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FOSDEM 2025 - NixOS @ Doctors Without Borders (MSF) - why we use it and how

We present a real-world use-case of NixOS to manage an highly distributed fleet of servers & VMs in low-resource settings used for mission critical applications. After a brief overview of who MSF is and what we do, we'll dive into the technical details of how we manage our fleet with NixOS and the unique strengths that NixOS brings to the table.

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