Purpose: To characterize the imaging performance of a pixelated gamma camera (Ergo, Digirad) for 99mTc‐scintimammography. Methods: The 31×40cm̂2 Ergo detector consists of 6mm thick 3.31×3.24mm̂2 CsI(Tl) crystals coupled to silicon photodiodes. The sensitivity and resolution was measured according to NEMA NU 1‐2007. Scintimammography performance was evaluated as hot tumor detection capabilities. We acquired images of different 99mTc‐spheres (inner diameters 3.95, 4.95, 6.23, 7.86, 9.89, 12.43mm) suspended in a 6.6cm thick 500mL 99mTc‐water bath. Images were acquired at tumor depths of 1.7 and 3.7mm with different sphere‐to‐background ratios (SBR: 5.0, 8.0, 10.1, 12.5, 18.8) for 10min acquisition using low‐energy collimation (LEHR). Acquisitions for 10, 5, 2.5, 1.25min were performed at SBR=5 where the 99mTc‐activity concentration (uCi/mL) in spheres/background was 34/6.8. The sphere‐CNR was estimated as: Sphere‐CNR = (SphereCounts_Max ‐ BackgroundCounts_Mean)/ BackgroundNoise. BackgroundNoise was the average standard deviation of 10 different 9‐pixel ROIs distributed across the image. BackgroundNoise was modeled as a power‐law function of BackgroundCounts_Mean and used to predict the sphere‐CNR at different activity levels and acquisition times. A preliminary visual assessment of sphere visibility was used to establish the threshold‐CNR for detection. Results: The sensitivity and resolution at 10cm using LEHR was measured to be 128cpm/uCi and 7.5mm. BackgroundNoise was found to vary as BackgroundCounts_Mean̂−0.67 suggesting a Poisson noise dominated imaging system. Threshold‐CNR of ∼8 corresponded to visible spheres. For SBR=5, depth=3.7cm, acquisition=10min, the measured sphere‐CNR for diameters 6.23, 7.86, 9.89, 12.43mm were 12.1, 15.9, 22.8, 33, respectively; that decreased to <3, 6.6, 10.1, 14.6 for acquisition=2.5min. The CNR predicted by the power‐law model for BackgroundNoise was in good agreement (differences of 9‐26%) with measured sphere‐CNR at lower acquisition times. Conclusions: The Ergo system is suitable for 99mTc‐ scintimammography with predictable performance at different imaging conditions. Small tumors (<1cm) could be visualized at a range of SBR under tested conditions.