We investigate negative bias temperature instability (NBTI) on high performance Ge p-channel metal-oxidesemiconductor field-effect transistors (pMOSFETs) with low-temperature Si2H6 passivation. The Ge pMOSFETs exhibit an effective hole mobility of 311 cm 2 /V•s at an inversion charge density of 2.5 × 10 12 cm −2 . NBTI characterization is performed to investigate the linear transconductance (𝐺 M,lin ) degradation and threshold voltage shift (Δ𝑉TH) under NBT stress. Ge pMOSFETs with a 10 yr lifetime at an operating voltage of −0.72 V are demonstrated. The impact of the Si2H6 passivation temperature is studied. As the passivation temperature increases from 350 ∘ C to 550 ∘ C, the degradation of NBTI characteristics, e.g., 𝐺 M,lin loss, Δ𝑉TH and an operating voltage for a lifetime of 10 yr, is observed.