diff --git a/design/extension.md b/design/extension.md
index 8eb6a29199..1a7ddbb32d 100644
--- a/design/extension.md
+++ b/design/extension.md
@@ -91,13 +91,12 @@ always have `replace` semantics when they participate in artifact resolution;
 extensions cannot author preset composition strategies.
 
 Primary command names must use the extension's namespace. Installation rejects
-names and aliases that exactly match a name from another installed extension,
-and rejects names whose normalized agent output form conflicts with a core
-command. Installed-extension comparisons are not normalized, so differently
-spelled names can still converge on the same output path for a particular
-renderer. A small set of legacy two-segment command names is normalized to the
-canonical form with a warning; hook and event command references are rewritten
-consistently.
+names and aliases whose normalized agent output form matches a name or alias
+from another installed extension or a core command. For example, `shared.sync`
+and `shared-sync` cannot both be installed because they produce the same skill
+output name. A small set of legacy two-segment command names is normalized to
+the canonical form with a warning; hook and event command references are
+rewritten consistently.
 
 ## Project state and filesystem layout
 
diff --git a/src/specify_cli/extensions/__init__.py b/src/specify_cli/extensions/__init__.py
index c22445ebe0..e4cea95677 100644
--- a/src/specify_cli/extensions/__init__.py
+++ b/src/specify_cli/extensions/__init__.py
@@ -1224,24 +1224,27 @@ def _validate_install_conflicts(self, manifest: ExtensionManifest) -> None:
         aliases are intentionally free-form (see the comment there) and so
         can only be caught here, by comparing declared names' normalized
         on-disk form (see ``_normalize_shadow_name``) against core command
-        names rather than relying on ``_get_installed_command_name_map``,
-        which only knows about installed extensions.
+        names and names from installed extensions.
         """
         declared_names = self._collect_manifest_command_names(manifest)
         installed_names = self._get_installed_command_name_map(
             exclude_extension_id=manifest.id
         )
+        installed_shadow_names: dict[str, str] = {}
+        for name, ext_id in installed_names.items():
+            installed_shadow_names.setdefault(self._normalize_shadow_name(name), ext_id)
         core_shadow_names = {
             self._normalize_shadow_name(f"speckit.{name}") for name in CORE_COMMAND_NAMES
         }
 
         collisions = []
         for name in sorted(declared_names):
-            if name in installed_names:
+            shadow_name = self._normalize_shadow_name(name)
+            if shadow_name in installed_shadow_names:
                 collisions.append(
-                    f"{name} (already provided by extension '{installed_names[name]}')"
+                    f"{name} (already provided by extension '{installed_shadow_names[shadow_name]}')"
                 )
-            elif self._normalize_shadow_name(name) in core_shadow_names:
+            elif shadow_name in core_shadow_names:
                 collisions.append(f"{name} (conflicts with core command)")
 
         if collisions:
diff --git a/tests/test_extensions.py b/tests/test_extensions.py
index f2a75d08a4..651ce2b5d5 100644
--- a/tests/test_extensions.py
+++ b/tests/test_extensions.py
@@ -3125,6 +3125,45 @@ def test_install_rejects_command_collision_with_installed_extension(self, temp_d
         with pytest.raises(ValidationError, match="already provided by extension 'ext-one'"):
             manager.install_from_directory(second_dir, "0.1.0", register_commands=False)
 
+    def test_install_rejects_alias_with_same_skill_output_name(self, temp_dir, project_dir):
+        """A second extension must not overwrite an installed alias skill (#5081)."""
+        import yaml
+
+        (project_dir / ".specify" / "init-options.json").write_text(
+            json.dumps({"ai": "claude", "ai_skills": True, "script": "py"})
+        )
+        (project_dir / ".claude" / "skills").mkdir(parents=True)
+
+        def extension_source(ext_id, alias):
+            source = temp_dir / ext_id
+            (source / "commands").mkdir(parents=True)
+            (source / "commands" / "hello.md").write_text(
+                f"---\ndescription: {ext_id}\n---\n\nHello from {ext_id}\n"
+            )
+            (source / "extension.yml").write_text(yaml.safe_dump({
+                "schema_version": "1.0",
+                "extension": {"id": ext_id, "name": ext_id, "version": "1.0.0", "description": "Test"},
+                "requires": {"speckit_version": ">=0.1.0"},
+                "provides": {"commands": [{
+                    "name": f"speckit.{ext_id}.hello", "file": "commands/hello.md",
+                    "aliases": [alias],
+                }]},
+            }))
+            return source
+
+        manager = ExtensionManager(project_dir)
+        manager.install_from_directory(extension_source("alpha", "shared.sync"), "0.1.0")
+        skill = project_dir / ".claude" / "skills" / "speckit-shared-sync" / "SKILL.md"
+        original = skill.read_bytes()
+        assert b"alpha" in original
+
+        with pytest.raises(ValidationError, match="already provided by extension 'alpha'"):
+            manager.install_from_directory(extension_source("beta", "shared-sync"), "0.1.0")
+
+        assert manager.registry.is_installed("alpha")
+        assert not manager.registry.is_installed("beta")
+        assert skill.read_bytes() == original
+
     def test_install_rejects_alias_shadowing_core_command(self, temp_dir, project_dir):
         """An alias equal to a core command's qualified name must not install.