After the U.S. Navy decommissioned some of its A-4 Skyhawks, Malaysia expressed interest in purchasing the surplus aircraft. Thus, in 1979, Malaysia placed an order for 25 A-4Cs and 63 A-4Ls. The plan was to upgrade all the aircraft to a single standard upon delivery, but due to financial constraints, only 43 single-seat and six two-seat A-4s were included in the upgrade program. This modification was designated the A-4PTM (Persekutuan Tanah Melayu, or Malay Federation). The upgrades primarily consisted of installing a new Saab RGS-2A lead-computing gunsight, expanding the range of armaments, and adding a drag chute and a straight refueling probe. The A-4PTM made its first flight on April 12, 1984, and deliveries to Malaysia began in 1985, concluding in 1986. The A-4s proved extremely problematic due to their low reliability, so the decision was made as early as 1989 to replace them with BAE Hawk Mk 208s. The single-seat variants were withdrawn from service in 1994 and the two-seat variants by 1999.

The Malaysian A-4PTM was introduced in Update 2.59 "Sky Odyssey", as part of the Japanese aviation research tree. In terms of combat characteristics, the Malaysian aircraft most closely resembles the Israeli Ayit, distinguished by its powerful anti-aircraft armament. However, when it comes to engaging ground targets, the attack aircraft is only equipped with various bombs, forcing it to fly into the firing range of enemy SAMs. It still boasts decent maneuverability in aerial combat, but the A-4 itself is slow, accelerates poorly, and quickly loses energy while turning.