The Grammy Award for Best Alternative Music Album has been awarded since 1991. From 2001 to 2003, the award recipients included the producers and engineers as well as the artists. In 1990, and from 1994 to 1999, the award was known as Best Alternative Music Performance.

Years reflect the year in which the Grammy Awards were handed out, for music released in the previous year.

The White Stripes hold the record for wins in the Best Alternative Music Album category, having won this Grammy three times for their last three albums.