# ithoth vs RoyalMedSG

The clearest difference is iOS requirement: RoyalMedSG at 13.0 against ithoth's 15.0. On price, update cadence, ads and in-app purchases there is nothing between them.

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

ithoth ships an update every 3 weeks, RoyalMedSG every 5 weeks. The most recent releases landed on September 19, 2026 and September 8, 2026 respectively.

## The numbers

| Metric | ithoth | RoyalMedSG |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 5 weeks |
| Size | 62 MB | 217 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 4+ |
| Developer | [索思(苏州)医疗科技有限公司](https://appshunter.io/developer/1425728935) | [Medical Specialists Asia Pte Ltd](https://appshunter.io/developer/1565889203) |

## What reviewers say

### ithoth

[App page](https://appshunter.io/ios/app/ithoth/id1564194054)

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

**In-app purchases:** none


### RoyalMedSG

[App page](https://appshunter.io/ios/app/royalmedsg/id1565889201)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is ithoth free?

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

### Is RoyalMedSG free?

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

### Do ithoth or RoyalMedSG have ads?

Neither ithoth nor RoyalMedSG shows ads.

### Which is updated more often, ithoth or RoyalMedSG?

ithoth ships an update every 3 weeks, and RoyalMedSG every 5 weeks. Most recently, ithoth was updated on September 19, 2026 and RoyalMedSG on September 8, 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.*