diff --git a/backend-rewrite-tasklist/01_M0_M2_FOUNDATION_AND_AUTH.md b/backend-rewrite-tasklist/01_M0_M2_FOUNDATION_AND_AUTH.md
index 487d8e50..8a5de406 100644
--- a/backend-rewrite-tasklist/01_M0_M2_FOUNDATION_AND_AUTH.md
+++ b/backend-rewrite-tasklist/01_M0_M2_FOUNDATION_AND_AUTH.md
@@ -110,7 +110,8 @@
   交付物：[../server-rs/apps/api-server/src/response_headers.rs](../server-rs/apps/api-server/src/response_headers.rs)
 - [x] 接入 `x-response-time-ms`
   交付物：[../server-rs/apps/api-server/src/response_headers.rs](../server-rs/apps/api-server/src/response_headers.rs)、[../server-rs/apps/api-server/src/request_context.rs](../server-rs/apps/api-server/src/request_context.rs)
-- [ ] 实现 `/healthz`
+- [x] 实现 `/healthz`
+  交付物：[../server-rs/apps/api-server/src/health.rs](../server-rs/apps/api-server/src/health.rs)、[../server-rs/apps/api-server/src/app.rs](../server-rs/apps/api-server/src/app.rs)
 
 ### 基础工程脚本
 
@@ -123,9 +124,11 @@
 ### 阶段验收
 
 - [ ] Axum 服务可独立启动
-- [ ] `/healthz` 返回与当前工程兼容
-- [ ] 基础 response envelope 与 request id 行为稳定
-- [ ] Rust workspace 能完整编译通过
+- [x] `/healthz` 返回与当前工程兼容
+- [x] 基础 response envelope 与 request id 行为稳定
+  证据：`cargo test -p api-server --manifest-path server-rs/Cargo.toml` 已通过，覆盖 envelope 协商与 `/healthz` 头部回写。
+- [x] Rust workspace 能完整编译通过
+  证据：`cargo check -p api-server --manifest-path server-rs/Cargo.toml` 已通过。
 
 ## M2：鉴权、会话、JWT 与 refresh cookie
 
diff --git a/server-rs/Cargo.lock b/server-rs/Cargo.lock
index 21570637..e91d9446 100644
--- a/server-rs/Cargo.lock
+++ b/server-rs/Cargo.lock
@@ -22,10 +22,12 @@ name = "api-server"
 version = "0.1.0"
 dependencies = [
  "axum",
+ "http-body-util",
  "serde",
  "serde_json",
  "time",
  "tokio",
+ "tower",
  "tower-http",
  "tracing",
  "tracing-subscriber",
diff --git a/server-rs/apps/api-server/Cargo.toml b/server-rs/apps/api-server/Cargo.toml
index 87b59b37..3872bc16 100644
--- a/server-rs/apps/api-server/Cargo.toml
+++ b/server-rs/apps/api-server/Cargo.toml
@@ -14,3 +14,7 @@ tower-http = { version = "0.6", features = ["trace"] }
 tracing = "0.1"
 tracing-subscriber = { version = "0.3", features = ["env-filter", "fmt"] }
 uuid = { version = "1", features = ["v4"] }
+
+[dev-dependencies]
+http-body-util = "0.1"
+tower = { version = "0.5", features = ["util"] }
diff --git a/server-rs/apps/api-server/README.md b/server-rs/apps/api-server/README.md
index ddf43069..d5ab79d6 100644
--- a/server-rs/apps/api-server/README.md
+++ b/server-rs/apps/api-server/README.md
@@ -31,7 +31,7 @@
 2. [x] 接入 `request_id`
 3. [x] 接入统一错误处理中间件
 4. [x] 接入 response envelope
-5. [ ] 接入 `/healthz`
+5. [x] 接入 `/healthz`
 
 当前 tracing 约定：
 
@@ -64,6 +64,13 @@
 3. 所有响应都会回写 `x-route-version`，当前阶段默认与 `x-api-version` 保持一致，后续再按路由粒度细分。
 4. 所有响应都会回写 `x-response-time-ms`，值来源于 `RequestContext` 内记录的请求开始时间。
 
+当前 `/healthz` 约定：
+
+1. 路径固定为 `/healthz`。
+2. 裸响应继续返回 `{ ok: true, service: "genarrative-node-server" }`，保持与当前 Node 工程兼容。
+3. 当请求携带 `x-genarrative-response-envelope` 时，`/healthz` 会返回标准 success envelope。
+4. `x-request-id`、`x-api-version`、`x-route-version`、`x-response-time-ms` 会在 `/healthz` 响应中一并回写。
+
 ## 3. 边界约束
 
 1. `api-server` 负责 HTTP、SSE、Cookie、Header、路由与协议装配。
diff --git a/server-rs/apps/api-server/src/app.rs b/server-rs/apps/api-server/src/app.rs
index e1f8dbc8..3b27eb65 100644
--- a/server-rs/apps/api-server/src/app.rs
+++ b/server-rs/apps/api-server/src/app.rs
@@ -1,9 +1,10 @@
-use axum::{body::Body, http::Request, middleware, Router};
+use axum::{body::Body, extract::Extension, http::Request, middleware, routing::get, Router};
 use tower_http::trace::{DefaultOnFailure, DefaultOnRequest, DefaultOnResponse, TraceLayer};
 use tracing::{info_span, Level};
 
 use crate::{
     error_middleware::normalize_error_response,
+    health::health_check,
     request_context::{attach_request_context, resolve_request_id},
     response_headers::propagate_request_id_header,
     state::AppState,
@@ -12,6 +13,12 @@ use crate::{
 // 统一由这里构造 Axum 路由树，后续再逐项挂接中间件与业务路由。
 pub fn build_router(state: AppState) -> Router {
     Router::new()
+        .route(
+            "/healthz",
+            get(|Extension(request_context): Extension<_>| async move {
+                health_check(Extension(request_context)).await
+            }),
+        )
         // 错误归一化层放在 tracing 里侧，让 tracing 记录到最终对外返回的状态与错误体形态。
         .layer(middleware::from_fn(normalize_error_response))
         // 响应头回写放在错误归一化外侧，确保最终写回的是归一化后的最终响应。
@@ -38,3 +45,102 @@ pub fn build_router(state: AppState) -> Router {
         .layer(middleware::from_fn(attach_request_context))
         .with_state(state)
 }
+
+#[cfg(test)]
+mod tests {
+    use axum::{
+        body::Body,
+        http::{Request, StatusCode},
+    };
+    use http_body_util::BodyExt;
+    use serde_json::Value;
+    use tower::ServiceExt;
+
+    use crate::{config::AppConfig, state::AppState};
+
+    use super::build_router;
+
+    #[tokio::test]
+    async fn healthz_returns_legacy_compatible_payload_and_headers() {
+        let app = build_router(AppState::new(AppConfig::default()));
+
+        let response = app
+            .oneshot(
+                Request::builder()
+                    .uri("/healthz")
+                    .header("x-request-id", "req-health-legacy")
+                    .body(Body::empty())
+                    .expect("healthz request should build"),
+            )
+            .await
+            .expect("healthz request should succeed");
+
+        assert_eq!(response.status(), StatusCode::OK);
+        assert_eq!(
+            response.headers().get("x-request-id").and_then(|value| value.to_str().ok()),
+            Some("req-health-legacy")
+        );
+        assert_eq!(
+            response.headers().get("x-api-version").and_then(|value| value.to_str().ok()),
+            Some("2026-04-08")
+        );
+        assert_eq!(
+            response.headers().get("x-route-version").and_then(|value| value.to_str().ok()),
+            Some("2026-04-08")
+        );
+        assert!(response.headers().contains_key("x-response-time-ms"));
+
+        let body = response
+            .into_body()
+            .collect()
+            .await
+            .expect("healthz body should collect")
+            .to_bytes();
+        let payload: Value =
+            serde_json::from_slice(&body).expect("healthz body should be valid json");
+
+        assert_eq!(payload["ok"], Value::Bool(true));
+        assert_eq!(
+            payload["service"],
+            Value::String("genarrative-node-server".to_string())
+        );
+    }
+
+    #[tokio::test]
+    async fn healthz_returns_standard_envelope_when_requested() {
+        let app = build_router(AppState::new(AppConfig::default()));
+
+        let response = app
+            .oneshot(
+                Request::builder()
+                    .uri("/healthz")
+                    .header("x-request-id", "req-health-envelope")
+                    .header("x-genarrative-response-envelope", "v1")
+                    .body(Body::empty())
+                    .expect("healthz request should build"),
+            )
+            .await
+            .expect("healthz request should succeed");
+
+        assert_eq!(response.status(), StatusCode::OK);
+
+        let body = response
+            .into_body()
+            .collect()
+            .await
+            .expect("healthz body should collect")
+            .to_bytes();
+        let payload: Value =
+            serde_json::from_slice(&body).expect("healthz body should be valid json");
+
+        assert_eq!(payload["ok"], Value::Bool(true));
+        assert_eq!(
+            payload["data"]["service"],
+            Value::String("genarrative-node-server".to_string())
+        );
+        assert_eq!(
+            payload["meta"]["requestId"],
+            Value::String("req-health-envelope".to_string())
+        );
+    }
+}
diff --git a/server-rs/apps/api-server/src/health.rs b/server-rs/apps/api-server/src/health.rs
new file mode 100644
index 00000000..2fa1a1e1
--- /dev/null
+++ b/server-rs/apps/api-server/src/health.rs
@@ -0,0 +1,16 @@
+use axum::{extract::Extension, Json};
+use serde_json::{json, Value};
+
+use crate::{api_response::json_success_body, request_context::RequestContext};
+
+pub async fn health_check(
+    Extension(request_context): Extension<RequestContext>,
+) -> Json<Value> {
+    json_success_body(
+        Some(&request_context),
+        json!({
+            "ok": true,
+            "service": "genarrative-node-server",
+        }),
+    )
+}
diff --git a/server-rs/apps/api-server/src/main.rs b/server-rs/apps/api-server/src/main.rs
index 6f840e8c..61cb0909 100644
--- a/server-rs/apps/api-server/src/main.rs
+++ b/server-rs/apps/api-server/src/main.rs
@@ -2,6 +2,7 @@ mod app;
 mod api_response;
 mod config;
 mod error_middleware;
+mod health;
 mod http_error;
 mod logging;
 mod request_context;