# Mastodon vs OpenEMR

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

| | Mastodon | OpenEMR |
|---|---|---|
| Score | 82/100 ✓ | 72/100 |
| Rank in category | #2 of 69 in Social Networks & Forums | #1 of 5 in Healthcare |
| GitHub stars | 50 456 ✓ | 5 556 |
| Stars, last 30 days | +136 ✓ | +88 |
| Stable releases, 12 months | 42 ✓ | 6 |
| Latest release | v4.4.27 · 29 Oct 2026 ✓ | v8_5_0 · 27 Oct 2026 |
| Setup | Advanced | Advanced |
| Official Docker image | Yes | Yes |
| License | AGPL-3.0 | GPL-3.0 |
| Main language | Ruby | PHP |

## Which one should you pick?

Mastodon scores 82/100 against 72/100 for OpenEMR, so it is the safer default.

Mastodon ships more often: 42 stable releases in the past year, against 6 for OpenEMR.

## Details

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

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