Peppers Purine Ranking: Lowest to Highest

Lowest Purine Peppers

#1pepper, red green0.9 mg

#2pepper, green2.3 mg

#3pepper, green, pickled3.1 mg

#4pepper, red (capsicum)5.1 mg

Highest Purine Peppers

#4pepper, red green0.9 mg

#3pepper, green2.3 mg

#2pepper, green, pickled3.1 mg

#1pepper, red (capsicum)5.1 mg

Category Average: 2.9 mg/100g

The average across 4 Peppers foods with lab-measured data. Foods below this average are better-than-typical choices within this category.

How to Use This Ranking

The purine ranking is sorted from lowest to highest. Rank #1 is the lowest-purine food in the category. Foods in the top half (above median) should be consumed with more awareness of portion and frequency. The difference between adjacent ranks varies: in some categories, rank #5 and #10 might be only 10 mg apart; in others, the gap can be 100+ mg. Always check the actual milligram value, not just the position. Rankings do not account for fructose or alcohol — use individual food pages for a complete risk assessment.

ACR 2020 Guideline Context

The American College of Rheumatology recommends that gout patients focus on purine awareness rather than complete food group elimination. Within any category, there is a wide purine range. The goal is to shift toward lower-purine choices within categories you already eat, rather than eliminating entire food groups. This ranking helps you identify which specific items to prioritize and which to limit.

Japanese guidelines recommend under 400 mg of total dietary purines per day. Using this ranking, you can estimate how much of budget each food uses per typical serving.

How This Comparison Is Built

Every food in this comparison has been evaluated using a three-factor risk engine that independently assesses purine content, fructose level, and alcohol presence. Purine values come from two primary references — the USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025) and Kaneko et al. (Biol Pharm Bull 37(5):709-721, 2014, PMID: 24553148). Fructose data is sourced from USDA SR28 Food Composition Tables. The verdict system follows ACR 2020 guideline thresholds: Safe (purine <50 mg, fructose <2g, no alcohol), Moderate (purine 50-150 mg or fructose 2-5g), Avoid (purine >150 mg, fructose >5g, or alcohol present). Data quality is labeled T1 (lab-measured), T2 (measured + consensus), or T3 (category estimate) on each food's detail page.

This comparison is provided for informational purposes only and does not constitute medical advice. Individual tolerance to purines and fructose varies. Consult a healthcare professional for personalized dietary guidance. Last reviewed: 2026-09-03.

Frequently Asked Questions

Are peppers good for gout?

Yes. Peppers are low-purine vegetables, and bell peppers also deliver vitamin C. Among 4 peppers with measured purine values in our database, the lowest options include pepper, red green at 0.9 mg/100g and pepper, green at 2.3 mg/100g. Fresh peppers are a gout-friendly addition to meals.

Is bell pepper low in purines?

Bell peppers are low in purines, well within the low-purine range for vegetables, and they are also a good source of vitamin C. The gout concern with peppers is minimal — they are one of the safer vegetable choices. The caveat is more about the spicy varieties for people with sensitive digestion, not purines.

Can gout patients eat chili peppers?

Chili peppers are low in purines, so they are fine for gout from a purine standpoint. The purine values for fresh chili and bell peppers are similar and low. Some people with gout also have stomach sensitivity, so the spicy heat is a personal tolerance question, not a purine question.

Peppers Ranked by Purine Content