# SYNTAX Score 2020 vs Syncope Decision Tool

The clearest difference is in-app purchases: SYNTAX Score 2020 at none against Syncope Decision Tool's 1. SYNTAX Score 2020 also leads on iOS requirement (12.0 vs 26.4). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Syncope Decision Tool sells 1 one-off in-app purchase. SYNTAX Score 2020 asks for nothing beyond the download.

SYNTAX Score 2020 ships an update every 6 weeks, Syncope Decision Tool every 2 months. The most recent releases landed on September 8, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | SYNTAX Score 2020 | Syncope Decision Tool |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 6 weeks** | Every 2 months |
| Size | 50 MB | 1 MB |
| Requires iOS | **12.0** | 26.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [SAHAJANAND MEDICAL TECHNOLOGIES PRIVATE LIMITED](https://appshunter.io/developer/1444988653) | [ATIF ELNIL](https://appshunter.io/developer/1886307011) |

## What reviewers say

### SYNTAX Score 2020

[App page](https://appshunter.io/ios/app/syntax-score-2020/id1529725847)

**In-app purchases:** none


### Syncope Decision Tool

[App page](https://appshunter.io/ios/app/syncope-decision-tool/id6761343806)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Full Access — Syncope Decision Tool | $6.99 | one-time |


## Frequently asked questions

### Is SYNTAX Score 2020 free?

SYNTAX Score 2020 is free to download, with no in-app purchases.

### Is Syncope Decision Tool free?

Syncope Decision Tool is free to download, with in-app purchases available.

### Do SYNTAX Score 2020 or Syncope Decision Tool have ads?

Neither SYNTAX Score 2020 nor Syncope Decision Tool shows ads.

### Which is updated more often, SYNTAX Score 2020 or Syncope Decision Tool?

SYNTAX Score 2020 ships an update every 6 weeks, and Syncope Decision Tool every 2 months. Most recently, SYNTAX Score 2020 was updated on September 8, 2026 and Syncope Decision Tool 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.*