# UpToDate vs Littmann Learning

The clearest difference is rating: Littmann Learning at 4.9 against UpToDate's 3.6. Littmann Learning also leads on review sentiment (48% vs 28%) and iOS requirement (15.6 vs 18.0). UpToDate's advantage is in-app purchases (none vs 11). On price, ratings volume, update cadence and ads there is nothing between them.

Both are free to download. Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. UpToDate asks for nothing beyond the download.

Littmann Learning holds the better App Store score, 4.9 against 3.6. Both are backed by a comparable volume of ratings — 579 and 850 respectively. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 48% of Littmann Learning's.

UpToDate ships an update every 5 weeks, Littmann Learning every 6 weeks. The most recent releases landed on October 14, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | UpToDate | Littmann Learning |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (579 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews) | **[4.9 (850 ratings)](https://appshunter.io/ios/app/littmann-learning/id1324485260/reviews)** |
| Number of ratings | 579 | **850** |
| Positive reviews | 28.4% of reviews | **47.6% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 6 weeks |
| Monetization | Subscription | **Free with in-app purchases** |
| Size | 56 MB | 19 MB |
| Requires iOS | 18.0 | **15.6** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [CSD Labs](https://appshunter.io/developer/1318756877) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education materials, Drug reference and interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### Littmann Learning

[App page](https://appshunter.io/ios/app/littmann-learning/id1324485260)

This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.

**Highlights:** Real patient heart and lung sounds, Visual and audio displays, Self-paced learning modules, Graduated learning difficulty, Background reading material

**Features:** Vision Pro support

**In-app purchases (11)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Standard Plan - 1 month | $3.99 | per month |
| Premium Plan - 1 month | $6.99 | per month |
| Basic Monthly | $8.99 | per month |
| Standard Plan - 1 year | $19.99 | per year |
| Semester Pass | $29.99 | per 6 months |
| Premium Plan - 1 year | $39.99 | per year |
| Full Version | $44.99 | per year |
| Annual Pass | $49.99 | per year |
| CE -  Fundamentals | $124.99 | one-time |
| CE -Advanced | $174.99 | one-time |
| CE - Intermediate | $249.99 | one-time |


## Frequently asked questions

### Is UpToDate free?

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

### Is Littmann Learning free?

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

### Which has better reviews, UpToDate or Littmann Learning?

Littmann Learning is rated higher. UpToDate averages 3.6 out of 5 from 579 ratings, while Littmann Learning averages 4.9 from 850 ratings.

### Do UpToDate or Littmann Learning have ads?

Neither UpToDate nor Littmann Learning shows ads.

### Which is updated more often, UpToDate or Littmann Learning?

UpToDate ships an update every 5 weeks, and Littmann Learning every 6 weeks. Most recently, UpToDate was updated on October 14, 2026 and Littmann Learning on October 12, 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.*