# Tokyo Guidelines (TG18) vs ESC Pocket Guidelines

The clearest difference is ratings volume: ESC Pocket Guidelines at 841 against Tokyo Guidelines (TG18)'s 3. Tokyo Guidelines (TG18)'s advantage is rating (5.0 vs 4.8) and update cadence (every 2 months vs every 4 months). On price, review sentiment, ads and in-app purchases there is nothing between them.

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

Tokyo Guidelines (TG18) holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: ESC Pocket Guidelines has 841 ratings behind it against 3, so its average is the more settled of the two. Written reviews split almost evenly too, at 50% and 51% positive.

Tokyo Guidelines (TG18) ships an update every 2 months, ESC Pocket Guidelines every 4 months. The most recent releases landed on July 18, 2026 and September 21, 2026 respectively.

## The numbers

| Metric | Tokyo Guidelines (TG18) | ESC Pocket Guidelines |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (3 ratings)](https://appshunter.io/ios/app/tokyo-guidelines-tg18/id597389974/reviews)** | [4.8 (841 ratings)](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599/reviews) |
| Number of ratings | 3 | **841** |
| Positive reviews | 50.0% of reviews | **50.8% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 4 months |
| Monetization | Free | Free |
| Size | 8 MB | 44 MB |
| Requires iOS | **8.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [C2 inc.](https://appshunter.io/developer/597389977) | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) |

## What reviewers say

### Tokyo Guidelines (TG18)

[App page](https://appshunter.io/ios/app/tokyo-guidelines-tg18/id597389974)

Provides quick access to clinical guidelines for managing acute cholangitis and cholecystitis. Digests key information including diagnostic criteria, severity assessment, and treatment recommendations. Offers direct links to the full online journal for detailed explanations.

**Highlights:** Clinical guideline digests, Diagnostic criteria, Severity assessment, Flowcharts, Antimicrobial therapy, Links to online journal

**Features:** macOS Compatibility

**In-app purchases:** none


### ESC Pocket Guidelines

[App page](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599)

Access a comprehensive library of the latest cardiovascular disease guidelines and consensus statements from the European Society of Cardiology. Features include interactive algorithms, full-text search, bookmarking, note-taking, and content sharing capabilities for quick reference and study.

**Highlights:** Latest ESC Guidelines (2023-2025), Interactive algorithms, Full-text search, Bookmarking and notes, Content sharing, Printable pages

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

**In-app purchases:** none

**What reviewers like**

- 👍 Practical and handy for clinical use
- 📚 Valuable medical information and guidelines
- ⭐ Excellent content quality
- 🎯 Easy to use interface

**What reviewers complain about**

- 🐛 Frequent app crashes and stability issues
- 🔐 Sign-in system problematic and unnecessary
- 📖 Small font size and poor design readability
- ❌ Missing content topics after updates
- ⚪ Blank white page display issues

**Reported bugs**

- App crashes on iPad and iPhone devices
- Login authentication failures
- White blank page display
- App crashes when opening pathways
- Guidelines not appearing in downloaded folder

**Requested features**

- Update to support iPad Mini 6 resolution
- Include 2023 ESC Congress updates
- Remove or make sign-in optional
- Improve font size and design for better readability
- Add new guidelines (e.g., 2013 stable angina guidelines)


## Frequently asked questions

### Is Tokyo Guidelines (TG18) free?

Tokyo Guidelines (TG18) is free to download, with no in-app purchases.

### Is ESC Pocket Guidelines free?

ESC Pocket Guidelines is free to download, with no in-app purchases.

### Which has better reviews, Tokyo Guidelines (TG18) or ESC Pocket Guidelines?

Tokyo Guidelines (TG18) is rated higher. Tokyo Guidelines (TG18) averages 5.0 out of 5 from 3 ratings, while ESC Pocket Guidelines averages 4.8 from 841 ratings.

### Do Tokyo Guidelines (TG18) or ESC Pocket Guidelines have ads?

Neither Tokyo Guidelines (TG18) nor ESC Pocket Guidelines shows ads.

### Which is updated more often, Tokyo Guidelines (TG18) or ESC Pocket Guidelines?

Tokyo Guidelines (TG18) ships an update every 2 months, and ESC Pocket Guidelines every 4 months. Most recently, Tokyo Guidelines (TG18) was updated on July 18, 2026 and ESC Pocket Guidelines on September 21, 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.*