The best replacement for bitter gourd is bitter melon.

The best alternatives to bitter gourd are rated as following:
★★★★★  bitter melon
★★★  ampalaya
★★★  karela

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Speaking about bitter gourd, one probably shouldn't forget about salted egg.

Other search terms related to bitter gourd and their ratings are:
★★★★★ salted egg
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bitter gourd
bitter melon
ampalaya