In this study, to determine their alternative/complementary properties, organic cornelian cherry vinegar samples prepared by traditional (CCV), thermal pasteurization (P-CCV), and ultrasound (UT-CCV) methods were tested for antibacterial, antidiabetic, antihypertensive, and anticancer activities.As a result of response surface methodol. optimization, the bioactive compounds were increased.With ultrasound treatment, the total phenolic content increased by 4.6%.The antibacterial activity was detected in all samples, while the lowest MIC values (28.4μl/mL) in the presence of UT-CCV were found in Pseudomonas aeruginosa, Klebsiella pneumoniae, Bacillus cereus, and Staphylococcus aureus.In addition, apoptosis was induced in HT-29 and MDA-MB-231 cells were treated with the CCV, P-CCV, and UT-CCV samples compared to the control group.It was determined that UT-CCV has antidiabetic and antihypertensive effects.Therefore, our study encourages further clin. research on the alternative/complementary property of cornelian cherry vinegar in the treatment of various health manifestations including infections, cancer, diabetes, and hypertension.Novelty Impact Statement : Bioactive components of organic cornelian cherry vinegar increased with ultrasound treatment.Organic cornelian cherry vinegar stimulates apoptosis in cancer cells.Vinegar samples prepared by the UT-CCV method show better antibacterial activity compared to CCV and P-CCV samples.