# Actual vs OpenEMR

> 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 | 29 840 ✓ | 5 556 |
| Stars, last 30 days | +704 ✓ | +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 (+704 stars in 30 days).

## Details

- [Actual](https://selfhost.directory/project/actual) (markdown: https://selfhost.directory/project/actual.md)
- [OpenEMR](https://selfhost.directory/project/openemr) (markdown: https://selfhost.directory/project/openemr.md)

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Source: https://selfhost.directory/compare/actual-vs-openemr