# Touch Grade vs Keyano Intubation VR

The clearest difference is in-app purchases: Keyano Intubation VR at none against Touch Grade's 1. Keyano Intubation VR also leads on iOS requirement (12.0 vs 16.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Touch Grade sells 1 in-app purchase, starting at $14.99 per year. Keyano Intubation VR asks for nothing beyond the download.

Touch Grade ships an update every 6 days, Keyano Intubation VR every 10 days. The most recent releases landed on November 6, 2026 and November 7, 2026 respectively.

## The numbers

| Metric | Touch Grade | Keyano Intubation VR |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 6 days** | Every 10 days |
| Size | 31 MB | 54 MB |
| Requires iOS | 16.0 | **12.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 12+ |
| Developer | [Smart Space Applications Inc.](https://appshunter.io/developer/1454171123) | [Melcher Media & Design Inc.](https://appshunter.io/developer/491146945) |

## What reviewers say

### Touch Grade

[App page](https://appshunter.io/ios/app/touch-grade/id1454171124)

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Annual subscription to Touch Grade | $14.99 | per year |


### Keyano Intubation VR

[App page](https://appshunter.io/ios/app/keyano-intubation-vr/id1611232516)

**In-app purchases:** none


## Frequently asked questions

### Is Touch Grade free?

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

### Is Keyano Intubation VR free?

Keyano Intubation VR is free to download, with no in-app purchases.

### Do Touch Grade or Keyano Intubation VR have ads?

Neither Touch Grade nor Keyano Intubation VR shows ads.

### Which is updated more often, Touch Grade or Keyano Intubation VR?

Touch Grade ships an update every 6 days, and Keyano Intubation VR every 10 days. Most recently, Touch Grade was updated on November 6, 2026 and Keyano Intubation VR on November 7, 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.*