# Eko vs NarrativeGenerator

The clearest difference is in-app purchases: NarrativeGenerator at none against Eko's 3. NarrativeGenerator also leads on update cadence (daily vs fortnightly). Eko's advantage is chart position (#5 vs unranked). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Eko sells 3 in-app purchases, starting at $12.99 per month. NarrativeGenerator asks for nothing beyond the download.

Eko ships an update fortnightly, NarrativeGenerator daily. The most recent releases landed on October 27, 2026 and September 22, 2026 respectively.

## The numbers

| Metric | Eko | NarrativeGenerator |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (11K ratings)](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544/reviews)** | — |
| Number of ratings | **11K** | — |
| Positive reviews | 51.7% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Fortnightly | **Daily** |
| Monetization | Free with in-app purchases | — |
| Best chart rank | **#5** | — |
| Size | 151 MB | 1 MB |
| Requires iOS | 18.0 | **17.0** |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Eko Health, Inc.](https://appshunter.io/developer/505874291) | [Weston Fagans](https://appshunter.io/developer/1692468242) |

## What reviewers say

### Eko

[App page](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544)

**Currently charting:** #5 Top Grossing · Medical, #193 Top Free · Medical (US App Store)

This app enhances physical exams by recording and analyzing heart and lung sounds. It helps detect potential heart and lung conditions, allowing for secure storage and sharing of recordings and reports. Features like murmur and AFib flagging are available with compatible devices and memberships.

**Highlights:** Record heart and lung sounds wirelessly, Flag murmurs, AFib, tachycardia, bradycardia, Save, play back, and annotate recordings, Build patient profiles for condition tracking, Generate and share PDF reports, Securely store exam recordings

**Features:** Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Eko+ Monthly Membership | $12.99 | per month |
| Eko+ Annual Membership | $119.99 | per year |
| Eko+ Annual Membership | $119.99 | per year |

**What reviewers like**

- 🚀 Clear sound amplification
- 🚀 Useful for noisy environments
- 👍 Convenient Bluetooth connectivity
- 👍 Helpful for hearing-impaired providers
- 👍 Valuable for cardiac/respiratory assessment

**What reviewers complain about**

- 🐛 Bluetooth connectivity issues
- 🔋 High battery consumption
- 👎 Subscription model for key features
- 👎 Reduced functionality after app updates
- 👎 Poor audio playback quality

**Reported bugs**

- Inconsistent heart rate detection
- Inability to save/playback recordings
- Frequent error messages during use

**Requested features**

- Apple Watch app integration
- Independent volume control for heart/lung modes
- Ability to save/share recordings without subscription
- Improved background noise cancellation


### NarrativeGenerator

[App page](https://appshunter.io/ios/app/narrativegenerator/id6450245591)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Eko free?

Eko is free to download, with in-app purchases available.

### Is NarrativeGenerator free?

NarrativeGenerator is free to download, with no in-app purchases.

### Do Eko or NarrativeGenerator have ads?

Neither Eko nor NarrativeGenerator shows ads.

### Which is updated more often, Eko or NarrativeGenerator?

Eko ships an update fortnightly, and NarrativeGenerator daily. Most recently, Eko was updated on October 27, 2026 and NarrativeGenerator on September 22, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*