diff --git a/mypy/semanal.py b/mypy/semanal.py
index 8d9b001ae775..803813bd40eb 100644
--- a/mypy/semanal.py
+++ b/mypy/semanal.py
@@ -3406,11 +3406,19 @@ def visit_assignment_stmt(self, s: AssignmentStmt) -> None:
         self.process__slots__(s)
 
     def is_sentinel_declaration(self, s: AssignmentStmt) -> bool:
-        """Does this assignment define a PEP 661 sentinel singleton?"""
+        """Does this assignment define a PEP 661 sentinel singleton?
+
+        This includes both the original `NAME = Sentinel("NAME")` call and a
+        plain alias of an existing sentinel, e.g. `ALIAS = NAME` or
+        `ALIAS = mod.NAME`, so that re-exports of a sentinel keep working as
+        the same sentinel type.
+        """
         if self.is_nested_within_func_scope() or s.unanalyzed_type is not None:
             return False
         if len(s.lvalues) != 1 or not isinstance(s.lvalues[0], NameExpr):
             return False
+        if isinstance(s.rvalue, RefExpr):
+            return isinstance(s.rvalue.node, Var) and s.rvalue.node.is_sentinel
         if not isinstance(s.rvalue, CallExpr):
             return False
         call = s.rvalue
@@ -3430,7 +3438,13 @@ def setup_sentinel_var(self, s: AssignmentStmt) -> None:
         lvalue.is_special_form = True
         var = lvalue.node
         var.is_sentinel = True
-        typ = self.sentinel_type_for_var(var, s.rvalue)
+        if isinstance(s.rvalue, RefExpr):
+            # An alias of an existing sentinel: reuse its already-computed type.
+            assert isinstance(s.rvalue.node, Var)
+            typ = get_proper_type(s.rvalue.node.type)
+            assert isinstance(typ, LiteralType)
+        else:
+            typ = self.sentinel_type_for_var(var, s.rvalue)
         if typ is not None:
             s.type = typ
 
diff --git a/test-data/unit/check-sentinels.test b/test-data/unit/check-sentinels.test
index 7a85cda95e81..8b3aa79fca95 100644
--- a/test-data/unit/check-sentinels.test
+++ b/test-data/unit/check-sentinels.test
@@ -176,6 +176,22 @@ def func(x: int | BUILTIN | TYPEXT) -> None:
 [builtins fixtures/sentinel.pyi]
 
 [case testSentinelReassignmentIsNotTypeAlias]
+from typing_extensions import sentinel
+
+MISSING = sentinel("MISSING")
+ALIAS = MISSING
+
+# Not a type alias (i.e. not a special form)
+reveal_type(ALIAS)  # N: Revealed type is "MISSING"
+
+def func(x: int | MISSING = MISSING) -> None:
+    pass
+
+func(MISSING)
+func(ALIAS)
+[builtins fixtures/tuple.pyi]
+
+[case testSentinelReassignmentIsSameSentinel]
 from typing_extensions import sentinel, assert_type
 
 MISSING = sentinel("MISSING")
@@ -184,16 +200,38 @@ ALIAS = MISSING
 # The value still identifies as the same sentinel...
 assert_type(ALIAS, MISSING)
 
-def func(x: int | MISSING = MISSING) -> None:
+def func(x: ALIAS | int = ALIAS) -> None:
     pass
 
 func(MISSING)
 func(ALIAS)
 
-# ...but the reassignment does not make ALIAS usable as a type alias.
-def uses_alias_as_type(x: ALIAS) -> None:  # E: Variable "__main__.ALIAS" is not valid as a type \
-        # N: See https://mypy.readthedocs.io/en/stable/common_issues.html#variables-vs-type-aliases
+# ...and the reassignment keeps ALIAS usable as a type expression too.
+def uses_alias_as_type(x: ALIAS) -> None:
+    pass
+
+uses_alias_as_type(MISSING)
+uses_alias_as_type(ALIAS)
+[builtins fixtures/tuple.pyi]
+
+[case testSentinelReassignmentAcrossModules]
+from other import MISSING
+
+def func(x: int | MISSING = MISSING) -> None:
     pass
+
+func(MISSING)
+
+[file other.py]
+from typing_extensions import sentinel
+import lib
+
+MISSING = lib.MISSING
+
+[file lib.py]
+from typing_extensions import sentinel
+
+MISSING = sentinel("MISSING")
 [builtins fixtures/tuple.pyi]
 
 [case testSentinelPreservedThroughGenericSubstitution]