Medplum Self-Hosted Performance Benchmarks

One of the most common questions we hear from teams evaluating Medplum is: “Can it handle our scale?” We wanted to answer that question with real data. We recently ran a formal performance evaluation against a self-hosted Medplum deployment that mirrors one of our largest production clusters, and the results speak for themselves - peak throughput exceeding 46,000 requests per second for read-only traffic and nearly 7,000 requests per second for full read/write/search FHIR workflows, with zero HTTP failures across all scenarios.