If you've added and remove alot of devices in Home Assistant, the entity_registry.yaml file can get pretty big with old unused entries.

I noticed that the api/states provided the currently used entities, so I decided to automate this tedious task.

Download or copy-paste the contents into a regenerate.php file.

Install php-cli (for example on ubuntu just run apt-get install php-cli)

Run the script with

regenerate.php /home/your-user/.homeassistant/entity_registry.yaml "http://your-home-assistant:8123/api/states" delete > output.yaml

now you can inspect the output.yaml and see if everyhing is ok, then replace the original file with this one ( please stop home assistant then replace the file then start it again to make sure everything is ok)

If you do not put "delete" at the end, the unneeded entities will be commented in the output file, instead of being removed.

Enjoy!