In this article I seek to expand our understanding of the output legitimacy of international organizations (IOs). At the conceptual level, I refute the widespread view that output legitimacy is just a synonym for organizational effectiveness or efficiency. I argue instead that output legitimacy has an important democratic dimension. The touchstone of ‘democratic output legitimacy’ is the extent to which systems of governance produce results that cater to the public interest. Accordingly, the democratic output legitimacy of IOs can be understood in terms of their ability to safeguard the global public interest. This ability hinges upon their capacity to keep powerful factions in check, protect human rights, and safeguard a high epistemic quality of decisions. Attaining these qualities may require shielding IOs to some extent from the input dimension of the international political process. I do not, however, unconditionally praise de-politicization of IOs. I engage with the problem of technocratic paternalism, which is imminent when decision-making based on assumed citizen interests escapes confrontation with articulated citizen interests. The challenge is to devise global governance arrangements that enable an encompassing debate over the substance of the global public interest when needed, while keeping pressure from powerful factions at bay.