# Case Files vs BAL 448 001

The clearest difference is in-app purchases: BAL 448 001 at none against Case Files's 6. On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Case Files sells 6 in-app purchases, starting at $7.99 per 7 days. BAL 448 001 asks for nothing beyond the download.

Case Files ships an update every 19 months, BAL 448 001 every 12 months. The most recent releases landed on November 6, 2026 and November 8, 2026 respectively.

## The numbers

| Metric | Case Files | BAL 448 001 |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 33.3% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 19 months | **Every 12 months** |
| Monetization | Free with in-app purchases | — |
| Size | 21 MB | 136 MB |
| Requires iOS | 15.6 | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Expanded Apps](https://appshunter.io/developer/313709778) | [Hello Thread](https://appshunter.io/developer/996237890) |

## What reviewers say

### Case Files

[App page](https://appshunter.io/ios/app/case-files-pathology/id457739821)

This app provides over 50 clinical pathology cases with USMLE-style questions to help medical students learn through real-world patient scenarios. It offers interactive features, study modes, and progress tracking to improve exam scores and clinical problem-solving skills.

**Highlights:** 50+ clinical cases with USMLE-style questions, Interactive case discussions and comprehension questions, Study, Exam, and Bookmark modes for question review, Progress tracking and score storage, Clinical pearls and approach to problem-solving, iCloud support for multi-device use

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

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Week | $7.99 | per 7 days |
| Weekly Access | $11.99 | per 7 days |
| 1 Month | $18.99 | per month |
| Monthly Access | $19.99 | per month |
| 1 Year | $69.99 | per year |
| Lifetime | $39.99 | one-time |


### BAL 448 001

[App page](https://appshunter.io/ios/app/bal-448-001/id6478579359)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Case Files free?

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

### Is BAL 448 001 free?

BAL 448 001 is free to download, with no in-app purchases.

### Do Case Files or BAL 448 001 have ads?

Neither Case Files nor BAL 448 001 shows ads.

### Which is updated more often, Case Files or BAL 448 001?

Case Files ships an update every 19 months, and BAL 448 001 every 12 months. Most recently, Case Files was updated on November 6, 2026 and BAL 448 001 on November 8, 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.*