Since the AMNOG (Act on the Reform of the Market for Medicinal Products) entered into force on 1 January 2011, a total of 1215 procedures concerning 531 different medicinal products have been initiated by the G-BA. 1099 of these procedures have been finalised with a resolution (see figure)., Upon market registration, pharmaceutical companies are obliged by law to submit a dossier to the Federal Joint Committee (Gemeinsamer Bundesausschuss, GBA) in order to prove a patient-relevant medical benefit in mortality, morbidity, and health-related quality of life (HRQoL)., There are two Health Technology Assessment (HTA) bodies in Germany: the G-BA (Federal Joint Committee), which is the decision-maker, and the IQWIG (Institute for Quality and Efficiency in Healthcare), which is usually ordered to perform the benefit assessment., 1 representative each from the German Medical Association, the Federation of Private Health Insurance Providers, the German Nurses’ Council, the German Psychotherapy Association, and the German Dental Association in the discussion., CONCLUSIONS: G-BA added benefit ratings are most commonly associated with recognised improvements in morbidity and mortality endpoints, while improvements in safety and quality of life feature less prominently as predictors., Our analysis suggests that in Germany there may be a demonstrated and predictable bias for drugs for fatal diseases. Since January 2011, the German G-BA has evaluated new drugs on their degree of added benefit versus a comparator therapy..