# Destroke vs The NIHSS

The clearest difference is in-app purchases: The NIHSS at none against Destroke's 1. The NIHSS also leads on device support (3 vs 1) and iOS requirement (12.0 vs 16.1). Destroke's advantage is update cadence (monthly vs every 7 months). On price and ads there is nothing between them.

Both are free to download. Destroke sells 1 in-app purchase, starting at $9.99 per month. The NIHSS asks for nothing beyond the download.

Destroke ships an update monthly, The NIHSS every 7 months. The most recent releases landed on September 24, 2026 and September 18, 2026 respectively.

## The numbers

| Metric | Destroke | The NIHSS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (2 ratings)](https://appshunter.io/ios/app/destroke/id1502905265/reviews)** | — |
| Number of ratings | **2** | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Monthly** | Every 7 months |
| Monetization | Subscription | — |
| Size | 48 MB | 190 MB |
| Requires iOS | 16.1 | **12.0** |
| Devices | iPhone | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Destroke, Inc.](https://appshunter.io/developer/1502905264) | [Pace Online](https://appshunter.io/developer/1481576155) |

## What reviewers say

### Destroke

[App page](https://appshunter.io/ios/app/destroke/id1502905265)

Learn to accurately perform the National Institute of Health stroke scale. This app provides educational content on assessing stroke signs like facial droop, numbness, and speech difficulties at the bedside. Access requires a paid subscription.

**Highlights:** Stroke scale performance education, Bedside clinical assessment training, Identification of stroke signs, Facial droop assessment, Speech difficulty assessment

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Subscription | $9.99 | per month |


### The NIHSS

[App page](https://appshunter.io/ios/app/the-nihss/id1608774216)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Destroke free?

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

### Is The NIHSS free?

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

### Do Destroke or The NIHSS have ads?

Neither Destroke nor The NIHSS shows ads.

### Which is updated more often, Destroke or The NIHSS?

Destroke ships an update monthly, and The NIHSS every 7 months. Most recently, Destroke was updated on September 24, 2026 and The NIHSS on September 18, 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.*