The telecommunication industry in Uganda, particularly in Kabale, plays a crucial role in regional development. However, challenges related to employee behavior and reward structures hinder sustainable growth and organizational effectiveness. Existing research indicates a disconnect between reward policies and employee expectations, potentially leading to dissatisfaction and high turnover rates. This study therefore examined the influence of monetary rewards on employee work attitudes in telecommunication companies in Kabale, Uganda. The study utilized the descriptive survey design and the census sampling method. The target population comprised of employees in the telecommunications industry in Kabale, Uganda, with a sample size of 63 respondents. The study was guided by Expectancy theory and Social Exchange theory respectively. Data collection was achieved through a structured questionnaire whereas data analysis was done using the Statistical Package for the Social Sciences (SPSS) Version 28 through which descriptive and inferential statistics were utilized. In addition, linear regression was used in hypothesis testing. The findings reveal that monetary rewards (β = .174, p = .013) have a significant positive effect on employee attitudes. The study therefore concludes that monetary rewards positively affects employee work attitudes in the telecommunications industry in Kabale, Uganda. The study recommends the implementation of recognition programs such performance awards, inclusion in high effect projects and implementation of employee of the month initiatives to enhance employee attitudes, boost productivity and organizational effectiveness.