diff --git a/internal/conf/database.go b/internal/conf/database.go
new file mode 100644
index 00000000000..5368cc4aaa8
--- /dev/null
+++ b/internal/conf/database.go
@@ -0,0 +1,166 @@
+package conf
+
+import (
+	"database/sql"
+	"encoding/json"
+	"fmt"
+)
+
+// Database handles SQLite operations for configuration storage
+type Database struct {
+	db *sql.DB
+}
+
+// NewDatabase creates a new database connection
+func NewDatabase(dbPath string) (*Database, error) {
+	db, err := sql.Open("sqlite", dbPath)
+	if err != nil {
+		return nil, err
+	}
+
+	// Create paths table if it doesn't exist
+	_, err = db.Exec(`
+		CREATE TABLE IF NOT EXISTS paths (
+			name TEXT PRIMARY KEY,
+			config TEXT NOT NULL
+		)
+	`)
+	if err != nil {
+		return nil, err
+	}
+
+	return &Database{db: db}, nil
+}
+
+// Close closes the database connection
+func (d *Database) Close() error {
+	return d.db.Close()
+}
+
+// SavePath saves or updates a path configuration
+func (d *Database) SavePath(name string, path *Path) error {
+	configJSON, err := json.Marshal(path)
+	if err != nil {
+		return err
+	}
+
+	_, err = d.db.Exec(`
+		INSERT OR REPLACE INTO paths (name, config)
+		VALUES (?, ?)
+	`, name, string(configJSON))
+	return err
+}
+
+// LoadPath loads a single path configuration
+func (d *Database) LoadPath(name string) (*Path, error) {
+	var configJSON string
+	err := d.db.QueryRow("SELECT config FROM paths WHERE name = ?", name).Scan(&configJSON)
+	if err != nil {
+		if err == sql.ErrNoRows {
+			return nil, ErrPathNotFound
+		}
+		return nil, err
+	}
+
+	var path Path
+	err = json.Unmarshal([]byte(configJSON), &path)
+	if err != nil {
+		return nil, err
+	}
+
+	return &path, nil
+}
+
+// LoadAllPaths loads all path configurations
+func (d *Database) LoadAllPaths() (map[string]*Path, error) {
+	rows, err := d.db.Query("SELECT name, config FROM paths")
+	if err != nil {
+		return nil, err
+	}
+	defer rows.Close()
+
+	paths := make(map[string]*Path)
+	for rows.Next() {
+		var name, configJSON string
+		err := rows.Scan(&name, &configJSON)
+		if err != nil {
+			return nil, err
+		}
+
+		var path Path
+		err = json.Unmarshal([]byte(configJSON), &path)
+		if err != nil {
+			return nil, err
+		}
+
+		paths[name] = &path
+	}
+
+	return paths, nil
+}
+
+// DeletePath deletes a path configuration
+func (d *Database) DeletePath(name string) error {
+	result, err := d.db.Exec("DELETE FROM paths WHERE name = ?", name)
+	if err != nil {
+		return err
+	}
+
+	rowsAffected, err := result.RowsAffected()
+	if err != nil {
+		return err
+	}
+
+	if rowsAffected == 0 {
+		return ErrPathNotFound
+	}
+
+	return nil
+}
+
+// LoadFromDatabase loads configuration from database
+func (conf *Conf) LoadFromDatabase(dbPath string) error {
+	db, err := NewDatabase(dbPath)
+	if err != nil {
+		return err
+	}
+	defer db.Close()
+
+	paths, err := db.LoadAllPaths()
+	if err != nil {
+		return err
+	}
+
+	conf.Paths = paths
+	return nil
+}
+
+// loadPathsFromDatabase loads only paths from database without replacing entire config
+func loadPathsFromDatabase(dbPath string) (map[string]*Path, error) {
+	db, err := NewDatabase(dbPath)
+	if err != nil {
+		return nil, err
+	}
+	defer db.Close()
+
+	return db.LoadAllPaths()
+}
+
+// SaveToDatabase saves configuration to database
+func (conf *Conf) SaveToDatabase(dbPath string) error {
+	db, err := NewDatabase(dbPath)
+	if err != nil {
+		return err
+	}
+	defer db.Close()
+
+	// Save all paths
+	for name, path := range conf.Paths {
+		err = db.SavePath(name, path)
+		if err != nil {
+			return fmt.Errorf("failed to save path %s: %w", name, err)
+		}
+	}
+
+	return nil
+}
\ No newline at end of file
diff --git a/internal/conf/database_test.go b/internal/conf/database_test.go
new file mode 100644
index 00000000000..201d8956078
--- /dev/null
+++ b/internal/conf/database_test.go
@@ -0,0 +1,5 @@
+package conf
+
+// Database tests are intentionally minimal since the database is used
+// through the public LoadFromDatabase() and SaveToDatabase() methods
+// which are integration-tested through the API tests.
\ No newline at end of file
diff --git a/internal/conf/mediamtx.db b/internal/conf/mediamtx.db
new file mode 100644
index 00000000000..f3d492c7e3e
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diff --git a/mediamtx.db b/mediamtx.db
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index 00000000000..fd4698c2e03
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