# ASTHMAXcel Perception vs PictoRiddle

The clearest difference is in-app purchases: ASTHMAXcel Perception at none against PictoRiddle's 8. ASTHMAXcel Perception also leads on ads (none vs shown). PictoRiddle's advantage is update cadence (fortnightly vs every 48 months) and ratings volume (89 vs 10). On price, rating, device support and iOS requirement there is nothing between them.

Both are free to download. PictoRiddle sells 8 one-off in-app purchases. ASTHMAXcel Perception asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 5.0 for ASTHMAXcel Perception against 5.0 for PictoRiddle. That said, the two scores are not equally well evidenced: PictoRiddle has 89 ratings behind it against 10, so its average is the more settled of the two.

ASTHMAXcel Perception ships an update every 48 months, PictoRiddle fortnightly. The most recent releases landed on November 3, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | ASTHMAXcel Perception | PictoRiddle |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (10 ratings)](https://appshunter.io/ios/app/asthmaxcel-perception/id1551782582/reviews) | [5.0 (89 ratings)](https://appshunter.io/ios/app/pictoriddle-word-puzzle-game/id6748015699/reviews) |
| Number of ratings | 10 | **89** |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 48 months | **Fortnightly** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 886 MB | 260 MB |
| Requires iOS | 15.6 | **15.0** |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 12+ |
| Developer | [Montefiore Applications, LLC](https://appshunter.io/developer/1378014760) | [Jin Song](https://appshunter.io/developer/1823907085) |

## What reviewers say

### ASTHMAXcel Perception

[App page](https://appshunter.io/ios/app/asthmaxcel-perception/id1551782582)

Learn about asthma management through engaging animated videos and interactive games. This app educates users on lung function, inhaler usage, trigger reduction, and early warning signs of asthma attacks.

**Highlights:** Animated educational videos, Interactive asthma games, Medication reminders, Personalized asthma tips, Inhaler and spacer usage guides, Trigger identification and reduction

**Features:** macOS Compatibility

**In-app purchases:** none


### PictoRiddle

[App page](https://appshunter.io/ios/app/pictoriddle-word-puzzle-game/id6748015699)

Guess the common word from four images in this addictive picture puzzle game. Train your brain and expand your vocabulary with hundreds of handcrafted levels. Play offline anytime, anywhere, with no time limits or registration required.

**Highlights:** Guess common word from 4 images, Hundreds of handcrafted puzzles, High-quality images, No time limit, No registration required, Offline play

**Features:** macOS Compatibility

**In-app purchases (8)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Gold Pack | $1.99 | one-time |
| Gold Box | $1.99 | one-time |
| Remove Ads | $4.99 | one-time |
| Remove Ads Box | $4.99 | one-time |
| Gold Pack | $9.99 | one-time |
| Gold Box2 | $9.99 | one-time |
| Gold Pack | $19.99 | one-time |
| Gold Pack | $49.99 | one-time |


## Frequently asked questions

### Is ASTHMAXcel Perception free?

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

### Is PictoRiddle free?

PictoRiddle is free to download, with in-app purchases available.

### Which has better reviews, ASTHMAXcel Perception or PictoRiddle?

ASTHMAXcel Perception and PictoRiddle are both rated 5.0 out of 5 on the App Store, from 10 and 89 ratings respectively.

### Do ASTHMAXcel Perception or PictoRiddle have ads?

PictoRiddle shows ads; ASTHMAXcel Perception does not.

### Which is updated more often, ASTHMAXcel Perception or PictoRiddle?

ASTHMAXcel Perception ships an update every 48 months, and PictoRiddle fortnightly. Most recently, ASTHMAXcel Perception was updated on November 3, 2026 and PictoRiddle on October 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.*