This acquisition strategy enables rapid customer growth in diverse markets while leveraging the established reputation of local businesses, which significantly reduces marketing expenses.

Avi Medical, founded in 2020 in Munich with $97 million in funding, is integrating telehealth services with physical clinics by acquiring existing medical practices.

Health Hero, a London-based telehealth company founded in 2019, has successfully raised $198 million and expanded its services through the acquisition of several telemedicine firms across Europe.

The rise of 'rollup startups' in Europe is noteworthy, as these companies are acquiring older businesses similar to traditional private equity firms and enhancing them with advanced software solutions.

In the renewable energy sector, 1Komma5, a Hamburg-based solar energy startup founded in 2021, has raised an impressive $968 million and focuses on rolling up companies that install carbon-neutral energy systems.

Another example is Dwelly, a startup launched in 2023 in London, which aims to acquire estate agents and employs AI technology for efficient property management, having already acquired two agents.

Patient21, established in 2019 in Berlin with $212 million in funding, operates a digital health platform that acquires dental clinics and utilizes its software to streamline appointment management and patient data.

Cera Health, which began operations in 2016 in London, has raised $470 million and focuses on providing at-home care, often acquiring existing healthcare businesses to facilitate its expansion.