This work focuses on the use of municipal waste incineration bottom ash (MSWI) for the development and production of products suitable for use as construction products. The generation of these ashes is increasing every year due to the incineration of municipal waste. There are currently three incineration plants operating in major cities in Lithuania. The non-hazardous bottom ash remaining from the incineration process is stored in dedicated sorting and aging sites until it is used as an inert form of aggregate for the installation of road foundations. However, it has been observed that these ashes have a tendency to bind and cement when exposed to atmospheric precipitation at the storage site. Based on this characteristic, it was decided in this study to use alkaline activation of the ash to accelerate the bonding process and to create a dense, non-porous composite concrete structure. This activation method is known to create another problem during ash bonding, where the presence of metallic aluminum particles in the ash leads to the release of hydrogen gas and makes the structure of the cured samples porous. For the purposes of the study, it was decided to create a completely different mixture structure and not to use additional water in the mixtures tested. A very low water/solids ratio (W/S) of <0.08 was used for the alkaline activation of the mixtures. All the water required for ash activation was obtained from sodium silicate and sodium hydroxide solution. Metakaolin waste (MKW) was used to adjust the SiO2/Na2O/Al2O3 ratio of the mixtures. Vibro-pressing was used to form and increase the density of the samples. And for the formation of the concrete structure, 0/4 fraction sand was used as aggregate. The final alkali-activated sample obtained had properties similar to those of the very widely used vibro-pressed cementitious paving tiles and did not exhibit hydrogen evolution during alkali activation due to the very low W/S ratio. The best results were achieved by samples with a highest compressive strength of 40.0 MPa and a tensile strength of 5.60 MPa, as well as a density of 1950 kg/m3. It is believed that this alkaline activation and vibro-pressing method can expand the use of MSWI ash in the development of building products. © 2025 by the authors.