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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com
with alterations
Grammar usage guide and real-world examplesUSAGE SUMMARY
The phrase "with alterations" is correct and usable in written English. You can use it when referring to changes or modifications made to something, such as a document or a design. For example, "The contract was submitted with alterations to the original terms." Alternative expressions include "with modifications" and "with changes."
✓ Grammatically correct
Science
Academia
News & Media
Alternative expressions(20)
with modifications
with changes
with revisions
with updates
subject to revisions
subject to changes
newly updated
update with
incorporating updates
in light of changes
subject to change
as a result of changes
considering changes
reflecting changes
incorporating changes
open to changes
open to modification
liable to be revised
may be altered
making changes
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Human-verified examples from authoritative sources
Exact Expressions
60 human-written examples
The Child with Alterations in Endocrine Function -- Ch. 56.
Academia
The Child with Alterations in Respiratory Function -- Ch. 49.
Academia
The Child with Alterations in Hematologic Function -- Ch. 52.
Academia
The Child with Alterations in Musculoskeletal Function -- Ch. 59.
Academia
The Child with Alterations in Gastrointestinal Function -- Ch. 54.
Academia
The Child with Alterations in Genitourinary Function -- Ch. 55.
Academia
The Child with Alterations in Immune Function -- Ch. 51.
Academia
The Child with Alterations in Neurologic Function -- Ch. 57.
Academia
The Child with Alterations in Cardiovascular Function -- Ch. 50.
Academia
Since then, 41 states have adopted those rules, often with alterations.
News & Media
This film and "Nixon" will be "director's cuts," with alterations mixed into the original movie.
News & Media
Expert writing Tips
Best practice
Place the phrase immediately after the noun it modifies to avoid ambiguity (e.g., 'cells "with alterations"' rather than 'cells reacted "with alterations"' unless the reaction itself was altered).
Common error
Avoid confusing 'alterations' with 'alternations'. While "with alterations" means with changes, 'with alternations' would mean with things occurring in turns or cycles. This is a common phonetic slip that can drastically change the meaning of a scientific observation.
Source & Trust
94%
Authority and reliability
4.9/5
Expert rating
Real-world application tested
Linguistic Context
The phrase "with alterations" functions as a prepositional phrase that modifies a preceding noun or verb to indicate that the subject has undergone modifications or exists in a changed state. According to Ludwig, it is frequently used to describe biological processes, legal amendments, or physical modifications. The phrase serves as a formal qualifier, often appearing in the structure "[Noun] "with alterations" in [System/Subject]", as seen in numerous medical and academic titles.
Frequent in
Science
45%
Academia
35%
News & Media
15%
Less common in
Formal & Business
3%
Wiki
1%
Social Media
1%
Ludwig's WRAP-UP
The phrase "with alterations" is a highly versatile and grammatically correct expression favored in formal, academic, and scientific writing. Ludwig AI identifies it as a standard way to denote that a subject—ranging from biological systems to legal rules—has undergone specific modifications. It is characterized by its high frequency in authoritative sources like Nature and The New York Times. While it is interchangeable with terms like <a href="/s/with+modifications" target="_blank" rel="alternative">with modifications, it carries a professional weight that makes it ideal for precise communication. Users should primarily ensure they do not confuse it with 'alternations' and should utilize its formal tone to enhance the clarity of their technical or professional prose.
More alternative expressions(10)
Phrases that express similar concepts, ordered by semantic similarity:
with modifications
Slightly more common in engineering and technical documentation.
with changes
A simpler, more neutral alternative for general conversation.
with revisions
Specifically refers to changes made to text, documents, or theories.
with adjustments
Implies smaller, fine-tuning changes rather than structural ones.
with amendments
Used primarily in legal, constitutional, or formal meeting contexts.
with variations
Suggests a diversity of forms rather than a single updated version.
with adaptations
Implies changes made specifically to suit a new purpose or environment.
with updates
Common in software and news to denote the most recent version.
with transformations
Suggests a much deeper, more fundamental change in state.
with tweaks
An informal way to describe very minor, practical improvements.
FAQs
Is it correct to say "with alterations" in a sentence?
Yes, it is perfectly correct. You can use it to describe anything that has been changed from its original state, such as "The suit was delivered <a href="/s/with+alterations" target="_blank" rel="alternative">with alterations to the sleeves".
What is the difference between "with alterations" and "with changes"?
While both mean something has been modified, <a href="/s/with+alterations" target="_blank" rel="alternative">with alterations sounds more formal and often implies specific, purposeful work (like tailoring or genetic editing), whereas <a href="/s/with+changes" target="_blank" rel="alternative">with changes is more general.
Can I use "with alterations" for clothing?
Absolutely. In the context of fashion, it is the standard way to say that a garment has been resized or adjusted. For example: "The dress fits perfectly <a href="/s/with+alterations" target="_blank" rel="alternative">with alterations".
What can I say instead of "with alterations" in a formal report?
In a formal or technical report, you might consider using <a href="/s/with+modifications" target="_blank" rel="alternative">with modifications or <a href="/s/with+amendments" target="_blank" rel="alternative">with amendments if you are referring to legal or textual changes.
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Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Source & Trust
94%
Authority and reliability
4.9/5
Expert rating
Real-world application tested