# REALITi vs ActivSim

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.

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.

## The numbers

| Metric | REALITi | ActivSim |
| --- | --- | --- |
| 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/activsim/id6747092947/reviews)** |
| Number of ratings | **32** | 1 |
| Positive reviews | 41.4% of reviews | **100.0% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 3 months |
| Monetization | **Free** | Free with in-app purchases |
| Size | 1.6 GB | 156 MB |
| Requires iOS | **15.0** | 15.6 |
| Devices | iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [iSimulate Pty Ltd](https://appshunter.io/developer/494486341) | [Activ Life Limited](https://appshunter.io/developer/1802489978) |

## 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


### ActivSim

[App page](https://appshunter.io/ios/app/activsim/id6747092947)

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.

**Highlights:** ECG waveform simulation, ACLS algorithm practice, ECG pattern recognition, Vital signs monitoring, Defibrillation simulation, Cardioversion simulation

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Pro | $4.99 | per month |
| Annual | $44.99 | per year |


## Frequently asked questions

### Is REALITi free?

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

### Is ActivSim free?

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

### Which has better reviews, REALITi or ActivSim?

ActivSim is rated higher. REALITi averages 3.8 out of 5 from 32 ratings, while ActivSim averages 5.0 from 1 ratings.

### Do REALITi or ActivSim have ads?

Neither REALITi nor ActivSim shows ads.

### Which is updated more often, REALITi or ActivSim?

REALITi ships an update every 5 weeks, and ActivSim every 3 months. Most recently, REALITi was updated on October 8, 2026 and ActivSim on October 16, 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.*