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> but I might sleep through vibrations, so I'm looking for something louder/more reliable.

Would setting a notification sound work? Looks like pushover allows you to do that

well I also get a bunch of non-critical notifications on pushover, so just doing this would mess with my sleep

Pushover allows per-message sound settings, so you could configure just alerts from your monitoring to play a sound and send at priority 2 which will bypass your device's quiet settings and repeat to wake you up.

https://pushover.net/api#sounds

https://pushover.net/api#priority2

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