Alkali-activated concrete is an eco-friendly construction material that is used to preserve natural resources and promote sustainability in the construction industry. This emerging concrete consists of fine and coarse aggregates and fly ash that constitute the binder when mixed with alkaline activators, such as sodium hydroxide (NaOH) and sodium silicate (Na2SiO3). However, understanding its tension stiffening and crack spacing and width is of critical importance in fulfilling serviceability requirements. Therefore, this research aims to evaluate the tension stiffening and cracking performance of alkali-activated (AA) concrete. The variables considered in this study were compressive strength (fc) and concrete cover-to-bar diameter (Cc/db) ratios. After casting the specimen, they were cured before testing at ambient curing conditions for 180 days to reduce the effects of concrete shrinkage and obtain more realistic cracking results. The results showed that both AA and OPC concrete prisms develop slightly similar axial cracking force and corresponding cracking strain, but OPC concrete prisms exhibited a brittle behavior, resulting in a sudden drop in the load–strain curves at the crack location. In contrast, AA concrete prisms developed more than one crack simultaneously, suggesting a more uniform tensile strength compared to OPC specimens. The tension-stiffening factor (β) of AA concrete exhibited better ductile behavior than OPC concrete due to the strain compatibility between concrete and steel even after crack ignition. It was also observed that increasing the confinement (Cc/dbratio) around the steel bar delays internal crack formation and enhances tension stiffening in AAC. Comparing the experimental crack spacing and width with the values predicted using OPC codes of practice, such as EC2 and ACI 224R, revealed that EC2 tends to underestimate the maximum crack width, while ACI 224R provided better predictions. Thus, models to predict crack spacing and width have been proposed accordingly.