# MediaMTX vs OpenEMR

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

| | MediaMTX | OpenEMR |
|---|---|---|
| Score | 79/100 ✓ | 72/100 |
| Rank in category | #3 of 118 in Media Server | #1 of 5 in Healthcare |
| GitHub stars | 20 544 ✓ | 5 556 |
| Stars, last 30 days | +292 ✓ | +88 |
| Stable releases, 12 months | 18 ✓ | 6 |
| Latest release | v1.21.3 · 25 Oct 2026 | v8_5_0 · 27 Oct 2026 ✓ |
| Setup | Easy ✓ | Advanced |
| Official Docker image | Yes | Yes |
| License | MIT | GPL-3.0 |
| Main language | Go | PHP |

## Which one should you pick?

MediaMTX scores 79/100 against 72/100 for OpenEMR, so it is the safer default.

MediaMTX ships more often: 18 stable releases in the past year, against 6 for OpenEMR.

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

MediaMTX is growing faster right now (+292 stars in 30 days).

## Details

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

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