Direct conversion X-ray detectors operate by directly converting X-ray photons into an electrical signal, while indirect conversion detectors (also called scintillators) first convert X-ray photons to visible light. Subsequently, this light is converted to an electrical signal using visible light detectors. Direct conversion detectors are simpler in configuration and offer higher spatial resolution than scintillators. [2] Among traditional semiconductors, amorphous selenium (a-Se), [3] and Cd 1−x Zn x Te (CZT, x < 20%)-based materials [4] dominate the market of commercial X-ray detectors. a-Se has a low device dark current and stable device performance; however, it possesses low X-ray absorptivity. On the other hand, CZT offers excellent absorptivity, but requires high-temperature processing conditions (>900 °C), [5] and suffers from structural imperfections [5,6] and compositional inhomogeneity. [6,7] These limitations demand the development of novel semiconductors for direct X-ray detectors.Solution-processed metal halide perovskites have recently emerged as a family of unique semiconductors for X-ray detectors. [2b,8] Due to their elemental constitution of heavy atoms such as lead and iodine, metal halide perovskites have a high X-ray attenuation coefficient. [2b,8b,9] However, conventional perovskites suffer from long-term instability, and high dark current (determines noise level). [10] Early diagnoses of diseases requires high spatial resolution, which is measured by recording the resolving power of a line-pair (lp) phantom. [11] For radiology, a minimum spatial resolution of 5.7 lp mm −1 is required for adequate resolution of small objects. [12] Imaging becomes more challenging when it comes to mammographic applications, where a resolution of 10 lp mm −1 is needed to resolve small microcalcifications. [13] Unfortunately, conventional direct conversion X-ray detectors have low resolution as they are integrated into transistor arrays with limited pixel dimensions. [14] Here we report a strategy to grow aligned orthorhombic δ-CsPbI 3 microwires offering one of the highest X-ray absorption coefficients. The crystals show a record-low dark current density of 12 pA mm −2 under 600 V mm −1 electric field. A Schottky junction with δ-CsPbI 3 is able to sense dose rates as low as 33.3 nGy air s −1 . We also show an X-ray spatial resolution of ≈12.4 lp mm −1 , which is one of the highest values reported to date (Table S1, Supporting Information). The fabricated X-ray detectors are used widely, but they suffer from short operational stability and insufficient absorptivity of X-ray photons. Here, a strategy for roomtemperature, solution-grown δ-CsPbI 3 monocrystalline microwires exhibiting one of the highest linear X-ray absorption coefficients among known semiconductors is reported. In a metal-semiconductor-metal architecture, δ-CsPbI 3 demonstrates one of the lowest detectable X-ray dose rates at 33.3 nGy air s −1 , enabled by its exceptionally low dark current density of 12 pA mm −2 . The detector remains stab...