Cuespeak vs PiCom
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Cuespeak
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.
- Expert-developed exercises
- Personalized therapy sessions
- Engaging and interactive activities
- Weekly new content updates
- Session sharing via email
- Mobile accessibility
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Supercharge your speech therapy with Cuespeak, the NHS-recommended rehabilitation tool for people with speech, language, and cognitive difficulties after stroke or brain injury. Designed for use in both home and clinic, Cuespeak offers a huge range of exercises to work on aphasia and apraxia of speech, addressing speaking, understanding, reading and writing. Key Features: - Expert-Developed Content: Access hundreds of exercises developed by specialist speech and language therapists - Personalise it: Customise your therapy sessions and add personalised content such as names of family and friends - Engaging and Fun: Cuespeak’s interactive exercises are relevant to real life to keep you motivated - Up to date: New content added every week, including the latest items from the news - Share sessions via email: Allows you to get help from someone in another location - Accessible on the move: Use Cuespeak on your iPhone or iPad, so you can practise anytime, anywhere, making therapy convenient and flexible Who is it for? - People with speech and language difficulties seeking a home therapy tool - Caregivers and family members supporting a loved one’s recovery following stroke or brain injury What users have said: - “I just wanted to thank you for your marvellous programme. My husband has severe aphasia but has not lost his intelligence. Your programme stimulates his interest – there is no dumbing down. Keep up the good work. We love the humour in Cuespeak” Home user - “This is the best therapy tool I have ever used” Elizabeth McBarnet, Speech & Language Therapist, N. Ireland - "I can’t stress enough how much I love this app. I have been using it today with a lady with apraxia and aphasia and she was just so excited by how relevant it was to her life!” Bev Snowden, Senior Specialist SLT, North Devon Healthcare Trust
PiCom
This communication aid uses picture symbols and text-to-speech to assist individuals with speaking difficulties. It allows for customization of communication boards, supports various input methods, and can be used offline.
- Picture symbol communication
- Text-to-speech and recorded voice output
- Offline functionality
- Customizable communication boards
- Supports Open Board Format (.obf/.obz)
- Multiple input methods (switches, controllers, etc.)
- Accessibility features (high contrast, zoom)
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PiCom is an Augmentative Alternative Communication system (AAC) , which can be used within healthcare systems such as the UK's NHS, the schools systems, at home or when out and about. PiCom is a picture symbol communicator with text to speech or recorded voice output, that runs on a wide range of tablets, phones and computers. PiCom does not require a web connection to use as a communication aid. PiCom is designed to assist people who have difficulty speaking, due to a medical situation (short or long term). It can also be of great help in special education. PiCom brings change and more choice to digital communication aids. PiCom also supports the new Apple Personal Voice feature. Any personal voices created, will show within PiCom along with all other voices available on the device. Please note Personal Voice is only available on certain Apple devices at iOS17. PiCom has the great advantage in being able to open and create communication boards or grids with the Open Board Format (.obf or obz). This means that boards can be freely exchanged between users, creators and the AAC Apps that can support Open Board format. When you download PiCom, it includes a range of well established communicator grids from experts in the field. You can then edit these, changing images and names to help the communication aid user. PiCom also has is own set of communication symbols, as well as linking to other symbols and the ability to use your own photos (and sounds). The advantages continue, because you can edit or create boards in PiCom, and share to your user's device or computer - the PiCom app and boards will be the same on all devices, including within a web browser. PiCom is also highly accessible for people who might have physical difficulties using a device. PiCom can be operated with bluetooth switches, Microsoft X Box Controller and Microsoft Adaptive Control, special external mice, some novel light touch control methods as well as face control. PiCom has some helpful visual features, allowing background and button colours to be modified extensively. It has a high contrast display and a zoom capability. PICOM FEATURE LIST 1. PiCom includes a range of proven communicator templates, that can be used immediately and expanded or edited. 2. Connects to the text to speech voices on your device, giving a wide range of voice choices in many languages. Also supports Apple Personal Voice feature when available. 3. You can import (and export) existing created communication boards that are in the Open Board Format (file format .obf or .obz) 4. Edit buttons on existing and new boards, changing background colors, import different symbols, images or photos, change the labels and change the text that is spoken. Add recorded audio to buttons also, using the record feature or import audio. 5. Create your own Communicators and boards from scratch, you can define sizes, use the button editor to populate each button, and export or share the creator communicator in the Open Board format .obz 6. Many access control input methods are available for PiCom, including touch, touch zoom, mouse wheel control, joystick, X Box Controller, gamepad D pad/cursor key control, , switch control, face control and micro touchpad control. Microsoft Adaptive Controller and X Box controller support inbuilt, as most recent devices now support this controller. 7. PiCom can be run as a full screen communicator, or show the selected text/symbols in a viewing windows top or bottom 8. PiCom can operate in both landscape mode and portrait mode. 9. PiCom does not require an internet connection to work as a communicator. Internet is required to share and download new boards. 10. PiCom does not require an account to be created, contains no adverts and does not track data for external usage. 11. Over 2000 PiCom symbols included and available to boards and available from free download from our website at www.sensoryapphouse.com
Screenshots
Verdict
The clearest difference is rating: Cuespeak at 4.7 against PiCom's 4.0. Cuespeak also leads on ratings volume (83 vs 1). PiCom's advantage is in-app purchases (none vs 7) and review sentiment (100% vs 83%). On price, update cadence, ads and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Cuespeak sells 7 in-app purchases, starting at $3.99 per month. PiCom asks for nothing beyond the download.
Cuespeak holds the better App Store score, 4.7 against 4.0. That said, the two scores are not equally well evidenced: Cuespeak has 83 ratings behind it against 1, so its average is the more settled of the two. Written reviews complicate that: 83% of Cuespeak's written reviews are positive against 100% of PiCom's, so the app with the better star average is not the one people write more warmly about.
Both ship on a similar rhythm, roughly every 3 weeks. The most recent releases landed on September 22, 2026 and September 11, 2026 respectively.
| Parameter | Cuespeak | PiCom |
|---|---|---|
| Price | Free | Free |
| Rating | 4.7 (83 ratings) — better | 4.0 (1 ratings) |
| Positive reviews | 83.3% of reviews | 100.0% of reviews — better |
| Number of ratings | 83 — better | 1 |
| Update frequency | Every 3 weeks | Every 3 weeks |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free with in-app purchases | Free — better |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.0 | 15.0 |
| Further details — not scored | ||
| Size | 124 MB | 93 MB |
| Age rating | 12+ | 4+ |
| Developer | Cuespeak Limited | Sensory App House Ltd |
Customer experience
Cuespeak
PiCom
In-app purchases
Cuespeak
- Legacy 1$3.991 Month
- Legacy 2$3.991 Month
- Legacy 3$3.991 Month
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- Monthly auto-renewing1 Month trial$7.491 Month
- Monthly auto-renewing$12.991 Month
- 1 year license (non-renewing)$129.99
- 3 year license (non-renewing)$399.00
PiCom
No in-app purchases








