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German workers push through illness despite needing sick leave

From mild colds to severe back pain, most Germans refuse to call in sick. But is dedication masking deeper workplace pressures? The numbers tell a surprising story.

This picture describes about group of people they are all seated on the chair, in front of them we...
This picture describes about group of people they are all seated on the chair, in front of them we can see couple of papers, glasses on the table, in the background we can find air conditioner, notice board and couple of maps on the wall

German workers push through illness despite needing sick leave

A new survey has revealed how German employees handle illness and sick leave. Conducted in October 2025, the study found that many workers push through sickness rather than taking time off. Others return to work before fully recovering, especially those with back pain.

The Pronova BKK survey polled 1,230 employees aged 18 and older across Germany. It showed that one in three workers still goes to the office with a mild cold. Meanwhile, 15% attend despite having bronchitis or flu-like symptoms.

Back pain is another common issue. Only 11% of those affected stay home until fully recovered. Instead, 45% continue working as usual, while others opt for remote work or return early. The survey also explored attitudes toward unnecessary sick leave. Results indicated that 7% frequently take time off when fit, while 22% do so occasionally. A larger group, 31%, rarely takes unneeded leave, and 36% never do. Older employees were more likely to work when healthy compared to younger colleagues. Personal reasons also play a role in whether someone calls in sick. Expert Patrizia Thamm from Pronova BKK highlighted that legitimate sick leave should be seen as essential self-care rather than a sign of weakness.

The findings suggest a mix of dedication and pressure among German workers. Many push through illness, while a smaller portion takes leave when unnecessary. The survey provides a snapshot of workplace behaviour but does not identify specific companies or industries.

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