An image recording device includes a first movie generation section configured to, based on the medical image, generate a first movie of a first image quality for a first use, and output a movie of a second image quality higher than the first image quality, a detection section configured to detect at least one of a state signal from an external appliance and a detection timing based on an operation signal from an operation section, a duplication section configured to generate a duplicate of the movie of the second image quality at the detection timing, a second movie generation section configured to generate a second movie for a second use based on the duplicated movie, and a recording section configured to record the first movie, and to record the second movie in association with the reference time information.