# Visual Vertical vs Pencil Pushups

The clearest difference is price: Pencil Pushups at $3.99 against Visual Vertical's $11.99. Pencil Pushups also leads on update cadence (daily vs every 38 months). On ads, in-app purchases, device support and iOS requirement there is nothing between them.

Visual Vertical costs $11.99 and Pencil Pushups $3.99 up front. Neither carries in-app purchases, so what you see is what you pay.

Visual Vertical ships an update every 38 months, Pencil Pushups daily. The most recent releases landed on September 24, 2026 and September 28, 2026 respectively.

## The numbers

| Metric | Visual Vertical | Pencil Pushups |
| --- | --- | --- |
| Price | $11.99 | **$3.99** |
| Rating | **[2.0 (5 ratings)](https://appshunter.io/ios/app/visual-vertical/id419017746/reviews)** | — |
| Number of ratings | **5** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 38 months | **Daily** |
| Monetization | Paid | — |
| Size | 10 MB | 2 MB |
| Requires iOS | **16.6** | 17.6 |
| Devices | iPhone | iPhone |
| Age rating | 12+ | 4+ |
| Developer | [Clear Health Media](https://appshunter.io/developer/419017749) | [My Call Bag LLC](https://appshunter.io/developer/1243282862) |

## What reviewers say

### Visual Vertical

[App page](https://appshunter.io/ios/app/visual-vertical/id419017746)

This medical app offers a quick, accurate, and low-cost method for measuring subjective visual vertical. It's designed for neurologists and vestibular rehabilitation specialists to test patients, especially for brainstem lesions and otolithic function, using just an iPhone or iPad.

**Highlights:** Measure subjective visual vertical, Accurate and low-cost testing, Suitable for neurology and vestibular rehab, Tests for brainstem lesions, Evaluates otolithic function, Multiple readings and averaged results, Single, one-off readings

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

**In-app purchases:** none


### Pencil Pushups

[App page](https://appshunter.io/ios/app/pencil-pushups-eye-exercises/id6749190583)

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

**In-app purchases:** none


## Frequently asked questions

### Is Visual Vertical free?

Visual Vertical costs $11.99, with no in-app purchases.

### Is Pencil Pushups free?

Pencil Pushups costs $3.99, with no in-app purchases.

### Do Visual Vertical or Pencil Pushups have ads?

Neither Visual Vertical nor Pencil Pushups shows ads.

### Which is updated more often, Visual Vertical or Pencil Pushups?

Visual Vertical ships an update every 38 months, and Pencil Pushups daily. Most recently, Visual Vertical was updated on September 24, 2026 and Pencil Pushups on September 28, 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.*