An image tracking system and an image tracking method. The image tracking system includes image capture module, detection module and processing module. The image capture module captures real-time image. The detection module analyzes the real-time image, and detects whether positions of a plurality of instruments are disposed in the real-time image. The processing module defines buffer zone in the real-time image, and analyses whether the instruments are disposed in the buffer zone based on the positions of the instruments, and determines whether spacing distance between the instruments is small than preset distance. When the spacing distance is smaller than the preset distance or the instruments are disposed outside the buffer zone, the processing module emits controlling signal to control the image capture module to move to capture position. As a result, the present invention may achieve image tracking real time and provide stable image.