Comparison

HRV4Biofeedback vs FatigueSense

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

HRV4Biofeedback

This app uses your phone's camera to measure heart rate variability and provide biofeedback. It guides you through deep breathing exercises to improve self-regulation and manage stress. Track your progress and explore correlations with your daily experiences.

Highlights
  • Camera-based HRV measurement
  • Real-time heart rate feedback
  • Resonant frequency analysis
  • Biofeedback score
  • Subjective annotations
  • HealthKit integration
  • Bluetooth sensor support
Features
Currently charting
Read full description

Improve self-regulation and better cope with stress using HRV4Biofeedback, the camera-based Heart Rate Variability (HRV) Biofeedback app APP FEATURES: > camera-based biofeedback measurement showing real-time heart rate > spot check measurements at rest > frequency power spectrum > biofeedback score to quantify the effectiveness of the practice in terms of deep breathing and duration > resonant frequency analysis to determine the optimal breathing rate for your sessions > semi-real time HRV analysis > alternative manual breathing rate configuration between 4.5 and 8.5 breaths / minute > subjective annotations, including up to 5 personalized questions > current streak > explore correlations between subjective annotations and biofeedback data > Integration with HealthKit (you can write heart rate, HRV and Mindful minutes) > weekly and monthly summaries > support for Bluetooth sensors > background nature sounds > vibration to guide you through the practice WHAT'S BIOFEEDBACK? Heart Rate Variability (HRV) Biofeedback is a technique that can directly affect physiological and psychological factors through deep breathing exercises and is an ideal strategy to help us self-regulate and better cope with stressful situations​ Practically speaking, HRV Biofeedback consists of providing an individual with real-time feedback on instantaneous heart rate and respiration changes while being instructed to breathe at low frequencies You can learn more about the psychological and physiological benefits of deep breathing and HRV Biofeedback, at HRV4Biofeedback.com HOW CAN I BENEFIT FROM BIOFEEDBACK? Life can be demanding, from both a physical and psychological point of view ​Our health and performance can be affected by how we are able to effectively cope with stressful situations and deal with anxiety, or in broader terms, our ability to emotionally self-regulate is key The goal of HRV Biofeedback is to improve self-regulation, therefore impacting positively our health and performance LEARN MORE: - App features: https://www.hrv4biofeedback.com/faq.html - An introduction to biofeedback: https://www.hrv4biofeedback.com/blog/a-primer-on-heart-rate-variability-biofeedback - How to use the camera measurement: https://www.hrv4biofeedback.com/blog/guidelines-and-best-practices-for-camera-based-measurements Supported devices for the camera measurement: iPhones 8 and onwards HRV4Biofeedback requires to register an account with your email address, so that your data can be backed up safely and retrieved in case anything happens (app issue, changing phone, etc.) The validation of the camera-based heart rate measurement is available here: https://www.researchgate.net/publication/315059917_Comparison_of_Heart_Rate_Variability_Recording_With_Smart_Phone_Photoplethysmographic_Polar_H7_Chest_Strap_and_Electrocardiogram_Methods

About

FatigueSense

This app helps you understand and manage your energy levels by linking wearable data with daily check-ins. It provides insights into activity, recovery, and fatigue to help you pace your days and avoid crashing. Designed for individuals managing persistent fatigue conditions.

Highlights
  • Daily energy budget tracking
  • Early PEM signal alerts
  • Strain, recovery, HRV, RHR, and sleep tracking
  • Activity planning within energy envelope
  • Crash logging and individual pattern learning
  • Wearable device integration (Apple Watch, Oura, Garmin, etc.)
  • Manual daily entry option
Features
Read full description

FatigueSense helps you understand your energy and pace your days, so you can do more of what matters with less risk of crashing. Built by digital health researchers, it links data from your wearable with quick daily check-ins to show how your activity, recovery, and fatigue relate over time. It is designed with and for people living with persistent fatigue — ME/CFS, long COVID, fibromyalgia, cancer-related fatigue, and other long-term conditions. What you can do • See your daily energy budget and how much you have left • Get an early signal when you may be approaching post-exertional malaise (PEM) • Track strain, recovery, HRV, resting heart rate, and sleep in one place • Plan activities that fit within your personal energy envelope • Log crashes and check-ins so the app learns your individual patterns • Connect a wearable, or use manual daily entry — no device required Works with your wearable Apple Watch, Oura, Garmin, WHOOP, Polar, Withings, Fitbit, and more. An honest, research-led approach FatigueSense is assistive and statistical. Its outputs complement your own judgment — they do not diagnose or treat any condition, and they are not validated for every diagnosis. Fatigue is not one thing, and the app does not assume all conditions behave the same way. You know your body best. FatigueSense is a wellness and self-management app. It is not a medical device and is not intended to diagnose, treat, cure or prevent any disease. Energy estimates, pacing guidance and symptom risk indicators are informational only and are not medical advice. Always speak to a qualified healthcare professional about your health, and before changing anything about your treatment or care. If you think you are having a medical emergency, contact your local emergency services.

Screenshots

HRV4Biofeedback4 screens
FatigueSense4 screens

Verdict

The call

The clearest difference is price: FatigueSense at Free against HRV4Biofeedback's $9.99. FatigueSense also leads on rating (4.5 vs 3.4) and update cadence (daily vs every 2 months). HRV4Biofeedback's advantage is chart position (#103 vs unranked) and iOS requirement (15.6 vs 17.0). On ratings volume, ads, in-app purchases and monetization model there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

FatigueSense is free to download; HRV4Biofeedback costs $9.99 up front. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

FatigueSense holds the better App Store score, 4.5 against 3.4. Both are backed by a comparable volume of ratings — 29 and 36 respectively. Written reviews point the same way: 53% of HRV4Biofeedback's written reviews are positive against 81% of FatigueSense's.

UpkeepUpdate frequency

HRV4Biofeedback ships an update every 2 months, FatigueSense daily. The most recent releases landed on October 27, 2026 and October 25, 2026 respectively.

Scorecard6 real differences · 5 level
HRV4Biofeedback versus FatigueSense: the parameters behind the verdict, then further details
ParameterHRV4BiofeedbackFatigueSense
Price$9.99Free — better
Rating3.4 (29 ratings)4.5 (36 ratings) — better
Positive reviews53.1% of reviews81.0% of reviews — better
Number of ratings2936 — better
Update frequencyEvery 2 monthsDaily — better
AdsNoNo
In-app purchasesNoNo
MonetizationFreeFree
Best chart rank#103 — better—
DevicesiPhone, iPodiPhone, iPad, Apple Watch — better
Requires iOS15.6 — better17.0
Further details — not scored
Size138 MB48 MB
Age rating4+17+
DeveloperA.S.M.A. B.V.Nana Abaogye

Customer experience

HRV4Biofeedback

All ratings29 ratings
Positive51.7%
Neutral20.7%
Negative27.6%
Written reviews32 reviews
Positive53.1%
Neutral15.6%
Negative31.3%

FatigueSense

All ratings36 ratings
Positive88.9%
Neutral5.6%
Negative5.6%
Written reviews42 reviews
Positive81.0%
Neutral11.9%
Negative7.1%

In-app purchases

None

HRV4Biofeedback

No in-app purchases

None

FatigueSense

No in-app purchases

Questions

Is HRV4Biofeedback free?
HRV4Biofeedback costs $9.99, with no in-app purchases.
Is FatigueSense free?
FatigueSense is free to download, with no in-app purchases.
Which has better reviews, HRV4Biofeedback or FatigueSense?
FatigueSense is rated higher. HRV4Biofeedback averages 3.4 out of 5 from 29 ratings, while FatigueSense averages 4.5 from 36 ratings.
Do HRV4Biofeedback or FatigueSense have ads?
Neither HRV4Biofeedback nor FatigueSense shows ads.
Which is updated more often, HRV4Biofeedback or FatigueSense?
HRV4Biofeedback ships an update every 2 months, and FatigueSense daily. Most recently, HRV4Biofeedback was updated on October 27, 2026 and FatigueSense on October 25, 2026.

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