Alexstrasza has been praised by critics and fans as a prominent and powerful heroine, and she remains an ambassador character for World of Warcraft.

Part of her backstory in which she was enslaved by villainous orcs and forced to breed mounts for them also drew controversy, with a time-travel quest involving it being rewritten after encountering backlash from fans.

[2][3] After being saved, she agreed to honor her debt by helping the people who rescued her fight back against Malygos, the crazed Aspect of the blue dragonflight.

[6] Alexstrasza's appearance as a playable Heroes of the Storm character was generally praised, but received complaints regarding its lack of accuracy in comparison to her World of Warcraft incarnation.

However, she also noted that Alextrasza's powers felt lessened compared to World of Warcraft, and her willingness to battle conflicted with her compassionate devotion to healing.

[8] Cass Marshall of Polygon praised Dragonflight as being the first expansion to make her "more of an actual character" as opposed to a "boring" goddess-like figure.

She noted the fact that Alexstrasza was given additional character flaws, such as acting cowardly and prioritizing "her powers and the peace of Azeroth above even her closest relationships".