Comparison

REALITi vs SAM4 Online

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

REALITi

This comprehensive simulation ecosystem offers a realistic patient condition simulator and video review system. It allows for the creation of in-situ simulators with expandable iPad setups, incorporating electronic medical records and live audio/video streaming with vital sign display. Instant video review and observer engagement features are also included.

Highlights
  • Realistic patient condition simulator
  • Video review system
  • Expandable iPad-based simulation
  • Electronic medical record integration
  • Live audio/video streaming with vital signs
  • CPR Feedback
  • Over 75 ECG waveforms
Features
Read full description

REALITi is a new simulation ecosystem incorporating a realistic patient condition simulator and video review in a single system. Starting with 2 iPads, REALITi is a highly advanced patient monitor simulator which mimics proprietary monitors and defibrillators. By expanding the system with more iPads, a complete in-situ simulator can be created. Add REALITi Chart to use a simulated patient electronic medical record. Add REALITi Camera to incorporate live audio video streaming with vital sign display. Optionally stream via AirPlay to Apple TV. Instant video review once the simulation has ended is built into the system. Add REALITi Engage to allow observers to comment, vote and view media. Features: • Easy to use Dial and Button interface. • Over 75 ECG waveforms • Dynamic 12 lead ECG library. • Comprehensive Radiology image library with over 250 images. • Extensive and configurable laboratory results library. • Simulate ectopics, sinus arrhythmia, artefacts and interference on the ECG with ease. • Easy to use Checklist interface for simple student assessment. • Easy scenario creation with single screen scenario running and editing. • Many defibrillator and monitor screens included. • CPR Feedback • QCPR Screen ATLAS ALS Manikin compatible

About

SAM4 Online

This interactive platform offers extensive simulated sound libraries and lesson guides for over 60 medical conditions. It provides students with easy access to class materials, quizzes, tests, and a virtual manikin for auscultation training.

Highlights
  • Simulated sounds library
  • Lesson guides for 60+ conditions
  • Virtual manikin simulator
  • Access to class materials
  • Quizzes and tests
  • Control physical manikin
Features
Read full description

SAM4 Online is an interactive auscultation training platform that gives users access to an extensive simulated sounds library and lesson guides for over 60 conditions The SAM4 Online app gives students easy access to the SAM4 Online platform from their own device. It includes access to class materials including readings, quizzes, case studies, tests and assignments, as well as an easy to use virtual manikin and auscultation simulator. The SAM4 Online App can also be used to control the SAM4 Auscultation Manikin by Cardionics.

Screenshots

SAM4 Online4 screens

Verdict

The call

The clearest difference is rating: SAM4 Online at 5.0 against REALITi's 3.8. SAM4 Online also leads on device support (3 vs 1) and iOS requirement (12.2 vs 15.0). REALITi's advantage is in-app purchases (none vs 1) and update cadence (every 5 weeks vs every 6 months). On price and ads 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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. SAM4 Online sells 1 one-off in-app purchase. REALITi asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

SAM4 Online holds the better App Store score, 5.0 against 3.8. That said, the two scores are not equally well evidenced: REALITi has 32 ratings behind it against 1, so its average is the more settled of the two.

UpkeepUpdate frequency

REALITi ships an update every 5 weeks, SAM4 Online every 6 months. The most recent releases landed on October 16, 2026 and October 18, 2026 respectively.

Scorecard7 real differences · 3 level
REALITi versus SAM4 Online: the parameters behind the verdict, then further details
ParameterREALITiSAM4 Online
PriceFreeFree
Rating3.8 (32 ratings)5.0 (1 ratings) — better
Positive reviews41.4% of reviews—
Number of ratings32 — better1
Update frequencyEvery 5 weeks — betterEvery 6 months
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree — betterFree with in-app purchases
DevicesiPadiPhone, iPad, iPod — better
Requires iOS15.012.2 — better
Further details — not scored
Size1.6 GB90 MB
Age rating17+12+
DeveloperiSimulate Pty Ltd3B Scientific

Customer experience

REALITi

All ratings32 ratings
Positive68.8%
Neutral3.1%
Negative28.1%
Written reviews29 reviews
Positive41.4%
Neutral3.4%
Negative55.2%

SAM4 Online

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

REALITi

No in-app purchases

1 purchases

SAM4 Online

One-time1
  • Personal User - Full Content$19.99

Questions

Is REALITi free?
REALITi is free to download, with no in-app purchases.
Is SAM4 Online free?
SAM4 Online is free to download, with in-app purchases available.
Which has better reviews, REALITi or SAM4 Online?
SAM4 Online is rated higher. REALITi averages 3.8 out of 5 from 32 ratings, while SAM4 Online averages 5.0 from 1 ratings.
Do REALITi or SAM4 Online have ads?
Neither REALITi nor SAM4 Online shows ads.
Which is updated more often, REALITi or SAM4 Online?
REALITi ships an update every 5 weeks, and SAM4 Online every 6 months. Most recently, REALITi was updated on October 16, 2026 and SAM4 Online on October 18, 2026.

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