ActualvsOpenEMR
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| Actual | OpenEMR | |
|---|---|---|
| Score | 81/100 | 72/100 |
| Rank in category | #2 of 62 in Personal Finance | #1 of 5 in Healthcare |
| GitHub stars | 29 838 | 5 556 |
| Stars, last 30 days | +702 | +88 |
| Stable releases, 12 months | 15 | 6 |
| Latest release | v26.10.0 · 2 Oct 2026 | v8_5_0 · 27 Oct 2026 |
| Setup | Moderate | Advanced |
| Official Docker image | Yes | Yes |
| License | MIT | GPL-3.0 |
| Main language | Typescript | PHP |
Which one should you pick?
Actual scores 81/100 against 72/100 for OpenEMR, so it is the safer default.
Actual ships more often: 15 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Actual is easier to run; OpenEMR needs more configuration.
Actual is growing faster right now (+702 stars in 30 days).
Actual details →OpenEMR details →
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