Comparison

Stroke Simulator vs NIHSS+

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

Head to head
About

Stroke Simulator

Features
Read full description

The Stroke Simulator helps trainees and residents and doctors involved in stroke care learn the various algorithms and reasoning that are used in stroke care by entering any imaginary data of their choice, and understanding if based on the hypothetical data they entered , the hypothetical care scenario would be one that qualifies for a specific stroke management option. This helps doctors train for real life situations by simulating scenarios they would eventually face. Of great value in this exercise is the fact that at the end you get a detailed explanation as to why criteria was not met, instead of merely giving a yes or no answer. This goes a long way in helping get a firm grasp on the scientific facts that you have to know clearly. The simulator does not accept any personal identifiers or any PHI in any manner.

About

NIHSS+

This app provides a digital learning format for evaluating stroke symptoms based on the established NIHSS scale. It offers guidance for accurate stroke assessment, tips, and support for telestroke situations, intended for educational purposes.

Highlights
  • Stroke symptom evaluation
  • Digital learning format
  • Accurate stroke assessment guidance
  • Tips and tricks for assessment
  • Telestroke situation support
  • Educational training
Features
Read full description

Since the initial release in 1990, the NIHSS has been a standard for evaluating stroke symptoms in patient diagnosis. With the proven success in quickly identifying patients using the Stroke Scale, NIHSS+ utilizes the same fundamentals in a different learning format more suited for today's technology. Guided by Dr. Lyden, in digital form, you can quickly explore all possible deficits for an accurate stroke assessment, get tips and tricks, and be guided through telestroke situations. The information provided in this training and certification app is for educational purposes only, and does not substitute for professional medical advice. If seeking medical advice, diagnosis, or treatment, consult a medical professional or a healthcare provider.

Screenshots

Stroke Simulator4 screens
NIHSS+4 screens

Verdict

The call

The clearest difference is in-app purchases: NIHSS+ at none against Stroke Simulator's 1. Stroke Simulator's advantage is iOS requirement (8.0 vs 16.0). On price, update cadence, ads and device support 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

Both are free to download. Stroke Simulator sells 1 one-off in-app purchase. NIHSS+ asks for nothing beyond the download.

UpkeepUpdate frequency

Stroke Simulator ships an update monthly, NIHSS+ every 2 weeks. The most recent releases landed on September 9, 2026 and August 30, 2026 respectively.

Scorecard2 real differences · 8 level
Stroke Simulator versus NIHSS+: the parameters behind the verdict, then further details
ParameterStroke SimulatorNIHSS+
PriceFreeFree
Rating—4.4 (8 ratings) — better
Positive reviews—100.0% of reviews
Number of ratings—8 — better
Update frequencyMonthlyEvery 2 weeks — better
AdsNoNo
In-app purchasesYesNo — better
Monetization—Free
DevicesiPhone, iPodiPhone, iPad
Requires iOS8.0 — better16.0
Further details — not scored
Size102 MB1.2 GB
Age rating12+17+
DeveloperIXI DESIGN LLCApex Innovations

In-app purchases

1 purchases

Stroke Simulator

One-time1
  • Stroke Simulation Pro$18.99
None

NIHSS+

No in-app purchases

Questions

Is Stroke Simulator free?
Stroke Simulator is free to download, with in-app purchases available.
Is NIHSS+ free?
NIHSS+ is free to download, with no in-app purchases.
Do Stroke Simulator or NIHSS+ have ads?
Neither Stroke Simulator nor NIHSS+ shows ads.
Which is updated more often, Stroke Simulator or NIHSS+?
Stroke Simulator ships an update monthly, and NIHSS+ every 2 weeks. Most recently, Stroke Simulator was updated on September 9, 2026 and NIHSS+ on August 30, 2026.

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