# The NIHSS vs NIHSS+

The clearest difference is update cadence: NIHSS+ at every 2 weeks against The NIHSS's every 7 months. The NIHSS's advantage is iOS requirement (12.0 vs 16.0). On price, ads, in-app purchases and device support there is nothing between them.

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

The NIHSS ships an update every 7 months, NIHSS+ every 2 weeks. The most recent releases landed on September 18, 2026 and September 27, 2026 respectively.

## The numbers

| Metric | The NIHSS | NIHSS+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.4 (8 ratings)](https://appshunter.io/ios/app/nihss-plus/id1669590578/reviews)** |
| Number of ratings | — | **8** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 2 weeks** |
| Monetization | — | Free |
| Size | 190 MB | 1.2 GB |
| Requires iOS | **12.0** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Pace Online](https://appshunter.io/developer/1481576155) | [Apex Innovations](https://appshunter.io/developer/1669590580) |

## What reviewers say

### The NIHSS

[App page](https://appshunter.io/ios/app/the-nihss/id1608774216)

**Features:** macOS Compatibility

**In-app purchases:** none


### NIHSS+

[App page](https://appshunter.io/ios/app/nihss-plus/id1669590578)

This app provides a digital learning format for evaluating stroke symptoms based on the established NIHSS scale. It offers guidance for accurate stroke assessment, tips, and support for telestroke situations, intended for educational purposes.

**Highlights:** Stroke symptom evaluation, Digital learning format, Accurate stroke assessment guidance, Tips and tricks for assessment, Telestroke situation support, Educational training

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is The NIHSS free?

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

### Is NIHSS+ free?

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

### Do The NIHSS or NIHSS+ have ads?

Neither The NIHSS nor NIHSS+ shows ads.

### Which is updated more often, The NIHSS or NIHSS+?

The NIHSS ships an update every 7 months, and NIHSS+ every 2 weeks. Most recently, The NIHSS was updated on September 18, 2026 and NIHSS+ on September 27, 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.*