diff --git a/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/HealthBuildTimeConfig.java b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/HealthBuildTimeConfig.java
index b7bbb6ec3f8168..432625ae9ceee8 100644
--- a/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/HealthBuildTimeConfig.java
+++ b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/HealthBuildTimeConfig.java
@@ -5,6 +5,12 @@
 
 @ConfigRoot(name = "health")
 public class HealthBuildTimeConfig {
+    /**
+     * Activate or disable this extension. Disabling this extension means that no health related information is exposed.
+     */
+    @ConfigItem(name = "active", defaultValue = "true")
+    public boolean active;
+
     /**
      * Whether extensions published health check should be enabled.
      */
diff --git a/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthActive.java b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthActive.java
new file mode 100644
index 00000000000000..b34fc1cbef3f69
--- /dev/null
+++ b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthActive.java
@@ -0,0 +1,18 @@
+package io.quarkus.smallrye.health.deployment;
+
+import java.util.function.BooleanSupplier;
+
+public class SmallRyeHealthActive implements BooleanSupplier {
+
+    private final HealthBuildTimeConfig config;
+
+    SmallRyeHealthActive(HealthBuildTimeConfig config) {
+        this.config = config;
+    }
+
+    @Override
+    public boolean getAsBoolean() {
+        return config.active;
+    }
+
+}
diff --git a/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthProcessor.java b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthProcessor.java
index 8b7101bf107512..cf77fd7dee612d 100644
--- a/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthProcessor.java
+++ b/extensions/smallrye-health/deployment/src/main/java/io/quarkus/smallrye/health/deployment/SmallRyeHealthProcessor.java
@@ -35,6 +35,7 @@
 import io.quarkus.deployment.Feature;
 import io.quarkus.deployment.annotations.BuildProducer;
 import io.quarkus.deployment.annotations.BuildStep;
+import io.quarkus.deployment.annotations.BuildSteps;
 import io.quarkus.deployment.annotations.Consume;
 import io.quarkus.deployment.annotations.ExecutionTime;
 import io.quarkus.deployment.annotations.Record;
@@ -80,6 +81,7 @@
 import io.vertx.core.Handler;
 import io.vertx.ext.web.RoutingContext;
 
+@BuildSteps(onlyIf = SmallRyeHealthActive.class)
 class SmallRyeHealthProcessor {
     private static final Logger LOG = Logger.getLogger(SmallRyeHealthProcessor.class);
 
diff --git a/extensions/smallrye-health/deployment/src/test/java/io/quarkus/smallrye/health/test/DeactiveHealthWithConfigTest.java b/extensions/smallrye-health/deployment/src/test/java/io/quarkus/smallrye/health/test/DeactiveHealthWithConfigTest.java
new file mode 100644
index 00000000000000..e283751ee48e90
--- /dev/null
+++ b/extensions/smallrye-health/deployment/src/test/java/io/quarkus/smallrye/health/test/DeactiveHealthWithConfigTest.java
@@ -0,0 +1,31 @@
+package io.quarkus.smallrye.health.test;
+
+import org.jboss.shrinkwrap.api.asset.EmptyAsset;
+import org.junit.jupiter.api.Test;
+import org.junit.jupiter.api.extension.RegisterExtension;
+
+import io.quarkus.test.QuarkusUnitTest;
+import io.restassured.RestAssured;
+import io.restassured.parsing.Parser;
+
+class DeactiveHealthWithConfigTest {
+
+    @RegisterExtension
+    static final QuarkusUnitTest config = new QuarkusUnitTest()
+            .withApplicationRoot((jar) -> jar
+                    .addClasses(BasicHealthCheck.class)
+                    .addAsManifestResource(EmptyAsset.INSTANCE, "beans.xml"))
+            .overrideConfigKey("quarkus.health.active", "false");
+
+    @Test
+    void testAdditionalJsonPropertyInclusions() {
+        try {
+            RestAssured.defaultParser = Parser.JSON;
+            RestAssured.when().get("/q/health").then()
+                    .statusCode(404);
+        } finally {
+            RestAssured.reset();
+        }
+    }
+
+}