diff --git a/src/main/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheck.java b/src/main/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheck.java
new file mode 100644
index 00000000..96f3b94a
--- /dev/null
+++ b/src/main/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheck.java
@@ -0,0 +1,48 @@
+package org.kiwiproject.dropwizard.util.health;
+
+import static java.nio.charset.StandardCharsets.UTF_8;
+import static org.kiwiproject.metrics.health.HealthCheckResults.newHealthyResult;
+import static org.kiwiproject.metrics.health.HealthCheckResults.newUnhealthyResult;
+
+import com.codahale.metrics.health.HealthCheck;
+import lombok.extern.slf4j.Slf4j;
+import org.kiwiproject.base.process.ProcessHelper;
+import org.kiwiproject.io.KiwiIO;
+
+/**
+ * Health check that checks if we are able to launch processes. This check attempts to launch a simple echo process
+ * and verifies the output is as expected.
+ *
+ * @implNote Only works on *nix-like systems, or maybe in Windows if there is an echo command installed and on the PATH.
+ */
+@Slf4j
+public class ProcessLaunchHealthCheck extends HealthCheck {
+
+    static final String ECHO_MESSAGE = "Launch process health check";
+
+    private final ProcessHelper processes;
+
+    public ProcessLaunchHealthCheck(ProcessHelper processes) {
+        this.processes = processes;
+    }
+
+    @Override
+    protected Result check() {
+        try {
+            var process = processes.launch("echo", ECHO_MESSAGE);
+            var line = KiwiIO.readInputStreamOf(process, UTF_8);
+            return resultBasedOnEchoOutput(line);
+        } catch (Exception e) {
+            LOG.trace("Process launch health check is not healthy", e);
+            return newUnhealthyResult("Failed launching an 'echo' process: " + e.getMessage());
+        }
+    }
+
+    private static Result resultBasedOnEchoOutput(String line) {
+        if (ECHO_MESSAGE.equals(line.stripTrailing())) {
+            return newHealthyResult();
+        }
+
+        return newUnhealthyResult("Output [%s] from 'echo' does not match expected [%s]", line, ECHO_MESSAGE);
+    }
+}
diff --git a/src/test/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheckTest.java b/src/test/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheckTest.java
new file mode 100644
index 00000000..46b576df
--- /dev/null
+++ b/src/test/java/org/kiwiproject/dropwizard/util/health/ProcessLaunchHealthCheckTest.java
@@ -0,0 +1,100 @@
+package org.kiwiproject.dropwizard.util.health;
+
+import static org.kiwiproject.base.KiwiStrings.f;
+import static org.kiwiproject.dropwizard.util.health.ProcessLaunchHealthCheck.ECHO_MESSAGE;
+import static org.kiwiproject.test.assertj.dropwizard.metrics.HealthCheckResultAssertions.assertThatHealthCheck;
+import static org.mockito.Mockito.mock;
+import static org.mockito.Mockito.when;
+
+import com.google.common.base.Charsets;
+import org.junit.jupiter.api.BeforeEach;
+import org.junit.jupiter.api.DisplayName;
+import org.junit.jupiter.api.Nested;
+import org.junit.jupiter.api.Test;
+import org.junit.jupiter.api.condition.EnabledOnOs;
+import org.junit.jupiter.api.condition.OS;
+import org.kiwiproject.base.process.ProcessHelper;
+
+import java.io.ByteArrayInputStream;
+import java.io.IOException;
+import java.io.InputStream;
+import java.io.UncheckedIOException;
+
+@DisplayName("ProcessLaunchHealthCheck")
+class ProcessLaunchHealthCheckTest {
+
+    private ProcessLaunchHealthCheck healthCheck;
+    private ProcessHelper processes;
+    private Process process;
+
+    @BeforeEach
+    void setup() {
+        process = mock(Process.class);
+        processes = mock(ProcessHelper.class);
+        healthCheck = new ProcessLaunchHealthCheck(processes);
+    }
+
+    @Nested
+    class IsHealthy {
+
+        @Test
+        void whenEchoProcessCanBeLaunched() {
+            when(processes.launch("echo", ECHO_MESSAGE)).thenReturn(process);
+
+            var inputStream = toInputStream(ECHO_MESSAGE);
+            when(process.getInputStream()).thenReturn(inputStream);
+
+            assertThatHealthCheck(healthCheck)
+                    .isHealthy();
+        }
+
+        /**
+         * Only running on Linux and MacOS since we know for a fact that 'echo' exists there.
+         */
+        @Test
+        @EnabledOnOs({OS.LINUX, OS.MAC})
+        void whenEchoProcessCanBeLaunched_UsingActualProcess() {
+            healthCheck = new ProcessLaunchHealthCheck(new ProcessHelper());
+
+            assertThatHealthCheck(healthCheck)
+                    .isHealthy();
+        }
+    }
+
+    @Nested
+    class IsUnhealthy {
+
+        @Test
+        void whenEchoMessageDoesNotMatchExpectedOutput() {
+            when(processes.launch("echo", ECHO_MESSAGE)).thenReturn(process);
+
+            var droidsMessage = "These are not the droids you're looking for.. ";
+            var inputStream = toInputStream(droidsMessage);
+            when(process.getInputStream()).thenReturn(inputStream);
+
+            assertThatHealthCheck(healthCheck)
+                    .isUnhealthy()
+                    .hasMessage(f("Output [{}] from 'echo' does not match expected [{}]",
+                            droidsMessage, ECHO_MESSAGE));
+        }
+
+        @Test
+        void whenExceptionIsThrown() {
+            var message = "Process launch failure";
+            IOException ioException = new IOException(message);
+            UncheckedIOException uncheckedIOException = new UncheckedIOException(ioException);
+
+            when(processes.launch("echo", ECHO_MESSAGE)).thenThrow(uncheckedIOException);
+
+            assertThatHealthCheck(healthCheck)
+                    .isUnhealthy()
+                    .hasMessageStartingWith("Failed launching an 'echo' process: ")
+                    .hasMessageEndingWith(uncheckedIOException.getMessage());
+        }
+    }
+
+    private InputStream toInputStream(String value) {
+        return new ByteArrayInputStream(value.getBytes(Charsets.UTF_8));
+    }
+}
+