# akaunting vs OpenEMR

> Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.

| | akaunting | OpenEMR |
|---|---|---|
| Score | 67/100 | 72/100 ✓ |
| Rank in category | #1 of 11 in Accounting | #1 of 5 in Healthcare |
| GitHub stars | 10 248 ✓ | 5 555 |
| Stars, last 30 days | +110 ✓ | +87 |
| Stable releases, 12 months | 8 ✓ | 6 |
| Latest release | 3.3.0 · 27 Oct 2026 | v8_5_0 · 27 Oct 2026 |
| Setup | Moderate ✓ | Advanced |
| Official Docker image | No | Yes ✓ |
| License | Other | GPL-3.0 |
| Main language | PHP | PHP |

## Which one should you pick?

OpenEMR scores 72/100 against 67/100 for akaunting, so it is the safer default.

akaunting ships more often: 8 stable releases in the past year, against 6 for OpenEMR.

If you want the quickest setup, akaunting is easier to run; OpenEMR needs more configuration.

## Details

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

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