# OpenEMR vs Sure

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

| | OpenEMR | Sure |
|---|---|---|
| Score | 72/100 | 74/100 ✓ |
| Rank in category | #1 of 5 in Healthcare | #4 of 62 in Personal Finance |
| GitHub stars | 5 555 | 10 713 ✓ |
| Stars, last 30 days | +87 | +681 ✓ |
| Stable releases, 12 months | 6 | 15 ✓ |
| Latest release | v8_5_0 · 27 Oct 2026 ✓ | v0.7.5-hotfix.3 · 24 Oct 2026 |
| Setup | Advanced | Easy ✓ |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | AGPL-3.0 |
| Main language | PHP | Ruby |

## Which one should you pick?

Sure scores 74/100 against 72/100 for OpenEMR, so it is the safer default.

Sure ships more often: 15 stable releases in the past year, against 6 for OpenEMR.

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

Sure is growing faster right now (+681 stars in 30 days).

## Details

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

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