diff --git a/nixos/modules/services/web-apps/healthchecks.nix b/nixos/modules/services/web-apps/healthchecks.nix
index b3fdb681e2f3..b92525075541 100644
--- a/nixos/modules/services/web-apps/healthchecks.nix
+++ b/nixos/modules/services/web-apps/healthchecks.nix
@@ -1,16 +1,16 @@
-{ config, lib, pkgs, buildEnv, ... }:
+{ config, lib, options, pkgs, buildEnv, ... }:
 
 with lib;
 
 let
   defaultUser = "healthchecks";
   cfg = config.services.healthchecks;
+  opt = options.services.healthchecks;
   pkg = cfg.package;
   boolToPython = b: if b then "True" else "False";
   environment = {
     PYTHONPATH = pkg.pythonPath;
     STATIC_ROOT = cfg.dataDir + "/static";
-    DB_NAME = "${cfg.dataDir}/healthchecks.sqlite";
   } // cfg.settings;
 
   environmentFile = pkgs.writeText "healthchecks-environment" (lib.generators.toKeyValue { } environment);
@@ -98,17 +98,24 @@ in
       description = lib.mdDoc ''
         Environment variables which are read by healthchecks `(local)_settings.py`.
 
-        Settings which are explicitly covered in options bewlow, are type-checked and/or transformed
+        Settings which are explicitly covered in options below, are type-checked and/or transformed
         before added to the environment, everything else is passed as a string.
 
         See <https://healthchecks.io/docs/self_hosted_configuration/>
         for a full documentation of settings.
 
-        We add two variables to this list inside the packages `local_settings.py.`
-        - STATIC_ROOT to set a state directory for dynamically generated static files.
-        - SECRET_KEY_FILE to read SECRET_KEY from a file at runtime and keep it out of /nix/store.
+        We add additional variables to this list inside the packages `local_settings.py.`
+        - `STATIC_ROOT` to set a state directory for dynamically generated static files.
+        - `SECRET_KEY_FILE` to read `SECRET_KEY` from a file at runtime and keep it out of
+          /nix/store.
+        - `_FILE` variants for several values that hold sensitive information in
+          [Healthchecks configuration](https://healthchecks.io/docs/self_hosted_configuration/) so
+          that they also can be read from a file and kept out of /nix/store. To see which values
+          have support for a `_FILE` variant, run:
+          - `nix-instantiate --eval --expr '(import <nixpkgs> {}).healthchecks.secrets'`
+          - or `nix eval 'nixpkgs#healthchecks.secrets'` if the flake support has been enabled.
       '';
-      type = types.submodule {
+      type = types.submodule (settings: {
         freeformType = types.attrsOf types.str;
         options = {
           ALLOWED_HOSTS = lib.mkOption {
@@ -143,8 +150,28 @@ in
             '';
             apply = boolToPython;
           };
+
+          DB = mkOption {
+            type = types.enum [ "sqlite" "postgres" "mysql" ];
+            default = "sqlite";
+            description = lib.mdDoc "Database engine to use.";
+          };
+
+          DB_NAME = mkOption {
+            type = types.str;
+            default =
+              if settings.config.DB == "sqlite"
+              then "${cfg.dataDir}/healthchecks.sqlite"
+              else "hc";
+            defaultText = lib.literalExpression ''
+              if config.${settings.options.DB} == "sqlite"
+              then "''${config.${opt.dataDir}}/healthchecks.sqlite"
+              else "hc"
+            '';
+            description = lib.mdDoc "Database name.";
+          };
         };
-      };
+      });
     };
   };
 
@@ -168,7 +195,7 @@ in
           StateDirectoryMode = mkIf (cfg.dataDir == "/var/lib/healthchecks") "0750";
         };
       in
-        {
+      {
         healthchecks-migration = {
           description = "Healthchecks migrations";
           wantedBy = [ "healthchecks.target" ];
diff --git a/pkgs/servers/web-apps/healthchecks/default.nix b/pkgs/servers/web-apps/healthchecks/default.nix
index 142a67d3367a..193452c4354c 100644
--- a/pkgs/servers/web-apps/healthchecks/default.nix
+++ b/pkgs/servers/web-apps/healthchecks/default.nix
@@ -39,13 +39,36 @@ py.pkgs.buildPythonApplication rec {
     whitenoise
   ];
 
+  secrets = [
+    "DB_PASSWORD"
+    "DISCORD_CLIENT_SECRET"
+    "EMAIL_HOST_PASSWORD"
+    "LINENOTIFY_CLIENT_SECRET"
+    "MATRIX_ACCESS_TOKEN"
+    "PD_APP_ID"
+    "PUSHBULLET_CLIENT_SECRET"
+    "PUSHOVER_API_TOKEN"
+    "S3_SECRET_KEY"
+    "SECRET_KEY"
+    "SLACK_CLIENT_SECRET"
+    "TELEGRAM_TOKEN"
+    "TRELLO_APP_KEY"
+    "TWILIO_AUTH"
+  ];
+
   localSettings = writeText "local_settings.py" ''
     import os
+
     STATIC_ROOT = os.getenv("STATIC_ROOT")
-    SECRET_KEY_FILE = os.getenv("SECRET_KEY_FILE")
-    if SECRET_KEY_FILE:
-        with open(SECRET_KEY_FILE, "r") as file:
-            SECRET_KEY = file.readline()
+
+    ${lib.concatLines (map
+      (secret: ''
+        ${secret}_FILE = os.getenv("${secret}_FILE")
+        if ${secret}_FILE:
+            with open(${secret}_FILE, "r") as file:
+                ${secret} = file.readline()
+      '')
+      secrets)}
   '';
 
   installPhase = ''