diff --git a/synapse/media/_base.py b/synapse/media/_base.py
index 7ad0b7c3cf..1b268ce4d4 100644
--- a/synapse/media/_base.py
+++ b/synapse/media/_base.py
@@ -221,6 +221,7 @@ def add_file_headers(
     # select private. don't bother setting Expires as all our
     # clients are smart enough to be happy with Cache-Control
     request.setHeader(b"Cache-Control", b"public,max-age=86400,s-maxage=86400")
+
     if file_size is not None:
         request.setHeader(b"Content-Length", b"%d" % (file_size,))
 
@@ -302,12 +303,37 @@ async def respond_with_multipart_responder(
             )
             return
 
+        if media_info.media_type.lower().split(";", 1)[0] in INLINE_CONTENT_TYPES:
+            disposition = "inline"
+        else:
+            disposition = "attachment"
+
+        def _quote(x: str) -> str:
+            return urllib.parse.quote(x.encode("utf-8"))
+
+        if media_info.upload_name:
+            if _can_encode_filename_as_token(media_info.upload_name):
+                disposition = "%s; filename=%s" % (
+                    disposition,
+                    media_info.upload_name,
+                )
+            else:
+                disposition = "%s; filename*=utf-8''%s" % (
+                    disposition,
+                    _quote(media_info.upload_name),
+                )
+
         from synapse.media.media_storage import MultipartFileConsumer
 
         # note that currently the json_object is just {}, this will change when linked media
         # is implemented
         multipart_consumer = MultipartFileConsumer(
-            clock, request, media_info.media_type, {}, media_info.media_length
+            clock,
+            request,
+            media_info.media_type,
+            {},
+            disposition,
+            media_info.media_length,
         )
 
         logger.debug("Responding to media request with responder %s", responder)
diff --git a/synapse/media/media_storage.py b/synapse/media/media_storage.py
index 1be2c9b5f5..2a106bb0eb 100644
--- a/synapse/media/media_storage.py
+++ b/synapse/media/media_storage.py
@@ -401,13 +401,14 @@ class MultipartFileConsumer:
         wrapped_consumer: interfaces.IConsumer,
         file_content_type: str,
         json_object: JsonDict,
-        content_length: Optional[int] = None,
+        disposition: str,
+        content_length: Optional[int],
     ) -> None:
         self.clock = clock
         self.wrapped_consumer = wrapped_consumer
         self.json_field = json_object
         self.json_field_written = False
-        self.content_type_written = False
+        self.file_headers_written = False
         self.file_content_type = file_content_type
         self.boundary = uuid4().hex.encode("ascii")
 
@@ -420,6 +421,7 @@ class MultipartFileConsumer:
         self.paused = False
 
         self.length = content_length
+        self.disposition = disposition
 
     ### IConsumer APIs ###
 
@@ -488,11 +490,13 @@ class MultipartFileConsumer:
             self.json_field_written = True
 
         # if we haven't written the content type yet, do so
-        if not self.content_type_written:
+        if not self.file_headers_written:
             type = self.file_content_type.encode("utf-8")
             content_type = Header(b"Content-Type", type)
-            self.wrapped_consumer.write(bytes(content_type) + CRLF + CRLF)
-            self.content_type_written = True
+            self.wrapped_consumer.write(bytes(content_type) + CRLF)
+            disp_header = Header(b"Content-Disposition", self.disposition)
+            self.wrapped_consumer.write(bytes(disp_header) + CRLF + CRLF)
+            self.file_headers_written = True
 
         self.wrapped_consumer.write(data)
 
@@ -506,7 +510,6 @@ class MultipartFileConsumer:
         producing data for good.
         """
         assert self.producer is not None
-
         self.paused = True
         self.producer.stopProducing()
 
@@ -518,7 +521,6 @@ class MultipartFileConsumer:
         the time being, and to stop until C{resumeProducing()} is called.
         """
         assert self.producer is not None
-
         self.paused = True
 
         if self.streaming:
@@ -549,7 +551,7 @@ class MultipartFileConsumer:
         """
         if not self.length:
             return None
-        # calculate length of json field and content-type header
+        # calculate length of json field and content-type, disposition headers
         json_field = json.dumps(self.json_field)
         json_bytes = json_field.encode("utf-8")
         json_length = len(json_bytes)
@@ -558,9 +560,13 @@ class MultipartFileConsumer:
         content_type = Header(b"Content-Type", type)
         type_length = len(bytes(content_type))
 
-        # 154 is the length of the elements that aren't variable, ie
+        disp = self.disposition.encode("utf-8")
+        disp_header = Header(b"Content-Disposition", disp)
+        disp_length = len(bytes(disp_header))
+
+        # 156 is the length of the elements that aren't variable, ie
         # CRLFs and boundary strings, etc
-        self.length += json_length + type_length + 154
+        self.length += json_length + type_length + disp_length + 156
 
         return self.length
 
@@ -569,7 +575,6 @@ class MultipartFileConsumer:
     async def _resumeProducingRepeatedly(self) -> None:
         assert self.producer is not None
         assert not self.streaming
-
         producer = cast("interfaces.IPullProducer", self.producer)
 
         self.paused = False