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.

2000s

• Grammy Awards of 2005
  • Wilco for A Ghost Is Born
• Grammy Awards of 2004
  • The White Stripes for Elephant
• Grammy Awards of 2003
  • Ken Nelson (producer & engineer/mixer), Mark Phythian (engineer/mixer) & Coldplay (producers, engineers/mixers & artists) for A Rush of Blood to the Head
• Grammy Awards of 2002
  • Guy Berryman, Jon Buckland , Will Champion , Ken Nelson, Chris Martin, (producers), Ken Nelson (producer & engineer), Michael H. Brauer (engineer) & Coldplay for Parachutes
• Grammy Awards of 2001
  • Nigel Godrich (producer & engineer/mixer) & Radiohead (producer & artist) for Kid A
• Grammy Awards of 2000
  • Beck for Mutations

1990s

• Grammy Awards of 1999
  • Beastie Boys for Hello Nasty
• Grammy Awards of 1998
  • Radiohead for OK Computer
• Grammy Awards of 1997
  • Beck for Odelay
• Grammy Awards of 1996
  • Nirvana for MTV Unplugged in New York
• Grammy Awards of 1995
  • Green Day for Dookie
• Grammy Awards of 1994
  • U2 for Zooropa
• Grammy Awards of 1993
  • Tom Waits for Bone Machine
• Grammy Awards of 1992
  • R.E.M. for Out of Time
• Grammy Awards of 1991
  • Sinéad O'Connor for I Do Not Want What I Haven't Got