Comparison

Osmosis vs Littmann Learning

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Osmosis

This app helps medical students learn complex concepts faster and retain more information. It offers animated videos, flashcards, notes, and board-style questions to prepare for exams and build clinical skills.

Highlights
  • Animated medical videos
  • Spaced repetition flashcards
  • Board-style practice questions
  • Downloadable notes and videos
  • Clinical decision-making trees
  • Cross-platform syncing
Currently charting
Read full description

Struggling to understand medical concepts or prepare for the USMLE? Osmosis is the medical exam study app designed to help med students learn medicine faster, improve information retention and pass medical board exams with flying colours. Trusted by 8,000,000+ medical, nursing, PA, pharmacy and dental students, this medical learning app turns downtime into productive study time with an expansive library of medical videos, flashcards, quizzes, exam-style questions and more. Instead of memorizing isolated facts, Osmosis helps you learn how medical concepts connect - so that you can retain more information, study smarter and apply what you learn to exams and in clinical practice. And now, you can ask Osmosis AI for instant, evidence-based answers grounded in Elsevier medical textbooks and linked to Osmosis videos. Generate flashcards, quizzes, summaries and mnemonics on demand with AI so you never have to second-guess your source. EXAM PREP FOR EVERY US MEDICAL LICENSING EXAM • USMLE Step 1 & Step 2 • COMLEX-USA Level 1 & Level 2 • NCLEX-RN & NCLEX-PN • PANCE • ABFM / ABIM • UKMLA (UK) With Osmosis, everything in your medical studies connects so nothing gets lost. Flashcards, videos and notes work together to make every study session stress free and every exam prep hour more productive. Ready to learn smarter? DOWNLOAD today to start your FREE 7-DAY TRIAL. STUDY ANYWHERE, ANYTIME Download medical videos and exam questions for offline study on the commute, before rounds or between clinics. Sync across iPhone, iPad and web so you can learn wherever you are. WHY CHOOSE OSMOSIS? • 1000s of concise medical videos that simplify complex medical concepts and support visual learning • Medical flashcards that help you learn and retain key concepts, with concise explanations reviewed by medical experts • A custom quiz builder that transforms your study time so you can master medical material and ace your exams • Board-style practice exam questions with detailed explanations • 450+ high-yield summary notes with key points and diagrams from videos • Printable clinical decision-making trees to learn on the go • Spaced repetition guides what medical concepts to study next, focusing you on the areas where you need it the most YOUR ALL-IN-ONE MEDICAL LEARNING TOOLKIT From concept mastery to clinical reasoning, Osmosis turns complex medical material into clear, digestible learning experiences so that you can study with confidence and pass exams first time, every time. LEARN SMARTER Our videos and High-Yield medical study notes condense everything you need to learn and nothing you don't. Study efficiently and retain the medical knowledge that matters most for board exams and clinical practice. GET A PERSONALIZED, FLEXIBLE STUDY PLAN IN MINUTES Choose your learning goals and set your study hours, Osmosis handles the rest. Your daily study checklist shows which videos, exam questions and topics to learn each day. Add custom tasks like homework, practice exams and reminders to keep your medical studies on track. FOLLOW OSMOSIS ON SOCIAL: YouTube: youtube.com/osmosis TikTok: @learnbyosmosis Instagram: @osmosismed Facebook: @OsmoseIt X: twitter.com/OsmosisMed Bluesky: @osmosismed.bsky.social DOWNLOAD and start your FREE 7-DAY TRIAL today! Subscriptions are charged annually & automatically renew unless auto-renew is turned off at least 24-hours before end of the current period. Payment will be charged to iTunes Account at confirmation of purchase. Your iTunes Account will be charged the current annual subscription cost each year for renewal within 24-hours prior to end of current period. You can manage your subscriptions and turn off auto-renewal by going to your iTunes Account Settings any time after purchase. Any free trial will be interrupted when a paid subscription is purchased. Terms: www.osmosis.org/terms Privacy policy: www.osmosis.org/privacy Contact support@osmosis.org with any account/purchase queries.

About

Littmann Learning

This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.

Highlights
  • Real patient heart and lung sounds
  • Visual and audio displays
  • Self-paced learning modules
  • Graduated learning difficulty
  • Background reading material
Features
Read full description

Littmann® Learning, powered by eMurmur®, is a mobile app for cardiac and pulmonary auscultation education. Built for students, educators, and clinicians, it gives you access to real patient heart sounds, lung sounds, and guided learning modules – available anytime, anywhere. Train your ear and strengthen your stethoscope skills with a rich library of high-fidelity recordings and interactive lessons designed to improve stethoscope auscultation and clinical listening confidence. Whether you are learning the basics or refining advanced listening skills, Littmann Learning helps you recognize and distinguish normal, benign, and pathological heart and lung sounds. Compare healthy and abnormal findings, reinforce pattern recognition, and build confidence for the classroom, simulation lab, and clinical practice. Build confidence with heart and lung sound recognition. Learn cardiac and pulmonary auscultation with Littmann Learning. Littmann Learning includes a library of curated heart and lung sounds, including: * A range of normal heart sounds * Abnormal heart sounds, including systolic, diastolic, and continuous murmurs * Key pathologies like aortic stenosis, aortic insufficiency, mitral insufficiency, mitral stenosis, hypertrophic cardiomyopathy, ventricular septal defect, atrial septal defect, patent ductus arteriosus, or tetralogy of Fallot * Additional sounds such as clicks, splits, S3/S4, PAC/PVC * A range of normal lung sound recordings * Abnormal lung sounds, including crackles, wheezes, and rhonchi Learn by listening and by seeing. Visual tools such as phonocardiograms and sound displays help connect what you hear through the stethoscope with the underlying acoustic patterns, making it easier to identify important cardiac and pulmonary findings. Littmann Learning is designed for anyone learning heart and lung auscultation, including: nursing students, medical students, interns, residents, fellows, physicians, nurses, PAs, or EMTs. DISCLAIMER: THIS APP DOES NOT PROVIDE MEDICAL ADVICE OR IS AN ATTEMPT TO PRACTICE MEDICINE. The information including but not limited to, text, graphics, images and other material contained on this app are for informational purposes only. No material on this app is intended to be a substitute for professional medical education, advice, diagnosis or treatment. –- Available in-app purchases Subscription titles, content and length: * Basic Monthly — Access to Listening modules for 1 month. * Semester Pass — Full access for 6 months. * Annual Pass — Full access for 12 months. Payment will be charged to iTunes Account at confirmation of purchase. Type of subscriptions: Auto-renewable. Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period. Account will be charged for renewal within 24-hours prior to the end of the current period; the cost for renewal is the same as the initial charge. Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user’s Account Settings after purchase. ---- Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/ Terms of Use: https://info.littmann-learning.com/legal/learning/en/tou_littmann_learning.html

Screenshots

Osmosis4 screens
Littmann Learning4 screens

Verdict

The call

The clearest difference is chart position: Osmosis at #87 against Littmann Learning's unranked. Osmosis also leads on ratings volume (3.9K vs 850). On price, rating, review sentiment and update cadence there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Osmosis sells 12 in-app purchases, starting at $16.99 per month and Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. Whichever you choose, the download price is not the number that matters.

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 4.8 for Osmosis against 4.9 for Littmann Learning. Both are backed by a comparable volume of ratings — 3.9K and 850 respectively. Written reviews split almost evenly too, at 47% and 48% positive.

UpkeepUpdate frequency

Osmosis ships an update monthly, Littmann Learning every 6 weeks. The most recent releases landed on October 20, 2026 and October 19, 2026 respectively.

Scorecard2 real differences · 9 level
Osmosis versus Littmann Learning: the parameters behind the verdict, then further details
ParameterOsmosisLittmann Learning
PriceFreeFree
Rating4.8 (3.9K ratings)4.9 (850 ratings) — better
Positive reviews47.4% of reviews47.6% of reviews — better
Number of ratings3.9K — better850
Update frequencyMonthly — betterEvery 6 weeks
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchasesFree with in-app purchases
Best chart rank#87 — better—
DevicesiPhone, iPadiPhone, iPad, iPod — better
Requires iOS16.615.6 — better
Further details — not scored
Size70 MB19 MB
Age rating17+17+
DeveloperKnowledge DiffusionCSD Labs

Customer experience

Osmosis

All ratings3,884 ratings
Positive95.6%
Neutral1.7%
Negative2.7%
Written reviews234 reviews
Positive47.4%
Neutral15.8%
Negative36.8%

Littmann Learning

All ratings850 ratings
Positive97.9%
Neutral1.1%
Negative1.1%
Written reviews21 reviews
Positive47.6%
Neutral14.3%
Negative38.1%

Bugs and requests

Osmosis

Reported bugs

5 issues
  • Verification email never sent
  • Videos won't play or keep restarting
  • Inability to access high-yield notes on app
  • Flashcards and quizzes not working properly
  • App getting stuck on loading/login screens

Requested features

5 requests
  • Add speech pathology to the platform
  • Provide Arabic subtitles for videos
  • Implement split-screen functionality
  • Allow editing of flashcards on mobile
  • Improve search and playlist features

Littmann Learning

Not enough reviews yet to summarise bugs or requests.

In-app purchases

12 purchases

Osmosis

Subscriptions12
  • Osmosis Full Access Monthly3 variants$16.991 Month
  • Clinical Sciences Monthly$16.991 Month
  • Osmosis Basic Sciences Monthly$16.991 Month
Show 9 more
  • Osmosis Suite Access Monthly$49.001 Month
  • Clinical Science 6 Month$129.006 Months
  • Clinical Science Access Yearly$169.001 Year
  • Basic Sciences Access 6 Month$179.006 Months
  • Osmosis Full Access 6 Month$179.996 Months
  • Osmosis Full Access Yearly$199.991 Year
  • Basic Sciences Access Yearly$199.991 Year
  • Osmosis Suite Access 6 Month$229.006 Months
  • Osmosis Suite Access Yearly$249.001 Year
11 purchases

Littmann Learning

Subscriptions8
  • Standard Plan - 1 month$3.991 Month
  • Premium Plan - 1 month$6.991 Month
  • Basic Monthly$8.991 Month
Show 5 more
  • Standard Plan - 1 year$19.991 Year
  • Semester Pass$29.996 Months
  • Premium Plan - 1 year$39.991 Year
  • Full Version$44.991 Year
  • Annual Pass$49.991 Year
One-time3
  • CE - Fundamentals$124.99
  • CE -Advanced$174.99
  • CE - Intermediate$249.99

Questions

Is Osmosis free?
Osmosis is free to download, with in-app purchases available.
Is Littmann Learning free?
Littmann Learning is free to download, with in-app purchases available.
Which has better reviews, Osmosis or Littmann Learning?
Littmann Learning is rated higher. Osmosis averages 4.8 out of 5 from 3.9K ratings, while Littmann Learning averages 4.9 from 850 ratings.
Do Osmosis or Littmann Learning have ads?
Neither Osmosis nor Littmann Learning shows ads.
Which is updated more often, Osmosis or Littmann Learning?
Osmosis ships an update monthly, and Littmann Learning every 6 weeks. Most recently, Osmosis was updated on October 20, 2026 and Littmann Learning on October 19, 2026.

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