Fish SpeechvsOpenEMR
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| Fish Speech | OpenEMR | |
|---|---|---|
| Score | 73/100 | 72/100 |
| Rank in category | #3 of 9 in Text to Speech | #1 of 5 in Healthcare |
| GitHub stars | 33 461 | 5 555 |
| Stars, last 30 days | +138 | +87 |
| Stable releases, 12 months | 0 | 6 |
| Latest release | — | v8_5_0 · 27 Oct 2026 |
| Setup | Advanced | Advanced |
| Official Docker image | Yes | Yes |
| License | Other | GPL-3.0 |
| Main language | Python | PHP |
Which one should you pick?
Fish Speech scores 73/100 against 72/100 for OpenEMR, so it is the safer default.
OpenEMR ships more often: 6 stable releases in the past year, against 0 for Fish Speech.
Fish Speech details →OpenEMR details →
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