# Littmann Learning vs Eko Academy

Littmann Learning and Eko Academy both sit at 4.9 stars, but that hides the real split: 88% of Eko Academy's written reviews are positive against 48% of Littmann Learning's. Eko Academy also leads on in-app purchases (none vs 11) and update cadence (weekly vs every 6 weeks). Littmann Learning's advantage is chart position (#199 vs unranked). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. Eko Academy asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.9 for Littmann Learning against 4.9 for Eko Academy. Both are backed by a comparable volume of ratings — 850 and 940 respectively. Written reviews are what separate them: 48% of Littmann Learning's written reviews are positive against 88% of Eko Academy's.

Littmann Learning ships an update every 6 weeks, Eko Academy weekly. The most recent releases landed on September 25, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | Littmann Learning | Eko Academy |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (850 ratings)](https://appshunter.io/ios/app/littmann-learning/id1324485260/reviews) | [4.9 (940 ratings)](https://appshunter.io/ios/app/eko-academy/id1545983337/reviews) |
| Number of ratings | 850 | **940** |
| Positive reviews | 47.6% of reviews | **87.5% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Weekly** |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#199** | — |
| Size | 19 MB | 69 MB |
| Requires iOS | 15.6 | **13.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [CSD Labs](https://appshunter.io/developer/1318756877) | [Eko Health, Inc.](https://appshunter.io/developer/505874291) |

## What reviewers say

### Littmann Learning

[App page](https://appshunter.io/ios/app/littmann-learning/id1324485260)

**Currently charting:** #199 Top Grossing · Medical (US App Store)

This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.

**Highlights:** Real patient heart and lung sounds, Visual and audio displays, Self-paced learning modules, Graduated learning difficulty, Background reading material

**Features:** Vision Pro support

**In-app purchases (11)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Standard Plan - 1 month | $3.99 | per month |
| Premium Plan - 1 month | $6.99 | per month |
| Basic Monthly | $8.99 | per month |
| Standard Plan - 1 year | $19.99 | per year |
| Semester Pass | $29.99 | per 6 months |
| Premium Plan - 1 year | $39.99 | per year |
| Full Version | $44.99 | per year |
| Annual Pass | $49.99 | per year |
| CE -  Fundamentals | $124.99 | one-time |
| CE -Advanced | $174.99 | one-time |
| CE - Intermediate | $249.99 | one-time |


### Eko Academy

[App page](https://appshunter.io/ios/app/eko-academy/id1545983337)

Enhance your stethoscope skills with this comprehensive learning app. Access detailed information on cardiac anatomy, auscultation, ECGs, and various heart and lung sounds. Study offline and improve your diagnostic confidence.

**Highlights:** Stethoscope skills training, Cardiac anatomy and auscultation, ECG and phonocardiogram learning, Heart and lung sound analysis, Offline study mode, High-fidelity audio recordings

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

**In-app purchases:** none

**What reviewers like**

- 🙏🏻 Excellent for identification and education
- 👍 Great layout and design
- 👍 Sleek interface and good information
- 👍 Clear and easy to understand
- 👍 Helpful reference for learning

**What reviewers complain about**

- 🐛 Doesn't provide CME points as advertised
- 🐛 Lacks instructions on how to use a stethoscope

**Reported bugs**

- Service assistant doesn't know about CME points

**Requested features**

- Add more heart sounds
- Offer paid modules or features


## Frequently asked questions

### Is Littmann Learning free?

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

### Is Eko Academy free?

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

### Which has better reviews, Littmann Learning or Eko Academy?

Littmann Learning and Eko Academy are both rated 4.9 out of 5 on the App Store, from 850 and 940 ratings respectively.

### Do Littmann Learning or Eko Academy have ads?

Neither Littmann Learning nor Eko Academy shows ads.

### Which is updated more often, Littmann Learning or Eko Academy?

Littmann Learning ships an update every 6 weeks, and Eko Academy weekly. Most recently, Littmann Learning was updated on September 25, 2026 and Eko Academy on September 23, 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.*