# Speech Assistant AAC vs ALS Manager

The clearest difference is price: ALS Manager at Free against Speech Assistant AAC's $24.99. ALS Manager also leads on rating (5.0 vs 4.6). Speech Assistant AAC's advantage is update cadence (every 3 weeks vs every 4 months) and ratings volume (103 vs 1). On ads, in-app purchases, device support and iOS requirement there is nothing between them.

ALS Manager is free to download; Speech Assistant AAC costs $24.99 up front. Neither carries in-app purchases, so what you see is what you pay.

ALS Manager holds the better App Store score, 5.0 against 4.6. That said, the two scores are not equally well evidenced: Speech Assistant AAC has 103 ratings behind it against 1, so its average is the more settled of the two.

Speech Assistant AAC ships an update every 3 weeks, ALS Manager every 4 months. The most recent releases landed on September 25, 2026 and September 9, 2026 respectively.

## The numbers

| Metric | Speech Assistant AAC | ALS Manager |
| --- | --- | --- |
| Price | $24.99 | **Free** |
| Rating | [4.6 (103 ratings)](https://appshunter.io/ios/app/speech-assistant-aac/id1139762358/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/als-manager/id1596799767/reviews)** |
| Number of ratings | **103** | 1 |
| Positive reviews | 83.1% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 4 months |
| Monetization | Paid | **Free** |
| Best chart rank | **#57** | — |
| Size | 131 MB | 20 MB |
| Requires iOS | 15.5 | **14.0** |
| Devices | **iPhone, iPad, iPod, Apple Watch** | iPhone, iPad, iPod |
| Age rating | 4+ | 12+ |
| Developer | [Ton Schalke](https://appshunter.io/developer/1139762357) | [@Point of Care](https://appshunter.io/developer/916313675) |

## What reviewers say

### Speech Assistant AAC

[App page](https://appshunter.io/ios/app/speech-assistant-aac/id1139762358)

**Currently charting:** #57 Top Paid · Medical (US App Store)

This text-to-speech app assists individuals with speech impairments by allowing them to create custom buttons with saved phrases and symbols. It offers a fully customizable interface, various voice options including AI clones, and can be used during phone calls. The app supports multiple user profiles and iCloud backups for easy data transfer.

**Highlights:** Customizable buttons with phrases and symbols, Multiple voice options including AI clones, Full-screen mode for large font display, Category and subcategory organization, User profiles for multiple individuals, iCloud backup and transfer

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Life-saver for communication
- 👍 Highly customizable
- 👍 Easy to use
- 👍 Affordable price
- 👍 Versatile across devices

**What reviewers complain about**

- 🐛 Inconsistent syncing
- 🐛 Issues with transparent backgrounds
- 🐛 Unpleasant default voices
- 🐛 Costly for some
- 🐛 Family sharing problems

**Reported bugs**

- Default category button cannot be deleted
- Images with transparent backgrounds turn white
- Color picker does not work
- Blank word slot in new subcategories cannot be deleted
- Recorded or imported audio on buttons doesn't play on phone calls

**Requested features**

- Ability to move sub-categories
- Toggle for reading category names
- Sub-sub-categories
- Option to choose image files
- Color picker for customization


### ALS Manager

[App page](https://appshunter.io/ios/app/als-manager/id1596799767)

This app helps individuals manage daily symptoms of Amyotrophic Lateral Sclerosis (ALS). It allows users to track pain, medications, moods, and other health data, presenting it in easy-to-understand charts. Users can also connect with care providers to share progress and access educational resources about ALS.

**Highlights:** Daily symptom and mood tracking, Medication and treatment management with reminders, Photo upload for visible symptom sharing, Care provider connection for progress monitoring, Educational resources on ALS, Data visualization with charts and graphs, Progress tracking and journaling

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Speech Assistant AAC free?

Speech Assistant AAC costs $24.99, with no in-app purchases.

### Is ALS Manager free?

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

### Which has better reviews, Speech Assistant AAC or ALS Manager?

ALS Manager is rated higher. Speech Assistant AAC averages 4.6 out of 5 from 103 ratings, while ALS Manager averages 5.0 from 1 ratings.

### Do Speech Assistant AAC or ALS Manager have ads?

Neither Speech Assistant AAC nor ALS Manager shows ads.

### Which is updated more often, Speech Assistant AAC or ALS Manager?

Speech Assistant AAC ships an update every 3 weeks, and ALS Manager every 4 months. Most recently, Speech Assistant AAC was updated on September 25, 2026 and ALS Manager on September 9, 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.*