diff --git a/apps/cli/templates/backend/server/elysia/src/index.ts.hbs b/apps/cli/templates/backend/server/elysia/src/index.ts.hbs
index 21b1fef05..324fad646 100644
--- a/apps/cli/templates/backend/server/elysia/src/index.ts.hbs
+++ b/apps/cli/templates/backend/server/elysia/src/index.ts.hbs
@@ -25,6 +25,7 @@ import { createContext } from "./lib/context";
 {{#if (eq auth "better-auth")}}
 import { auth } from "./lib/auth";
 {{/if}}
+import { checkDatabaseHealth } from "./lib/health";
 
 {{#if (eq api "orpc")}}
 const rpcHandler = new RPCHandler(appRouter, {
@@ -111,7 +112,11 @@ const app = new Elysia()
     return result.toUIMessageStreamResponse();
   })
 {{/if}}
-  .get("/", () => "OK")
+  .get("/", async ({ set }) => {
+    const health = await checkDatabaseHealth();
+    if (health.error) set.status = 500;
+    return health;
+  })
   .listen(3000, () => {
     console.log("Server is running on http://localhost:3000");
   });
diff --git a/apps/cli/templates/backend/server/express/src/index.ts.hbs b/apps/cli/templates/backend/server/express/src/index.ts.hbs
index 43cfa74f4..e3be030c2 100644
--- a/apps/cli/templates/backend/server/express/src/index.ts.hbs
+++ b/apps/cli/templates/backend/server/express/src/index.ts.hbs
@@ -25,6 +25,7 @@ import { google } from "@ai-sdk/google";
 import { auth } from "./lib/auth";
 import { toNodeHandler } from "better-auth/node";
 {{/if}}
+import { checkDatabaseHealth } from "./lib/health";
 
 const app = express();
 
@@ -112,8 +113,10 @@ app.post("/ai", async (req, res) => {
 });
 {{/if}}
 
-app.get("/", (_req, res) => {
-  res.status(200).send("OK");
+app.get("/", async (_req, res) => {
+  const health = await checkDatabaseHealth();
+  const status = health.error ? 500 : 200;
+  res.status(status).json(health);
 });
 
 const port = process.env.PORT || 3000;
diff --git a/apps/cli/templates/backend/server/fastify/src/index.ts.hbs b/apps/cli/templates/backend/server/fastify/src/index.ts.hbs
index 79c88c19f..eca09f52e 100644
--- a/apps/cli/templates/backend/server/fastify/src/index.ts.hbs
+++ b/apps/cli/templates/backend/server/fastify/src/index.ts.hbs
@@ -30,6 +30,7 @@ import { google } from "@ai-sdk/google";
 {{#if (eq auth "better-auth")}}
 import { auth } from "./lib/auth";
 {{/if}}
+import { checkDatabaseHealth } from "./lib/health";
 
 const baseCorsConfig = {
   origin: process.env.CORS_ORIGIN || "",
@@ -169,8 +170,12 @@ fastify.post('/ai', async function (request) {
 });
 {{/if}}
 
-fastify.get('/', async () => {
-  return 'OK';
+fastify.get('/', async (request, reply) => {
+  const health = await checkDatabaseHealth();
+  if (health.error) {
+    reply.status(500);
+  }
+  return health;
 });
 
 fastify.listen({ port: 3000 }, (err) => {
diff --git a/apps/cli/templates/backend/server/hono/src/index.ts.hbs b/apps/cli/templates/backend/server/hono/src/index.ts.hbs
index a5392a8d7..70aa32881 100644
--- a/apps/cli/templates/backend/server/hono/src/index.ts.hbs
+++ b/apps/cli/templates/backend/server/hono/src/index.ts.hbs
@@ -21,6 +21,7 @@ import { appRouter } from "./routers/index";
 {{#if (eq auth "better-auth")}}
 import { auth } from "./lib/auth";
 {{/if}}
+import { checkDatabaseHealth } from "./lib/health";
 import { Hono } from "hono";
 import { cors } from "hono/cors";
 import { logger } from "hono/logger";
@@ -145,8 +146,10 @@ app.post("/ai", async (c) => {
 });
 {{/if}}
 
-app.get("/", (c) => {
-  return c.text("OK");
+app.get("/", async (c) => {
+  const health = await checkDatabaseHealth();
+  const status = health.error ? 500 : 200;
+  return c.json(health, status);
 });
 
 {{#if (eq runtime "node")}}
diff --git a/apps/cli/templates/backend/server/next/src/app/route.ts b/apps/cli/templates/backend/server/next/src/app/route.ts
index bed4f46b8..883c7b934 100644
--- a/apps/cli/templates/backend/server/next/src/app/route.ts
+++ b/apps/cli/templates/backend/server/next/src/app/route.ts
@@ -1,5 +1,8 @@
 import { NextResponse } from "next/server";
+import { checkDatabaseHealth } from "../lib/health";
 
 export async function GET() {
-  return NextResponse.json({ message: "OK" });
+  const health = await checkDatabaseHealth();
+  const status = health.error ? 500 : 200;
+  return NextResponse.json(health, { status });
 }
diff --git a/apps/cli/templates/backend/server/next/src/lib/health.ts.hbs b/apps/cli/templates/backend/server/next/src/lib/health.ts.hbs
new file mode 100644
index 000000000..48e7ee177
--- /dev/null
+++ b/apps/cli/templates/backend/server/next/src/lib/health.ts.hbs
@@ -0,0 +1,41 @@
+{{#if orm}}
+{{#if (eq orm "drizzle")}}
+import { db } from "../../db";
+{{/if}}
+{{#if (eq orm "prisma")}}
+import prisma from "../../db";
+{{/if}}
+{{#if (eq orm "mongoose")}}
+import { client } from "../../db";
+{{/if}}
+
+export async function checkDatabaseHealth(): Promise<{ status: string; database: string; error?: string }> {
+  try {
+    {{#if (eq orm "drizzle")}}
+    {{#if (eq database "sqlite")}}
+    await db.get("SELECT 1");
+    {{else if (eq database "postgres")}}
+    await db.execute("SELECT 1");
+    {{else if (eq database "mysql")}}
+    await db.execute("SELECT 1");
+    {{/if}}
+    {{else if (eq orm "prisma")}}
+    await prisma.$queryRaw`SELECT 1`;
+    {{else if (eq orm "mongoose")}}
+    await client.admin().ping();
+    {{/if}}
+    return { status: "OK", database: "connected" };
+  } catch (error) {
+    console.error("Database connection error:", error);
+    return { 
+      status: "OK", 
+      database: "disconnected", 
+      error: error instanceof Error ? error.message : String(error) 
+    };
+  }
+}
+{{else}}
+export async function checkDatabaseHealth(): Promise<{ status: string; database: string }> {
+  return { status: "OK", database: "none" };
+}
+{{/if}}
\ No newline at end of file
diff --git a/apps/cli/templates/backend/server/server-base/src/lib/health.ts.hbs b/apps/cli/templates/backend/server/server-base/src/lib/health.ts.hbs
new file mode 100644
index 000000000..046dc59d9
--- /dev/null
+++ b/apps/cli/templates/backend/server/server-base/src/lib/health.ts.hbs
@@ -0,0 +1,41 @@
+{{#if orm}}
+{{#if (eq orm "drizzle")}}
+import { db } from "../db";
+{{/if}}
+{{#if (eq orm "prisma")}}
+import prisma from "../db";
+{{/if}}
+{{#if (eq orm "mongoose")}}
+import { client } from "../db";
+{{/if}}
+
+export async function checkDatabaseHealth(): Promise<{ status: string; database: string; error?: string }> {
+  try {
+    {{#if (eq orm "drizzle")}}
+    {{#if (eq database "sqlite")}}
+    await db.get("SELECT 1");
+    {{else if (eq database "postgres")}}
+    await db.execute("SELECT 1");
+    {{else if (eq database "mysql")}}
+    await db.execute("SELECT 1");
+    {{/if}}
+    {{else if (eq orm "prisma")}}
+    await prisma.$queryRaw`SELECT 1`;
+    {{else if (eq orm "mongoose")}}
+    await client.admin().ping();
+    {{/if}}
+    return { status: "OK", database: "connected" };
+  } catch (error) {
+    console.error("Database connection error:", error);
+    return { 
+      status: "OK", 
+      database: "disconnected", 
+      error: error instanceof Error ? error.message : String(error) 
+    };
+  }
+}
+{{else}}
+export async function checkDatabaseHealth(): Promise<{ status: string; database: string }> {
+  return { status: "OK", database: "none" };
+}
+{{/if}}
\ No newline at end of file