diff --git a/x-pack/plugins/transform/common/constants.ts b/x-pack/plugins/transform/common/constants.ts
index 3bf8d5c97cc07..0e8eb21c063bf 100644
--- a/x-pack/plugins/transform/common/constants.ts
+++ b/x-pack/plugins/transform/common/constants.ts
@@ -190,6 +190,17 @@ export const TRANSFORM_HEALTH_CHECK_NAMES: Record<
       }
     ),
   },
+  healthCheck: {
+    name: i18n.translate('xpack.transform.alertTypes.transformHealth.healthCheckName', {
+      defaultMessage: 'Unhealthy transforms',
+    }),
+    description: i18n.translate(
+      'xpack.transform.alertTypes.transformHealth.healthCheckDescription',
+      {
+        defaultMessage: 'Get alerts if a transform health status is not green.',
+      }
+    ),
+  },
 };
 
 // Transform API default values https://www.elastic.co/guide/en/elasticsearch/reference/current/put-transform.html
diff --git a/x-pack/plugins/transform/common/types/alerting.ts b/x-pack/plugins/transform/common/types/alerting.ts
index aa08db9a8ce13..4e4d5a7407c5f 100644
--- a/x-pack/plugins/transform/common/types/alerting.ts
+++ b/x-pack/plugins/transform/common/types/alerting.ts
@@ -14,9 +14,15 @@ export type TransformHealthRuleParams = {
     notStarted?: {
       enabled: boolean;
     } | null;
+    /**
+     * @deprecated replaced in favor of healthCheck in 8.8
+     */
     errorMessages?: {
       enabled: boolean;
     } | null;
+    healthCheck?: {
+      enabled: boolean;
+    } | null;
   } | null;
 } & RuleTypeParams;
 
diff --git a/x-pack/plugins/transform/common/utils/alerts.ts b/x-pack/plugins/transform/common/utils/alerts.ts
index 88c6fc64a35b2..1a4947db6ae2e 100644
--- a/x-pack/plugins/transform/common/utils/alerts.ts
+++ b/x-pack/plugins/transform/common/utils/alerts.ts
@@ -13,7 +13,10 @@ export function getResultTestConfig(config: TransformHealthRuleTestsConfig) {
       enabled: config?.notStarted?.enabled ?? true,
     },
     errorMessages: {
-      enabled: config?.errorMessages?.enabled ?? true,
+      enabled: config?.errorMessages?.enabled ?? false,
+    },
+    healthCheck: {
+      enabled: config?.healthCheck?.enabled ?? true,
     },
   };
 }
diff --git a/x-pack/plugins/transform/public/alerting/transform_health_rule_type/register_transform_health_rule.ts b/x-pack/plugins/transform/public/alerting/transform_health_rule_type/register_transform_health_rule.ts
index dfbe7e3154bf1..47428c070cda6 100644
--- a/x-pack/plugins/transform/public/alerting/transform_health_rule_type/register_transform_health_rule.ts
+++ b/x-pack/plugins/transform/public/alerting/transform_health_rule_type/register_transform_health_rule.ts
@@ -67,13 +67,13 @@ export function getTransformHealthRuleType(): RuleTypeModel<TransformHealthRuleP
   Transform ID: \\{\\{transform_id\\}\\}
   \\{\\{#description\\}\\}Transform description: \\{\\{description\\}\\}
   \\{\\{/description\\}\\}\\{\\{#transform_state\\}\\}Transform state: \\{\\{transform_state\\}\\}
-  \\{\\{/transform_state\\}\\}\\{\\{#failure_reason\\}\\}Failure reason: \\{\\{failure_reason\\}\\}
+  \\{\\{/transform_state\\}\\}\\{\\{#health\\}\\}Transform health: \\{\\{health\\}\\}
+  \\{\\{/health\\}\\}\\{\\{#failure_reason\\}\\}Failure reason: \\{\\{failure_reason\\}\\}
   \\{\\{/failure_reason\\}\\}\\{\\{#notification_message\\}\\}Notification message: \\{\\{notification_message\\}\\}
   \\{\\{/notification_message\\}\\}\\{\\{#node_name\\}\\}Node name: \\{\\{node_name\\}\\}
   \\{\\{/node_name\\}\\}\\{\\{#timestamp\\}\\}Timestamp: \\{\\{timestamp\\}\\}
   \\{\\{/timestamp\\}\\}\\{\\{#error_messages\\}\\}Error message: \\{\\{message\\}\\}
   \\{\\{/error_messages\\}\\}
-
 \\{\\{/context.results\\}\\}
 `,
       }
diff --git a/x-pack/plugins/transform/public/alerting/transform_health_rule_type/tests_selection_control.tsx b/x-pack/plugins/transform/public/alerting/transform_health_rule_type/tests_selection_control.tsx
index deb04f5ac24dd..0c013f7f3404a 100644
--- a/x-pack/plugins/transform/public/alerting/transform_health_rule_type/tests_selection_control.tsx
+++ b/x-pack/plugins/transform/public/alerting/transform_health_rule_type/tests_selection_control.tsx
@@ -5,7 +5,7 @@
  * 2.0.
  */
 
-import React, { FC, useCallback } from 'react';
+import React, { FC, useCallback, useMemo } from 'react';
 import { EuiDescribedFormGroup, EuiForm, EuiFormRow, EuiSpacer, EuiSwitch } from '@elastic/eui';
 import { FormattedMessage } from '@kbn/i18n-react';
 
@@ -22,10 +22,19 @@ interface TestsSelectionControlProps {
   errors?: string[];
 }
 
+const disabledChecks = new Set<keyof Exclude<TransformHealthRuleTestsConfig, null | undefined>>([
+  'errorMessages',
+]);
+
 export const TestsSelectionControl: FC<TestsSelectionControlProps> = React.memo(
   ({ config, onChange, errors }) => {
     const uiConfig = getResultTestConfig(config);
 
+    const initConfig = useMemo(() => {
+      return uiConfig;
+      // eslint-disable-next-line react-hooks/exhaustive-deps
+    }, []);
+
     const updateCallback = useCallback(
       (update: Partial<Exclude<TransformHealthRuleTestsConfig, undefined>>) => {
         onChange({
@@ -43,35 +52,37 @@ export const TestsSelectionControl: FC<TestsSelectionControlProps> = React.memo(
             Object.entries(uiConfig) as Array<
               [TransformHealthTests, typeof uiConfig[TransformHealthTests]]
             >
-          ).map(([name, conf], i) => {
-            return (
-              <EuiDescribedFormGroup
-                key={name}
-                title={<h4>{TRANSFORM_HEALTH_CHECK_NAMES[name]?.name}</h4>}
-                description={TRANSFORM_HEALTH_CHECK_NAMES[name]?.description}
-                fullWidth
-                gutterSize={'s'}
-              >
-                <EuiFormRow>
-                  <EuiSwitch
-                    label={
-                      <FormattedMessage
-                        id="xpack.transform.alertTypes.transformHealth.testsSelection.enableTestLabel"
-                        defaultMessage="Enable"
-                      />
-                    }
-                    onChange={updateCallback.bind(null, {
-                      [name]: {
-                        ...uiConfig[name],
-                        enabled: !uiConfig[name].enabled,
-                      },
-                    })}
-                    checked={uiConfig[name].enabled}
-                  />
-                </EuiFormRow>
-              </EuiDescribedFormGroup>
-            );
-          })}
+          )
+            .filter(([name]) => !disabledChecks.has(name) || initConfig[name].enabled)
+            .map(([name, conf], i) => {
+              return (
+                <EuiDescribedFormGroup
+                  key={name}
+                  title={<h4>{TRANSFORM_HEALTH_CHECK_NAMES[name]?.name}</h4>}
+                  description={TRANSFORM_HEALTH_CHECK_NAMES[name]?.description}
+                  fullWidth
+                  gutterSize={'s'}
+                >
+                  <EuiFormRow>
+                    <EuiSwitch
+                      label={
+                        <FormattedMessage
+                          id="xpack.transform.alertTypes.transformHealth.testsSelection.enableTestLabel"
+                          defaultMessage="Enable"
+                        />
+                      }
+                      onChange={updateCallback.bind(null, {
+                        [name]: {
+                          ...uiConfig[name],
+                          enabled: !uiConfig[name].enabled,
+                        },
+                      })}
+                      checked={uiConfig[name].enabled}
+                    />
+                  </EuiFormRow>
+                </EuiDescribedFormGroup>
+              );
+            })}
         </EuiForm>
         <EuiSpacer size="l" />
       </>
diff --git a/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/schema.ts b/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/schema.ts
index e98d6edd294ac..5c487927c8461 100644
--- a/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/schema.ts
+++ b/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/schema.ts
@@ -18,6 +18,11 @@ export const transformHealthRuleParams = schema.object({
         })
       ),
       errorMessages: schema.nullable(
+        schema.object({
+          enabled: schema.boolean({ defaultValue: false }),
+        })
+      ),
+      healthCheck: schema.nullable(
         schema.object({
           enabled: schema.boolean({ defaultValue: true }),
         })
diff --git a/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/transform_health_service.ts b/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/transform_health_service.ts
index bdb2d6f1a68df..56963d717f164 100644
--- a/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/transform_health_service.ts
+++ b/x-pack/plugins/transform/server/lib/alerting/transform_health_rule_type/transform_health_service.ts
@@ -309,6 +309,34 @@ export function transformHealthServiceProvider(
         });
       }
 
+      if (testsConfig.healthCheck.enabled) {
+        const response = await this.getUnhealthyTransformsReport(transformIds);
+        const isHealthy = response.length === 0;
+        const count = response.length;
+        const transformsString = response.map((t) => t.transform_id).join(', ');
+        result.push({
+          isHealthy,
+          name: TRANSFORM_HEALTH_CHECK_NAMES.healthCheck.name,
+          context: {
+            results: isHealthy ? [] : response,
+            message: isHealthy
+              ? i18n.translate(
+                  'xpack.transform.alertTypes.transformHealth.healthCheckRecoveryMessage',
+                  {
+                    defaultMessage:
+                      '{count, plural, one {Transform} other {Transforms}} {transformsString} {count, plural, one {is} other {are}} healthy.',
+                    values: { count, transformsString },
+                  }
+                )
+              : i18n.translate('xpack.transform.alertTypes.transformHealth.healthCheckMessage', {
+                  defaultMessage:
+                    '{count, plural, one {Transform} other {Transforms}} {transformsString} {count, plural, one {is} other {are}} unhealthy.',
+                  values: { count, transformsString },
+                }),
+          },
+        });
+      }
+
       return result;
     },