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There are 11 ten-letter words beginning with ALTER

ALTERATION	• alteration n. The act of altering or making different. • alteration n. The state of being altered; a change made in the form or nature of a thing; a changed condition. • ALTERATION n. the act of altering.
ALTERATIVE	• alterative n. (Medicine, now historical) A medicine or treatment which works by changing processes within the body… • alterative adj. Causing alteration. • ALTERATIVE n. a medicine or treatment that changes bodily functions.
ALTERCATED	• altercated v. Simple past tense and past participle of altercate. • ALTERCATE v. to dispute, argue.
ALTERCATES	• altercates v. Third-person singular simple present indicative form of altercate. • ALTERCATE v. to dispute, argue.
ALTERITIES	• alterities n. Plural of alterity. • ALTERITY n. otherness.
ALTERNANCE	• alternance n. Alternation. • ALTERNANCE n. alternation, change or variation; training by alternate periods of theoretical and practical work.
ALTERNANTS	• alternants n. Plural of alternant. • ALTERNANT n. a spelling or sound variant that does not affect meaning (allomorph or allophone).
ALTERNATED	• alternated v. Simple past tense and past participle of alternate. • ALTERNATE v. to cause to follow by turns or one after the other (properly, of two things).
ALTERNATES	• alternates n. Plural of alternate. • alternates v. Third-person singular simple present indicative form of alternate. • ALTERNATE v. to cause to follow by turns or one after the other (properly, of two things).
ALTERNATIM	• ALTERNATIM adv. (Latin) in sacred music, alternating between two modes.
ALTERNATOR	• alternator n. (Electrical engineering) An electric generator which produces alternating current through mechanical means. • ALTERNATOR n. an electric generator for producing alternating current.

Scrabble words — in black are valid world wide — in RED are not valid in North America — in GREEN are valid only in North America.
Definitions are short excerpt from the WikWik.org and 1Word.ws.

See this list for:

English Wiktionary: 21 words
Scrabble in French: 23 words
Scrabble in Spanish: 48 words
Scrabble in Italian: 38 words
Scrabble in German: no word
Scrabble in Romanian: 31 words

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