diff --git a/cmd/launcher/launcher.go b/cmd/launcher/launcher.go
index 93d46309d..3c6ac48ff 100644
--- a/cmd/launcher/launcher.go
+++ b/cmd/launcher/launcher.go
@@ -40,6 +40,7 @@ import (
 	"github.com/kolide/launcher/ee/localserver"
 	kolidelog "github.com/kolide/launcher/ee/log/osquerylogs"
 	"github.com/kolide/launcher/ee/powereventwatcher"
+	"github.com/kolide/launcher/ee/restartservice"
 	"github.com/kolide/launcher/ee/tuf"
 	"github.com/kolide/launcher/pkg/augeas"
 	"github.com/kolide/launcher/pkg/backoff"
@@ -271,6 +272,17 @@ func runLauncher(ctx context.Context, cancel func(), multiSlogger, systemMultiSl
 	go checkpointer.Once(ctx)
 	runGroup.Add("logcheckpoint", checkpointer.Run, checkpointer.Interrupt)
 
+	healthCheckStore, err := restartservice.OpenWriter(ctx, k.RootDirectory())
+	if err != nil { // log an error but don't stop runLauncher from continuing
+		slogger.Log(ctx, slog.LevelError,
+			"could not init health check result writer store, history will be absent for this run",
+			"err", err,
+		)
+	} else {
+		healthchecker := checkups.NewHealthChecker(slogger, k, healthCheckStore)
+		runGroup.Add("healthchecker", healthchecker.Run, healthchecker.Interrupt)
+	}
+
 	// Create a channel for signals
 	sigChannel := make(chan os.Signal, 1)
 
diff --git a/ee/agent/storage/sqlite/keyvalue_store_sqlite.go b/ee/agent/storage/sqlite/keyvalue_store_sqlite.go
index c63056047..18a14a431 100644
--- a/ee/agent/storage/sqlite/keyvalue_store_sqlite.go
+++ b/ee/agent/storage/sqlite/keyvalue_store_sqlite.go
@@ -21,7 +21,9 @@ import (
 type storeName int
 
 const (
-	StartupSettingsStore storeName = iota
+	StartupSettingsStore   storeName = iota
+	HealthCheckStore       storeName = 1
+	RestartServiceLogStore storeName = 2
 )
 
 // String translates the exported int constant to the actual name of the
@@ -30,6 +32,10 @@ func (s storeName) String() string {
 	switch s {
 	case StartupSettingsStore:
 		return "startup_settings"
+	case HealthCheckStore:
+		return "health_check_results"
+	case RestartServiceLogStore:
+		return "restart_service_logs"
 	}
 
 	return ""
diff --git a/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.down.sqlite b/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.down.sqlite
new file mode 100644
index 000000000..e93abb8ae
--- /dev/null
+++ b/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.down.sqlite
@@ -0,0 +1 @@
+DROP TABLE IF EXISTS health_check_results;
\ No newline at end of file
diff --git a/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.up.sqlite b/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.up.sqlite
new file mode 100644
index 000000000..d0218a1a9
--- /dev/null
+++ b/ee/agent/storage/sqlite/migrations/000002_add_health_check_table.up.sqlite
@@ -0,0 +1,4 @@
+CREATE TABLE IF NOT EXISTS health_check_results (
+    timestamp INT NOT NULL,
+    results TEXT
+);
\ No newline at end of file
diff --git a/ee/agent/storage/sqlite/sql_store_sqlite.go b/ee/agent/storage/sqlite/sql_store_sqlite.go
new file mode 100644
index 000000000..21fd7d0c2
--- /dev/null
+++ b/ee/agent/storage/sqlite/sql_store_sqlite.go
@@ -0,0 +1,78 @@
+package agentsqlite
+
+import (
+	"context"
+	"database/sql"
+	"errors"
+	"fmt"
+
+	_ "modernc.org/sqlite"
+)
+
+func (s *sqliteStore) FetchResults(ctx context.Context) ([][]byte, error) {
+	results := make([][]byte, 0)
+
+	if s == nil || s.conn == nil {
+		return results, errors.New("store is nil")
+	}
+
+	// It's fine to interpolate the table name into the query because we allowlist via `storeName` type
+	query := fmt.Sprintf(`SELECT timestamp, results FROM %s;`, s.tableName)
+	rows, err := s.conn.QueryContext(ctx, query)
+	if err != nil {
+		return results, err
+	}
+
+	defer rows.Close()
+
+	for rows.Next() {
+		var timestamp int64
+		var result string
+		if err := rows.Scan(&timestamp, &result); err != nil {
+			return results, err
+		}
+		results = append(results, []byte(result))
+	}
+
+	return results, nil
+}
+
+func (s *sqliteStore) FetchLatestResult(ctx context.Context) ([]byte, error) {
+	if s == nil || s.conn == nil {
+		return []byte{}, errors.New("store is nil")
+	}
+
+	// It's fine to interpolate the table name into the query because we allowlist via `storeName` type
+	query := fmt.Sprintf(`SELECT timestamp, results FROM %s ORDER BY timestamp DESC LIMIT 1;`, s.tableName)
+	var timestamp int64
+	var result string
+
+	err := s.conn.QueryRowContext(ctx, query).Scan(&timestamp, &result)
+	switch {
+	case err == sql.ErrNoRows:
+		return []byte{}, nil
+	case err != nil:
+		return []byte{}, err
+	default:
+		return []byte(result), nil
+	}
+}
+
+func (s *sqliteStore) AddResult(ctx context.Context, timestamp int64, result []byte) error {
+	if s == nil || s.conn == nil {
+		return errors.New("store is nil")
+	}
+
+	if s.readOnly {
+		return errors.New("cannot perform AddResult with RO connection")
+	}
+
+	// It's fine to interpolate the table name into the query because we allowlist via `storeName` type
+	insertSql := fmt.Sprintf(`INSERT INTO %s (timestamp, results) VALUES (?, ?);`, s.tableName)
+
+	if _, err := s.conn.Exec(insertSql, timestamp, string(result)); err != nil {
+		return fmt.Errorf("inserting into %s: %w", s.tableName, err)
+	}
+
+	return nil
+}
diff --git a/ee/agent/types/keyvalue_store.go b/ee/agent/types/keyvalue_store.go
index d8c9c10f8..7cdda32c1 100644
--- a/ee/agent/types/keyvalue_store.go
+++ b/ee/agent/types/keyvalue_store.go
@@ -61,10 +61,14 @@ type GetterSetter interface {
 	Setter
 }
 
+type Closer interface {
+	Close() error
+}
+
 // GetterCloser extends the Getter interface with a Close method.
 type GetterCloser interface {
 	Getter
-	Close() error
+	Closer
 }
 
 // GetterUpdaterCloser groups the Get, Update, and Close methods.
diff --git a/ee/agent/types/sql_store.go b/ee/agent/types/sql_store.go
new file mode 100644
index 000000000..ab5407934
--- /dev/null
+++ b/ee/agent/types/sql_store.go
@@ -0,0 +1,24 @@
+package types
+
+import (
+	"context"
+)
+
+// ResultFetcher is an interface for querying a single text field from a structured data store.
+// This is intentionally vague for potential future re-use, allowing the caller to unmarshal string results as needed.
+// This was initially intended to support the sqlite health_check_results table
+type ResultFetcher interface {
+	// Fetch retrieves all results rows
+	FetchResults(ctx context.Context) ([][]byte, error)
+	// FetchLatest retrieves the most recent result based on timestamp column
+	FetchLatestResult(ctx context.Context) ([]byte, error)
+	Closer
+}
+
+type ResultSetter interface {
+	// AddResult persists a marshalled result entry alongside the provided unix timestamp
+	AddResult(ctx context.Context, timestamp int64, result []byte) error
+	Closer
+}
+
+// TODO add rotation interface to cap limit on health check results
diff --git a/ee/debug/checkups/checkups.go b/ee/debug/checkups/checkups.go
index fb54f1769..0e63d6f0c 100644
--- a/ee/debug/checkups/checkups.go
+++ b/ee/debug/checkups/checkups.go
@@ -80,6 +80,10 @@ const (
 	doctorSupported targetBits = 1 << iota
 	flareSupported
 	logSupported
+	// note that in the future a failing checkup that is healthCheckSupported should
+	// result in a launcher restart from our watchdog service. ensure that this makes
+	// sense for a checkup before adding the healthCheckSupported bits
+	healthCheckSupported
 )
 
 //const checkupFor iota
@@ -94,7 +98,7 @@ func checkupsFor(k types.Knapsack, target targetBits) []checkupInt {
 		{&Platform{}, doctorSupported | flareSupported | logSupported},
 		{&Version{k: k}, doctorSupported | flareSupported | logSupported},
 		{&hostInfoCheckup{k: k}, doctorSupported | flareSupported | logSupported},
-		{&Processes{}, doctorSupported | flareSupported},
+		{&Processes{}, doctorSupported | flareSupported | healthCheckSupported},
 		{&RootDirectory{k: k}, doctorSupported | flareSupported},
 		{&Connectivity{k: k}, doctorSupported | flareSupported | logSupported},
 		{&Logs{k: k}, doctorSupported | flareSupported},
diff --git a/ee/debug/checkups/healthcheck.go b/ee/debug/checkups/healthcheck.go
new file mode 100644
index 000000000..622582dd9
--- /dev/null
+++ b/ee/debug/checkups/healthcheck.go
@@ -0,0 +1,111 @@
+package checkups
+
+import (
+	"context"
+	"encoding/json"
+	"io"
+	"log/slog"
+	"strings"
+	"time"
+
+	"github.com/kolide/launcher/ee/agent/types"
+	"github.com/kolide/launcher/ee/restartservice"
+)
+
+type (
+	healthChecker struct {
+		slogger     *slog.Logger
+		knapsack    types.Knapsack
+		interrupt   chan struct{}
+		interrupted bool
+		writer      *restartservice.HealthCheckWriter
+	}
+)
+
+func NewHealthChecker(slogger *slog.Logger, k types.Knapsack, writer *restartservice.HealthCheckWriter) *healthChecker {
+	return &healthChecker{
+		slogger:   slogger.With("component", "healthchecker"),
+		knapsack:  k,
+		interrupt: make(chan struct{}, 1),
+		writer:    writer,
+	}
+}
+
+// Run starts a healthchecker routine. The purpose of this is to
+// maintain a historical record of launcher health for general debugging
+// and for our watchdog service to observe unhealthy states and respond accordingly
+func (c *healthChecker) Run() error {
+	ticker := time.NewTicker(time.Minute * 30)
+	defer ticker.Stop()
+
+	for {
+		c.Once(context.TODO())
+
+		select {
+		case <-ticker.C:
+			continue
+		case <-c.interrupt:
+			c.slogger.Log(context.TODO(), slog.LevelDebug,
+				"interrupt received, exiting execute loop",
+			)
+			return nil
+		}
+	}
+}
+
+func (c *healthChecker) Interrupt(_ error) {
+	// Only perform shutdown tasks on first call to interrupt -- no need to repeat on potential extra calls.
+	if c.interrupted {
+		return
+	}
+
+	c.interrupted = true
+
+	c.interrupt <- struct{}{}
+}
+
+func (c *healthChecker) Once(ctx context.Context) {
+	checkups := checkupsFor(c.knapsack, healthCheckSupported)
+	results := make(map[string]Status)
+	checkupTime := time.Now().Unix()
+
+	for _, checkup := range checkups {
+		checkup.Run(ctx, io.Discard)
+		checkupName := normalizeCheckupName(checkup.Name())
+		results[checkupName] = checkup.Status()
+		// log all data for debugging if Failing
+		if checkup.Status() == Failing {
+			c.slogger.Log(ctx, slog.LevelWarn,
+				"detected health check failure",
+				"checkup", checkupName,
+				"data", checkup.Data(),
+			)
+		}
+	}
+
+	resultsJson, err := json.Marshal(results)
+	if err != nil {
+		c.slogger.Log(ctx, slog.LevelWarn,
+			"failure encoding health check results",
+			"err", err,
+		)
+
+		return
+	}
+
+	if err = c.writer.AddHealthCheckResult(ctx, checkupTime, resultsJson); err != nil {
+		c.slogger.Log(ctx, slog.LevelWarn,
+			"failure writing out health check results",
+			"err", err,
+		)
+
+		return
+	}
+}
+
+func normalizeCheckupName(name string) string {
+	return strings.ReplaceAll(
+		strings.ToLower(name),
+		" ", "_",
+	)
+}
diff --git a/ee/restartservice/health_check_reader.go b/ee/restartservice/health_check_reader.go
new file mode 100644
index 000000000..ba259170a
--- /dev/null
+++ b/ee/restartservice/health_check_reader.go
@@ -0,0 +1,28 @@
+package restartservice
+
+import (
+	"context"
+	"fmt"
+
+	agentsqlite "github.com/kolide/launcher/ee/agent/storage/sqlite"
+	"github.com/kolide/launcher/ee/agent/types"
+)
+
+type (
+	healthCheckReader struct {
+		store types.ResultFetcher
+	}
+)
+
+func OpenReader(ctx context.Context, rootDirectory string) (*healthCheckReader, error) {
+	store, err := agentsqlite.OpenRO(ctx, rootDirectory, agentsqlite.HealthCheckStore)
+	if err != nil {
+		return nil, fmt.Errorf("opening healthcheck db in %s: %w", rootDirectory, err)
+	}
+
+	return &healthCheckReader{store: store}, nil
+}
+
+func (r *healthCheckReader) Close() error {
+	return r.store.Close()
+}
diff --git a/ee/restartservice/health_check_writer.go b/ee/restartservice/health_check_writer.go
new file mode 100644
index 000000000..066bc084e
--- /dev/null
+++ b/ee/restartservice/health_check_writer.go
@@ -0,0 +1,50 @@
+package restartservice
+
+import (
+	"context"
+	"errors"
+	"fmt"
+
+	agentsqlite "github.com/kolide/launcher/ee/agent/storage/sqlite"
+	"github.com/kolide/launcher/ee/agent/types"
+	"github.com/kolide/launcher/pkg/traces"
+)
+
+// HealthCheckWriter adheres to the ResultSetter interface
+type HealthCheckWriter struct {
+	store types.ResultSetter
+}
+
+// OpenWriter returns a new health check results writer, creating and initializing
+// the database if necessary.
+func OpenWriter(ctx context.Context, rootDirectory string) (*HealthCheckWriter, error) {
+	ctx, span := traces.StartSpan(ctx)
+	defer span.End()
+
+	store, err := agentsqlite.OpenRW(ctx, rootDirectory, agentsqlite.HealthCheckStore)
+	if err != nil {
+		return nil, fmt.Errorf("opening healthcheck db in %s: %w", rootDirectory, err)
+	}
+
+	s := &HealthCheckWriter{
+		store: store,
+	}
+
+	return s, nil
+}
+
+func (hw *HealthCheckWriter) AddHealthCheckResult(ctx context.Context, timestamp int64, value []byte) error {
+	if hw == nil || hw.store == nil {
+		return errors.New("store is nil")
+	}
+
+	if err := hw.store.AddResult(ctx, timestamp, value); err != nil {
+		return fmt.Errorf("adding healthcheck result: %w", err)
+	}
+
+	return nil
+}
+
+func (r *HealthCheckWriter) Close() error {
+	return r.store.Close()
+}