diff --git a/extensions/vertx-http/deployment/src/test/java/io/quarkus/vertx/http/accesslog/AccessLogFileTestCase.java b/extensions/vertx-http/deployment/src/test/java/io/quarkus/vertx/http/accesslog/AccessLogFileTestCase.java
index 978ed572b4f37..ecc8492fed7ee 100644
--- a/extensions/vertx-http/deployment/src/test/java/io/quarkus/vertx/http/accesslog/AccessLogFileTestCase.java
+++ b/extensions/vertx-http/deployment/src/test/java/io/quarkus/vertx/http/accesslog/AccessLogFileTestCase.java
@@ -70,6 +70,7 @@ public JavaArchive get() {
                         p.setProperty("quarkus.http.access-log.base-file-name", "server");
                         p.setProperty("quarkus.http.access-log.log-directory", logDirectory.toAbsolutePath().toString());
                         p.setProperty("quarkus.http.access-log.pattern", "long");
+                        p.setProperty("quarkus.http.access-log.exclude-pattern", "/health|/liveliness");
                         ByteArrayOutputStream out = new ByteArrayOutputStream();
                         p.store(out, null);
 
@@ -104,6 +105,8 @@ public void testSingleLogMessageToFile() throws IOException, InterruptedExceptio
                 new HttpClientConfig().setParam(CoreProtocolPNames.PROTOCOL_VERSION, new ProtocolVersion("HTTP", 1, 0)));
         final RequestSpecification requestSpec = new RequestSpecBuilder().setConfig(http10Config).build();
         final String paramValue = UUID.randomUUID().toString();
+        RestAssured.given(requestSpec).get("/health"); //should be ignored
+        RestAssured.given(requestSpec).get("/liveliness"); //should be ignored
         RestAssured.given(requestSpec).get("/does-not-exist?foo=" + paramValue);
 
         Awaitility.given().pollInterval(100, TimeUnit.MILLISECONDS)
@@ -117,6 +120,8 @@ public void run() throws Throwable {
                         Path path = logDirectory.resolve("server.log");
                         Assertions.assertTrue(Files.exists(path));
                         String data = new String(Files.readAllBytes(path), StandardCharsets.UTF_8);
+                        Assertions.assertFalse(data.contains("/health"));
+                        Assertions.assertFalse(data.contains("/liveliness"));
                         Assertions.assertTrue(data.contains("/does-not-exist"));
                         Assertions.assertTrue(data.contains("?foo=" + paramValue),
                                 "access log is missing query params");
diff --git a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/AccessLogConfig.java b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/AccessLogConfig.java
index 1bc16a316aaac..5b54ecc17c90d 100644
--- a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/AccessLogConfig.java
+++ b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/AccessLogConfig.java
@@ -14,6 +14,12 @@ public class AccessLogConfig {
     @ConfigItem(defaultValue = "false")
     public boolean enabled;
 
+    /**
+     * A regular expression that can be used to exclude some paths from logging.
+     */
+    @ConfigItem
+    Optional<String> excludePattern;
+
     /**
      * The access log pattern.
      *
diff --git a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/VertxHttpRecorder.java b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/VertxHttpRecorder.java
index 8f532cbb00b65..34325801a3d4e 100644
--- a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/VertxHttpRecorder.java
+++ b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/VertxHttpRecorder.java
@@ -399,7 +399,8 @@ public void handle(HttpServerRequest event) {
             } else {
                 receiver = new JBossLoggingAccessLogReceiver(accessLog.category);
             }
-            AccessLogHandler handler = new AccessLogHandler(receiver, accessLog.pattern, getClass().getClassLoader());
+            AccessLogHandler handler = new AccessLogHandler(receiver, accessLog.pattern, getClass().getClassLoader(),
+                    accessLog.excludePattern);
             httpRouteRouter.route().order(Integer.MIN_VALUE).handler(handler);
             quarkusWrapperNeeded = true;
         }
diff --git a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/filters/accesslog/AccessLogHandler.java b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/filters/accesslog/AccessLogHandler.java
index bc08866e85839..27647db90de3e 100644
--- a/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/filters/accesslog/AccessLogHandler.java
+++ b/extensions/vertx-http/runtime/src/main/java/io/quarkus/vertx/http/runtime/filters/accesslog/AccessLogHandler.java
@@ -19,7 +19,10 @@
 package io.quarkus.vertx.http.runtime.filters.accesslog;
 
 import java.util.Collections;
+import java.util.Optional;
 import java.util.StringJoiner;
+import java.util.regex.Matcher;
+import java.util.regex.Pattern;
 
 import io.quarkus.vertx.http.runtime.attribute.ExchangeAttribute;
 import io.quarkus.vertx.http.runtime.attribute.ExchangeAttributeParser;
@@ -90,18 +93,26 @@ public class AccessLogHandler implements Handler<RoutingContext> {
     private final AccessLogReceiver accessLogReceiver;
     private final String formatString;
     private final ExchangeAttribute tokens;
+    private final Pattern excludePattern;
 
-    public AccessLogHandler(final AccessLogReceiver accessLogReceiver, final String formatString, ClassLoader classLoader) {
+    public AccessLogHandler(final AccessLogReceiver accessLogReceiver, final String formatString, ClassLoader classLoader,
+            Optional<String> excludePattern) {
         this.accessLogReceiver = accessLogReceiver;
         this.formatString = handleCommonNames(formatString);
         this.tokens = new ExchangeAttributeParser(classLoader, Collections.singletonList(new SubstituteEmptyWrapper("-")))
                 .parse(this.formatString);
+        if (excludePattern.isPresent()) {
+            this.excludePattern = Pattern.compile(excludePattern.get());
+        } else {
+            this.excludePattern = null;
+        }
     }
 
     public AccessLogHandler(final AccessLogReceiver accessLogReceiver, String formatString, final ExchangeAttribute attribute) {
         this.accessLogReceiver = accessLogReceiver;
         this.formatString = handleCommonNames(formatString);
         this.tokens = attribute;
+        this.excludePattern = null;
     }
 
     private static String handleCommonNames(String formatString) {
@@ -122,6 +133,13 @@ private static String handleCommonNames(String formatString) {
 
     @Override
     public void handle(RoutingContext rc) {
+        if (excludePattern != null) {
+            Matcher m = excludePattern.matcher(rc.request().path());
+            if (m.matches()) {
+                rc.next();
+                return;
+            }
+        }
         QuarkusRequestWrapper.get(rc.request()).addRequestDoneHandler(new Handler<Void>() {
             @Override
             public void handle(Void event) {