# NIHSS+ vs California Implicit Bias

The clearest difference is in-app purchases: NIHSS+ at none against California Implicit Bias's 1. California Implicit Bias's advantage is iOS requirement (13.0 vs 16.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. California Implicit Bias sells 1 one-off in-app purchase. NIHSS+ asks for nothing beyond the download.

NIHSS+ ships an update every 2 weeks, California Implicit Bias monthly. The most recent releases landed on October 25, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | NIHSS+ | California Implicit Bias |
| --- | --- | --- |
| 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** | Yes |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Monthly |
| Monetization | Free | — |
| Size | 148 MB | 53 MB |
| Requires iOS | 16.0 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [Apex Innovations](https://appshunter.io/developer/1669590580) | [CE Group](https://appshunter.io/developer/1486917469) |

## What reviewers say

### 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


### California Implicit Bias

[App page](https://appshunter.io/ios/app/california-implicit-bias/id1672403225)

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CA Implicit Bias Course | $9.99 | one-time |


## Frequently asked questions

### Is NIHSS+ free?

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

### Is California Implicit Bias free?

California Implicit Bias is free to download, with in-app purchases available.

### Do NIHSS+ or California Implicit Bias have ads?

Neither NIHSS+ nor California Implicit Bias shows ads.

### Which is updated more often, NIHSS+ or California Implicit Bias?

NIHSS+ ships an update every 2 weeks, and California Implicit Bias monthly. Most recently, NIHSS+ was updated on October 25, 2026 and California Implicit Bias on October 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.*