diff --git a/src/api/server.rs b/src/api/server.rs
index 2fa2ffd..d87c18a 100644
--- a/src/api/server.rs
+++ b/src/api/server.rs
@@ -556,6 +556,7 @@ struct DetailedHealthResponse {
     schema: SchemaHealth,
     identities: IdentityHealth,
     integrations: IntegrationHealth,
+    config: ConfigHealth,
 }
 
 #[derive(Debug, Serialize)]
@@ -572,6 +573,13 @@ struct IdentityHealth {
     synced: bool,
 }
 
+#[derive(Debug, Serialize)]
+struct ConfigHealth {
+    cache_enabled: bool,
+    auto_pipeline_enabled: bool,
+    watcher_auto_register_enabled: bool,
+}
+
 #[derive(Debug, Serialize)]
 struct SchemaHealth {
     table_exists: bool,
@@ -849,6 +857,11 @@ async fn health_detailed(State(state): State<AppState>) -> Json<DetailedHealthRe
         integrations: IntegrationHealth {
             tmdb: crate::core::tmdb::status::quick_status(),
         },
+        config: ConfigHealth {
+            cache_enabled: crate::core::config::get_cache_enabled(),
+            auto_pipeline_enabled: crate::core::config::get_auto_pipeline_enabled(),
+            watcher_auto_register_enabled: crate::core::config::get_watcher_auto_register(),
+        },
     })
 }