diff --git a/README.md b/README.md
index 978b364..7a2c488 100644
--- a/README.md
+++ b/README.md
@@ -10,6 +10,7 @@ A lightweight, secure pastebin REST API built with Flask.
 - **Client certificate authentication** - Optional auth via `X-SSL-Client-SHA1` header
 - **Automatic expiry** - Pastes expire after configurable period of inactivity
 - **Size limits** - Configurable limits for anonymous and authenticated users
+- **Abuse prevention** - Content-hash deduplication throttles repeated identical submissions
 - **Security headers** - HSTS, CSP, X-Frame-Options, Cache-Control, and more
 - **Request tracing** - X-Request-ID support for log correlation
 - **Proxy trust validation** - Optional shared secret for defense-in-depth
@@ -88,6 +89,8 @@ Configuration via environment variables:
 | `FLASKPASTE_MAX_ANON` | `3145728` (3 MiB) | Max paste size for anonymous users |
 | `FLASKPASTE_MAX_AUTH` | `52428800` (50 MiB) | Max paste size for authenticated users |
 | `FLASKPASTE_EXPIRY` | `432000` (5 days) | Paste expiry in seconds |
+| `FLASKPASTE_DEDUP_WINDOW` | `3600` (1 hour) | Dedup throttle window in seconds |
+| `FLASKPASTE_DEDUP_MAX` | `3` | Max identical submissions per window |
 | `FLASKPASTE_PROXY_SECRET` | (empty) | Shared secret for proxy trust validation |
 
 ## Authentication
@@ -164,6 +167,7 @@ flaskpaste/
 - **SQL injection protection** - Parameterized queries throughout
 - **Ownership enforcement** - Only owners can delete their pastes
 - **Size limits** - Prevents resource exhaustion attacks
+- **Abuse prevention** - Content-hash deduplication prevents spam flooding
 - **Security headers** - HSTS, CSP, X-Frame-Options, X-Content-Type-Options, Cache-Control
 - **Request tracing** - X-Request-ID for log correlation and debugging
 - **Proxy trust** - Optional `X-Proxy-Secret` validation to prevent header spoofing
diff --git a/app/api/routes.py b/app/api/routes.py
index cec73c3..bdd6881 100644
--- a/app/api/routes.py
+++ b/app/api/routes.py
@@ -9,7 +9,7 @@ import time
 from flask import Response, current_app, request
 
 from app.api import bp
-from app.database import get_db
+from app.database import check_content_hash, get_db
 
 # Valid paste ID pattern (hexadecimal only)
 PASTE_ID_PATTERN = re.compile(r"^[a-f0-9]+$")
@@ -205,6 +205,22 @@ def create_paste():
             "authenticated": owner is not None,
         }, 413)
 
+    # Check content deduplication threshold
+    content_hash = hashlib.sha256(content).hexdigest()
+    is_allowed, dedup_count = check_content_hash(content_hash)
+
+    if not is_allowed:
+        window = current_app.config["CONTENT_DEDUP_WINDOW"]
+        current_app.logger.warning(
+            "Dedup threshold exceeded: hash=%s count=%d from=%s",
+            content_hash[:16], dedup_count, request.remote_addr
+        )
+        return _json_response({
+            "error": "Duplicate content rate limit exceeded",
+            "count": dedup_count,
+            "window_seconds": window,
+        }, 429)
+
     paste_id = _generate_id(content)
     now = int(time.time())
 
diff --git a/app/config.py b/app/config.py
index f586728..15c1a28 100644
--- a/app/config.py
+++ b/app/config.py
@@ -19,6 +19,11 @@ class Config:
     # Paste expiry (default 5 days)
     PASTE_EXPIRY_SECONDS = int(os.environ.get("FLASKPASTE_EXPIRY", 5 * 24 * 60 * 60))
 
+    # Content deduplication / abuse prevention
+    # Throttle repeated submissions of identical content
+    CONTENT_DEDUP_WINDOW = int(os.environ.get("FLASKPASTE_DEDUP_WINDOW", 3600))  # 1 hour
+    CONTENT_DEDUP_MAX = int(os.environ.get("FLASKPASTE_DEDUP_MAX", 3))  # max 3 per window
+
     # Reverse proxy trust configuration
     # SECURITY: The X-SSL-Client-SHA1 header is trusted for authentication.
     # This header MUST only come from a trusted reverse proxy that validates
@@ -47,6 +52,10 @@ class TestingConfig(Config):
     TESTING = True
     DATABASE = ":memory:"
 
+    # Relaxed dedup for testing (100 per second window)
+    CONTENT_DEDUP_WINDOW = 1
+    CONTENT_DEDUP_MAX = 100
+
 
 config = {
     "development": DevelopmentConfig,
diff --git a/app/database.py b/app/database.py
index 4624be3..9c38511 100644
--- a/app/database.py
+++ b/app/database.py
@@ -19,6 +19,16 @@ CREATE TABLE IF NOT EXISTS pastes (
 CREATE INDEX IF NOT EXISTS idx_pastes_created_at ON pastes(created_at);
 CREATE INDEX IF NOT EXISTS idx_pastes_owner ON pastes(owner);
 CREATE INDEX IF NOT EXISTS idx_pastes_last_accessed ON pastes(last_accessed);
+
+-- Content hash tracking for abuse prevention
+CREATE TABLE IF NOT EXISTS content_hashes (
+    hash TEXT PRIMARY KEY,
+    first_seen INTEGER NOT NULL,
+    last_seen INTEGER NOT NULL,
+    count INTEGER NOT NULL DEFAULT 1
+);
+
+CREATE INDEX IF NOT EXISTS idx_content_hashes_last_seen ON content_hashes(last_seen);
 """
 
 # Hold reference for in-memory shared cache databases
@@ -88,6 +98,79 @@ def cleanup_expired_pastes() -> int:
     return cursor.rowcount
 
 
+def cleanup_expired_hashes() -> int:
+    """Delete content hashes outside the dedup window.
+
+    Returns number of deleted hashes.
+    """
+    window = current_app.config["CONTENT_DEDUP_WINDOW"]
+    cutoff = int(time.time()) - window
+
+    db = get_db()
+    cursor = db.execute("DELETE FROM content_hashes WHERE last_seen < ?", (cutoff,))
+    db.commit()
+
+    return cursor.rowcount
+
+
+def check_content_hash(content_hash: str) -> tuple[bool, int]:
+    """Check if content hash exceeds dedup threshold.
+
+    Args:
+        content_hash: SHA256 hex digest of content
+
+    Returns:
+        Tuple of (is_allowed, current_count)
+        is_allowed is False if threshold exceeded within window
+    """
+    window = current_app.config["CONTENT_DEDUP_WINDOW"]
+    max_count = current_app.config["CONTENT_DEDUP_MAX"]
+    now = int(time.time())
+    cutoff = now - window
+
+    db = get_db()
+
+    # Check existing hash record
+    row = db.execute(
+        "SELECT count, last_seen FROM content_hashes WHERE hash = ?",
+        (content_hash,)
+    ).fetchone()
+
+    if row is None:
+        # First time seeing this content
+        db.execute(
+            "INSERT INTO content_hashes (hash, first_seen, last_seen, count) VALUES (?, ?, ?, 1)",
+            (content_hash, now, now)
+        )
+        db.commit()
+        return True, 1
+
+    if row["last_seen"] < cutoff:
+        # Outside window, reset counter
+        db.execute(
+            "UPDATE content_hashes SET first_seen = ?, last_seen = ?, count = 1 WHERE hash = ?",
+            (now, now, content_hash)
+        )
+        db.commit()
+        return True, 1
+
+    # Within window, check threshold
+    current_count = row["count"] + 1
+
+    if current_count > max_count:
+        # Exceeded threshold, don't increment (prevent counter overflow)
+        return False, row["count"]
+
+    # Update counter
+    db.execute(
+        "UPDATE content_hashes SET last_seen = ?, count = ? WHERE hash = ?",
+        (now, current_count, content_hash)
+    )
+    db.commit()
+
+    return True, current_count
+
+
 def init_app(app) -> None:
     """Register database functions with Flask app."""
     app.teardown_appcontext(close_db)
diff --git a/documentation/api.md b/documentation/api.md
index eae5f0e..965cbbc 100644
--- a/documentation/api.md
+++ b/documentation/api.md
@@ -129,6 +129,7 @@ Content-Type: application/json
 |------|-------------|
 | 400 | No content provided |
 | 413 | Paste too large |
+| 429 | Duplicate content rate limit exceeded |
 
 **Size Limits:**
 - Anonymous: 3 MiB (configurable via `FLASKPASTE_MAX_ANON`)
@@ -254,6 +255,41 @@ Pastes expire based on last access time (default: 5 days).
 
 ---
 
+## Abuse Prevention
+
+FlaskPaste includes content-hash based deduplication to prevent spam and abuse.
+
+**How it works:**
+- Each paste's SHA256 content hash is tracked
+- Repeated submissions of identical content are throttled
+- After exceeding the threshold, further duplicates are rejected with 429
+
+**Default limits:**
+- Window: 1 hour (`FLASKPASTE_DEDUP_WINDOW`)
+- Maximum: 3 identical submissions per window (`FLASKPASTE_DEDUP_MAX`)
+
+**Response (429 Too Many Requests):**
+```json
+{
+  "error": "Duplicate content rate limit exceeded",
+  "count": 3,
+  "window_seconds": 3600
+}
+```
+
+**Configuration:**
+```bash
+export FLASKPASTE_DEDUP_WINDOW=3600  # Window in seconds (default: 1 hour)
+export FLASKPASTE_DEDUP_MAX=3        # Max duplicates per window (default: 3)
+```
+
+**Notes:**
+- Different content is not affected by other content's limits
+- Counter resets after the window expires
+- Hash records are cleaned up periodically
+
+---
+
 ## Error Response Format
 
 All errors return JSON:
diff --git a/tests/test_abuse_prevention.py b/tests/test_abuse_prevention.py
new file mode 100644
index 0000000..e7acfe8
--- /dev/null
+++ b/tests/test_abuse_prevention.py
@@ -0,0 +1,233 @@
+"""Tests for content-hash based abuse prevention."""
+
+import hashlib
+import time
+
+import pytest
+
+from app import create_app
+from app.database import check_content_hash, cleanup_expired_hashes, get_db
+
+
+class TestContentDedup:
+    """Test content deduplication throttling."""
+
+    @pytest.fixture
+    def strict_app(self):
+        """Create app with strict dedup settings for testing."""
+        app = create_app("testing")
+        app.config["CONTENT_DEDUP_WINDOW"] = 3600  # 1 hour
+        app.config["CONTENT_DEDUP_MAX"] = 3  # max 3 per window
+        return app
+
+    @pytest.fixture
+    def strict_client(self, strict_app):
+        """Create test client with strict dedup."""
+        return strict_app.test_client()
+
+    def test_first_submission_allowed(self, strict_client):
+        """First submission of content should always succeed."""
+        response = strict_client.post("/", data=b"unique content 1")
+        assert response.status_code == 201
+
+    def test_duplicate_within_threshold_allowed(self, strict_client):
+        """Duplicate submissions within threshold should succeed."""
+        content = b"unique content 2"
+
+        # First 3 submissions should succeed
+        for i in range(3):
+            response = strict_client.post("/", data=content)
+            assert response.status_code == 201, f"Submission {i+1} failed"
+
+    def test_duplicate_exceeds_threshold_rejected(self, strict_client):
+        """Fourth duplicate within window should be rejected."""
+        content = b"unique content 3"
+
+        # First 3 succeed
+        for i in range(3):
+            response = strict_client.post("/", data=content)
+            assert response.status_code == 201
+
+        # Fourth should fail with 429
+        response = strict_client.post("/", data=content)
+        assert response.status_code == 429
+
+        data = response.get_json()
+        assert data["error"] == "Duplicate content rate limit exceeded"
+        assert data["count"] == 3
+        assert "window_seconds" in data
+
+    def test_different_content_not_affected(self, strict_client):
+        """Different content should not be affected by other dedup limits."""
+        # Max out one content
+        content1 = b"content type A"
+        for _ in range(3):
+            strict_client.post("/", data=content1)
+
+        # Different content should still work
+        content2 = b"content type B"
+        response = strict_client.post("/", data=content2)
+        assert response.status_code == 201
+
+    def test_dedup_response_format(self, strict_client):
+        """Verify 429 response format for dedup errors."""
+        content = b"unique content 4"
+
+        # Exhaust limit
+        for _ in range(3):
+            strict_client.post("/", data=content)
+
+        response = strict_client.post("/", data=content)
+        assert response.status_code == 429
+        assert response.content_type == "application/json"
+
+        data = response.get_json()
+        assert "error" in data
+        assert "count" in data
+        assert "window_seconds" in data
+
+
+class TestContentHashDatabase:
+    """Test content hash database operations."""
+
+    @pytest.fixture
+    def app_context(self):
+        """Create app context for database tests."""
+        app = create_app("testing")
+        app.config["CONTENT_DEDUP_WINDOW"] = 3600
+        app.config["CONTENT_DEDUP_MAX"] = 3
+        with app.app_context():
+            yield app
+
+    def test_check_content_hash_first_time(self, app_context):
+        """First check for a hash should return allowed with count 1."""
+        content_hash = hashlib.sha256(b"new content").hexdigest()
+        is_allowed, count = check_content_hash(content_hash)
+
+        assert is_allowed is True
+        assert count == 1
+
+    def test_check_content_hash_increments(self, app_context):
+        """Subsequent checks should increment counter."""
+        content_hash = hashlib.sha256(b"incrementing content").hexdigest()
+
+        is_allowed1, count1 = check_content_hash(content_hash)
+        assert is_allowed1 is True
+        assert count1 == 1
+
+        is_allowed2, count2 = check_content_hash(content_hash)
+        assert is_allowed2 is True
+        assert count2 == 2
+
+        is_allowed3, count3 = check_content_hash(content_hash)
+        assert is_allowed3 is True
+        assert count3 == 3
+
+    def test_check_content_hash_threshold(self, app_context):
+        """Check should fail after threshold exceeded."""
+        content_hash = hashlib.sha256(b"threshold content").hexdigest()
+
+        # Use up threshold
+        for _ in range(3):
+            check_content_hash(content_hash)
+
+        # Fourth should fail
+        is_allowed, count = check_content_hash(content_hash)
+        assert is_allowed is False
+        assert count == 3  # Count stays at 3, not incremented
+
+    def test_hash_record_persists(self, app_context):
+        """Hash records should persist in database."""
+        content_hash = hashlib.sha256(b"persistent content").hexdigest()
+        check_content_hash(content_hash)
+
+        # Query database directly
+        db = get_db()
+        row = db.execute(
+            "SELECT hash, count FROM content_hashes WHERE hash = ?",
+            (content_hash,)
+        ).fetchone()
+
+        assert row is not None
+        assert row["hash"] == content_hash
+        assert row["count"] == 1
+
+
+class TestContentHashCleanup:
+    """Test cleanup of expired content hashes."""
+
+    @pytest.fixture
+    def app_context(self):
+        """Create app context for cleanup tests."""
+        app = create_app("testing")
+        app.config["CONTENT_DEDUP_WINDOW"] = 1  # 1 second window
+        app.config["CONTENT_DEDUP_MAX"] = 3
+        with app.app_context():
+            yield app
+
+    def test_cleanup_expired_hashes(self, app_context):
+        """Expired hashes should be cleaned up."""
+        content_hash = hashlib.sha256(b"expiring content").hexdigest()
+        check_content_hash(content_hash)
+
+        # Wait for expiry (2 seconds to be safe)
+        time.sleep(2)
+
+        # Cleanup should remove it
+        deleted = cleanup_expired_hashes()
+        assert deleted >= 1
+
+        # Verify removed
+        db = get_db()
+        row = db.execute(
+            "SELECT * FROM content_hashes WHERE hash = ?",
+            (content_hash,)
+        ).fetchone()
+        assert row is None
+
+    def test_cleanup_keeps_recent(self, app_context):
+        """Recent hashes should not be cleaned up."""
+        app_context.config["CONTENT_DEDUP_WINDOW"] = 3600  # 1 hour
+
+        content_hash = hashlib.sha256(b"recent content").hexdigest()
+        check_content_hash(content_hash)
+
+        # Cleanup should not remove it
+        deleted = cleanup_expired_hashes()
+
+        # Verify still present
+        db = get_db()
+        row = db.execute(
+            "SELECT * FROM content_hashes WHERE hash = ?",
+            (content_hash,)
+        ).fetchone()
+        assert row is not None
+
+
+class TestWindowReset:
+    """Test that dedup counter resets after window expires."""
+
+    def test_counter_resets_after_window(self):
+        """Counter should reset after window expires."""
+        app = create_app("testing")
+        app.config["CONTENT_DEDUP_WINDOW"] = 1  # 1 second window
+        app.config["CONTENT_DEDUP_MAX"] = 2
+
+        with app.app_context():
+            content_hash = hashlib.sha256(b"resetting content").hexdigest()
+
+            # Use up threshold
+            check_content_hash(content_hash)
+            check_content_hash(content_hash)
+
+            # Should be blocked now
+            is_allowed, _ = check_content_hash(content_hash)
+            assert is_allowed is False
+
+            # Wait for window to expire (2 seconds to be safe)
+            time.sleep(2)
+
+            # Should be allowed again
+            is_allowed, count = check_content_hash(content_hash)
+            assert is_allowed is True
+            assert count == 1  # Counter reset