diff --git a/crates/uv-cli/src/lib.rs b/crates/uv-cli/src/lib.rs
index 34c2575b9d0e9..af04737ece040 100644
--- a/crates/uv-cli/src/lib.rs
+++ b/crates/uv-cli/src/lib.rs
@@ -5196,6 +5196,13 @@ pub struct PythonUpgradeArgs {
     #[arg(long, env = EnvVars::UV_PYPY_INSTALL_MIRROR)]
     pub pypy_mirror: Option<String>,
 
+    /// Reinstall the latest Python patch, if it's already installed.
+    ///
+    /// By default, uv will exit successfully if the latest patch is already
+    /// installed.
+    #[arg(long, short)]
+    pub reinstall: bool,
+
     /// URL pointing to JSON of custom Python installations.
     ///
     /// Note that currently, only local paths are supported.
diff --git a/crates/uv/src/lib.rs b/crates/uv/src/lib.rs
index 3a2d5c1294733..5f2399219d723 100644
--- a/crates/uv/src/lib.rs
+++ b/crates/uv/src/lib.rs
@@ -1437,14 +1437,13 @@ async fn run(mut cli: Cli) -> Result<ExitStatus> {
             // Resolve the settings from the command-line arguments and workspace configuration.
             let args = settings::PythonUpgradeSettings::resolve(args, filesystem);
             show_settings!(args);
-            let reinstall = false;
             let upgrade = true;
 
             commands::python_install(
                 &project_dir,
                 args.install_dir,
                 args.targets,
-                reinstall,
+                args.reinstall,
                 upgrade,
                 args.bin,
                 args.registry,
diff --git a/crates/uv/src/settings.rs b/crates/uv/src/settings.rs
index ad26eeaa9e95e..f21ffdbb21c95 100644
--- a/crates/uv/src/settings.rs
+++ b/crates/uv/src/settings.rs
@@ -1019,6 +1019,7 @@ pub(crate) struct PythonUpgradeSettings {
     pub(crate) registry: Option<bool>,
     pub(crate) python_install_mirror: Option<String>,
     pub(crate) pypy_install_mirror: Option<String>,
+    pub(crate) reinstall: bool,
     pub(crate) python_downloads_json_url: Option<String>,
     pub(crate) default: bool,
     pub(crate) bin: Option<bool>,
@@ -1051,6 +1052,7 @@ impl PythonUpgradeSettings {
             targets,
             mirror: _,
             pypy_mirror: _,
+            reinstall,
             python_downloads_json_url: _,
         } = args;
 
@@ -1061,6 +1063,7 @@ impl PythonUpgradeSettings {
             registry,
             python_install_mirror: python_mirror,
             pypy_install_mirror: pypy_mirror,
+            reinstall,
             python_downloads_json_url,
             default,
             bin,
diff --git a/crates/uv/tests/it/python_upgrade.rs b/crates/uv/tests/it/python_upgrade.rs
index bf6d45e08998f..860b3395c6cfa 100644
--- a/crates/uv/tests/it/python_upgrade.rs
+++ b/crates/uv/tests/it/python_upgrade.rs
@@ -52,6 +52,17 @@ fn python_upgrade() {
 
     ----- stderr -----
     ");
+
+    // Should reinstall on `--reinstall`
+    uv_snapshot!(context.filters(), context.python_upgrade().arg("--preview").arg("3.10").arg("--reinstall"), @r"
+    success: true
+    exit_code: 0
+    ----- stdout -----
+
+    ----- stderr -----
+    Installed Python 3.10.18 in [TIME]
+     ~ cpython-3.10.18-[PLATFORM] (python3.10)
+    ");
 }
 
 #[test]
diff --git a/docs/reference/cli.md b/docs/reference/cli.md
index b378067fb94c3..10c9831eac1db 100644
--- a/docs/reference/cli.md
+++ b/docs/reference/cli.md
@@ -2970,6 +2970,8 @@ uv python upgrade [OPTIONS] [TARGETS]...
 <p>Note that currently, only local paths are supported.</p>
 <p>May also be set with the <code>UV_PYTHON_DOWNLOADS_JSON_URL</code> environment variable.</p></dd><dt id="uv-python-upgrade--quiet"><a href="#uv-python-upgrade--quiet"><code>--quiet</code></a>, <code>-q</code></dt><dd><p>Use quiet output.</p>
 <p>Repeating this option, e.g., <code>-qq</code>, will enable a silent mode in which uv will write no output to stdout.</p>
+</dd><dt id="uv-python-upgrade--reinstall"><a href="#uv-python-upgrade--reinstall"><code>--reinstall</code></a>, <code>-r</code></dt><dd><p>Reinstall the latest Python patch, if it's already installed.</p>
+<p>By default, uv will exit successfully if the latest patch is already installed.</p>
 </dd><dt id="uv-python-upgrade--verbose"><a href="#uv-python-upgrade--verbose"><code>--verbose</code></a>, <code>-v</code></dt><dd><p>Use verbose output.</p>
 <p>You can configure fine-grained logging using the <code>RUST_LOG</code> environment variable. (<a href="https://docs.rs/tracing-subscriber/latest/tracing_subscriber/filter/struct.EnvFilter.html#directives">https://docs.rs/tracing-subscriber/latest/tracing_subscriber/filter/struct.EnvFilter.html#directives</a>)</p>
 </dd></dl>