diff --git a/src/components/insights/__tests__/recommendation-card-confidence.test.tsx b/src/components/insights/__tests__/recommendation-card-confidence.test.tsx
new file mode 100644
index 000000000..ad27d0ae0
--- /dev/null
+++ b/src/components/insights/__tests__/recommendation-card-confidence.test.tsx
@@ -0,0 +1,141 @@
+import { describe, it, expect, vi } from "vitest";
+import { renderToStaticMarkup } from "react-dom/server";
+import { I18nProvider } from "@/lib/i18n/context";
+import { RecommendationCard } from "../recommendation-card";
+
+vi.mock("@/components/charts/health-chart", () => ({
+  HealthChart: () => <div data-testid="health-chart-mock" />,
+}));
+
+vi.mock("@/components/charts/mood-chart", () => ({
+  MoodChart: () => <div data-testid="mood-chart-mock" />,
+}));
+
+/**
+ * v1.4.16 phase B5d — confidence meter wiring inside
+ * `<RecommendationCard>`.
+ *
+ * The card reserves a `data-slot="rec-confidence-slot"` placeholder
+ * (B5c). B5d fills that slot with `<ConfidenceMeter>`. Behaviour:
+ *
+ *   - rec.confidence undefined -> slot stays empty (legacy payload).
+ *   - >=50 -> meter only.
+ *   - 25..49 -> meter + low-confidence caption inside the expanded
+ *     rationale card ("Low confidence — based on limited data").
+ *   - <25 -> "draft" pill replaces the meter (handled by
+ *     <ConfidenceMeter> itself); the low-confidence caption ALSO
+ *     surfaces because draft <= low.
+ *
+ * The meter sits in the collapsed-row slot so users can see the
+ * confidence at a glance without expanding.
+ */
+
+const baseRationale = {
+  dataWindow: "last7days" as const,
+  comparedTo: "your 90-day median (122/78)",
+  deviation: "+16/+8 mmHg above baseline over 9 of 9 readings",
+};
+
+const recBase = {
+  id: "rec-1",
+  text: "Discuss home BP log with your physician.",
+  severity: "important" as const,
+  rationale: baseRationale,
+  metricSource: {
+    type: "bloodPressure",
+    timeRange: "last7days",
+    summary: "avg 138/86 across 9 readings",
+  },
+};
+
+function render(node: React.ReactNode, locale: "en" | "de" = "en") {
+  return renderToStaticMarkup(
+    <I18nProvider initialLocale={locale}>{node}</I18nProvider>,
+  );
+}
+
+describe("<RecommendationCard> — confidence slot wiring", () => {
+  it("renders ConfidenceMeter inside rec-confidence-slot when confidence is set", () => {
+    const html = render(
+      <RecommendationCard
+        rec={{ ...recBase, confidence: 85 }}
+        index={0}
+      />,
+    );
+    // Slot wraps the meter
+    expect(html).toMatch(
+      /data-slot="rec-confidence-slot"[\s\S]*?data-slot="confidence-meter"/,
+    );
+    expect(html).toContain('data-confidence-band="high"');
+  });
+
+  it("leaves rec-confidence-slot empty when rec has no confidence (legacy)", () => {
+    const html = render(<RecommendationCard rec={recBase} index={0} />);
+    // Slot is present but should not contain a confidence-meter inside it.
+    expect(html).toMatch(/data-slot="rec-confidence-slot"/);
+    expect(html).not.toContain('data-slot="confidence-meter"');
+  });
+
+  it("yellow band for medium-confidence (50-79)", () => {
+    const html = render(
+      <RecommendationCard rec={{ ...recBase, confidence: 67 }} index={0} />,
+    );
+    expect(html).toContain('data-confidence-band="medium"');
+  });
+
+  it("orange low band + low-confidence caption when value 25-49 and expanded", () => {
+    const html = render(
+      <RecommendationCard
+        rec={{ ...recBase, confidence: 35 }}
+        index={0}
+        initiallyExpanded
+      />,
+    );
+    expect(html).toContain('data-confidence-band="low"');
+    expect(html).toMatch(/Low confidence — based on limited data/);
+  });
+
+  it("low-confidence caption is suppressed when meter is high or medium", () => {
+    const html = render(
+      <RecommendationCard
+        rec={{ ...recBase, confidence: 85 }}
+        index={0}
+        initiallyExpanded
+      />,
+    );
+    expect(html).not.toMatch(/Low confidence/);
+  });
+
+  it("draft pill below 25 (rendered by ConfidenceMeter)", () => {
+    const html = render(
+      <RecommendationCard rec={{ ...recBase, confidence: 15 }} index={0} />,
+    );
+    expect(html).toContain('data-confidence-band="draft"');
+    expect(html).toMatch(/Draft/);
+  });
+
+  it("German locale renders translated low-confidence caption", () => {
+    const html = render(
+      <RecommendationCard
+        rec={{ ...recBase, confidence: 35 }}
+        index={0}
+        initiallyExpanded
+      />,
+      "de",
+    );
+    expect(html).toMatch(/Geringes Vertrauen/);
+  });
+
+  it("does NOT touch rec-feedback-slot (owned by B5e)", () => {
+    const html = render(
+      <RecommendationCard
+        rec={{ ...recBase, confidence: 85 }}
+        index={0}
+        initiallyExpanded
+      />,
+    );
+    // The feedback slot is still present, but B5d must not have
+    // injected anything into it.
+    expect(html).toMatch(/data-slot="rec-feedback-slot"[^>]*>\s*<\/div>/);
+  });
+});
diff --git a/src/components/insights/recommendation-card.tsx b/src/components/insights/recommendation-card.tsx
index 054853b12..b513d2076 100644
--- a/src/components/insights/recommendation-card.tsx
+++ b/src/components/insights/recommendation-card.tsx
@@ -17,6 +17,7 @@ import {
   type RecommendationFeedbackSeverity,
   type RecommendationFeedbackTimeRange,
 } from "./recommendation-feedback";
+import { ConfidenceMeter } from "./confidence-meter";
 
 /**
  * v1.4.16 phase B5c — Oura-style RecommendationCard.
@@ -68,6 +69,13 @@ interface NormalisedRec {
   metricSource?: { type: string; timeRange: string; summary: string };
   referenceId?: string;
   id?: string;
+  /**
+   * v1.4.16 phase B5d — server-computed confidence (0-100). Optional
+   * because legacy cached payloads predate the field; the rec card's
+   * confidence slot stays empty in that case rather than tagging
+   * legacy recs as "draft".
+   */
+  confidence?: number;
 }
 
 function normalise(rec: InsightRecommendation): NormalisedRec {
@@ -79,9 +87,20 @@ function normalise(rec: InsightRecommendation): NormalisedRec {
     metricSource: rec.metricSource,
     referenceId: rec.referenceId,
     id: rec.id,
+    confidence: rec.confidence,
   };
 }
 
+/**
+ * v1.4.16 phase B5d — caption threshold. Below 50, the expanded
+ * rationale card surfaces a "Low confidence — based on limited data"
+ * sentence so the rec stays visible but framed as preliminary.
+ * Above 50 the meter alone speaks; below 25 the meter is replaced by
+ * a draft pill (handled inside `<ConfidenceMeter>`) and the caption
+ * still applies (draft <= low).
+ */
+const LOW_CONFIDENCE_CAPTION_THRESHOLD = 50;
+
 /**
  * Map a `metricSource.type` value to the chart-types[] the dashboard
  * uses. The model speaks snapshot-key vocabulary ("bloodPressure",
@@ -174,12 +193,14 @@ function RationaleCard({
   rationale,
   metricSource,
   referenceId,
+  confidence,
   locale,
   feedbackProps,
 }: {
   rationale: InsightRecommendationRationale;
   metricSource: { type: string; timeRange: string; summary: string } | undefined;
   referenceId: string | undefined;
+  confidence: number | undefined;
   locale: Locale;
   feedbackProps: {
     recId: string;
@@ -192,6 +213,9 @@ function RationaleCard({
   const { t } = useTranslations();
   const metricType = metricSource?.type;
   const chartTypes = metricTypeToChartTypes(metricType);
+  const showLowConfidenceCaption =
+    typeof confidence === "number" &&
+    confidence < LOW_CONFIDENCE_CAPTION_THRESHOLD;
 
   return (
     <div
@@ -227,6 +251,15 @@ function RationaleCard({
         />
       ) : null}
 
+      {showLowConfidenceCaption && (
+        <p
+          data-slot="rec-low-confidence-caption"
+          className="text-muted-foreground text-xs italic"
+        >
+          {t("insights.recommendation.confidenceLow")}
+        </p>
+      )}
+
       {referenceId && (
         <div>
           <CitationFootnote referenceId={referenceId} locale={locale} />
@@ -326,7 +359,11 @@ export function RecommendationCard({
           </div>
         </div>
         <div className="flex shrink-0 items-center gap-2">
-          <span data-slot="rec-confidence-slot" />
+          <span data-slot="rec-confidence-slot">
+            {typeof norm.confidence === "number" && (
+              <ConfidenceMeter value={norm.confidence} />
+            )}
+          </span>
           {expandable && (
             <button
               type="button"
@@ -359,6 +396,7 @@ export function RecommendationCard({
             rationale={norm.rationale}
             metricSource={norm.metricSource}
             referenceId={norm.referenceId}
+            confidence={norm.confidence}
             locale={locale}
             feedbackProps={feedbackProps}
           />