In 2011, the Thai government introduced a national project, One Tablet per Child (OTPC), with the aim of supporting students' learning in the digital world. The project commenced with Grade 1 in 2012 and Grade 2 in 2013. The applications embedded in the OTPC tablet given to each child feature multimedia teaching applications (apps) on various subjects, including English as a foreign language (EFL). Using the Grade 1 and 2 English apps as a case study, this article investigates how one section of the apps (song videos) uses images and language to create meaning and considers the potential of visual-verbal relations to support vocabulary teaching and learning. The article concludes with a discussion of related pedagogical implications for the use and design of EFL materials integrated into multimedia technologies: the critical role of teachers in guiding EFL learners' use of such materials, the need for an increased awareness of the potential and limitations of images and visual-verbal relations to support EFL teaching and learning, and understanding the relationship between the multimodal design of EFL materials and related learning outcomes at different stages of EFL learning.