# IDDSI vs Cuespeak

The clearest difference is review sentiment: Cuespeak at 83% against IDDSI's 0%. Cuespeak also leads on rating (4.7 vs 1.6) and update cadence (every 3 weeks vs every 21 months). IDDSI's advantage is in-app purchases (none vs 7). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Cuespeak sells 7 in-app purchases, starting at $3.99 per month. IDDSI asks for nothing beyond the download.

Cuespeak holds the better App Store score, 4.7 against 1.6. That said, the two scores are not equally well evidenced: Cuespeak has 83 ratings behind it against 14, so its average is the more settled of the two. Written reviews point the same way: 0% of IDDSI's written reviews are positive against 83% of Cuespeak's.

IDDSI ships an update every 21 months, Cuespeak every 3 weeks. The most recent releases landed on September 23, 2026 and September 22, 2026 respectively.

## The numbers

| Metric | IDDSI | Cuespeak |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.6 (14 ratings)](https://appshunter.io/ios/app/iddsi/id1145593063/reviews) | **[4.7 (83 ratings)](https://appshunter.io/ios/app/cuespeak/id1167537621/reviews)** |
| Number of ratings | 14 | **83** |
| Positive reviews | 0.0% of reviews | **83.3% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 3 weeks** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 100 MB | 124 MB |
| Requires iOS | 15.0 | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [International Dysphagia Diet Standardisation Initiative Iddsi](https://appshunter.io/developer/1650465352) | [Cuespeak Limited](https://appshunter.io/developer/1167537620) |

## What reviewers say

### IDDSI

[App page](https://appshunter.io/ios/app/iddsi/id1145593063)

Access the IDDSI framework for food texture and drink thickness testing. This tool provides easy lookup of descriptors and tests, suitable for all ages and care settings to assist individuals with dysphagia.

**Highlights:** IDDSI framework access, Food texture descriptors, Drink thickness tests, Easy lookup, Applicable to all ages, Supports all care settings

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Cuespeak

[App page](https://appshunter.io/ios/app/cuespeak/id1167537621)

This app provides speech and language rehabilitation exercises for individuals with difficulties following stroke or brain injury. It offers a wide range of customizable activities for speaking, understanding, reading, and writing, designed for home or clinic use.

**Highlights:** Expert-developed exercises, Personalized therapy sessions, Engaging and interactive activities, Weekly new content updates, Session sharing via email, Mobile accessibility

**Features:** macOS Compatibility, Family Sharing, Vision Pro support

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Legacy 1 | $3.99 | per month |
| Legacy 2 | $3.99 | per month |
| Legacy 3 | $3.99 | per month |
| Monthly auto-renewing | $7.49 | per month |
| Monthly auto-renewing | $12.99 | per month |
| 1 year license (non-renewing) | $129.99 | one-time |
| 3 year license (non-renewing) | $399.00 | one-time |


## Frequently asked questions

### Is IDDSI free?

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

### Is Cuespeak free?

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

### Which has better reviews, IDDSI or Cuespeak?

Cuespeak is rated higher. IDDSI averages 1.6 out of 5 from 14 ratings, while Cuespeak averages 4.7 from 83 ratings.

### Do IDDSI or Cuespeak have ads?

Neither IDDSI nor Cuespeak shows ads.

### Which is updated more often, IDDSI or Cuespeak?

IDDSI ships an update every 21 months, and Cuespeak every 3 weeks. Most recently, IDDSI was updated on September 23, 2026 and Cuespeak 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.*