# Huppert's Notes Internal Med. vs ACLSMED Sim

The clearest difference is price: ACLSMED Sim at Free against Huppert's Notes Internal Med.'s $39.99. ACLSMED Sim also leads on update cadence (every 10 days vs every 27 months). Huppert's Notes Internal Med.'s advantage is in-app purchases (none vs 6) and iOS requirement (10.0 vs 17.0). On ads and device support there is nothing between them.

ACLSMED Sim is free to download; Huppert's Notes Internal Med. costs $39.99 up front. ACLSMED Sim sells 6 in-app purchases, starting at $19.99 per month. Huppert's Notes Internal Med. asks for nothing beyond the download.

Huppert's Notes Internal Med. ships an update every 27 months, ACLSMED Sim every 10 days. The most recent releases landed on October 27, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | Huppert's Notes Internal Med. | ACLSMED Sim |
| --- | --- | --- |
| Price | $39.99 | **Free** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 27 months | **Every 10 days** |
| Size | 59 MB | 69 MB |
| Requires iOS | **10.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 12+ |
| Developer | [Usatine & Erickson Media LLC](https://appshunter.io/developer/1466894388) | [Mark Daniel Figueroa](https://appshunter.io/developer/1890265406) |

## What reviewers say

### Huppert's Notes Internal Med.

[App page](https://appshunter.io/ios/app/hupperts-notes-internal-med/id1593033080)

**In-app purchases:** none


### ACLSMED Sim

[App page](https://appshunter.io/ios/app/aclsmed-sim/id6771604723)

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ACLSMED Pro — Monthly | $19.99 | per month |
| ACLSMED Suite — Monthly | $29.99 | per month |
| ACLSMED Pro — Annual | $99.99 | per year |
| ACLSMED Suite — Annual | $179.99 | per year |
| ACLSMED Pro — Lifetime | $399.99 | one-time |
| ACLSMED Suite — Lifetime | $799.99 | one-time |


## Frequently asked questions

### Is Huppert's Notes Internal Med. free?

Huppert's Notes Internal Med. costs $39.99, with no in-app purchases.

### Is ACLSMED Sim free?

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

### Do Huppert's Notes Internal Med. or ACLSMED Sim have ads?

Neither Huppert's Notes Internal Med. nor ACLSMED Sim shows ads.

### Which is updated more often, Huppert's Notes Internal Med. or ACLSMED Sim?

Huppert's Notes Internal Med. ships an update every 27 months, and ACLSMED Sim every 10 days. Most recently, Huppert's Notes Internal Med. was updated on October 27, 2026 and ACLSMED Sim on October 25, 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.*