# Monroe County MCA vs Full Code Medical Simulation

The clearest difference is in-app purchases: Monroe County MCA at none against Full Code Medical Simulation's 10. Monroe County MCA also leads on rating (5.0 vs 4.8). Full Code Medical Simulation's advantage is update cadence (monthly vs every 7 months) and ratings volume (6.6K vs 1). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Full Code Medical Simulation sells 10 in-app purchases, starting at $3.99 per month. Monroe County MCA asks for nothing beyond the download.

Monroe County MCA holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: Full Code Medical Simulation has 6.6K ratings behind it against 1, so its average is the more settled of the two.

Monroe County MCA ships an update every 7 months, Full Code Medical Simulation monthly. Both last shipped on November 2, 2026.

## The numbers

| Metric | Monroe County MCA | Full Code Medical Simulation |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/monroe-county-mca/id1189327457/reviews)** | [4.8 (6.6K ratings)](https://appshunter.io/ios/app/full-code-medical-simulation/id1207424206/reviews) |
| Number of ratings | 1 | **6.6K** |
| Positive reviews | — | 76.8% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 7 months | **Monthly** |
| Monetization | **Free** | Free with in-app purchases |
| Best chart rank | — | **#24** |
| Size | 28 MB | 169 MB |
| Requires iOS | 15.0 | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Acid Remap LLC](https://appshunter.io/developer/323130617) | [Full Code Medical Inc.](https://appshunter.io/developer/1207424205) |

## What reviewers say

### Monroe County MCA

[App page](https://appshunter.io/ios/app/monroe-county-mca/id1189327457)

Access emergency medical protocols and supporting materials offline. Quickly search and find protocols with indexed lookup and a favorites tab. Stay updated with the latest information and add custom notes to entries.

**Highlights:** Offline protocol access, Indexed protocol lookup, Search titles and text, Favorites tab, Customizable notes, Up-to-date information

**In-app purchases:** none


### Full Code Medical Simulation

[App page](https://appshunter.io/ios/app/full-code-medical-simulation/id1207424206)

**Currently charting:** #24 Top Grossing · Medical, #183 Top Free · Medical (US App Store)

Engage in realistic medical simulations with over 260 virtual cases designed by experts. Practice diagnosing and treating patients, hone your clinical skills, and earn CME credits in a game-like environment. Ideal for medical students and professionals seeking to improve their decision-making.

**Highlights:** 260+ expert-written virtual cases, Multiple diagnostic disciplines, Realistic patient avatars, EMS and ambulance scenarios, Detailed scoring and breakdowns, Patient AI for history taking, Accredited CME credits

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

**In-app purchases (10)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Basic - Monthly | $3.99 | per month |
| Pro - Weekly | $4.99 | per 7 days |
| Pro Monthly | $9.99 | per month |
| Pro - Monthly | $11.99 | per month |
| Pro Monthly | $14.99 | per month |
| Pro - Annual | $71.99 | per year |
| Pro+CME - Annual | $99.99 | per year |
| 1 Month | $7.99 | one-time |
| 3 Month | $15.99 | one-time |
| 12 Month | $47.99 | one-time |

**What reviewers like**

- 🚀 Realistic and educational
- 👍 Engaging and fun
- 💡 Helpful for medical training
- 👍 Useful for practicing clinical skills
- 🚀 Comprehensive and detailed cases

**What reviewers complain about**

- 💰 Expensive subscription model
- 🔒 Limited free content
- 🐛 Occasional bugs and crashes
- 💰 High cost for additional cases

**Reported bugs**

- Urinalysis results not showing up
- Text input issues during patient conversations
- Inconsistent layout and location of actions

**Requested features**

- More free cases to try
- Prehospital/EMS mode
- Ability to customize medication doses
- Faster patient deterioration
- Multilingual support


## Frequently asked questions

### Is Monroe County MCA free?

Monroe County MCA is free to download, with no in-app purchases.

### Is Full Code Medical Simulation free?

Full Code Medical Simulation is free to download, with in-app purchases available.

### Which has better reviews, Monroe County MCA or Full Code Medical Simulation?

Monroe County MCA is rated higher. Monroe County MCA averages 5.0 out of 5 from 1 ratings, while Full Code Medical Simulation averages 4.8 from 6.6K ratings.

### Do Monroe County MCA or Full Code Medical Simulation have ads?

Neither Monroe County MCA nor Full Code Medical Simulation shows ads.

### Which is updated more often, Monroe County MCA or Full Code Medical Simulation?

Monroe County MCA ships an update every 7 months, and Full Code Medical Simulation monthly. Most recently, Monroe County MCA was updated on November 2, 2026 and Full Code Medical Simulation on November 2, 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.*