diff --git a/packages/block-library/src/media-text/index.php b/packages/block-library/src/media-text/index.php
index f828aed645fb1..87be164a04bb9 100644
--- a/packages/block-library/src/media-text/index.php
+++ b/packages/block-library/src/media-text/index.php
@@ -29,28 +29,78 @@ function render_block_core_media_text( $attributes, $content ) {
 		return $content;
 	}
 
-	$image_tag = '<figure class="wp-block-media-text__media"><img>';
-	$content   = preg_replace( '/<figure\s+class="wp-block-media-text__media">/', $image_tag, $content );
+	$media_tag_processor   = new WP_HTML_Tag_Processor( $content );
+	$wrapping_figure_query = array(
+		'tag_name'   => 'figure',
+		'class_name' => 'wp-block-media-text__media',
+	);
+	$has_media_on_right    = isset( $attributes['mediaPosition'] ) && 'right' === $attributes['mediaPosition'];
+	$image_fill            = isset( $attributes['imageFill'] ) && $attributes['imageFill'];
+	$focal_point           = isset( $attributes['focalPoint'] ) ? round( $attributes['focalPoint']['x'] * 100 ) . '% ' . round( $attributes['focalPoint']['y'] * 100 ) . '%' : '50% 50%';
+	$unique_id             = 'wp-block-media-text__media-' . wp_unique_id();
 
-	$processor = new WP_HTML_Tag_Processor( $content );
-	if ( isset( $attributes['imageFill'] ) && $attributes['imageFill'] ) {
-		$position = '50% 50%';
-		if ( isset( $attributes['focalPoint'] ) ) {
-			$position = round( $attributes['focalPoint']['x'] * 100 ) . '% ' . round( $attributes['focalPoint']['y'] * 100 ) . '%';
+	if ( $has_media_on_right ) {
+		// Loop through all the figure tags and set a bookmark on the last figure tag.
+		while ( $media_tag_processor->next_tag( $wrapping_figure_query ) ) {
+			$media_tag_processor->set_bookmark( 'last_figure' );
+		}
+		if ( $media_tag_processor->has_bookmark( 'last_figure' ) ) {
+			$media_tag_processor->seek( 'last_figure' );
+			if ( $image_fill ) {
+				$media_tag_processor->set_attribute( 'style', 'background-image:url(' . esc_url( $current_featured_image ) . ');background-position:' . $focal_point . ';' );
+			} else {
+				// Insert a unique ID to identify the figure tag.
+				$media_tag_processor->set_attribute( 'id', $unique_id );
+			}
+		}
+	} else {
+		if ( $media_tag_processor->next_tag( $wrapping_figure_query ) ) {
+			if ( $image_fill ) {
+				$media_tag_processor->set_attribute( 'style', 'background-image:url(' . esc_url( $current_featured_image ) . ');background-position:' . $focal_point . ';' );
+			} else {
+				// Insert a unique ID to identify the figure tag.
+				$media_tag_processor->set_attribute( 'id', $unique_id );
+			}
 		}
-		$processor->next_tag( 'figure' );
-		$processor->set_attribute( 'style', 'background-image:url(' . esc_url( $current_featured_image ) . ');background-position:' . $position . ';' );
-	}
-	$processor->next_tag( 'img' );
-	$media_size_slug = 'full';
-	if ( isset( $attributes['mediaSizeSlug'] ) ) {
-		$media_size_slug = $attributes['mediaSizeSlug'];
 	}
-	$processor->set_attribute( 'src', esc_url( $current_featured_image ) );
-	$processor->set_attribute( 'class', 'wp-image-' . get_post_thumbnail_id() . ' size-' . $media_size_slug );
-	$processor->set_attribute( 'alt', trim( strip_tags( get_post_meta( get_post_thumbnail_id(), '_wp_attachment_image_alt', true ) ) ) );
 
-	$content = $processor->get_updated_html();
+	$content = $media_tag_processor->get_updated_html();
+
+	// If the image is not set to fill, add the image tag inside the figure tag,
+	// and update the image attributes in order to display the featured image.
+	if ( ! $image_fill ) {
+		$media_size_slug = isset( $attributes['mediaSizeSlug'] ) ? $attributes['mediaSizeSlug'] : 'full';
+		$image_tag       = '<img class="wp-block-media-text__featured_image">';
+		$content         = preg_replace(
+			'/(<figure\s+id="' . preg_quote( $unique_id, '/' ) . '"\s+class="wp-block-media-text__media"\s*>)/',
+			'$1' . $image_tag,
+			$content
+		);
+
+		$image_tag_processor = new WP_HTML_Tag_Processor( $content );
+		if ( $image_tag_processor->next_tag(
+			array(
+				'tag_name' => 'figure',
+				'id'       => $unique_id,
+			)
+		) ) {
+			// The ID is only used to ensure that the correct figure tag is selected,
+			// and can now be removed.
+			$image_tag_processor->remove_attribute( 'id' );
+			if ( $image_tag_processor->next_tag(
+				array(
+					'tag_name'   => 'img',
+					'class_name' => 'wp-block-media-text__featured_image',
+				)
+			) ) {
+				$image_tag_processor->set_attribute( 'src', esc_url( $current_featured_image ) );
+				$image_tag_processor->set_attribute( 'class', 'wp-image-' . get_post_thumbnail_id() . ' size-' . $media_size_slug );
+				$image_tag_processor->set_attribute( 'alt', trim( strip_tags( get_post_meta( get_post_thumbnail_id(), '_wp_attachment_image_alt', true ) ) ) );
+
+				$content = $image_tag_processor->get_updated_html();
+			}
+		}
+	}
 
 	return $content;
 }
diff --git a/phpunit/blocks/render-block-media-text-test.php b/phpunit/blocks/render-block-media-text-test.php
new file mode 100644
index 0000000000000..94c184408c89f
--- /dev/null
+++ b/phpunit/blocks/render-block-media-text-test.php
@@ -0,0 +1,179 @@
+<?php
+/**
+ * Media & Text block rendering tests.
+ *
+ * @package WordPress
+ * @subpackage Blocks
+ */
+
+/**
+ * Tests for the Media & Text block.
+ *
+ * @group blocks
+ *
+ * @covers ::render_block_core_media_text
+ */
+class Render_Block_MediaText_Test extends WP_UnitTestCase {
+
+	/**
+	 * Post object.
+	 *
+	 * @var WP_Post
+	 */
+	protected static $post;
+
+	/**
+	 * Attachment id.
+	 *
+	 * @var int
+	 */
+	protected static $attachment_id;
+
+	/**
+	 * Setup method.
+	 */
+	public static function wpSetUpBeforeClass() {
+		self::$post = self::factory()->post->create_and_get();
+		$file       = DIR_TESTDATA . '/images/canola.jpg';
+
+		self::$attachment_id = self::factory()->attachment->create_upload_object(
+			$file,
+			self::$post->ID,
+			array(
+				'post_mime_type' => 'image/jpeg',
+			)
+		);
+
+		set_post_thumbnail( self::$post, self::$attachment_id );
+	}
+
+	/**
+	 * Tear down method.
+	 */
+	public static function wpTearDownAfterClass() {
+		wp_delete_post( self::$post->ID, true );
+		wp_delete_post( self::$attachment_id, true );
+	}
+
+	/**
+	 * Helper method for $wp_query.
+	 */
+	public static function setup_query() {
+		global $wp_query;
+		$wp_query->in_the_loop = true;
+		$wp_query->post        = self::$post;
+		$wp_query->posts       = array( self::$post );
+		$GLOBALS['post']       = self::$post;
+	}
+
+	/**
+	 * Test gutenberg_render_block_core_media_text with the featured image on the left.
+	 */
+	public function test_render_block_core_media_text_featured_image() {
+		$this->setup_query();
+
+		$content = '<div class="wp-block-media-text is-stacked-on-mobile"><figure class="wp-block-media-text__media"></figure><div class="wp-block-media-text__content"><p></p></div></div>';
+
+		// Assert that the rendered block contains the featured image.
+		$attributes = array(
+			'useFeaturedImage' => true,
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( '<img alt="" src="' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . '"', $rendered );
+
+		// Assert that the rendered block contains the featured image as the background-image url,
+		// and not the image element, when image fill is true.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'imageFill'        => true,
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( 'background-image:url(' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . ')', $rendered );
+		$this->assertStringNotContainsString( '<img', $rendered );
+	}
+
+	/**
+	 * Test gutenberg_render_block_core_media_text with the featured image on the left,
+	 * and a second media & text block nested inside the content area.
+	 */
+	public function test_render_block_core_media_text_featured_image_nested() {
+		$this->setup_query();
+		$content = '<div class="wp-block-media-text is-stacked-on-mobile"><figure class="wp-block-media-text__media"></figure><div class="wp-block-media-text__content"><div class="wp-block-media-text is-stacked-on-mobile"><figure class="wp-block-media-text__media"></figure><div class="wp-block-media-text__content"><p></p></div></div></div></div>';
+
+		// Assert that the rendered block contains the featured image.
+		$attributes = array(
+			'useFeaturedImage' => true,
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( '<img alt="" src="' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . '"', $rendered );
+
+		// Assert that the rendered block contains the featured image as the background-image url,
+		// and not the image element, when image fill is true.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'imageFill'        => true,
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( 'background-image:url(' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . ')', $rendered );
+		$this->assertStringNotContainsString( '<img', $rendered );
+	}
+
+	/**
+	 * Test gutenberg_render_block_core_media_text with the featured image on the right.
+	 */
+	public function test_render_block_core_media_text_featured_image_media_on_right() {
+		$this->setup_query();
+
+		$content = '<div class="wp-block-media-text has-media-on-the-right is-stacked-on-mobile"><div class="wp-block-media-text__content"><p></p></div><figure class="wp-block-media-text__media"></figure></div>';
+
+		// Assert that the rendered block contains the featured image when media is on the right.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'mediaPosition'    => 'right',
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( '<img alt="" src="' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . '"', $rendered );
+
+		// Assert that the rendered block contains the featured image as the background-image url,
+		// and not the image element, when image fill is true and the media is on the right.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'mediaPosition'    => 'right',
+			'imageFill'        => true,
+		);
+		$rendered   = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( 'background-image:url(' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . ')', $rendered );
+		$this->assertStringNotContainsString( '<img', $rendered );
+	}
+
+	/**
+	 * Test gutenberg_render_block_core_media_text with the featured image on the right,
+	 * and a second media & text block nested inside the content area.
+	 */
+	public function test_render_block_core_media_text_featured_image_media_on_right_nested() {
+		$this->setup_query();
+
+		$content = '<div class="wp-block-media-text has-media-on-the-right is-stacked-on-mobile"><div class="wp-block-media-text__content"><div class="wp-block-media-text is-stacked-on-mobile"><div class="wp-block-media-text__content"><p></p></div><figure class="wp-block-media-text__media"></figure></div></div><figure class="wp-block-media-text__media"></figure></div>';
+
+		// Assert that the rendered block contains the featured image when media is on the right.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'mediaPosition'    => 'right',
+		);
+
+		$rendered = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( '<img alt="" src="' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . '"', $rendered );
+
+		// Assert that the rendered block contains the featured image as the background-image url,
+		// and not the image element, when image fill is true and the media is on the right.
+		$attributes = array(
+			'useFeaturedImage' => true,
+			'mediaPosition'    => 'right',
+			'imageFill'        => true,
+		);
+
+		$rendered = gutenberg_render_block_core_media_text( $attributes, $content );
+		$this->assertStringContainsString( 'background-image:url(' . wp_get_attachment_image_url( self::$attachment_id, 'full' ) . ')', $rendered );
+		$this->assertStringNotContainsString( '<img', $rendered );
+	}
+}