In this study, we identify the need for an interpretable, quantitative score of the repeatability, or consistency, of image generation in diffusion models. We propose a semantic approach, using a pairwise mean CLIP (Contrastive Language-Image Pretraining) score as our semantic consistency score. We applied this metric to compare two state-of-the-art open-source image generation diffusion models, Stable Diffusion XL and PixArt-α, and we found statistically significant differences between the semantic consistency scores for the models. Agreement between the Semantic Consistency Score selected model and aggregated human annotations was 94%. We also explored the consistency of SDXL and a LoRA-fine-tuned version of SDXL and found that the fine-tuned model had significantly higher semantic consistency in generated images. The Semantic Consistency Score proposed here offers a measure of image generation alignment, facilitating the evaluation of model architectures for specific tasks and aiding in informed decision-making regarding model selection.