# MobilEM vs gistalt

The clearest difference is review sentiment: gistalt at 100% against MobilEM's 45%. gistalt also leads on rating (4.9 vs 3.6) and in-app purchases (none vs 12). MobilEM's advantage is update cadence (every 2 months vs every 22 months) and chart position (#53 vs unranked). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. MobilEM sells 12 in-app purchases, starting at $1.99 per year. gistalt asks for nothing beyond the download.

gistalt holds the better App Store score, 4.9 against 3.6. Both are backed by a comparable volume of ratings — 39 and 16 respectively. Written reviews point the same way: 45% of MobilEM's written reviews are positive against 100% of gistalt's.

MobilEM ships an update every 2 months, gistalt every 22 months. The most recent releases landed on October 16, 2026 and September 15, 2026 respectively.

## The numbers

| Metric | MobilEM | gistalt |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (39 ratings)](https://appshunter.io/ios/app/mobilem/id1474834329/reviews) | **[4.9 (16 ratings)](https://appshunter.io/ios/app/gistalt/id1520121253/reviews)** |
| Number of ratings | **39** | 16 |
| Positive reviews | 45.0% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 22 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#53** | — |
| Size | 205 MB | 35 MB |
| Requires iOS | 15.0 | **13.4** |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Emergency Medicine Residents' Association](https://appshunter.io/developer/331670150) | [Tom Fadial](https://appshunter.io/developer/1316852248) |

## What reviewers say

### MobilEM

[App page](https://appshunter.io/ios/app/mobilem/id1474834329)

**Currently charting:** #53 Top Grossing · Medical (US App Store)

Provides fast, evidence-based clinical guidance for emergency medicine professionals. Access updated recommendations on a wide range of topics, including antibiotics, toxicology, and critical care. Offers free content, individual purchases, and an all-access subscription.

**Highlights:** Evidence-based recommendations, Antibiotic and toxicology guidance, EKG and orthopedic injury protocols, Airway and pediatric emergency management, Critical care medication information, Fast navigation and universal search, Bookmarking and note-taking

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

**In-app purchases (12)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Ventilator Mgmt. Subscription | $1.99 | per year |
| Pediatric Qwic | $1.99 | per year |
| MobilEm Airway Management | $4.99 | per year |
| Trauma Guide | $4.99 | per year |
| Antibiotic Guide Subscription | $9.99 | per year |
| MobilEm Ortho Guide | $9.99 | per year |
| MobilEM Tox Guide | $9.99 | per year |
| PressorDex | $9.99 | per year |
| EKG Guide Subscription | $9.99 | per year |
| Pain Management | $9.99 | per year |
| PEM Fundamentals Subscription | $9.99 | per year |
| MobilEm All Access Pass | $39.99 | per year |


### 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 MobilEM free?

MobilEM 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, MobilEM or gistalt?

gistalt is rated higher. MobilEM averages 3.6 out of 5 from 39 ratings, while gistalt averages 4.9 from 16 ratings.

### Do MobilEM or gistalt have ads?

Neither MobilEM nor gistalt shows ads.

### Which is updated more often, MobilEM or gistalt?

MobilEM ships an update every 2 months, and gistalt every 22 months. Most recently, MobilEM was updated on October 16, 2026 and gistalt on September 15, 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.*