# REALITi vs SAM4 Online

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.

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.

## The numbers

| Metric | REALITi | SAM4 Online |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.8 (32 ratings)](https://appshunter.io/ios/app/realiti/id1324852375/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/sam4-online/id1615890331/reviews)** |
| Number of ratings | **32** | 1 |
| Positive reviews | 41.4% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 6 months |
| Monetization | **Free** | Free with in-app purchases |
| Size | 1.6 GB | 90 MB |
| Requires iOS | 15.0 | **12.2** |
| Devices | iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [iSimulate Pty Ltd](https://appshunter.io/developer/494486341) | [3B Scientific](https://appshunter.io/developer/1407867777) |

## What reviewers say

### REALITi

[App page](https://appshunter.io/ios/app/realiti/id1324852375)

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:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### SAM4 Online

[App page](https://appshunter.io/ios/app/sam4-online/id1615890331)

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:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Personal User - Full Content | $19.99 | one-time |


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*