# EM Coach vs gistalt

The clearest difference is review sentiment: gistalt at 100% against EM Coach's 50%. gistalt also leads on in-app purchases (none vs 1) and rating (4.9 vs 4.7). EM Coach's advantage is update cadence (every 5 weeks vs every 22 months) and ratings volume (112 vs 16). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. EM Coach sells 1 one-off in-app purchase. gistalt asks for nothing beyond the download.

gistalt holds the better App Store score, 4.9 against 4.7. That said, the two scores are not equally well evidenced: EM Coach has 112 ratings behind it against 16, so its average is the more settled of the two. Written reviews point the same way: 50% of EM Coach's written reviews are positive against 100% of gistalt's.

EM Coach ships an update every 5 weeks, gistalt every 22 months. Both last shipped on October 24, 2026.

## The numbers

| Metric | EM Coach | gistalt |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (112 ratings)](https://appshunter.io/ios/app/em-coach/id1437097860/reviews) | **[4.9 (16 ratings)](https://appshunter.io/ios/app/gistalt/id1520121253/reviews)** |
| Number of ratings | **112** | 16 |
| Positive reviews | 50.0% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 22 months |
| Monetization | Free with in-app purchases | **Free** |
| Size | 8 MB | 35 MB |
| Requires iOS | **13.0** | 13.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [EM Coach LLC](https://appshunter.io/developer/1437097859) | [Tom Fadial](https://appshunter.io/developer/1316852248) |

## What reviewers say

### EM Coach

[App page](https://appshunter.io/ios/app/em-coach/id1437097860)

This AI-powered study tool helps medical professionals prepare for Emergency Medicine board exams. It offers an intelligent approach to learning, making study sessions more efficient and effective. Prepare for your certification with advanced educational technology.

**Highlights:** AI-powered study tool, Emergency Medicine board education, Smarter study methods, Board review preparation, Intelligent learning approach

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| EMCoach Video Subscription | $249.99 | one-time |


### gistalt

[App page](https://appshunter.io/ios/app/gistalt/id1520121253)

This medical game challenges players to quickly assess patient acuity by swiping left for stable patients and right for those needing immediate intervention. It's designed to make training clinical impression skills engaging and fun.

**Highlights:** Patient acuity assessment, Swipe-based gameplay, Vital signs and lab results, Imaging interpretation, Performance scoring, Regular content updates

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

**In-app purchases:** none


## Frequently asked questions

### Is EM Coach free?

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

### Is gistalt free?

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

### Which has better reviews, EM Coach or gistalt?

gistalt is rated higher. EM Coach averages 4.7 out of 5 from 112 ratings, while gistalt averages 4.9 from 16 ratings.

### Do EM Coach or gistalt have ads?

Neither EM Coach nor gistalt shows ads.

### Which is updated more often, EM Coach or gistalt?

EM Coach ships an update every 5 weeks, and gistalt every 22 months. Most recently, EM Coach was updated on October 24, 2026 and gistalt on October 24, 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.*