diff --git a/src/server/game/Entities/Pet/Pet.cpp b/src/server/game/Entities/Pet/Pet.cpp
index 01b8fb146..857147253 100644
--- a/src/server/game/Entities/Pet/Pet.cpp
+++ b/src/server/game/Entities/Pet/Pet.cpp
@@ -1091,7 +1091,17 @@ bool Guardian::InitStatsForLevel(uint8 petlevel)
     PetLevelInfo const* pInfo = sObjectMgr->GetPetLevelInfo(creature_ID, petlevel);
     if (pInfo)                                      // exist in DB
     {
-        SetCreateHealth(pInfo->health);
+        // Default scale value of 1 to use if Pet.RankMod.Health = 0
+        float factorHealth = 1;
+        // If config is set to allow pets to use health modifiers, apply it to creatures with a DB entry
+        // Pet.RankMod.Health = 1 use the factor value based on the rank of the pet, most pets have a rank of 0 and so use
+        // the Elite rank which is set as the default in Creature::_GetHealthMod(int32 Rank)
+        if (sWorld->getBoolConfig(CONFIG_ALLOWS_RANK_MOD_FOR_PET_HEALTH))
+        {
+            factorHealth *= _GetHealthMod(cinfo->rank);
+        }
+
+        SetCreateHealth(pInfo->health*factorHealth);
         SetModifierValue(UNIT_MOD_HEALTH, BASE_VALUE, (float)pInfo->health);
         if (petType != HUNTER_PET) //hunter pet use focus
         {