# OrthoScribe vs Alfred

The clearest difference is rating: Alfred at 5.0 against OrthoScribe's 4.6. OrthoScribe's advantage is ratings volume (10 vs 3) and iOS requirement (16.4 vs 26.1). On price, update cadence, 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.

Alfred holds the better App Store score, 5.0 against 4.6. Both are backed by a comparable volume of ratings — 10 and 3 respectively.

OrthoScribe ships an update every 3 weeks, Alfred every 11 days. The most recent releases landed on November 3, 2026 and October 31, 2026 respectively.

## The numbers

| Metric | OrthoScribe | Alfred |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.6 (10 ratings)](https://appshunter.io/ios/app/orthoscribe/id6452083704/reviews) | **[5.0 (3 ratings)](https://appshunter.io/ios/app/alfred-ambient-scribe/id6773460428/reviews)** |
| Number of ratings | **10** | 3 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 11 days** |
| Monetization | Free | Free |
| Size | 56 MB | 22 MB |
| Requires iOS | **16.4** | 26.1 |
| Devices | **iPhone, iPad, Apple Watch** | iPhone, Apple Watch |
| Age rating | 17+ | 17+ |
| Developer | [HannibalAI LLC](https://appshunter.io/developer/1698742269) | [Merza Medical, LLC](https://appshunter.io/developer/1860087271) |

## What reviewers say

### OrthoScribe

[App page](https://appshunter.io/ios/app/orthoscribe/id6452083704)

This AI-powered app assists medical professionals with clinical documentation. It automatically generates notes, ICD-10 codes, procedures, and orders from recorded patient appointments.

**Highlights:** AI-powered clinical note generation, Automatic ICD-10 code assignment, Procedure and order creation, Record patient appointments, Streamlined documentation workflow

**Features:** macOS Compatibility, Apple Watch app

**In-app purchases:** none


### Alfred

[App page](https://appshunter.io/ios/app/alfred-ambient-scribe/id6773460428)

This app assists clinicians by automatically generating structured SOAP notes from patient conversations, eliminating the need for manual typing or dictation. It focuses on streamlining documentation so healthcare professionals can dedicate more time to patient care.

**Highlights:** Automatic SOAP note generation, Natural conversation transcription, ICD-10 code suggestions, Electronic signature, HIPAA-compliant infrastructure, Biometric and multi-factor authentication

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is OrthoScribe free?

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

### Is Alfred free?

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

### Which has better reviews, OrthoScribe or Alfred?

Alfred is rated higher. OrthoScribe averages 4.6 out of 5 from 10 ratings, while Alfred averages 5.0 from 3 ratings.

### Do OrthoScribe or Alfred have ads?

Neither OrthoScribe nor Alfred shows ads.

### Which is updated more often, OrthoScribe or Alfred?

OrthoScribe ships an update every 3 weeks, and Alfred every 11 days. Most recently, OrthoScribe was updated on November 3, 2026 and Alfred on October 31, 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.*