Berlin is auditing its national healthcare capacity to handle a surge in casualties from a possible Russian offensive on the alliance. Officials are planning for a scenario where roughly 1,000 wounded NATO soldiers arrive daily by 2029. Civilian hospitals will absorb the overflow of patients because the nation has only 5 military hospitals, utilizing about 15,000 of Germany's 440,000 beds. Facilities are also assessing the installation of bulletproof glass and anti-drone barriers.

A Cold War nuclear bunker beneath a hospital in Ulm that holds 2,000 people for 90 days is under evaluation for reactivation. A Health Security Act arrives this fall to establish real-time tracking of medications, staff, and beds. Personnel shortages remain the primary hurdle, as only a few hundred German doctors have experience with wartime injuries despite the Bundeswehr's largest medical drill in decades in March 2026.