diff --git a/src/List.tsx b/src/List.tsx
index 426609466..475fe170e 100644
--- a/src/List.tsx
+++ b/src/List.tsx
@@ -172,8 +172,9 @@ export const Items = React.memo(function VirtuosoItems({ showTopList = false }:
   const itemContent = useEmitterValue('itemContent')
   const groupContent = useEmitterValue('groupContent')
   const trackItemSizes = useEmitterValue('trackItemSizes')
+  const itemSize = useEmitterValue('itemSize')
 
-  const ref = useChangedChildSizes(sizeRanges, trackItemSizes)
+  const ref = useChangedChildSizes(sizeRanges, itemSize, trackItemSizes)
   const EmptyPlaceholder = useEmitterValue('EmptyPlaceholder')
   const ScrollSeekPlaceholder = useEmitterValue('ScrollSeekPlaceholder') || DefaultScrollSeekPlaceholder
   const ListComponent = useEmitterValue('ListComponent')!
@@ -418,6 +419,7 @@ export const { Component: List, usePublisher, useEmitterValue, useEmitter } = sy
       computeItemKey: 'computeItemKey',
       defaultItemHeight: 'defaultItemHeight',
       fixedItemHeight: 'fixedItemHeight',
+      itemSize: 'itemSize',
       scrollSeekConfiguration: 'scrollSeekConfiguration',
       headerFooterTag: 'headerFooterTag',
       data: 'data',
diff --git a/src/components.tsx b/src/components.tsx
index 285619c27..d07939871 100644
--- a/src/components.tsx
+++ b/src/components.tsx
@@ -87,6 +87,13 @@ export interface VirtuosoProps<D> extends Omit<ListProps, 'groupCounts' | 'group
    */
   defaultItemHeight?: number
 
+  /**
+   * Allows customizing the height/width calculation of `Item` elements.
+   *
+   * The default implementation reads `el.offsetHeight` and `el.offsetWidth`.
+   */
+  itemSize?: (el: HTMLElement, field: 'offsetHeight' | 'offsetWidth') => number
+
   /**
    * Can be used to improve performance if the rendered items are of known size.
    * Setting it causes the component to skip item measurements.
diff --git a/src/hooks/useChangedChildSizes.ts b/src/hooks/useChangedChildSizes.ts
index ed4ac3655..cd984cd2a 100644
--- a/src/hooks/useChangedChildSizes.ts
+++ b/src/hooks/useChangedChildSizes.ts
@@ -1,16 +1,16 @@
-import { SizeRange } from '../sizeSystem'
+import { SizeFunction, SizeRange } from '../sizeSystem'
 import useSize from './useSize'
 
-export default function useChangedChildSizes(callback: (ranges: SizeRange[]) => void, enabled: boolean) {
+export default function useChangedChildSizes(callback: (ranges: SizeRange[]) => void, itemSize: SizeFunction, enabled: boolean) {
   return useSize((el: HTMLElement) => {
-    const ranges = getChangedChildSizes(el.children, 'offsetHeight')
+    const ranges = getChangedChildSizes(el.children, itemSize, 'offsetHeight')
     if (ranges !== null) {
       callback(ranges)
     }
   }, enabled)
 }
 
-function getChangedChildSizes(children: HTMLCollection, field: 'offsetHeight' | 'offsetWidth') {
+function getChangedChildSizes(children: HTMLCollection, itemSize: SizeFunction, field: 'offsetHeight' | 'offsetWidth') {
   const length = children.length
 
   if (length === 0) {
@@ -28,7 +28,7 @@ function getChangedChildSizes(children: HTMLCollection, field: 'offsetHeight' |
 
     const index = parseInt(child.dataset.index!)
     const knownSize = parseInt(child.dataset.knownSize!)
-    const size = child[field]
+    const size = itemSize(child, field)
 
     if (size === 0) {
       throw new Error('Zero-sized element, this should not happen')
diff --git a/src/listSystem.ts b/src/listSystem.ts
index 244bd3a29..23c116d98 100644
--- a/src/listSystem.ts
+++ b/src/listSystem.ts
@@ -46,7 +46,7 @@ const featureGroup1System = u.system(
 
 export const listSystem = u.system(
   ([
-    { totalCount, sizeRanges, fixedItemSize, defaultItemSize, trackItemSizes, data, firstItemIndex, groupIndices },
+    { totalCount, sizeRanges, fixedItemSize, defaultItemSize, trackItemSizes, itemSize, data, firstItemIndex, groupIndices },
     { initialTopMostItemIndex, scrolledToInitialItem },
     domIO,
     followOutput,
@@ -79,6 +79,7 @@ export const listSystem = u.system(
       listState,
       scrollToIndex,
       trackItemSizes,
+      itemSize,
       groupIndices,
 
       // exported from stateFlagsSystem
diff --git a/src/sizeSystem.ts b/src/sizeSystem.ts
index 4142d401d..3e7a7066e 100644
--- a/src/sizeSystem.ts
+++ b/src/sizeSystem.ts
@@ -227,6 +227,10 @@ export function hasGroups(sizes: SizeState) {
 }
 
 type OptionalNumber = number | undefined
+
+/** Calculates the height of `el`, which will be the `Item` element in the DOM. */
+export type SizeFunction = (el: HTMLElement, field: 'offsetHeight' | 'offsetWidth') => number
+
 export const sizeSystem = u.system(
   () => {
     const sizeRanges = u.stream<SizeRange[]>()
@@ -236,6 +240,7 @@ export const sizeSystem = u.system(
     const groupIndices = u.statefulStream([] as number[])
     const fixedItemSize = u.statefulStream<OptionalNumber>(undefined)
     const defaultItemSize = u.statefulStream<OptionalNumber>(undefined)
+    const itemSize = u.statefulStream<SizeFunction>((el, field) => el[field])
     const data = u.statefulStream<Data>(undefined)
     const initial = initialSizeState()
 
@@ -384,6 +389,7 @@ export const sizeSystem = u.system(
       sizes,
       listRefresh,
       trackItemSizes,
+      itemSize,
     }
   },
   [],