diff --git a/circuitpython_typing/pil.py b/circuitpython_typing/pil.py
new file mode 100644
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+++ b/circuitpython_typing/pil.py
@@ -0,0 +1,47 @@
+# SPDX-FileCopyrightText: Copyright (c) 2022 Alec Delaney
+#
+# SPDX-License-Identifier: MIT
+
+"""
+`circuitpython_typing.pil`
+================================================================================
+
+Type annotation definitions for PIL Images.
+
+* Author(s): Alec Delaney
+"""
+
+from typing import Tuple
+
+# Protocol was introduced in Python 3.8.
+try:
+    from typing import Protocol
+except ImportError:
+    from typing_extensions import Protocol
+
+
+class PixelAccess(Protocol):
+    """Type annotation for PIL's PixelAccess class"""
+
+    # pylint: disable=invalid-name
+    def __getitem__(self, xy: Tuple[int, int]) -> int:
+        """Get pixels by x, y coordinate"""
+        ...
+
+
+class Image(Protocol):
+    """Type annotation for PIL's Image class"""
+
+    @property
+    def mode(self) -> str:
+        """The mode of the image"""
+        ...
+
+    @property
+    def size(self) -> Tuple[int, int]:
+        """The size of the image"""
+        ...
+
+    def load(self) -> PixelAccess:
+        """Load the image for quick pixel access"""
+        ...