可以
listbox1.style:=lbownerDrawVariable;
然后自己来添加图形
TForm1.ListBox1DrawItem();
var
  bmp:tbitmap;
  offset:integer;
begin
  offset:=0;
  with listbox1.canvas do
  begin
   fillrect(rect);
   bmp:=TBitmap(listbox1.items.objects[index]);
   if bmp<>nil then
    begin
     brushcopy(bounds(rect.left+2,rect.top+2,bmp.width,bmt.height),bmp,bounds(0,0,bmp.width,bmp.height),clred);
   offset:=bmp.width+8;
    end;
  end;
end;