diff --git a/tests/integration/targets/apk/aliases b/tests/integration/targets/apk/aliases
new file mode 100644
index 0000000000..6e8c01586a
--- /dev/null
+++ b/tests/integration/targets/apk/aliases
@@ -0,0 +1,13 @@
+# Copyright (c) Ansible Project
+# GNU General Public License v3.0+ (see LICENSES/GPL-3.0-or-later.txt or https://www.gnu.org/licenses/gpl-3.0.txt)
+# SPDX-License-Identifier: GPL-3.0-or-later
+
+azp/posix/2
+needs/root
+destructive
+skip/aix
+skip/osx
+skip/macos
+skip/freebsd
+skip/rhel
+skip/ubuntu
\ No newline at end of file
diff --git a/tests/integration/targets/apk/tasks/main.yml b/tests/integration/targets/apk/tasks/main.yml
new file mode 100644
index 0000000000..0e1b0ae429
--- /dev/null
+++ b/tests/integration/targets/apk/tasks/main.yml
@@ -0,0 +1,160 @@
+####################################################################
+# WARNING: These are designed specifically for Ansible tests       #
+# and should not be used as examples of how to write Ansible roles #
+####################################################################
+
+# Copyright (c) 2024, Max Maxopoly <max@dermax.org>
+# GNU General Public License v3.0+ (see LICENSES/GPL-3.0-or-later.txt or https://www.gnu.org/licenses/gpl-3.0.txt)
+# SPDX-License-Identifier: GPL-3.0-or-later
+- name: Run apk tests on Alpine
+  when: ansible_distribution in ['Alpine']
+  block:
+    - name: Ensure vim is not installed
+      community.general.apk:
+        name: vim
+        state: absent
+
+    - name: Install vim
+      community.general.apk:
+        name: vim
+        state: present
+      register: results
+
+    - name: Ensure vim was installed
+      ansible.builtin.assert:
+        that:
+          - results is changed
+          - (results.packages | length) >= 1 # vim has dependencies, so depending on the base image this number may vary
+
+    - name: Install vim again
+      community.general.apk:
+        name: vim
+        state: present
+      register: results
+
+    - name: Ensure vim was not installed again
+      ansible.builtin.assert:
+        that:
+          - results is not changed
+          - (results.packages | default([]) | length) == 0
+
+    - name: Ensure vim is not installed
+      community.general.apk:
+        name: vim
+        state: absent
+      register: results
+
+    - name: Ensure vim was uninstalled
+      ansible.builtin.assert:
+        that:
+          - results is changed
+          - (results.packages | length) >= 1
+
+    - name: Install vim without cache
+      community.general.apk:
+        name: vim
+        state: present
+        no_cache: true
+      register: results
+
+    - name: Ensure vim was installed without cache
+      ansible.builtin.assert:
+        that:
+          - results is changed
+
+    - name: Install vim again without cache
+      community.general.apk:
+        name: vim
+        state: present
+        no_cache: true
+      register: results
+
+    - name: Ensure vim was not installed again without cache
+      ansible.builtin.assert:
+        that:
+          - results is not changed
+          - (results.packages | default([]) | length) == 0
+
+    - name: Ensure a bunch of packages aren't installed
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: absent
+
+    - name: Install a bunch of packages
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: present
+      register: results
+
+    - name: Ensure a bunch of packages were installed
+      ansible.builtin.assert:
+        that:
+          - results is changed
+          - (results.packages | length) >= 3
+
+    - name: Install a bunch of packages again
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: present
+      register: results
+
+    - name: Ensure a bunch of packages were not installed again
+      ansible.builtin.assert:
+        that:
+          - results is not changed
+          - (results.packages | default([]) | length) == 0
+
+    - name: Ensure a bunch of packages are not installed
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: absent
+      register: results
+
+    - name: Ensure a bunch of packages were uninstalled
+      ansible.builtin.assert:
+        that:
+          - results is changed
+          - (results.packages | length) >= 3
+
+    - name: Install a bunch of packages without cache
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: present
+        no_cache: true
+      register: results
+
+    - name: Ensure a bunch of packages were installed without cache
+      ansible.builtin.assert:
+        that:
+          - results is changed
+
+    - name: Install a bunch of packages again without cache
+      community.general.apk:
+        name:
+          - less
+          - nano
+          - vim
+        state: present
+        no_cache: true
+      register: results
+
+    - name: Ensure a bunch of packages were not installed again without cache
+      ansible.builtin.assert:
+        that:
+          - results is not changed
+          - (results.packages | default([]) | length) == 0