diff --git a/src/components/moderation/ItemLevelApprovalHistory.tsx b/src/components/moderation/ItemLevelApprovalHistory.tsx
new file mode 100644
index 00000000..4d033cec
--- /dev/null
+++ b/src/components/moderation/ItemLevelApprovalHistory.tsx
@@ -0,0 +1,125 @@
+import { memo } from 'react';
+import { formatDistanceToNow } from 'date-fns';
+import { Avatar, AvatarFallback, AvatarImage } from '@/components/ui/avatar';
+import { Badge } from '@/components/ui/badge';
+import { CheckCircle2, User } from 'lucide-react';
+import type { SubmissionItem } from '@/types/moderation';
+
+interface ItemLevelApprovalHistoryProps {
+  items: SubmissionItem[];
+  reviewerProfile?: {
+    user_id: string;
+    username: string;
+    display_name?: string | null;
+    avatar_url?: string | null;
+  } | null;
+}
+
+export const ItemLevelApprovalHistory = memo(({
+  items,
+  reviewerProfile,
+}: ItemLevelApprovalHistoryProps) => {
+  // Filter to only approved items with timestamps
+  const approvedItems = items.filter(
+    item => item.status === 'approved' && (item as any).approved_at
+  );
+
+  if (approvedItems.length === 0) {
+    return null;
+  }
+
+  // Sort by approval time (newest first)
+  const sortedItems = [...approvedItems].sort((a, b) => {
+    const timeA = new Date((a as any).approved_at).getTime();
+    const timeB = new Date((b as any).approved_at).getTime();
+    return timeB - timeA;
+  });
+
+  // Helper to get item display name
+  const getItemName = (item: SubmissionItem): string => {
+    const entityData = item.entity_data || item.item_data;
+    if (entityData && typeof entityData === 'object' && 'name' in entityData) {
+      return String(entityData.name);
+    }
+    return `${item.item_type} #${item.order_index}`;
+  };
+
+  // Helper to get action label
+  const getActionLabel = (actionType: string): string => {
+    switch (actionType) {
+      case 'create': return 'Created';
+      case 'edit': return 'Edited';
+      case 'delete': return 'Deleted';
+      default: return 'Modified';
+    }
+  };
+
+  return (
+    <div className="space-y-2">
+      <div className="text-xs font-semibold text-muted-foreground uppercase tracking-wide flex items-center gap-2">
+        <CheckCircle2 className="h-3.5 w-3.5" />
+        Item Approvals
+      </div>
+      
+      <div className="space-y-2">
+        {sortedItems.map((item) => {
+          const approvedAt = (item as any).approved_at;
+          const itemName = getItemName(item);
+          const actionLabel = getActionLabel(item.action_type);
+          
+          return (
+            <div
+              key={item.id}
+              className="flex items-start gap-3 text-sm bg-success/5 border border-success/20 rounded-md p-3"
+            >
+              {/* Approval Icon */}
+              <div className="flex-shrink-0 mt-0.5">
+                <CheckCircle2 className="h-4 w-4 text-success" />
+              </div>
+              
+              {/* Item Info */}
+              <div className="flex-1 min-w-0 space-y-1">
+                <div className="flex items-start justify-between gap-2">
+                  <div className="flex items-center gap-2 flex-wrap">
+                    <span className="font-medium text-foreground truncate">
+                      {itemName}
+                    </span>
+                    <Badge variant="outline" className="text-xs">
+                      {actionLabel}
+                    </Badge>
+                    <Badge variant="secondary" className="text-xs font-mono">
+                      {item.item_type}
+                    </Badge>
+                  </div>
+                  <span className="text-xs text-muted-foreground whitespace-nowrap">
+                    {formatDistanceToNow(new Date(approvedAt), { addSuffix: true })}
+                  </span>
+                </div>
+                
+                {/* Reviewer Info */}
+                {reviewerProfile && (
+                  <div className="flex items-center gap-2 text-xs text-muted-foreground">
+                    <Avatar className="h-5 w-5">
+                      <AvatarImage src={reviewerProfile.avatar_url ?? undefined} />
+                      <AvatarFallback className="text-[10px]">
+                        <User className="h-3 w-3" />
+                      </AvatarFallback>
+                    </Avatar>
+                    <span>
+                      Approved by{' '}
+                      <span className="font-medium text-foreground">
+                        {reviewerProfile.display_name || reviewerProfile.username}
+                      </span>
+                    </span>
+                  </div>
+                )}
+              </div>
+            </div>
+          );
+        })}
+      </div>
+    </div>
+  );
+});
+
+ItemLevelApprovalHistory.displayName = 'ItemLevelApprovalHistory';
diff --git a/src/components/moderation/QueueItem.tsx b/src/components/moderation/QueueItem.tsx
index ecee6bd6..992e97bc 100644
--- a/src/components/moderation/QueueItem.tsx
+++ b/src/components/moderation/QueueItem.tsx
@@ -23,6 +23,7 @@ import { QueueItemActions } from './renderers/QueueItemActions';
 import { SubmissionMetadataPanel } from './SubmissionMetadataPanel';
 import { AuditTrailViewer } from './AuditTrailViewer';
 import { RawDataViewer } from './RawDataViewer';
+import { ItemLevelApprovalHistory } from './ItemLevelApprovalHistory';
 
 interface QueueItemProps {
   item: ModerationItem;
@@ -330,6 +331,15 @@ export const QueueItem = memo(({
         {item.type === 'content_submission' && (
           <div className="mt-6 space-y-4">
             <SubmissionMetadataPanel item={item} />
+            
+            {/* Item-level approval history */}
+            {item.submission_items && item.submission_items.length > 0 && (
+              <ItemLevelApprovalHistory 
+                items={item.submission_items}
+                reviewerProfile={item.reviewer_profile}
+              />
+            )}
+            
             <AuditTrailViewer submissionId={item.id} />
           </div>
         )}