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Highlights Self-powered direct X-ray detectors, based on FAPbBr3 255-nm-thick films deposited onto mesoporous TiO2 scaffolds, can withstand a 26-day uninterrupted X-ray exposure with negligible signal loss, demonstrating ultra-high operational stability. Bulk specific sensitivity is evaluated to be 7.28 C Gy−1 cm−3 at 0 V, an unprecedented value in the field of thin-film-based photoconductors and photodiodes for “hard” X-rays. Sensitivity of submicrometer-thick perovskite films to the X-rays produced by a medical linear accelerator used for cancer treatment is here demonstrated for the first time.