diff --git a/src/backend/base/langflow/api/__init__.py b/src/backend/base/langflow/api/__init__.py
index f887c47e1..64516cd11 100644
--- a/src/backend/base/langflow/api/__init__.py
+++ b/src/backend/base/langflow/api/__init__.py
@@ -1,3 +1,4 @@
 from langflow.api.router import router
+from langflow.api.health_check_router import health_check_router
 
-__all__ = ["router"]
+__all__ = ["router", "health_check_router"]
diff --git a/src/backend/base/langflow/api/health_check_router.py b/src/backend/base/langflow/api/health_check_router.py
new file mode 100644
index 000000000..2232895a8
--- /dev/null
+++ b/src/backend/base/langflow/api/health_check_router.py
@@ -0,0 +1,96 @@
+import uuid
+
+from fastapi import Depends, APIRouter, HTTPException, status
+from loguru import logger
+from pydantic import BaseModel
+from sqlmodel import Session, select
+
+from langflow.services.deps import (
+    get_chat_service,
+    get_session,
+    get_variable_service,
+)
+from langflow.services.database.models.flow import Flow
+from langflow.services.variable.service import VariableService, GENERIC_TYPE
+from langflow.services.database.models.folder.utils import create_default_folder_if_it_doesnt_exist
+
+
+health_check_router = APIRouter(tags=["Health Check"])
+
+
+class HealthResponse(BaseModel):
+    status: str = "nok"
+    chat: str = "error"
+    db: str = "error"
+    folder: str = "error"
+    variables: str = "error"
+
+    def has_error(self) -> bool:
+        return any(v == "error" for v in self.model_dump().values())
+
+
+# /health is also supported by uvicorn
+# it means uvicorn's /health serves first before the langflow instance is up
+# therefore it's not a reliable health check for a langflow instance
+# we keep this for backward compatibility
+@health_check_router.get("/health")
+async def health():
+    return {"status": "ok"}
+
+
+# /health_check evaluates key services
+# It's a reliable health check for a langflow instance
+@health_check_router.get("/health_check", response_model=HealthResponse)
+async def health_check(
+    session: Session = Depends(get_session),
+    variable_service: VariableService = Depends(get_variable_service),
+):
+    response = HealthResponse()
+    test_id = uuid.uuid4()
+    try:
+        # Check database to query a bogus flow
+        stmt = select(Flow).where(Flow.id == test_id)
+        session.exec(stmt).first()
+        response.db = "ok"
+    except Exception as e:
+        logger.exception(e)
+
+    try:
+        chat = get_chat_service()
+        await chat.set_cache("health_check", str(test_id))
+        if v := await chat.get_cache("health_check"):
+            if v.get("result") == str(test_id):
+                response.chat = "ok"
+            else:
+                logger.error("chat service get incorrect value")
+    except Exception as e:
+        logger.exception(e)
+
+    # use the same uuid for user_id for testing purpose
+    user_id = "da93c2bd-c857-4b10-8c8c-60988103320f"
+    try:
+        variable_service.initialize_user_variables(user_id, session)
+        variable_service.create_variable(
+            user_id=user_id,
+            name="health_check_test",
+            value="ok",
+            default_fields=[],
+            _type=GENERIC_TYPE,
+            session=session,
+        )
+        variable_service.delete_variable(user_id=user_id, name="health_check_test", session=session)
+        response.variables = "ok"
+    except Exception as e:
+        logger.exception(e)
+
+    try:
+        create_default_folder_if_it_doesnt_exist(session, uuid.UUID(user_id))
+        response.folder = "ok"
+    except Exception as e:
+        logger.exception(e)
+
+    if response.has_error():
+        raise HTTPException(status_code=status.HTTP_500_INTERNAL_SERVER_ERROR, detail=response.model_dump())
+    else:
+        response.status = "ok"
+        return response
diff --git a/src/backend/base/langflow/main.py b/src/backend/base/langflow/main.py
index 5eab2f331..ddcb2519e 100644
--- a/src/backend/base/langflow/main.py
+++ b/src/backend/base/langflow/main.py
@@ -15,7 +15,7 @@ from pydantic import PydanticDeprecatedSince20
 from rich import print as rprint
 from starlette.middleware.base import BaseHTTPMiddleware
 
-from langflow.api import router
+from langflow.api import router, health_check_router
 from langflow.initial_setup.setup import (
     create_or_update_starter_projects,
     initialize_super_user_if_needed,
@@ -137,11 +137,8 @@ def create_app():
 
         return await call_next(request)
 
-    @app.get("/health")
-    def health():
-        return {"status": "ok"}
-
     app.include_router(router)
+    app.include_router(health_check_router)
 
     return app