# SAM4 Online vs FirstInSim

The clearest difference is update cadence: FirstInSim at every 6 days against SAM4 Online's every 6 months. SAM4 Online's advantage is iOS requirement (12.2 vs 26.0). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. SAM4 Online sells 1 one-off in-app purchase and FirstInSim sells 1 in-app purchase, starting at $5.99 per year. Whichever you choose, the download price is not the number that matters.

On the App Store both sit at effectively the same score — 5.0 for SAM4 Online against 5.0 for FirstInSim. Both are backed by a comparable volume of ratings — 1 and 1 respectively.

SAM4 Online ships an update every 6 months, FirstInSim every 6 days. The most recent releases landed on October 14, 2026 and October 1, 2026 respectively.

## The numbers

| Metric | SAM4 Online | FirstInSim |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (1 ratings)](https://appshunter.io/ios/app/sam4-online/id1615890331/reviews) | [5.0 (1 ratings)](https://appshunter.io/ios/app/firstinsim/id6778178207/reviews) |
| Number of ratings | 1 | 1 |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 6 days** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 90 MB | 23 MB |
| Requires iOS | **12.2** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 4+ |
| Developer | [3B Scientific](https://appshunter.io/developer/1407867777) | [LifeLine EMS Training and Consulting LLC](https://appshunter.io/developer/1862662486) |

## What reviewers say

### SAM4 Online

[App page](https://appshunter.io/ios/app/sam4-online/id1615890331)

This interactive platform offers extensive simulated sound libraries and lesson guides for over 60 medical conditions. It provides students with easy access to class materials, quizzes, tests, and a virtual manikin for auscultation training.

**Highlights:** Simulated sounds library, Lesson guides for 60+ conditions, Virtual manikin simulator, Access to class materials, Quizzes and tests, Control physical manikin

**Features:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Personal User - Full Content | $19.99 | one-time |


### FirstInSim

[App page](https://appshunter.io/ios/app/firstinsim/id6778178207)

Create realistic fire training simulations using photos of your location. Add elements like smoke, fire, vehicles, and victims to practice scene reports and initial tactics. Save and present your custom scenarios.

**Highlights:** Photo-based scenario creation, Customizable smoke and fire effects, Add vehicles and victims, Save and present simulations, Practice scene reports, Develop initial tactics

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| FirstInSim Annual | $5.99 | per year |


## Frequently asked questions

### Is SAM4 Online free?

SAM4 Online is free to download, with in-app purchases available.

### Is FirstInSim free?

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

### Which has better reviews, SAM4 Online or FirstInSim?

SAM4 Online and FirstInSim are both rated 5.0 out of 5 on the App Store, from 1 and 1 ratings respectively.

### Do SAM4 Online or FirstInSim have ads?

Neither SAM4 Online nor FirstInSim shows ads.

### Which is updated more often, SAM4 Online or FirstInSim?

SAM4 Online ships an update every 6 months, and FirstInSim every 6 days. Most recently, SAM4 Online was updated on October 14, 2026 and FirstInSim on October 1, 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.*