Genesis 1:26 to 27 has carried very different doctrinal weight depending on who read it. Rabbinic tradition took tselem Elohim as an ethical claim rather than a metaphysical one: every human being carries the divine image from birth, which is why the Mishnah's tractate Sanhedrin reasons that destroying a single life is like destroying a world, and saving one is like saving a world. The doctrine grounds human dignity and the seriousness of bloodshed without requiring any account of a fall or a restoration.
Patristic Christian writers went a different direction. Irenaeus, writing against Gnostic teachers who denied that the material body could bear anything divine, distinguished the image, the rational and free capacity all humans retain, from the likeness, a moral resemblance to God that Adam's descendants lost and that grace restores gradually in the believer. That split shaped centuries of Latin theology, giving the doctrine a place inside accounts of sin, grace and salvation that the bare Genesis text does not itself require.
The doctrine's most visible modern life sits outside dogmatic theology altogether. The Catechism of the Catholic Church roots the whole of Catholic social teaching's account of human dignity in creation in God's image, a move that fed twentieth century personalist ethics and a broader human rights discourse that leaned on the same claim without always naming it: that a human being's worth does not depend on utility, status or capacity, because it was granted at creation and belongs to every person made.