REALITi vs ActivSim
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
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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
ActivSim
This educational platform offers interactive simulations for mastering Advanced Cardiac Life Support (ACLS) algorithms and ECG interpretation. It's designed for healthcare professionals, students, and emergency responders to practice critical skills.
- ECG waveform simulation
- ACLS algorithm practice
- ECG pattern recognition
- Vital signs monitoring
- Defibrillation simulation
- Cardioversion simulation
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ActivSim is an educational platform designed to enhance your understanding of Advanced Cardiac Life Support (ACLS) algorithms and ECG interpretation. Whether you're a healthcare provider, medical student, or emergency response team member, this app provides an interactive learning experience that helps you master ACLS skills. Key Features: • ECG waveform simulation • ACLS algorithm practice • ECG patterns including: – Normal sinus rhythm – Atrial fibrillation – Ventricular tachycardia – Asystole • Vital signs monitoring • Defibrillation and cardioversion simulation Perfect for: • Healthcare providers maintaining ACLS certification • Medical students learning ACLS • Emergency response teams practicing ACLS megacode • Paramedics and EMTs • Medical educators teaching ACLS Download ActivSim today and take your ACLS training to the next level. Practice interpreting ECG rhythms and implementing ACLS algorithms anywhere, anytime. By using this app, you agree to Apple’s Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/
Screenshots
Verdict
The clearest difference is review sentiment: ActivSim at 100% against REALITi's 41%. ActivSim also leads on rating (5.0 vs 3.8) and device support (3 vs 1). REALITi's advantage is in-app purchases (none vs 2) and ratings volume (32 vs 1). On price, ads and iOS requirement 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. ActivSim sells 2 in-app purchases, starting at $4.99 per month. REALITi asks for nothing beyond the download.
ActivSim 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. Written reviews point the same way: 41% of REALITi's written reviews are positive against 100% of ActivSim's.
REALITi ships an update every 5 weeks, ActivSim every 3 months. The most recent releases landed on October 8, 2026 and October 16, 2026 respectively.
| Parameter | REALITi | ActivSim |
|---|---|---|
| Price | Free | Free |
| Rating | 3.8 (32 ratings) | 5.0 (1 ratings) — better |
| Positive reviews | 41.4% of reviews | 100.0% of reviews — better |
| Number of ratings | 32 — better | 1 |
| Update frequency | Every 5 weeks — better | Every 3 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 — better | 15.6 |
| Further details — not scored | ||
| Size | 1.6 GB | 156 MB |
| Age rating | 17+ | 17+ |
| Developer | iSimulate Pty Ltd | Activ Life Limited |
Customer experience
REALITi
ActivSim
In-app purchases
REALITi
No in-app purchases
ActivSim
- Pro$4.991 Month
- Annual$44.991 Year








