OpenEMRvsTwenty
Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.
| OpenEMR | Twenty | |
|---|---|---|
| Score | 72/100 | 84/100 |
| Rank in category | #1 of 5 in Healthcare | #1 of 21 in CRM |
| GitHub stars | 5 555 | 60 029 |
| Stars, last 30 days | +87 | +2 571 |
| Stable releases, 12 months | 6 | 10 |
| Latest release | v8_5_0 · 27 Oct 2026 | twenty/v2.52.0 · 27 Oct 2026 |
| Setup | Advanced | Moderate |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | Other |
| Main language | PHP | Typescript |
Which one should you pick?
Twenty scores 84/100 against 72/100 for OpenEMR, so it is the safer default.
Twenty ships more often: 10 stable releases in the past year, against 6 for OpenEMR.
If you want the quickest setup, Twenty is easier to run; OpenEMR needs more configuration.
Twenty is growing faster right now (+2 571 stars in 30 days).
OpenEMR details →Twenty details →
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