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llama.cppvsOpenEMR

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

llama.cppOpenEMR
Score93/10072/100
Rank in category#2 of 25 in LLM Inference#1 of 5 in Healthcare
GitHub stars132 6895 555
Stars, last 30 days+3 234+87
Stable releases, 12 months14646
Latest releaseb11978 · 29 Oct 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageYesYes
LicenseMITGPL-3.0
Main languageC++PHP

Which one should you pick?

llama.cpp scores 93/100 against 72/100 for OpenEMR, so it is the safer default.

llama.cpp ships more often: 1464 stable releases in the past year, against 6 for OpenEMR.

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

llama.cpp is growing faster right now (+3 234 stars in 30 days).

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