diff --git a/src/Converter/ListItemConverter.php b/src/Converter/ListItemConverter.php
index 9c44774..77dc988 100644
--- a/src/Converter/ListItemConverter.php
+++ b/src/Converter/ListItemConverter.php
@@ -15,21 +15,24 @@ public function convert(ElementInterface $element)
     {
         // If parent is an ol, use numbers, otherwise, use dashes
         $list_type = $element->getParent()->getTagName();
-        $value = $element->getValue();
 
         // Add spaces to start for nested list items
         $level = $element->getListItemLevel($element);
-        $prefix = str_repeat('  ', $level);
+
+        $prefixForParagraph = str_repeat('  ', $level + 1);
+        $value = trim(implode("\n" . $prefixForParagraph, explode("\n", trim($element->getValue()))));
+
         // If list item is the first in a nested list, add a newline before it
+        $prefix = '';
         if ($level > 0 && $element->getSiblingPosition() === 1) {
-            $prefix = "\n" . $prefix;
+            $prefix = "\n";
         }
 
         if ($list_type === 'ul') {
-            $markdown = $prefix . '- ' . trim($value) . "\n";
+            $markdown = $prefix . '- ' . $value . "\n";
         } else {
             $number = $element->getSiblingPosition();
-            $markdown = $prefix . $number . '. ' . trim($value) . "\n";
+            $markdown = $prefix . $number . '. ' . $value . "\n";
         }
 
         return $markdown;
diff --git a/tests/HtmlConverterTest.php b/tests/HtmlConverterTest.php
index d8d1aef..d019394 100644
--- a/tests/HtmlConverterTest.php
+++ b/tests/HtmlConverterTest.php
@@ -107,9 +107,11 @@ public function test_lists()
     {
         $this->html_gives_markdown('<ul><li>Item A</li><li>Item B</li><li>Item C</li></ul>', "- Item A\n- Item B\n- Item C");
         $this->html_gives_markdown('<ul><li>   Item A</li><li>   Item B</li></ul>', "- Item A\n- Item B");
+        $this->html_gives_markdown('<ul><li>  <h3> Item A</h3><p>Description</p></li><li>   Item B</li></ul>', "- ###  Item A\n  \n  Description\n- Item B");
         $this->html_gives_markdown('<ol><li>Item A</li><li>Item B</li></ol>', "1. Item A\n2. Item B");
         $this->html_gives_markdown("<ol>\n    <li>Item A</li>\n    <li>Item B</li>\n</ol>", "1. Item A\n2. Item B");
         $this->html_gives_markdown('<ol><li>   Item A</li><li>   Item B</li></ol>', "1. Item A\n2. Item B");
+        $this->html_gives_markdown('<ol><li>  <h3> Item A</h3><p>Description</p></li><li>   Item B</li></ol>', "1. ###  Item A\n  \n  Description\n2. Item B");
     }
 
     public function test_nested_lists()