REALITi vs SAM4 Online
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
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.
- 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
Read full descriptionHide 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
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.
- Simulated sounds library
- Lesson guides for 60+ conditions
- Virtual manikin simulator
- Access to class materials
- Quizzes and tests
- Control physical manikin
Read full descriptionHide 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
Verdict
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
Both are free to download. SAM4 Online sells 1 one-off in-app purchase. REALITi asks for nothing beyond the download.
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.
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.
| Parameter | REALITi | SAM4 Online |
|---|---|---|
| Price | Free | Free |
| Rating | 3.8 (32 ratings) | 5.0 (1 ratings) — better |
| Positive reviews | 41.4% of reviews | — |
| Number of ratings | 32 — better | 1 |
| Update frequency | Every 5 weeks — better | Every 6 months |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Free — better | Free with in-app purchases |
| Devices | iPad | iPhone, iPad, iPod — better |
| Requires iOS | 15.0 | 12.2 — better |
| Further details — not scored | ||
| Size | 1.6 GB | 90 MB |
| Age rating | 17+ | 12+ |
| Developer | iSimulate Pty Ltd | 3B Scientific |
Customer experience
REALITi
SAM4 Online
In-app purchases
REALITi
No in-app purchases
SAM4 Online
- Personal User - Full Content$19.99









