Alternative sentences include the sentences or punishments a judge may give, other than a traditional jail or prison term, or the death penalty. Alternative sentences are often given in combinations of fines, restitution, probation, deferred adjudication, suspended sentences, community service, diversion programs, drug and alcohol treatment programs, house arrest, breathalyzer or ignition interlock device (IID) installation, and teaching or attending classes regarding crime and criminal behavior.

In Missouri, alternative sentencing options are available to judges as a way to provide punishment other than traditional incarceration or the death penalty. These alternatives are designed to address specific needs of the offender, the victim, and the community, and can include fines, restitution payments to victims, probation, and suspended sentences. Deferred adjudication may be used to give an offender the chance to avoid a formal conviction by complying with certain conditions. Community service is another common alternative sentence, allowing offenders to give back to the community. Diversion programs, particularly for first-time offenders, can include drug and alcohol treatment programs, which aim to address underlying issues related to substance abuse. House arrest and electronic monitoring are options for keeping an offender confined to their home while still allowing some degree of freedom. Additionally, Missouri law may require the installation of an ignition interlock device (IID) for DUI offenders to prevent further incidents of impaired driving. Educational programs that focus on crime prevention and the consequences of criminal behavior are also used as part of alternative sentencing. The availability and appropriateness of these alternatives depend on the nature of the offense, the offender's criminal history, and other factors considered by the court.