# Kill Bill vs OpenEMR

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

| | Kill Bill | OpenEMR |
|---|---|---|
| Score | 68/100 | 72/100 ✓ |
| Rank in category | #4 of 13 in Billing | #1 of 5 in Healthcare |
| GitHub stars | 5 826 ✓ | 5 555 |
| Stars, last 30 days | +68 | +89 ✓ |
| Stable releases, 12 months | 7 ✓ | 6 |
| Latest release | killbill-0.24.22 · 28 Sept 2026 | v8_5_0 · 27 Oct 2026 ✓ |
| Setup | Moderate ✓ | Advanced |
| Official Docker image | Yes | Yes |
| License | Apache-2.0 | GPL-3.0 |
| Main language | Java | PHP |

## Which one should you pick?

OpenEMR scores 72/100 against 68/100 for Kill Bill, so it is the safer default.

Kill Bill ships more often: 7 stable releases in the past year, against 6 for OpenEMR.

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

## Details

- [Kill Bill](https://selfhost.directory/project/kill-bill) (markdown: https://selfhost.directory/project/kill-bill.md)
- [OpenEMR](https://selfhost.directory/project/openemr) (markdown: https://selfhost.directory/project/openemr.md)

---
Source: https://selfhost.directory/compare/kill-bill-vs-openemr