in result.markdown
+    # Verify that the image markdown format is correct
+    assert re.search(r"!\[.*\]\(http://test\.com/[a-f0-9]{32}\.[a-zA-Z]+\)", result.markdown)
+
+def test_metadata_completeness():
+    """Verifies that all required fields are included in the metadata."""
+    metadata_fields = set()
+    
+    def metadata_collector(image_blob, meta):
+        nonlocal metadata_fields
+        metadata_fields.update(meta.keys())
+        return "http://test.com"
+    
+    with open(os.path.join(TEST_FILES_DIR, "test.pptx"), "rb") as stream:
+        result = MarkItDown().convert(
+            stream,
+            upload_handler=metadata_collector
+        )
+        
+    assert "filename" in metadata_fields
+    assert "content_type" in metadata_fields
+
+
+
+def test_image_content_verification():
+    """
+    Verifies that the image blob passed to the upload handler matches the original.
+    """
+    markitdown = MarkItDown()
+    file_path = os.path.join(TEST_FILES_DIR, "test.pptx")
+    
+    # Upload handler that verifies the size of the image blob
+    def size_verification_handler(image_blob, meta):
+        # Verify that the image blob contains actual data
+        assert len(image_blob) > 0
+        # Verify that the image blob is in a proper image format
+        # Note: PNG signature is 8 bytes, so slice modification
+        jpeg_sig = b'\xFF\xD8\xFF\xE0'  # JPEG
+        png_sig = b'\x89PNG'            # PNG (first 4 bytes only)
+        gif_sig = b'GIF8'               # GIF
+        
+        # Check image signature (first 4 bytes only)
+        img_start = image_blob[:4]
+        valid_sig = False
+        if img_start.startswith(jpeg_sig[:2]) or img_start.startswith(png_sig[:2]) or img_start.startswith(gif_sig[:2]):
+            valid_sig = True
+            
+        assert valid_sig, f"Invalid image signature: {img_start}"
+        return "http://test.com/verified.jpg"
+    
+    with open(file_path, "rb") as stream:        result = markitdown.convert(
+            stream,
+            upload_handler=size_verification_handler
+        )
+    
+    assert "http://test.com/verified.jpg" in result.markdown
+
+def test_concurrent_document_conversion():
+    """
+    Verifies that the upload_handler works correctly when multiple documents are converted simultaneously.
+    """
+    import threading
+    from concurrent.futures import ThreadPoolExecutor
+    
+    results = []
+    exceptions = []
+    
+    def convert_document(filename):
+        try:
+            markitdown = MarkItDown()
+            file_path = os.path.join(TEST_FILES_DIR, filename)
+            
+            thread_id = threading.get_ident()
+            def thread_specific_handler(image_blob, meta):
+                return f"http://test.com/thread{thread_id}/{meta['filename']}"
+            
+            with open(file_path, "rb") as stream:
+                result = markitdown.convert(
+                    stream,
+                    upload_handler=thread_specific_handler
+                )
+            results.append((filename, result.markdown))
+            
+        except Exception as e:
+            exceptions.append((filename, str(e)))
+    
+    # Convert the same file in multiple threads simultaneously
+    with ThreadPoolExecutor(max_workers=3) as executor:
+        for _ in range(3):
+            executor.submit(convert_document, "test.pptx")
+    
+    # Verify that all conversions were successful
+    assert len(exceptions) == 0, f"Exceptions occurred during conversion: {exceptions}"
+    assert len(results) == 3, "Expected 3 results, but got a different number"
+    
+    # Verify that each result contains a unique thread-specific URL
+    for filename, markdown in results:
+        assert "http://test.com/thread" in markdown
+        
+        
+@pytest.mark.parametrize("filename", ["test.pptx"])
+def test_upload_handler_exception_fallback(filename):
+    """
+    Tests that the conversion process continues and fallback handling is applied
+    when an exception occurs in the upload handler.
+    """
+    markitdown = MarkItDown()
+    file_path = os.path.join(TEST_FILES_DIR, filename)
+    
+    # Upload handler that raises an exception
+    def failing_upload_handler(image_blob, meta):
+        raise Exception("Intentional test exception")
+    
+    # Conversion should continue even if an exception occurs
+    with open(file_path, "rb") as stream:
+        result = markitdown.convert(
+            stream,
+            upload_handler=failing_upload_handler
+        )
+    
+    # Markdown should be generated
+    assert result.markdown is not None
+    assert len(result.markdown) > 0
+    
+    # Default handling (filename) should be applied due to exception handling
+    assert ".jpg" in result.markdown
+
+@pytest.mark.parametrize("filename", ["test.pptx"])
+def test_upload_handler_invalid_return_values(filename):
+    """
+    Tests that various types of invalid return values from the upload handler
+    are handled appropriately.
+    """
+    markitdown = MarkItDown()
+    file_path = os.path.join(TEST_FILES_DIR, filename)
+    
+    invalid_return_values = [
+        None,           # Return None
+        "",             # Empty string
+        "   ",          # String with only whitespace
+        123,            # Number (not a string)
+        [],             # Empty list
+        {},             # Empty dictionary
+        False           # Boolean value
+    ]
+    
+    for invalid_value in invalid_return_values:
+        # Handler that returns an invalid value
+        def invalid_return_handler(image_blob, meta):
+            return invalid_value
+        
+        with open(file_path, "rb") as stream:
+            result = markitdown.convert(
+                stream,
+                upload_handler=invalid_return_handler
+            )
+        
+        # Markdown should be generated
+        assert result.markdown is not None
+        assert len(result.markdown) > 0
+        
+        # Fallback handling should be applied for invalid return values
+        assert ".jpg" in result.markdown
+        
+        # Skip empty string validation - markdown text may contain empty strings
+        if isinstance(invalid_value, str) and invalid_value.strip() and len(invalid_value) > 3:
+            assert invalid_value not in result.markdown