Detecting disinformation that blends manipulated text and images has become increasingly challenging, as AI tools make synthetic content easy to generate and disseminate. While most existing AI safety benchmarks focus on single modality misinformation (i.e., false content shared without intent to deceive), intentional multimodal disinformation, such as propaganda or conspiracy theories that imitate credible news, remains largely unaddressed. We introduce the Vision-Language Disinformation Detection Benchmark (VLDBench), the first large-scale resource supporting both unimodal (text-only) and multimodal (text + image) disinformation detection. VLDBench comprises approximately 62,000 labeled text-image pairs across 13 categories, curated from 58 news outlets. Using a semi-automated pipeline followed by expert review, 22 domain experts invested over 500 hours to produce high-quality annotations with substantial inter-annotator agreement. Evaluations of state-of-the-art Large Language Models (LLMs) and Vision-Language Models (VLMs) on VLDBench show that incorporating visual cues improves detection accuracy by 5 to 35 percentage points over text-only models. VLDBench provides data and code for evaluation, fine-tuning, and robustness testing to support disinformation analysis. Developed in alignment with AI governance frameworks (e.g., the MIT AI Risk Repository), VLDBench offers a principled foundation for advancing trustworthy disinformation detection in multimodal media. Project: https://vectorinstitute.github.io/VLDBench/ Dataset: https://huggingface.co/datasets/vector-institute/VLDBench Code: https://github.com/VectorInstitute/VLDBench