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Altermagnets host unconventional spin-polarized bands despite zero net magnetization, but controlling their spin structure remains challenging. We theoretically propose a multifield approach to engineer spin polarization in 𝑑-wave altermagnets using gating, optical driving, and in-plane electric fields, which enable tunable and switchable polarizations along multiple directions. Optical driving induces out-of-plane (𝑧) polarization, while gating and in-plane fields generate 𝑥 and 𝑦 polarizations via the Edelstein effect, all of which are experimentally detectable. We further find that spin- and band-selective doping induces chiral optical activity, a feature unique to altermagnets. Our approach offers a versatile means to control the direction of spin polarization in altermagnets.