Disclosed are systems and methods for a dispensing cabinet incorporating an image based counting system that includes one or more imaging devices (e.g., one or more color cameras) to capture images of one or more items (e.g., pills, capsules, pharmaceutical units, items for medical use, etc.). Control circuitry of the image based counting system is configured to determine one or more properties of the one or more items based on the images. The dispensing cabinet includes a cabinet housing comprising one or more containers to hold the one or more items, which may employ mounting hardware to releasably secure the image based counting system to the cabinet housing.