diff --git a/icon/icon_test.ts b/icon/icon_test.ts
new file mode 100644
index 0000000000..cb10d8ac18
--- /dev/null
+++ b/icon/icon_test.ts
@@ -0,0 +1,71 @@
+/**
+ * @license
+ * Copyright 2023 Google LLC
+ * SPDX-License-Identifier: Apache-2.0
+ */
+
+// import 'jasmine'; (google3-only)
+import './icon.js';
+
+import {html} from 'lit';
+
+import {Environment} from '../testing/environment.js';
+import {createTokenTests} from '../testing/tokens.js';
+
+import {MdIcon} from './icon.js';
+
+describe('<md-icon>', () => {
+  const env = new Environment();
+
+  describe('.styles', () => {
+    createTokenTests(MdIcon.styles);
+  });
+
+  describe('accessiblity', () => {
+    it('sets aria-hidden to true by default', async () => {
+      const root = env.render(html`
+        <md-icon>check</md-icon>`);
+      const icon = root.querySelector('md-icon')!;
+
+      await env.waitForStability();
+
+      expect(icon.getAttribute('aria-hidden')).toBe('true');
+    });
+
+    it('sets aria-hidden is removed when initalized as false', async () => {
+      const root = env.render(html`
+        <md-icon aria-hidden="false">check</md-icon>`);
+      const icon = root.querySelector('md-icon')!;
+
+      await env.waitForStability();
+
+      expect(icon.hasAttribute('aria-hidden')).toBe(false);
+    });
+
+    it('allows overriding aria-hidden after first render', async () => {
+      const root = env.render(html`
+        <md-icon>check</md-icon>`);
+      const icon = root.querySelector('md-icon')!;
+
+      await env.waitForStability();
+
+      expect(icon.getAttribute('aria-hidden')).toBe('true');
+
+      icon.removeAttribute('aria-hidden');
+      await env.waitForStability();
+
+      expect(icon.hasAttribute('aria-hidden')).toBe(false);
+    });
+
+    it('overrides invalid aria-hidden values to true', async () => {
+      const root = env.render(html`
+        <!-- @ts-ignore:disable-next-line:no-incompatible-type-binding -->
+        <md-icon aria-hidden="foo">check</md-icon>`);
+      const icon = root.querySelector('md-icon')!;
+
+      await env.waitForStability();
+
+      expect(icon.getAttribute('aria-hidden')).toBe('true');
+    });
+  });
+});
diff --git a/icon/internal/icon.ts b/icon/internal/icon.ts
index 5b01f14fdc..c5b4846b78 100644
--- a/icon/internal/icon.ts
+++ b/icon/internal/icon.ts
@@ -13,4 +13,15 @@ export class Icon extends LitElement {
   protected override render() {
     return html`<slot></slot>`;
   }
+
+  override connectedCallback() {
+    super.connectedCallback();
+    const ariaHidden = this.getAttribute('aria-hidden');
+    if (ariaHidden === 'false') {
+      this.removeAttribute('aria-hidden');
+      return;
+    }
+
+    this.setAttribute('aria-hidden', 'true');
+  }
 }