The technology for manufacturing large size shielded metal-ceramic cold cathodes is described. It has been shown that the use of a shielded metal-ceramic cathode allows to significantly increase the impedance of the vacuum diode and to form an electron beam of constant cross-sectional size or of the required size (up to 400 mm wide) with a fairly uniform electron beam current density distribution (≤15%).It has been found that the emission decline of the shielded metal-ceramic cathode, like that of the metal-dielectric cathode operating at a high repetition rate (≥100 pps), is significant at the beginning of the process and then slows down, allowing continuous operation for up to 40 h. Both cathodes require periodic cleaning of the plates, which is more difficult for metal-ceramic plates.At the same time, a metal-ceramic cathode works better at low vacuum, allowing twice as much current to be generated (in the same geometry) as a metal-dielectric cathode, while reducing the accelerating voltage by ∼15%. However, metal-ceramic plates are about 100 times more expensive to manufacture than dielectric plates for a metal-dielectric cathode.Therefore, the choice of cathode type for vacuum diode accelerators is not a trivial problem, but depends on many factors that must be taken into account in each case and for each radiation technology.