If for whatever reason an SQLite database does not suit your configuration, PostgreSQL is the best alternative. It is functionally equivalent to SQLite in every way.
In order to use a PostgreSQL database for The Arsse, the database must already exist. The procedure for creating a database can differ between systems, but a typical Linux procedure is as follows:
The Arsse must then be configured to use the created database. A suitable [configuration file](/en/Getting_Started/Configuration) might look like this: