# Case Files vs misTMJ

The clearest difference is in-app purchases: misTMJ at none against Case Files's 7. misTMJ also leads on update cadence (monthly vs every 6 months) and iOS requirement (11.0 vs 15.6). On price, ads and device support there is nothing between them.

Both are free to download. Case Files sells 7 in-app purchases, starting at $6.99 per 7 days. misTMJ asks for nothing beyond the download.

Case Files ships an update every 6 months, misTMJ monthly. Both last shipped on November 3, 2026.

## The numbers

| Metric | Case Files | misTMJ |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 72.7% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Monthly** |
| Monetization | Free with in-app purchases | — |
| Size | 24 MB | 594 MB |
| Requires iOS | 15.6 | **11.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Expanded Apps](https://appshunter.io/developer/313709778) | [Himalaya Computing](https://appshunter.io/developer/1205321932) |

## What reviewers say

### Case Files

[App page](https://appshunter.io/ios/app/case-files-anesthesiology/id461592758)

Master anesthesiology with real clinical cases to build decision-making confidence. This app offers high-yield content for efficient learning, exam preparation, and clinical readiness, all in short, focused sessions.

**Highlights:** Real clinical cases, Step-by-step anesthesia management, High-yield explanations, Exam preparation (USMLE, shelf), Progress tracking, Case-based learning

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

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Week | $6.99 | per 7 days |
| Weekly Access | $11.99 | per 7 days |
| 1 Month | $14.99 | per month |
| Monthly Access | $19.99 | per month |
| 1 Year | $99.99 | per year |
| Lifetime Access | $24.99 | one-time |
| Case Files Anesthesiology Board Prep for USLME - LANGE | $39.99 | one-time |


### misTMJ

[App page](https://appshunter.io/ios/app/mistmj/id1592838220)

**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 misTMJ free?

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

### Do Case Files or misTMJ have ads?

Neither Case Files nor misTMJ shows ads.

### Which is updated more often, Case Files or misTMJ?

Case Files ships an update every 6 months, and misTMJ monthly. Most recently, Case Files was updated on November 3, 2026 and misTMJ on November 3, 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.*