# SpiroClinic vs ACLSMED Sim

The clearest difference is in-app purchases: SpiroClinic at none against ACLSMED Sim's 6. SpiroClinic also leads on iOS requirement (13.0 vs 17.0). ACLSMED Sim's advantage is update cadence (every 9 days vs every 3 weeks). On price, ads and device support there is nothing between them.

Both are free to download. ACLSMED Sim sells 6 in-app purchases, starting at $19.99 per month. SpiroClinic asks for nothing beyond the download.

SpiroClinic ships an update every 3 weeks, ACLSMED Sim every 9 days. The most recent releases landed on November 11, 2026 and October 31, 2026 respectively.

## The numbers

| Metric | SpiroClinic | ACLSMED Sim |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 9 days** |
| Size | 44 MB | 69 MB |
| Requires iOS | **13.0** | 17.0 |
| Devices | iPad | **iPhone, iPad** |
| Age rating | 17+ | +12 |
| Developer | [Inofab Health](https://appshunter.io/developer/1335592538) | [Mark Daniel Figueroa](https://appshunter.io/developer/1890265406) |

## What reviewers say

### SpiroClinic

[App page](https://appshunter.io/ios/app/spiroclinic/id1439558202)

**Features:** macOS Compatibility

**In-app purchases:** none


### ACLSMED Sim

[App page](https://appshunter.io/ios/app/aclsmed-sim/id6771604723)

**Features:** iPhone Duo support

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ACLSMED Pro — Monthly | $19.99 | per month |
| ACLSMED Suite — Monthly | $29.99 | per month |
| ACLSMED Pro — Annual | $99.99 | per year |
| ACLSMED Suite — Annual | $179.99 | per year |
| ACLSMED Pro — Lifetime | $399.99 | one-time |
| ACLSMED Suite — Lifetime | $799.99 | one-time |


## Frequently asked questions

### Is SpiroClinic free?

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

### Is ACLSMED Sim free?

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

### Do SpiroClinic or ACLSMED Sim have ads?

Neither SpiroClinic nor ACLSMED Sim shows ads.

### Which is updated more often, SpiroClinic or ACLSMED Sim?

SpiroClinic ships an update every 3 weeks, and ACLSMED Sim every 9 days. Most recently, SpiroClinic was updated on November 11, 2026 and ACLSMED Sim on October 31, 2026.

---

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