Peganum harmala, also known as wild rue, is a perennial herbaceous plant that occurs in semi-arid parts of Asia, the coastal Mediterranean region, Mexico, and the southern United States. Extracts from P. harmala are toxic to aphids and mites, and also possess antifungal activity. P. harmala extracts and four systemic commercial fungicides were initially investigated for their in vitro toxicity to Alternaria solani, the fungal pathogen of early blight of tomato. The P. harmala extracts inhibited mycelial growth and conidial germination of A. solani, but inhibition was less than for the commercial fungicides prothioconazole and iprodione. Tests in a commercial greenhouse near Jingyang County, Shaanxi Province, China, during 2020, 2021, and 2022 compared efficacy of P. harmala, alone and in combination with commercial fungicides, for suppression of early blight on tomato cv. Provence. Three applications of iprodione or prothioconazole at 7- to 10-day intervals resulted in <10% incidence of foliar symptoms on naturally inoculated plants. When a spray of P. harmala extract + prothioconazole was followed at 15-day intervals by P. harmala extract + iprodione and P. harmala extract alone incidence of foliar symptoms remained <10%. These results indicate that alternating tank mixes of prothioconazole or iprodione with P. harmala, followed by the extract alone, can extend the interval between sprays by 7–10 days and reduce dependency on synthetic chemical pesticides for control of early blight in greenhouse-grown tomatoes.