diff --git a/server/lib/server_web/controllers/health_controller.ex b/server/lib/server_web/controllers/health_controller.ex
new file mode 100644
index 0000000..45f55e4
--- /dev/null
+++ b/server/lib/server_web/controllers/health_controller.ex
@@ -0,0 +1,35 @@
+defmodule ServerWeb.HealthController do
+  use ServerWeb, :controller
+
+  @moduledoc """
+  Public health check for uptime monitors.
+  Returns 200 when the process is up AND SQLite is reachable, 503 otherwise.
+  """
+
+  def show(conn, _params) do
+    case probe_db() do
+      :ok ->
+        json(conn, %{
+          status: "ok",
+          version: Application.spec(:server, :vsn) |> to_string(),
+          db: "ok"
+        })
+
+      {:error, reason} ->
+        conn
+        |> put_status(:service_unavailable)
+        |> json(%{status: "degraded", db: "error", reason: inspect(reason)})
+    end
+  end
+
+  defp probe_db do
+    try do
+      case Ecto.Adapters.SQL.query(Server.Repo, "SELECT 1", []) do
+        {:ok, _} -> :ok
+        {:error, e} -> {:error, e}
+      end
+    rescue
+      e -> {:error, e}
+    end
+  end
+end
diff --git a/server/lib/server_web/router.ex b/server/lib/server_web/router.ex
index bffd6f2..64f6b61 100644
--- a/server/lib/server_web/router.ex
+++ b/server/lib/server_web/router.ex
@@ -45,6 +45,12 @@ defmodule ServerWeb.Router do
     get "/hosts/:name", HostController, :show
   end
 
+  scope "/", ServerWeb do
+    pipe_through :api
+
+    get "/health", HealthController, :show
+  end
+
   if Application.compile_env(:server, :dev_routes) do
     import Phoenix.LiveDashboard.Router
 
diff --git a/server/test/server_web/controllers/health_controller_test.exs b/server/test/server_web/controllers/health_controller_test.exs
new file mode 100644
index 0000000..191cbbc
--- /dev/null
+++ b/server/test/server_web/controllers/health_controller_test.exs
@@ -0,0 +1,11 @@
+defmodule ServerWeb.HealthControllerTest do
+  use ServerWeb.ConnCase, async: true
+
+  test "GET /health returns 200 with status=ok", %{conn: conn} do
+    conn = get(conn, ~p"/health")
+    body = json_response(conn, 200)
+    assert body["status"] == "ok"
+    assert body["db"] == "ok"
+    assert is_binary(body["version"])
+  end
+end