X-ray photon detection is important for a wide range of applications. The highest demand, however, comes from medical imaging, which requires cost-effective, high-resolution detectors operating at low-photon flux, therefore stimulating the search for novel materials and new approaches. Recently, hybrid halide perovskite CHNHPbI (MAPbI) has attracted considerable attention due to its advantageous optoelectronic properties and low fabrication costs. The presence of heavy atoms, providing a high scattering cross-section for photons, makes this material a perfect candidate for X-ray detection. Despite the already-successful demonstrations of efficiency in detection, its integration into standard microelectronics fabrication processes is still pending. Here, we demonstrate a promising method for building X-ray detector units by 3D aerosol jet printing with a record sensitivity of 2.2 × 10 μC Gy cm when detecting 8 keV photons at dose rates below 1 μGy/s (detection limit 0.12 μGy/s), a 4-fold improvement on the best-in-class devices. An introduction of MAPbI-based detection into medical imaging would significantly reduce health hazards related to the strongly ionizing X-rays' photons.