Persistent Sick Leave Rates Signal Underlying Economic and Social Concerns in Germany
New data released by Techniker Krankenkasse (TK), one of Germany’s largest health insurers, reveals a slight but persistent level of employee sick leave, sparking renewed debate over the underlying causes and potential long-term consequences for the German economy. While the average number of sick days per TK-insured worker has marginally decreased from 15.86 days in 2024 to 15.36 days through October 2025, the overall figure remains significantly elevated compared to pre-pandemic levels.
The persistent high number of sick days is a complex issue. Traditionally, respiratory illnesses, musculoskeletal disorders and mental health diagnoses have been the primary drivers of absenteeism and this trend continues. Notably, TK’s data indicates a minor reduction in sick leave attributed to musculoskeletal conditions-dropping from 2.26 days in 2024 to 2.17 days in the corresponding period of 2025-and a slight decrease in respiratory ailments. However, these small improvements are shadowed by a worrying upward trend in mental health related absenteeism.
The data highlights a concerning rise in sick days linked to psychological issues like depression and anxiety. Absenteeism in this category has increased from 3.11 days per worker in 2024 to 3.14 days in 2025, suggesting a potential worsening of mental health challenges within the workforce. This trend echoes broader societal concerns surrounding work-related stress, burnout and the lasting impact of recent economic uncertainties.
Experts are divided on the interpretations of the figures. While some attribute the marginal decrease in overall sick leave to the gradual easing of post-pandemic recovery, others argue that the persistent high rates, particularly the rising tide of mental health related absences, point to deeper systemic problems. Critics are increasingly questioning the adequacy of Germany’s social safety net and employer policies regarding employee well-being. The slight decrease in musculoskeletal issues may also reflect a change in reporting practices rather than a genuine improvement in worker health, a possibility that warrants further investigation.
The TK’s findings are likely to fuel renewed calls for comprehensive strategies to address the root causes of employee absenteeism, including investing in preventative mental health programs, improving working conditions and fostering a more supportive and flexible work environment. Failure to address these issues effectively risks diminishing Germany’s economic competitiveness and jeopardizing the long-term health and well-being of its workforce. The continued observation of these trends will undoubtedly place increased scrutiny on government and employer policies designed to protect and support German workers.