We mainly aimed to determine how alternative liquid fuels affect the exhaust particle size distributions (PSD) emitted by a medium-speed diesel engine. The selected alternative fuels included: circulation-origin marine gas oil (MGO), the 26/74 vol. % blend of renewable naphtha and baseline low-sulfur marine light fuel oil (LFO), and kerosene. PSDs were measured by means of an engine exhaust particle sizer from the raw exhaust of a four-cylinder, turbocharged, intercooled engine. During the measurements, the engine was loaded by an alternator, the maximum power output being set at 600 kW(e) at a speed of 1000 rpm. The partial loads of 450, 300, 150 and 60 kW(e) were also used for measurements. At each load, the PSDs had a distinct peak between 20 and 100 nm regardless of fuel. Relative to the other fuels, circulation-origin MGO emitted the lowest particle numbers at several loads despite having the highest viscosity and highest density. Compared to baseline LFO and kerosene, MGO and the blend of renewable naphtha and LFO were more beneficial in terms of total particle number (TPN). Irrespective of the load or fuel, the TPN consisted mainly of particles detected above the 23 nm size category.