Ohne Beispiel ist natürlich völlig unklar was du eigentlich haben willst. Ich hab mal was geraten.
\documentclass{article}
\usepackage{booktabs}
\usepackage{graphicx}
\usepackage{tabularx}
\begin{document}
\renewcommand\tabularxcolumn[1]{m{#1}}
\renewcommand\tabularxcolumn[1]{>{\centering\arraybackslash}m{#1}}
\newcommand*\tablehead[1]{\multicolumn{1}{c}{\textbf{#1}}}
\begin{tabularx}{\linewidth}{@{}m{2cm}m{2cm}XX@{}}
\begin{tabularx}{\linewidth}{@{} m{2cm} X m{2cm} X @{}}
\toprule
\tablehead{Bild} &
\tablehead{Bild} &
\tablehead{Text} &
\tablehead{Bild} &
\tablehead{Text} \\
\midrule
\includegraphics[width=\linewidth]{example-image-a} &
Lorem ipsum dolor sit amet &
\includegraphics[width=\linewidth]{example-image-b} &
Lorem ipsum dolor sit amet &
Lorem ipsum dolor sit amet \\
\includegraphics[width=\linewidth]{example-image-a} &
Lorem ipsum dolor sit amet &
\includegraphics[width=\linewidth]{example-image-b} &
Lorem ipsum dolor sit amet &
Lorem ipsum dolor sit amet \\
\bottomrule
\end{tabularx}
\end{document}
[![alt text][1]][1]
[1]: https://texwelt.de/wissen/upfiles/test_461.pnghttps://texwelt.de/wissen/upfiles/test_462.png
