diff --git a/.changeset/fix-upload-image-alt-text.md b/.changeset/fix-upload-image-alt-text.md
new file mode 100644
index 000000000..bc8545ae1
--- /dev/null
+++ b/.changeset/fix-upload-image-alt-text.md
@@ -0,0 +1,5 @@
+---
+"@slack/web-api": patch
+---
+
+fix: image alt text passed to `files.uploadV2` is now saved. Before, it was sent as `alt_text`, which Slack ignores. Add `alt_txt` to `files.uploadV2` and `files.getUploadURLExternal` arguments, and deprecate `alt_text` in both. A deprecated `alt_text` passed to `files.uploadV2` is still sent as `alt_txt` ([#2788](https://github.com/slackapi/node-slack-sdk/issues/2788))
diff --git a/docs/english/web-api.md b/docs/english/web-api.md
index bbc601029..702aaeed0 100644
--- a/docs/english/web-api.md
+++ b/docs/english/web-api.md
@@ -498,7 +498,7 @@ are marked "public" when shared to a provided `channel_id`.
 Multiple files can also be uploaded at once, without needing to write a loop, using the `files_uploads` parameter. This
 accepts similar attributes as a single file:
 
-* `alt_text`: A description of images for a screen-reader.
+* `alt_txt`: A description of images for a screen-reader.
 * `content`: The file contents as a string. If omitted, `file` must be provided.
 * `file`: The file path or data to upload. If omitted, `content` must be provided.
 * `filename`: The name of the file.
diff --git a/packages/web-api/src/WebClient.test.ts b/packages/web-api/src/WebClient.test.ts
index 6d4984f05..65eac962c 100644
--- a/packages/web-api/src/WebClient.test.ts
+++ b/packages/web-api/src/WebClient.test.ts
@@ -1662,7 +1662,7 @@ describe('WebClient', () => {
 
     it('uploads multiple files', async () => {
       const scope = nock('https://slack.com')
-        .post('/api/files.getUploadURLExternal', { filename: 'test-png.png', length: 55292 })
+        .post('/api/files.getUploadURLExternal', { filename: 'test-png.png', length: 55292, alt_txt: 'A test image' })
         .reply(200, {
           ok: true,
           file_id: 'F0000000001',
@@ -1717,6 +1717,7 @@ describe('WebClient', () => {
           {
             file: fs.createReadStream('./test/fixtures/test-png.png'),
             filename: 'test-png.png',
+            alt_txt: 'A test image',
           },
         ],
       });
diff --git a/packages/web-api/src/WebClient.ts b/packages/web-api/src/WebClient.ts
index e212cf5dd..23f1a6de1 100644
--- a/packages/web-api/src/WebClient.ts
+++ b/packages/web-api/src/WebClient.ts
@@ -502,7 +502,7 @@ export class WebClient extends Methods {
         const options = {
           filename: upload.filename,
           length: upload.length,
-          alt_text: upload.alt_text,
+          alt_txt: upload.alt_txt,
           snippet_type: upload.snippet_type,
         } as FilesGetUploadURLExternalArguments;
         if ('token' in upload) {
diff --git a/packages/web-api/src/file-upload.test.ts b/packages/web-api/src/file-upload.test.ts
index bd38a440e..f1b88cdb3 100644
--- a/packages/web-api/src/file-upload.test.ts
+++ b/packages/web-api/src/file-upload.test.ts
@@ -38,18 +38,29 @@ describe('file-upload', () => {
     sandbox.restore();
   });
   describe('getFileUploadJob', () => {
+    it('maps the deprecated alt_text to alt_txt', async () => {
+      const res = await getFileUploadJob(
+        {
+          filename: 'test.txt',
+          file: Buffer.from('test'),
+          alt_text: 'an image of a thing',
+        },
+        logger,
+      );
+      assert.strictEqual(res.alt_txt, 'an image of a thing');
+    });
     it('returns a fileUploadEntry', async () => {
       const valid = {
         filename: 'test.txt',
         file: Buffer.from('test'),
         title: 'My title',
-        alt_text: 'an image of a thing',
+        alt_txt: 'an image of a thing',
         initial_comment: 'lorem ipsum',
       };
       const res = await getFileUploadJob(valid, logger);
       // supplied values
       assert.strictEqual(valid.initial_comment, res.initial_comment);
-      assert.strictEqual(valid.alt_text, res.alt_text);
+      assert.strictEqual(valid.alt_txt, res.alt_txt);
       assert.strictEqual(valid.title, res.title);
       assert.strictEqual(valid.filename, res.filename);
 
@@ -116,7 +127,7 @@ describe('file-upload', () => {
           {
             file: './test/fixtures/test-png.png',
             filename: 'watermelon.png',
-            alt_text: 'cubed fruit for box eats',
+            alt_txt: 'cubed fruit for box eats',
           },
           {
             content: 'howdy world!',
@@ -136,7 +147,7 @@ describe('file-upload', () => {
       assert.strictEqual(valid.token, res[1].token);
       assert.strictEqual(valid.file_uploads[0].file, (res[0] as FileUploadBinaryContents).file);
       assert.strictEqual(valid.file_uploads[0].filename, res[0].filename);
-      assert.strictEqual(valid.file_uploads[0].alt_text, res[0].alt_text);
+      assert.strictEqual(valid.file_uploads[0].alt_txt, res[0].alt_txt);
       assert.strictEqual(valid.file_uploads[1].content, (res[1] as FileUploadStringContents).content);
       assert.strictEqual(valid.file_uploads[1].filename, res[1].filename);
 
diff --git a/packages/web-api/src/file-upload.ts b/packages/web-api/src/file-upload.ts
index ca6b707e1..09d54a624 100644
--- a/packages/web-api/src/file-upload.ts
+++ b/packages/web-api/src/file-upload.ts
@@ -26,7 +26,7 @@ export async function getFileUploadJob(
 
   const fileUploadJob: Record<string, unknown> = {
     // supplied by user
-    alt_text: options.alt_text,
+    alt_txt: options.alt_txt ?? options.alt_text,
     blocks: options.blocks,
     channel_id: options.channels ?? options.channel_id,
     filename: options.filename ?? fileName,
diff --git a/packages/web-api/src/methods.ts b/packages/web-api/src/methods.ts
index d684ea1d4..5e19b8470 100644
--- a/packages/web-api/src/methods.ts
+++ b/packages/web-api/src/methods.ts
@@ -2130,7 +2130,7 @@ export abstract class Methods extends EventEmitter<WebClientEvent> {
      * Supports a single file upload
      * Supply:
      * - (required) single file or content
-     * - (optional) channel, alt_text, snippet_type,
+     * - (optional) channel, alt_txt, snippet_type,
      * Supports multiple file uploads
      * Supply:
      * - multiple upload_files
diff --git a/packages/web-api/src/types/request/files.ts b/packages/web-api/src/types/request/files.ts
index af0794c94..228006ca5 100644
--- a/packages/web-api/src/types/request/files.ts
+++ b/packages/web-api/src/types/request/files.ts
@@ -95,6 +95,8 @@ export interface FilesGetUploadURLExternalArguments extends TokenOverridable {
   /** @description Size in bytes of the file being uploaded. */
   length: number;
   /** @description Description of image for screen-reader. */
+  alt_txt?: string;
+  /** @deprecated Slack does not use this. Use `alt_txt`. */
   alt_text?: string;
   /** @description Syntax type of the snippet being uploaded. E.g. `python`. */
   snippet_type?: string;
@@ -158,7 +160,9 @@ type FileUpload = FileUploadContents &
     title?: string;
   };
 export type FileUploadV2 = FileUpload & {
-  /** @description Description of image for screen-reader. */
+  /** @description A description of images for a screen-reader. */
+  alt_txt?: string;
+  /** @deprecated Use `alt_txt`. */
   alt_text?: string;
   /**
    * @description An array of structured rich text blocks. If the `initial_comment` field is provided, the `blocks` field is ignored.