diff --git a/apps/storybook-react-native/.storybook/storybook.requires.js b/apps/storybook-react-native/.storybook/storybook.requires.js
index 599589f3e..5d001b859 100644
--- a/apps/storybook-react-native/.storybook/storybook.requires.js
+++ b/apps/storybook-react-native/.storybook/storybook.requires.js
@@ -88,6 +88,7 @@ const getStories = () => {
     "./../../packages/design-system-react-native/src/components/ButtonSemantic/ButtonSemantic.stories.tsx": require("../../../packages/design-system-react-native/src/components/ButtonSemantic/ButtonSemantic.stories.tsx"),
     "./../../packages/design-system-react-native/src/components/Card/Card.stories.tsx": require("../../../packages/design-system-react-native/src/components/Card/Card.stories.tsx"),
     "./../../packages/design-system-react-native/src/components/Checkbox/Checkbox.stories.tsx": require("../../../packages/design-system-react-native/src/components/Checkbox/Checkbox.stories.tsx"),
+    "./../../packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.stories.tsx": require("../../../packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.stories.tsx"),
     "./../../packages/design-system-react-native/src/components/HeaderBase/HeaderBase.stories.tsx": require("../../../packages/design-system-react-native/src/components/HeaderBase/HeaderBase.stories.tsx"),
     "./../../packages/design-system-react-native/src/components/HeaderRoot/HeaderRoot.stories.tsx": require("../../../packages/design-system-react-native/src/components/HeaderRoot/HeaderRoot.stories.tsx"),
     "./../../packages/design-system-react-native/src/components/HeaderSearch/HeaderSearch.stories.tsx": require("../../../packages/design-system-react-native/src/components/HeaderSearch/HeaderSearch.stories.tsx"),
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.stories.tsx b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.stories.tsx
new file mode 100644
index 000000000..f51b25b9f
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.stories.tsx
@@ -0,0 +1,49 @@
+import { IconAlertSeverity } from '@metamask/design-system-shared';
+import type { Meta, StoryObj } from '@storybook/react-native';
+import React from 'react';
+
+import { Box, BoxAlignItems } from '../Box';
+
+import { HeaderAlert } from './HeaderAlert';
+import type { HeaderAlertProps } from './HeaderAlert.types';
+
+const meta: Meta<HeaderAlertProps> = {
+  title: 'Components/HeaderAlert',
+  component: HeaderAlert,
+  argTypes: {
+    severity: {
+      control: 'select',
+      options: Object.values(IconAlertSeverity),
+    },
+    twClassName: { control: 'text' },
+  },
+};
+
+export default meta;
+
+type Story = StoryObj<HeaderAlertProps>;
+
+export const Default: Story = {
+  args: {
+    severity: IconAlertSeverity.Info,
+    onBack: () => null,
+    onClose: () => null,
+  },
+};
+
+export const Severity: Story = {
+  render: () => (
+    <Box gap={4}>
+      {Object.values(IconAlertSeverity).map((severity) => (
+        <Box key={severity} alignItems={BoxAlignItems.Center} gap={2}>
+          <HeaderAlert
+            severity={severity}
+            onBack={() => null}
+            onClose={() => null}
+            iconAlertProps={{ testID: `header-alert-icon-${severity}` }}
+          />
+        </Box>
+      ))}
+    </Box>
+  ),
+};
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.test.tsx b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.test.tsx
new file mode 100644
index 000000000..ea1003388
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.test.tsx
@@ -0,0 +1,81 @@
+import { IconAlertSeverity } from '@metamask/design-system-shared';
+import { useTailwind } from '@metamask/design-system-twrnc-preset';
+import { renderHook } from '@testing-library/react-hooks';
+import { render } from '@testing-library/react-native';
+import React from 'react';
+
+import { IconSize } from '../../types';
+import { TWCLASSMAP_ICON_SIZE_DIMENSION } from '../Icon/Icon.constants';
+import type { IconAlertProps } from '../IconAlert';
+import { ICON_ALERT_SEVERITY_MAP } from '../IconAlert/IconAlert.constants';
+
+import { HeaderAlert } from './HeaderAlert';
+
+type IconAlertSeverityUnion =
+  (typeof IconAlertSeverity)[keyof typeof IconAlertSeverity];
+
+describe('HeaderAlert', () => {
+  let tw: ReturnType<typeof useTailwind>;
+
+  beforeAll(() => {
+    tw = renderHook(() => useTailwind()).result.current;
+  });
+
+  describe('when a severity is provided', () => {
+    it.each(Object.values(IconAlertSeverity) as IconAlertSeverityUnion[])(
+      'renders IconAlert at Lg with mapped color for %s',
+      (severity) => {
+        const { getByTestId } = render(
+          <HeaderAlert
+            severity={severity}
+            iconAlertProps={{ testID: 'header-alert-icon' }}
+          />,
+        );
+
+        const icon = getByTestId('header-alert-icon');
+        const { color } = ICON_ALERT_SEVERITY_MAP[severity];
+
+        expect(icon).toBeOnTheScreen();
+        expect(icon).toHaveStyle(
+          tw.style(color, TWCLASSMAP_ICON_SIZE_DIMENSION[IconSize.Lg]),
+        );
+      },
+    );
+  });
+
+  describe('when iconAlertProps includes a severity at runtime', () => {
+    it('uses HeaderAlert severity for icon mapping', () => {
+      const { getByTestId } = render(
+        <HeaderAlert
+          severity={IconAlertSeverity.Error}
+          iconAlertProps={
+            {
+              severity: IconAlertSeverity.Info,
+              testID: 'header-alert-icon',
+            } as IconAlertProps
+          }
+        />,
+      );
+
+      const icon = getByTestId('header-alert-icon');
+      const { color } = ICON_ALERT_SEVERITY_MAP[IconAlertSeverity.Error];
+
+      expect(icon).toHaveStyle(
+        tw.style(color, TWCLASSMAP_ICON_SIZE_DIMENSION[IconSize.Lg]),
+      );
+    });
+  });
+
+  it('forwards HeaderStandard props such as testID', () => {
+    const { getByTestId } = render(
+      <HeaderAlert
+        severity={IconAlertSeverity.Info}
+        testID="header-alert-root"
+        iconAlertProps={{ testID: 'header-alert-icon' }}
+      />,
+    );
+
+    expect(getByTestId('header-alert-root')).toBeOnTheScreen();
+    expect(getByTestId('header-alert-icon')).toBeOnTheScreen();
+  });
+});
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.tsx b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.tsx
new file mode 100644
index 000000000..359459c06
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.tsx
@@ -0,0 +1,19 @@
+import React from 'react';
+
+import { IconSize } from '../../types';
+import { HeaderStandard } from '../HeaderStandard';
+import { IconAlert } from '../IconAlert';
+
+import type { HeaderAlertProps } from './HeaderAlert.types';
+
+export const HeaderAlert: React.FC<HeaderAlertProps> = ({
+  severity,
+  iconAlertProps,
+  ...headerStandardProps
+}) => (
+  <HeaderStandard {...headerStandardProps}>
+    <IconAlert {...iconAlertProps} severity={severity} size={IconSize.Lg} />
+  </HeaderStandard>
+);
+
+HeaderAlert.displayName = 'HeaderAlert';
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.types.ts b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.types.ts
new file mode 100644
index 000000000..a5ece823d
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/HeaderAlert.types.ts
@@ -0,0 +1,19 @@
+import type { HeaderAlertPropsShared } from '@metamask/design-system-shared';
+
+import type { HeaderStandardProps } from '../HeaderStandard';
+import type { IconAlertProps } from '../IconAlert';
+
+/**
+ * HeaderAlert component props (React Native).
+ */
+export type HeaderAlertProps = Omit<
+  HeaderStandardProps,
+  'children' | 'title' | 'titleProps' | 'subtitle' | 'subtitleProps'
+> &
+  HeaderAlertPropsShared & {
+    /**
+     * Props for the inner IconAlert. `severity` and `size` are always set by
+     * HeaderAlert and are omitted from this type.
+     */
+    iconAlertProps?: Omit<IconAlertProps, 'severity' | 'size'>;
+  };
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/README.md b/packages/design-system-react-native/src/components/HeaderAlert/README.md
new file mode 100644
index 000000000..e17f2b3c3
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/README.md
@@ -0,0 +1,63 @@
+# HeaderAlert
+
+HeaderAlert is a [`HeaderStandard`](./../HeaderStandard/README.md) layout whose center content is always an [`IconAlert`](./../IconAlert/README.md) at `IconSize.Lg`, driven by a required `severity` that matches [`IconAlert`](./../IconAlert/README.md) semantics.
+
+The center slot is always the `IconAlert`; `title`, `titleProps`, `subtitle`, `subtitleProps`, and `children` are not part of the public API. Pass actions such as `onBack` or `onClose` as you would on `HeaderStandard`.
+
+```tsx
+import {
+  HeaderAlert,
+  IconAlertSeverity,
+} from '@metamask/design-system-react-native';
+
+<HeaderAlert severity={IconAlertSeverity.Warning} onClose={() => {}} />;
+```
+
+## Props
+
+### `severity`
+
+Same values and icon/color mapping as [`IconAlert` `severity`](./../IconAlert/README.md). This value is always passed to the inner `IconAlert` after `iconAlertProps`, so it overrides any `severity` inside `iconAlertProps`.
+
+| TYPE                | REQUIRED | DEFAULT |
+| ------------------- | -------- | ------- |
+| `IconAlertSeverity` | Yes      | -       |
+
+```tsx
+import {
+  HeaderAlert,
+  IconAlertSeverity,
+} from '@metamask/design-system-react-native';
+
+<HeaderAlert severity={IconAlertSeverity.Error} onClose={handleClose} />;
+```
+
+### `iconAlertProps`
+
+Optional props spread onto the inner `IconAlert` (for example `testID`, `twClassName`, `accessible`). The type is `IconAlert` props with `severity` and `size` omitted, because `HeaderAlert` always supplies those (`severity` from this component; `size` is `IconSize.Lg`).
+
+| TYPE                                         | REQUIRED | DEFAULT     |
+| -------------------------------------------- | -------- | ----------- |
+| `Omit<IconAlertProps, 'severity' \| 'size'>` | No       | `undefined` |
+
+```tsx
+import {
+  HeaderAlert,
+  IconAlertSeverity,
+} from '@metamask/design-system-react-native';
+
+<HeaderAlert
+  severity={IconAlertSeverity.Info}
+  onClose={handleClose}
+  iconAlertProps={{ testID: 'alert-header-icon', accessible: true }}
+/>;
+```
+
+### Other props
+
+All [`HeaderStandard`](./../HeaderStandard/README.md) props except `children`, `title`, `titleProps`, `subtitle`, and `subtitleProps` are supported (`onBack`, `onClose`, `twClassName`, `testID`, etc.).
+
+## References
+
+- Storybook: **Components / HeaderAlert** — `Default`, `Severity`
+- [MetaMask Design System Guides](https://www.notion.so/MetaMask-Design-System-Guides-Design-f86ecc914d6b4eb6873a122b83c12940)
diff --git a/packages/design-system-react-native/src/components/HeaderAlert/index.ts b/packages/design-system-react-native/src/components/HeaderAlert/index.ts
new file mode 100644
index 000000000..e9bb803ad
--- /dev/null
+++ b/packages/design-system-react-native/src/components/HeaderAlert/index.ts
@@ -0,0 +1,3 @@
+export { IconAlertSeverity } from '@metamask/design-system-shared';
+export { HeaderAlert } from './HeaderAlert';
+export type { HeaderAlertProps } from './HeaderAlert.types';
diff --git a/packages/design-system-react-native/src/components/index.ts b/packages/design-system-react-native/src/components/index.ts
index e057985d2..7da6e0608 100644
--- a/packages/design-system-react-native/src/components/index.ts
+++ b/packages/design-system-react-native/src/components/index.ts
@@ -127,6 +127,9 @@ export type { CheckboxProps } from './Checkbox';
 export { HeaderBase, HeaderBaseVariant } from './HeaderBase';
 export type { HeaderBaseProps } from './HeaderBase';
 
+export { HeaderAlert } from './HeaderAlert';
+export type { HeaderAlertProps } from './HeaderAlert';
+
 export { HeaderRoot } from './HeaderRoot';
 export type { HeaderRootProps } from './HeaderRoot';
 
diff --git a/packages/design-system-shared/src/index.ts b/packages/design-system-shared/src/index.ts
index 3868af23e..9a994c51f 100644
--- a/packages/design-system-shared/src/index.ts
+++ b/packages/design-system-shared/src/index.ts
@@ -29,6 +29,9 @@ export {
   type IconAlertPropsShared,
 } from './types/IconAlert';
 
+// HeaderAlert types (ADR-0004)
+export { type HeaderAlertPropsShared } from './types/HeaderAlert';
+
 // BannerBase types (ADR-0004)
 export { type BannerBasePropsShared } from './types/BannerBase';
 
diff --git a/packages/design-system-shared/src/types/HeaderAlert/HeaderAlert.types.ts b/packages/design-system-shared/src/types/HeaderAlert/HeaderAlert.types.ts
new file mode 100644
index 000000000..65d88d0ef
--- /dev/null
+++ b/packages/design-system-shared/src/types/HeaderAlert/HeaderAlert.types.ts
@@ -0,0 +1,7 @@
+import type { IconAlertPropsShared } from '../IconAlert';
+
+/**
+ * HeaderAlert shared props (ADR-0004).
+ * Reuses IconAlert severity semantics.
+ */
+export type HeaderAlertPropsShared = IconAlertPropsShared;
diff --git a/packages/design-system-shared/src/types/HeaderAlert/index.ts b/packages/design-system-shared/src/types/HeaderAlert/index.ts
new file mode 100644
index 000000000..9dcc96f62
--- /dev/null
+++ b/packages/design-system-shared/src/types/HeaderAlert/index.ts
@@ -0,0 +1 @@
+export type { HeaderAlertPropsShared } from './HeaderAlert.types';