# Fusion Narrate Keyboard vs PicassoMD

The clearest difference is ads: Fusion Narrate Keyboard at none against PicassoMD's shown. Fusion Narrate Keyboard also leads on monetization model (free vs ad-supported) and device support (3 vs 1). PicassoMD's advantage is update cadence (every 3 weeks vs every 3 months) and ratings volume (21 vs 4). On price, rating and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 5.0 for Fusion Narrate Keyboard against 5.0 for PicassoMD. That said, the two scores are not equally well evidenced: PicassoMD has 21 ratings behind it against 4, so its average is the more settled of the two.

Fusion Narrate Keyboard ships an update every 3 months, PicassoMD every 3 weeks. Both last shipped on November 3, 2026.

## The numbers

| Metric | Fusion Narrate Keyboard | PicassoMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (4 ratings)](https://appshunter.io/ios/app/fusion-narrate-keyboard/id1274134715/reviews) | [5.0 (21 ratings)](https://appshunter.io/ios/app/picassomd/id1523098713/reviews) |
| Number of ratings | 4 | **21** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | Every 3 months | **Every 3 weeks** |
| Monetization | **Free** | Ad-supported |
| Size | 6 MB | 52 MB |
| Requires iOS | **14.0** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 4+ | 17+ |
| Developer | [Dolbey & CO.](https://appshunter.io/developer/900126939) | [PicassoMD, Inc.](https://appshunter.io/developer/1523098926) |

## What reviewers say

### Fusion Narrate Keyboard

[App page](https://appshunter.io/ios/app/fusion-narrate-keyboard/id1274134715)

This medical dictation app allows clinicians to input dictated text directly into healthcare applications from an iOS device. It utilizes a cloud-based speech recognition platform with HIPAA-compatible security features, including 256-bit encryption and no local storage of sensitive data.

**Highlights:** Real-time cloud-based speech recognition, Direct dictation into healthcare applications, HIPAA-compatible security, 256-bit data encryption, No local storage of dictation or text

**In-app purchases:** none


### PicassoMD

[App page](https://appshunter.io/ios/app/picassomd/id1523098713)

Facilitates secure provider-to-provider medical consultations, referrals, and patient care coordination. Primary care providers can instantly connect with specialists for advice and referrals, while specialists can manage inbound referrals and communicate updates.

**Highlights:** HIPAA-compliant consultations, Provider-to-provider connections, Referral management, Patient care coordination, Specialist advice, Referral status updates

**In-app purchases:** none


## Frequently asked questions

### Is Fusion Narrate Keyboard free?

Fusion Narrate Keyboard is free to download, with no in-app purchases.

### Is PicassoMD free?

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

### Which has better reviews, Fusion Narrate Keyboard or PicassoMD?

Fusion Narrate Keyboard and PicassoMD are both rated 5.0 out of 5 on the App Store, from 4 and 21 ratings respectively.

### Do Fusion Narrate Keyboard or PicassoMD have ads?

PicassoMD shows ads; Fusion Narrate Keyboard does not.

### Which is updated more often, Fusion Narrate Keyboard or PicassoMD?

Fusion Narrate Keyboard ships an update every 3 months, and PicassoMD every 3 weeks. Most recently, Fusion Narrate Keyboard was updated on November 3, 2026 and PicassoMD on November 3, 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.*