# Stroke Simulator vs NIHSS+

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.

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

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

## The numbers

| Metric | Stroke Simulator | NIHSS+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.4 (8 ratings)](https://appshunter.io/ios/app/nihss-plus/id1669590578/reviews)** |
| Number of ratings | — | **8** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Monthly | **Every 2 weeks** |
| Monetization | — | Free |
| Size | 102 MB | 1.2 GB |
| Requires iOS | **8.0** | 16.0 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [IXI DESIGN LLC](https://appshunter.io/developer/1498206585) | [Apex Innovations](https://appshunter.io/developer/1669590580) |

## What reviewers say

### Stroke Simulator

[App page](https://appshunter.io/ios/app/stroke-simulator/id1508756964)

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Stroke Simulation Pro | $18.99 | one-time |


### NIHSS+

[App page](https://appshunter.io/ios/app/nihss-plus/id1669590578)

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:** Vision Pro support

**In-app purchases:** none


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*