diff --git a/src-docs/src/views/list_group/list_group_extra.js b/src-docs/src/views/list_group/list_group_extra.js
index cad7dd34fa..1e507389ab 100644
--- a/src-docs/src/views/list_group/list_group_extra.js
+++ b/src-docs/src/views/list_group/list_group_extra.js
@@ -34,5 +34,12 @@ export default () => (
       wrapText
       label="Fourth very, very long item with wrapping enabled that will not force truncation"
     />
+
+    <OuiListGroupItem
+      iconType={'package'}
+      onClick={() => {}}
+      wrapText
+      label="Fifth very long item with wrapping enabled and icon included"
+    />
   </OuiListGroup>
 );
diff --git a/src/components/list_group/_list_group_item.scss b/src/components/list_group/_list_group_item.scss
index 981476a261..ebec378f46 100644
--- a/src/components/list_group/_list_group_item.scss
+++ b/src/components/list_group/_list_group_item.scss
@@ -92,6 +92,10 @@
     }
   }
 
+  .ouiListGroupItem__icon {
+    height: $ouiSizeL;
+  }
+
   .ouiListGroupItem-isActive:not(.ouiListGroupItem--ghost) & {
     color: $ouiTextColor;
   }
@@ -117,6 +121,7 @@
 }
 
 .ouiListGroupItem__icon {
+  align-self: flex-start;
   margin-right: $ouiSizeM;
   flex-grow: 0;
   flex-shrink: 0;
@@ -140,6 +145,10 @@
   .ouiListGroupItem__text {
     line-height: $ouiSize;
   }
+
+  .ouiListGroupItem__icon {
+    height: $ouiSize;
+  }
 }
 
 .ouiListGroupItem--large {
@@ -147,6 +156,10 @@
   .ouiListGroupItem__text {
     line-height: $ouiSizeXL;
   }
+
+  .ouiListGroupItem__icon {
+    height: $ouiSizeXL;
+  }
 }
 
 .ouiListGroupItem--wrapText {