# gistalt vs SimShockPad

The clearest difference is review sentiment: gistalt at 100% against SimShockPad's 0%. gistalt also leads on rating (4.9 vs 1.0) and ratings volume (16 vs 1). SimShockPad's advantage is update cadence (weekly vs every 22 months). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

gistalt holds the better App Store score, 4.9 against 1.0. That said, the two scores are not equally well evidenced: gistalt has 16 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 100% of gistalt's written reviews are positive against 0% of SimShockPad's.

gistalt ships an update every 22 months, SimShockPad weekly. The most recent releases landed on September 15, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | gistalt | SimShockPad |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (16 ratings)](https://appshunter.io/ios/app/gistalt/id1520121253/reviews)** | [1.0 (1 ratings)](https://appshunter.io/ios/app/simshockpad/id6746765214/reviews) |
| Number of ratings | **16** | 1 |
| Positive reviews | **100.0% of reviews** | 0.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 22 months | **Weekly** |
| Monetization | Free | Free |
| Size | 35 MB | 130 MB |
| Requires iOS | **13.4** | 17.6 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Tom Fadial](https://appshunter.io/developer/1316852248) | [Pablo Kessler Saiz](https://appshunter.io/developer/1818393128) |

## What reviewers say

### 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


### SimShockPad

[App page](https://appshunter.io/ios/app/simshockpad/id6746765214)

This interactive simulator trains users to manage critical hemodynamic situations like heart failure, bleeding, and septic shock. Make rapid, accurate decisions under pressure using a variety of therapies and advanced treatments to keep patients alive.

**Highlights:** Three pathological modes (heart failure, bleeding, sepsis), Seven combinable therapies with dose-dependent effects, Advanced treatments for specific conditions, Multiparameter real-time monitoring, Adjustable difficulty and game speed, Multilingual interface, Compatible with iPhone, iPad, and macOS

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

**In-app purchases:** none


## Frequently asked questions

### Is gistalt free?

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

### Is SimShockPad free?

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

### Which has better reviews, gistalt or SimShockPad?

gistalt is rated higher. gistalt averages 4.9 out of 5 from 16 ratings, while SimShockPad averages 1.0 from 1 ratings.

### Do gistalt or SimShockPad have ads?

Neither gistalt nor SimShockPad shows ads.

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

gistalt ships an update every 22 months, and SimShockPad weekly. Most recently, gistalt was updated on September 15, 2026 and SimShockPad on September 23, 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.*