Altermagnets break time-reversal symmetry, preserve the crystal translation invariance, and have a spin density with $d$-wave, $g$-wave, etc. momentum dependencies which do not contribute to the magnetization. When an $s$-wave spin-density contribution cannot be excluded by symmetry a small magnetization and an anomalous Hall effect (AHE) emerge. However, for so-called "pure" altermagnets, where the $s$-wave component is symmetry forbidden even in the presence of SOC, both the zero-field magnetization and the AHE vanish. We show that altermagnets generally exhibit a non-zero elasto-Hall-conductivity, by which application of strain leads to a non-zero AHE. For pure altermagnets it is the only contribution to the AHE. This elasto-Hall-conductivity is caused by strain coupling to the Berry curvature quadrupole that characterizes altermagnets and allows for the determination of the altermagnetic order using transport measurements that are linear in the electrical field. We further show that the emergence of a non-zero magnetization in the presence of strain arises from a different response function: piezomagnetism. While this magnetization gives rise to an additional contribution to the elasto-Hall conductivity, the corresponding Berry curvature is qualitatively different from the distorted Berry curvature quadrupole originating from the altermagnetic order parameter. This insight also helps to disentangle AHE and weak ferromagnetism for systems with symmetry-allowed $s$-wave contribution. Quantitatively, the elasto-Hall conductivity is particularly pronounced for systems with a Dirac spectrum in the altermagnetic state. The same mechanism gives rise to anomalous elasto-thermal Hall, Nernst, and Ettinghausen effects.

17 pages, 12 figures