What are some alternatives?
When comparing MailScanner and Altospam, you can also consider the following products
Scrollout F1 - Scrollout is a free and easy to use anti-spam email gateway designed for Linux & Windows administrators without advanced email security experience.
RansomFree - Protect your PC from ransomware with multiple detection methods.
SpamAssassin - Use this program to "Unspam" your mailbox(es).
CryptoPrevent - CryptoPrevent is an Anti-Virus/Security Software Supplement, originally designed in late 2013.
Proxmox Mail Gateway - Protect mail server against spam, viruses and malware with Proxmox Mail Gateway security for businesses, government, education and non-profit organizations.
Mailwasher - Over 8 million people use MailWasher as their spam filter