Image Tooltip 3.0 is a Joomla content plugin for Joomla 4, Joomla 5, and Joomla 6. Install pkg_image_tooltip_3.0.zip through System > Install > Extensions. The package installs both the content plugin and the Editor - Image Tooltip button.
After installation, confirm both plugins are enabled under System > Manage > Plugins (search for Image Tooltip). Clear Joomla, template, CDN, and browser caches after installing or updating.