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A fireplace hearth is a fireproof flooring material that extends out from the base of the fireplace and into the room. Hearths can be made of brick, ceramic, marble, limestone, and more. A hearth serves the purpose of decreasing the fire risk in the area directly around the fireplace. If flying embers hit carpet or wood, they’ll spark and create a fire. But if they hit something like tile or granite, they’ll simply go out.

Both wood-burning stoves and fireplaces can emit smoke and other combustion gases that are harmful to human health. According to the American Lung Association, wood smoke can lead to coughing and wheezing as well as long-term health impacts like increased risks for heart attacks and stroke. 

Newer models meet the modern efficiency standards set in 2020 by the Environmental Protection Agency for cleaner burning, more efficient wood stoves. Regular maintenance can also minimize smoke.

The short answer is yes, but the longer answer is more complex. Unless the fireplace is ventless by design, you’ll need some type of exhaust pipe system to safely send fumes and other harmful byproducts out of the house. Even then, ventless fireplaces are not always permitted because they do keep the byproducts inside of your house. Ventless fireplaces are safest when installed in spaces that are themselves well-ventilated, like large rooms with lots of windows.

Deciding whether to buy a prebuilt fireplace kit or build one from scratch comes down to aesthetics, available space, and budget. Many homeowners like the convenience and lower cost of prebuilt options—around $1,500—versus the involved planning and construction of a larger fireplace. Another bonus: you can usually move prebuilt units. Custom projects are more common when homeowners have access to a larger budget and more area in the yard to place the fireplace.