diff --git a/packages/@aws-cdk/cfnspec/spec-source/660_Route53_HealthCheck_patch.json b/packages/@aws-cdk/cfnspec/spec-source/660_Route53_HealthCheck_patch.json
new file mode 100644
index 0000000000000..ea429331a6c42
--- /dev/null
+++ b/packages/@aws-cdk/cfnspec/spec-source/660_Route53_HealthCheck_patch.json
@@ -0,0 +1,152 @@
+{
+  "patch": {
+    "description": "Patch Route 53 HealthCheck casing regression - mirrors cfn-lint (https://github.com/aws-cloudformation/cfn-python-lint/blob/master/src/cfnlint/data/ExtendedSpecs/all/01_spec_patch.json) ",
+    "operations": [
+      {
+        "op": "add",
+        "path": "/ResourceTypes/AWS::Route53::HealthCheck/Properties/HealthCheckConfig/Type",
+        "value": "HealthCheckConfig"
+      },
+      {
+        "op": "remove",
+        "path": "/ResourceTypes/AWS::Route53::HealthCheck/Properties/HealthCheckConfig/PrimitiveType"
+      },
+      {
+        "op": "add",
+        "path": "/PropertyTypes/AWS::Route53::HealthCheck.AlarmIdentifier",
+        "value": {
+          "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-alarmidentifier.html",
+          "Properties": {
+            "Name": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-alarmidentifier.html#cfn-route53-healthcheck-alarmidentifier-name",
+              "PrimitiveType": "String",
+              "Required": true,
+              "UpdateType": "Mutable"
+            },
+            "Region": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-alarmidentifier.html#cfn-route53-healthcheck-alarmidentifier-region",
+              "PrimitiveType": "String",
+              "Required": true,
+              "UpdateType": "Mutable"
+            }
+          }
+        }
+      },
+      {
+        "op": "add",
+        "path": "/PropertyTypes/AWS::Route53::HealthCheck.HealthCheckConfig",
+        "value": {
+          "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html",
+          "Properties": {
+            "AlarmIdentifier": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-alarmidentifier",
+              "Required": false,
+              "Type": "AlarmIdentifier",
+              "UpdateType": "Mutable"
+            },
+            "ChildHealthChecks": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-childhealthchecks",
+              "DuplicatesAllowed": false,
+              "PrimitiveItemType": "String",
+              "Required": false,
+              "Type": "List",
+              "UpdateType": "Mutable"
+            },
+            "EnableSNI": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-enablesni",
+              "PrimitiveType": "Boolean",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "FailureThreshold": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-failurethreshold",
+              "PrimitiveType": "Integer",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "FullyQualifiedDomainName": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-fullyqualifieddomainname",
+              "PrimitiveType": "String",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "HealthThreshold": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-healththreshold",
+              "PrimitiveType": "Integer",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "IPAddress": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-ipaddress",
+              "PrimitiveType": "String",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "InsufficientDataHealthStatus": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-insufficientdatahealthstatus",
+              "PrimitiveType": "String",
+              "Required": false,
+              "UpdateType": "Mutable",
+              "Value": {
+                "ValueType": "Route53HealthCheckConfigHealthStatus"
+              }
+            },
+            "Inverted": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-inverted",
+              "PrimitiveType": "Boolean",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "MeasureLatency": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-measurelatency",
+              "PrimitiveType": "Boolean",
+              "Required": false,
+              "UpdateType": "Immutable"
+            },
+            "Port": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-port",
+              "PrimitiveType": "Integer",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "Regions": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-regions",
+              "DuplicatesAllowed": false,
+              "PrimitiveItemType": "String",
+              "Required": false,
+              "Type": "List",
+              "UpdateType": "Mutable"
+            },
+            "RequestInterval": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-requestinterval",
+              "PrimitiveType": "Integer",
+              "Required": false,
+              "UpdateType": "Immutable"
+            },
+            "ResourcePath": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-resourcepath",
+              "PrimitiveType": "String",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "SearchString": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-searchstring",
+              "PrimitiveType": "String",
+              "Required": false,
+              "UpdateType": "Mutable"
+            },
+            "Type": {
+              "Documentation": "http://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-route53-healthcheck-healthcheckconfig.html#cfn-route53-healthcheck-healthcheckconfig-type",
+              "PrimitiveType": "String",
+              "Required": true,
+              "UpdateType": "Immutable",
+              "Value": {
+                "ValueType": "Route53HealthCheckConfigType"
+              }
+            }
+          }
+        }
+      }
+    ]
+  }
+}
\ No newline at end of file