diff --git a/README.md b/README.md
index 769ae52..6d49d77 100644
--- a/README.md
+++ b/README.md
@@ -175,13 +175,14 @@ Note the DID filter parameter is `did` here, not `linkDid` like `getManyToMany`
 - [ ] Account deactivation handling
 - [x] Graceful shutdown and Firehose reconnect
 - [x] CI + Dockerfile
+- [x] Add health endpoint
 
 **Medium term**
 
 - [ ] Robust automatic backfill with checkpoint/resume (survive restarts mid-backfill)
 - [ ] Exponential backoff for getRepo requests
 - [ ] Backfill progress reporting
-- [ ] Metrics and health endpoints
+- [ ] Prometheus metrics endpoint
 
 **Longer term**
 
diff --git a/internal/api/health.go b/internal/api/health.go
new file mode 100644
index 0000000..ec9e7b4
--- /dev/null
+++ b/internal/api/health.go
@@ -0,0 +1,11 @@
+package api
+
+import "net/http"
+
+func (s *Server) Health(w http.ResponseWriter, r *http.Request) {
+	if err := s.Store.Ping(r.Context()); err != nil {
+		http.Error(w, "unhealthy", http.StatusServiceUnavailable)
+		return
+	}
+	w.WriteHeader(http.StatusOK)
+}
diff --git a/internal/api/server.go b/internal/api/server.go
index 365513e..4b35eb8 100644
--- a/internal/api/server.go
+++ b/internal/api/server.go
@@ -12,6 +12,8 @@ type Server struct {
 
 func (s *Server) Run(addr string) error {
 	mux := http.NewServeMux()
+	mux.HandleFunc("GET /health", s.Health)
+
 	mux.HandleFunc("GET /xrpc/blue.microcosm.links.getBacklinksCount", s.GetBacklinksCount)
 	mux.HandleFunc("GET /xrpc/blue.microcosm.links.getBacklinkDids", s.GetBacklinkDids)
 	mux.HandleFunc("GET /xrpc/blue.microcosm.links.getBacklinks", s.GetBacklinks)
diff --git a/internal/store/store.go b/internal/store/store.go
index d672a7c..5a0f9c6 100644
--- a/internal/store/store.go
+++ b/internal/store/store.go
@@ -1,6 +1,7 @@
 package store
 
 import (
+	"context"
 	"database/sql"
 	"fmt"
 
@@ -60,3 +61,7 @@ func Open(path string) (*Store, error) {
 
 	return &Store{writeDB: writeDB, readDB: readDB}, nil
 }
+
+func (s *Store) Ping(ctx context.Context) error {
+	return s.readDB.PingContext(ctx)
+}