The Mighty vs Primary+
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
The Mighty
This app is a large online health community offering resources and peer support for various health conditions, including mental health, chronic illness, and neurodiversity. Users can read personal stories, find curated resources, connect with others in support groups, and share their own experiences.
- Read personal health stories and curated resources
- Create a profile to track interests and connections
- Receive daily affirmations
- Follow topics, people, and communities
- Join support groups
- Share posts and ask for advice
- Personalized home feed
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We don’t just talk about health, we live it. From mental health to chronic illness, disability, rare disease, parenting, neurodiversity, caregiving, and so much more, you’ll find the resources you need and the peer support you want on The Mighty, the world’s largest online health community. Health is hard, but it never has to be lonely. - Read stories written by people with first-hand health experience, and discover resources curated specifically for the conditions you care about: ADHD, autism, bipolar disorder, suicide, chronic pain, anxiety, depression, and so much more - Create a profile that allows you to keep track of your healthcare interests and community connections, and save the resources and posts that matter to you - Start or end your day — or take a midday break! — with a fresh affirmation that changes based on what emotion you’re feeling - Follow and search posts, stories, people, and topics to find the health content you want from 700+ health communities and support groups - Join a Mighty group and connect with like-minded people around health, hobbies, and similar interests - Make a post when you have something to share; or when you need advice, support, or encouragement from people who get it - Scroll through your personalized home feed, based on the groups you're a part of and the people and topics you follow - Ask and answer polls — the perfect, bite-sized way to engage on low-energy days, or during flares and depressive episodes We're always looking for ways to improve The Mighty for our community. If you have any feedback about The Mighty app — good, bad or anything in between — please share it with us by emailing community@themighty.com. We’re here for you, and we are #MightyTogether! The Mighty Team
Primary+
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Patient Mobile App (Primary Focus): • User Access: Both retail patients and employer patients will have access to the mobile application. It is preferred to have the app available from day one to ease the transition for users accustomed to existing apps like Spruce. • Onboarding & Profile: ◦ Includes email verification and password creation, with clear password requirements. ◦ Users can reset their password. ◦ The profile section will allow users to view their profile details, membership information, documents, medications, and educational materials. • Membership & Billing: ◦ Patients can pay via the mobile application and update/change their credit card information. ◦ Supports designating specific cards for specific charges (e.g., membership, labs). ◦ Users can view invoices, payment history, and statements. Payment history will show invoice numbers, amounts, and methods, and statements can be filtered by date range and downloaded as PDFs for tax purposes. ◦ Legally, patients must be able to cancel their membership online directly through the app without extra steps. • Communication: ◦ Features sections for unread messages, upcoming appointments, and tasks. ◦ Patients can create new messages, select a subject, and attach files (e.g., lab reports, images, PDFs). ◦ Messages can be marked as urgent or non-urgent. After-hours urgent messages will trigger auto-responses and notify alternative providers. Non-urgent messages will be processed as tasks for providers. ◦ A unified messaging feature will combine functionalities from Spruce and Elation Passport [Previous turn, 251]. It will include audio calls, urgent message markers, and message scheduling (from the provider side). Message threads can be closed and new ones opened. ◦ A badge system will notify users of unread messages. ◦ Multi-language support will be available for patient-facing features like chat and legal forms. • Appointments: ◦ Users can view, request, and manage appointments, including virtual and in-person options. ◦ Appointment reminders will be sent via email and SMS, with a link to confirm. ◦ Patients can fill out demographic information and upload insurance photos ahead of time to save front desk time. ◦ Self-scheduling capabilities are desired, though their functionality will be carefully designed. • Health Records & Documents: ◦ Patients will have access to their health records, upcoming appointments, current medications, and latest reports [Previous turn, 490]. ◦ They can view and manage medications, request refills, and see details from past visits and lab reports. ◦ An option to print vaccination and immunization records for school or work purposes will be included. ◦ Consent for video chats is required only upon the first use.
Screenshots
Verdict
The clearest difference is ads: Primary+ at none against The Mighty's shown. Primary+ also leads on update cadence (daily vs monthly). The Mighty's advantage is iOS requirement (12.1 vs 15.1). On price, in-app purchases and device support 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. Neither carries in-app purchases, so what you see is what you pay.
The Mighty ships an update monthly, Primary+ daily. The most recent releases landed on October 1, 2026 and September 20, 2026 respectively.
| Parameter | The Mighty | Primary+ |
|---|---|---|
| Price | Free | Free |
| Rating | 4.8 (10K ratings) — better | — |
| Positive reviews | 79.7% of reviews | — |
| Number of ratings | 10K — better | — |
| Update frequency | Monthly | Daily — better |
| Ads | Yes | No — better |
| In-app purchases | No | No |
| Monetization | Free with in-app purchases | — |
| Devices | iPhone, iPad, iPod — better | iPhone, iPod |
| Requires iOS | 12.1 — better | 15.1 |
| Further details — not scored | ||
| Size | 125 MB | 42 MB |
| Age rating | 12+ | 17+ |
| Developer | Mighty Proud Media Inc. | PHPMG, Inc. |
Bugs and requests
The Mighty
Reported bugs
5 issues- Login issues
- Inability to delete account
- Inconsistent behavior when replying to comments
- Posts/comments disappearing or not showing up
- Compatibility problems with older devices/OS
Requested features
5 requests- Add edit feature for posts and comments
- Improve notification system
- Implement landscape mode for tablets
- Increase accessibility for users with disabilities
- Add ability to block/mute users
Primary+
Not enough reviews yet to summarise bugs or requests.
In-app purchases
The Mighty
No in-app purchases
Primary+
No in-app purchases









