# Manuali AIMS vs CTO SSM

The clearest difference is in-app purchases: Manuali AIMS at none against CTO SSM's 1. CTO SSM's advantage is update cadence (fortnightly vs every 4 months). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. CTO SSM sells 1 in-app purchase, starting at $24.99 per month. Manuali AIMS asks for nothing beyond the download.

Manuali AIMS ships an update every 4 months, CTO SSM fortnightly. The most recent releases landed on October 13, 2026 and September 30, 2026 respectively.

## The numbers

| Metric | Manuali AIMS | CTO SSM |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Fortnightly** |
| Size | 120 MB | 38 MB |
| Requires iOS | **14.0** | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Accademia Italiana Medici Specializzandi s.r.l.](https://appshunter.io/developer/1344217535) | [CTO Medicina](https://appshunter.io/developer/597003826) |

## What reviewers say

### Manuali AIMS

[App page](https://appshunter.io/ios/app/manuali-aims/id1463394630)

**In-app purchases:** none


### CTO SSM

[App page](https://appshunter.io/ios/app/cto-ssm/id6743671817)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Abbonamento mensile. | $24.99 | per month |


## Frequently asked questions

### Is Manuali AIMS free?

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

### Is CTO SSM free?

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

### Do Manuali AIMS or CTO SSM have ads?

Neither Manuali AIMS nor CTO SSM shows ads.

### Which is updated more often, Manuali AIMS or CTO SSM?

Manuali AIMS ships an update every 4 months, and CTO SSM fortnightly. Most recently, Manuali AIMS was updated on October 13, 2026 and CTO SSM on September 30, 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.*