An illumination system for a medical suite comprises a light assembly comprising at least one illumination source configured to selectively direct a light emission in a region of the surgical suite. The system further comprises an imager configured to capture image data in a field of view in the medical suite. A controller is in communication with the light assembly and the imager. The controller is configured to detect a location of the marker in the image data and control the light assembly to direct the light emission within the region based on the location of the marker.