Predictable vs Laryngectomy
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Predictable
This text-to-speech application assists individuals with communication challenges by offering smart word prediction, customizable phrases, and diverse access methods. It supports multiple languages and integrates with various voice options for personalized communication.
- Smart word prediction
- Customizable phrases and categories
- Multiple access methods (head tracking, switch access)
- Multi-language support (43 languages)
- Diverse speech and voice options
- Appearance customization
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Predictable is a multi-award winning text-to-speech app for people with conditions such as ALS/MND, autism, cerebral palsy, Down's syndrome, and more. It aims to make it easier and quicker to communicate, using a range of access methods, rate enhancement features and customisation options. Word Prediction Using smart word prediction technology, the app makes speaking out a text-based message easy. Predictable learns from your pattern of use and predicts what you will type next, making typing easier and more efficient. Phases and categories Save and organise phrases that you need quick access to in a simple grid format. Further customise your phrases by adding symbols, images, audio recordings, links and more. Shortcuts Choose from a wide range of useful and exciting features such as notes, share, translate, chatGPT and draw to customise your keyboard screen to include features that you want to use. Attach these to keyboard keys, hot corners, head tracking gestures or external keyboard shortcuts. The possibilities are endless! Multi Language Switch between any of our 43 languages* to create your personalised bilingual set up. You are able to choose a primary and secondary language and seamlessly transition between both on the go, with appropriate keyboards and voices selected for both. Languages supported include: Arabic, Bangla, Bulgarian, Catalan, Chinese, Croatian, Danish, Dutch, English, Finnish, French, German, Greek, Hebrew, Hindi, Hungarian, Indonesian, Italian, Japanese, Kannada, Korean, Maithili, Malay, Marathi, Norwegian (Bokmal), Persian, Polish, Portuguese, Punjabi, Romanian, Russian, Slovak, Spanish, Swedish, Tamil, Telugu, Thai, Turkish, Ukrainian, Vietnamese, Gujarati, Urdu, Somali *Some languages only offered with online voices Speech and Voice Options Compatible with standard iOS voices, including the enhanced voices available to download and your iOS personal voice. You can also use your voice-banked voice from ModelTalker, Acapela, SpeakUnique and The Voice Keeper. Accessibility Predictable offers a wide range of access methods and accessibility settings including: Direct touch features to handle accidental selection Screen tap - a scanning method where you touch the screen for selection and/or progression Switch access - accessible via Bluetooth switch box + switches (compatible with Therapy Box Switch Box and RJ Cooper Switch Interface) as well as Head tracking face gestures. Head tracking - use facial recognition to interact with the app with no calibration or extra hardware required. Auditory preview - hear the onscreen text before selection. Scanning - Build your own, is a brand new access method in Predictable. Customise your own scanning method by combining timer, screen tap, switch access and gestures. Appearance Customise the layout and appearance to truly optimise the app to your preferences by changing the layout, font size, colours and more. Different keyboard options (including QWERTY, Ten Key, Apple and Bluetooth) and different templates (including Dark, High Contrast and Low vision) are available to make this customisation clear and simple. Web Platform Log in remotely and manage your settings and grid content from our web platform. The web platform is compatible with the myMessageBanking.com format to make importing easy. Support User guides are available on your app, and on the Therapy Box website. Send any questions to support@therapy-box.co.uk. You can find more about Predictable at https://therapy-box.co.uk/predictable
Laryngectomy
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The Laryngectomy app covers normal voice, total laryngectomy and voicing post laryngectomy. The app includes six side cutaway and three non-cutaway front animations and eleven videos covering esophageal, traceoesophageal and electrolarynx speech example cases. Disclaimer: seek a doctor’s advice in addition to using this app and before making any medical decisions. • Structure ID: as each part is touched, the part highlights and the part name and description text changes. Description text shows or hides on demand. ◊ Head Anatomy - 45 parts, includes nose, mouth and throat structure ID. Structure ID zoom and pans. • Highlight Views: key front and side illustrated views of total laryngectomy and voicing post laryngectomy. Highlights zoom and Pan. ◊ Side and front views: Total Laryngectomy, Voicing - Tracheoesophageal and Electrolarynx Speech ◊ Side view: Esophageal Speech. • Animations: for normal, total laryngectomy and voicing post laryngectomy. Animations pan. ◊ Side cutaway and non-cutaway front views: Total Laryngectomy, Voicing - Tracheoesophageal and Electrolarynx Speech ◊ Side cutaway views: Normal Breathing and Voice production, Esophageal Speech ◊ Includes play and stop controls • Two finger pan and zoom of all highlighted views and Structure ID • Two finger pan of all animations and videos. • Drawing Whiteboard feature: ◊ Drawing: freeform lines in red, blue, green or black hue. Adjust line thickness with the size panel. ◊ Draw and place text directly on active animation and video. ◊ Text: Adjust font size with the size panel, auto wrap, non-movable in red, blue, green or black hue. ◊ Eraser: touch and rub lines and text on whiteboard to erase. ◊ Trash: one tap deletes all whiteboard lines and text. ◊ Screenshot whiteboard direct to Photos App for easy email and printing. • iOS 6.0+ required, designed for iPad and iPhone. • Best results on iPad 4th generation/iPhone 5 and newer. The Laryngectomy app makes learning about total laryngectomy and voicing post laryngectomy easy. See example screen shots below. Get the app today!
Screenshots
Verdict
The clearest difference is price: Laryngectomy at $4.99 against Predictable's $159.99. Laryngectomy also leads on chart position (#192 vs unranked) and iOS requirement (11.0 vs 15.5). Predictable's advantage is update cadence (every 2 months vs every 40 months). On ads, in-app purchases and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Predictable costs $159.99 and Laryngectomy $4.99 up front. Neither carries in-app purchases, so what you see is what you pay.
Predictable ships an update every 2 months, Laryngectomy every 40 months. The most recent releases landed on September 26, 2026 and September 24, 2026 respectively.
| Parameter | Predictable | Laryngectomy |
|---|---|---|
| Price | $159.99 | $4.99 — better |
| Rating | 4.5 (203 ratings) — better | — |
| Positive reviews | 67.7% of reviews | — |
| Number of ratings | 203 — better | — |
| Update frequency | Every 2 months — better | Every 40 months |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Paid | — |
| Best chart rank | — | #192 — better |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.5 | 11.0 — better |
| Further details — not scored | ||
| Size | 1.7 GB | 171 MB |
| Age rating | 4+ | 4+ |
| Developer | Prentke Romich Company | Blue Tree Publishing, Inc. |
Bugs and requests
Predictable
Reported bugs
9 issues- App crashes frequently
- Password reset emails not received
- App freezes
- Acapela voice not working
- Cannot copy message to clipboard
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- Twitter integration crashes/invalid token
- Emailing messages causes crash
- Lost Australian Lee voice after update
- Antisemitism in word prediction
Requested features
15 requests- Add child's voices
- Edit size of message window in grid view
- Adjust font size of message window
- Edit color of font or background of individual cells
- Edit individual cells for speaking on touch vs. automatic
Show 10 moreShow fewer
- Add print option
- Allow hiding of settings/edit button without guided access
- Improve transition to phrase banks
- Adjust font size in suggestions
- Enable cursor for editing
- Add user control for saving history (on/off)
- Improve switch access functionality
- Add more male voice options
- Allow customization of keypad size
- Add full stop and comma keys to main keyboard
Laryngectomy
Not enough reviews yet to summarise bugs or requests.
In-app purchases
Predictable
No in-app purchases
Laryngectomy
No in-app purchases
Questions
Is Predictable free?
Is Laryngectomy free?
Do Predictable or Laryngectomy have ads?
Which is updated more often, Predictable or Laryngectomy?
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