In the past two decades, official entities of the Eastern Orthodox Church have released two documents with implications for the inclusion of people with disabilities in the life and educational pursuits of the church. In 2008, the Russian Orthodox Church released a statement whose ambiguous treatment of the doctrine of the imago Dei runs the risk of having an alienating effect upon people with disabilities. In 2009, the Assembly of Canonical Orthodox Bishops of the United States of America released a document that honors those with disabilities. This article examines how each document views the image of God and its ramifications for people with disabilities within the church. I argue that the theology of imago Dei in these documents differs, resulting in conflicting views of people with disabilities. To resolve these discrepancies, the Orthodox Church should continue to develop and express its theological arguments regarding the imago Dei and its significance for all people.