# iElastance vs SimShockPad

The clearest difference is update cadence: SimShockPad at weekly against iElastance's every 8 months. iElastance's advantage is iOS requirement (15.1 vs 17.6). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

iElastance ships an update every 8 months, SimShockPad weekly. The most recent releases landed on May 17, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | iElastance | SimShockPad |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[1.0 (1 ratings)](https://appshunter.io/ios/app/simshockpad/id6746765214/reviews)** |
| Number of ratings | — | **1** |
| Positive reviews | — | 0.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Weekly** |
| Monetization | — | Free |
| Size | 22 MB | 130 MB |
| Requires iOS | **15.1** | 17.6 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [Pietro Bertini](https://appshunter.io/developer/1769996267) | [Pablo Kessler Saiz](https://appshunter.io/developer/1818393128) |

## What reviewers say

### iElastance

[App page](https://appshunter.io/ios/app/ielastance/id556528864)

**Features:** macOS Compatibility

**In-app purchases:** none


### SimShockPad

[App page](https://appshunter.io/ios/app/simshockpad/id6746765214)

This interactive simulator trains users to manage critical hemodynamic situations like heart failure, bleeding, and septic shock. Make rapid, accurate decisions under pressure using a variety of therapies and advanced treatments to keep patients alive.

**Highlights:** Three pathological modes (heart failure, bleeding, sepsis), Seven combinable therapies with dose-dependent effects, Advanced treatments for specific conditions, Multiparameter real-time monitoring, Adjustable difficulty and game speed, Multilingual interface, Compatible with iPhone, iPad, and macOS

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

**In-app purchases:** none


## Frequently asked questions

### Is iElastance free?

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

### Is SimShockPad free?

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

### Do iElastance or SimShockPad have ads?

Neither iElastance nor SimShockPad shows ads.

### Which is updated more often, iElastance or SimShockPad?

iElastance ships an update every 8 months, and SimShockPad weekly. Most recently, iElastance was updated on May 17, 2026 and SimShockPad on September 23, 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.*