The organization of the eukaryotic cell into discrete membrane-bound organelles allows for the separation of incompatible biochemical processes, yet the activities of these organelles must be coordinated. For example, lipid metabolism is distributed between the endoplasmic reticulum (ER) for lipid synthesis, lipid droplets (LDs) for storage and transport, mitochondria and peroxisomes for β-oxidation, and lysosomes for lipid hydrolysis and recycling1–5. Organelle contacts are increasingly understood to be vital for diverse cellular functions5–8. However, the spatial and temporal organization of organelles within the cell remains poorly characterized due to the inability of fluorescence imaging-based approaches to distinguish more than a few fluorescent labels in a single image9. Here we present a systems-level analysis of the organelle interactome using a multispectral image acquisition method that overcomes the challenge of spectral overlap in the fluorescent protein palette. We employed confocal and lattice light sheet (LLS)10 instrumentation and an imaging informatics pipeline of five steps to achieve mapping of organelle numbers/volumes/speeds/positions and dynamic inter-organelle contacts in live fibroblast cells. We describe the frequency and locality of two-, three-, four-, and five-way interactions among six different membrane-bound organelles (ER, Golgi, lysosome, peroxisome, mitochondria and LD) and show how these relationships change over time. We demonstrate that each organelle has a characteristic distribution and dispersion pattern in three-dimensional space and that there is a reproducible pattern of contacts among the six organelles, impacted by microtubule and cell nutrient status. These live-cell confocal and LLS spectral-imaging approaches are applicable to any cell system expressing multiple fluorescent probes, whether in normal conditions or when cells are exposed to disturbances such as drugs, pathogens or stress. This methodology thus offers a powerful new descriptive tool and source for hypotheses about cellular organization and dynamics.