<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001304125</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>


    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001484612</issuerCik>
      <issuerName>Outset Medical, Inc.</issuerName>
      <secFileNumber>001-39513</secFileNumber>
      <issuerAddress>
        <com:street1>3052 ORCHARD DRIVE</com:street1>
        <com:city>SAN JOSE</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>95134</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>669-231-8200</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Trigg Leslie</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Morgan Stanley Smith Barney LLC</name>
        <address>
          <com:street1>1 New York Plaza, 38th Floor</com:street1>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10004</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>2120</noOfUnitsSold>
      <aggregateMarketValue>10696.59</aggregateMarketValue>
      <noOfUnitsOutstanding>18153090</noOfUnitsOutstanding>
      <approxSaleDate>01/21/2026</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <acquiredDate>01/17/2026</acquiredDate>
      <natureOfAcquisitionTransaction>Settlement of Vested Restricted Stock Units</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>32552</amountOfSecuritiesAcquired>
      <paymentDate>01/17/2026</paymentDate>
      <natureOfPayment>Equity compensation for services rendered</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Leslie Trigg</name>
        <address>
          <com:street1>3052 Orchard Drive</com:street1>
          <com:city>San Jose</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>95134</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>11/17/2025</saleDate>
      <amountOfSecuritiesSold>916</amountOfSecuritiesSold>
      <grossProceeds>4213.60</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Leslie Trigg</name>
        <address>
          <com:street1>3052 Orchard Drive</com:street1>
          <com:city>San Jose</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>95134</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>01/07/2026</saleDate>
      <amountOfSecuritiesSold>1795</amountOfSecuritiesSold>
      <grossProceeds>7664.65</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Leslie Trigg</name>
        <address>
          <com:street1>3052 Orchard Drive</com:street1>
          <com:city>San Jose</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>95134</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>01/20/2026</saleDate>
      <amountOfSecuritiesSold>11794</amountOfSecuritiesSold>
      <grossProceeds>60385.28</grossProceeds>
    </securitiesSoldInPast3Months>
    <remarks>Shares sold to cover tax withholding obligations in connection with the vesting of Restricted Stock Units. This sale was made to satisfy tax withholding obligations through a sell to cover transaction and does not represent a discretionary trade by the reporting person.</remarks>
    <noticeSignature>
      <noticeDate>01/21/2026</noticeDate>
      <signature>John Brottem POA for Leslie Trigg</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
