# Symtally vs Tended

The clearest difference is in-app purchases: Symtally at none against Tended's 1. Symtally also leads on iOS requirement (15.0 vs 18.0). Tended's advantage is ads (none vs shown) and update cadence (every 5 days vs every 5 weeks). On price, review sentiment and device support there is nothing between them.

Both are free to download. Tended sells 1 one-off in-app purchase. Symtally asks for nothing beyond the download.

Tended holds the better App Store score, 4.3 against 4.0. That said, the two scores are not equally well evidenced: Tended has 7 ratings behind it against 1, so its average is the more settled of the two. Written reviews split almost evenly too, at 100% and 100% positive.

Symtally ships an update every 5 weeks, Tended every 5 days. The most recent releases landed on September 22, 2026 and October 19, 2026 respectively.

## The numbers

| Metric | Symtally | Tended |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.0 (1 ratings)](https://appshunter.io/ios/app/symtally-symptom-tracker/id6477356076/reviews) | **[4.3 (7 ratings)](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910/reviews)** |
| Number of ratings | 1 | **7** |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | Yes | **No** |
| Update frequency | Every 5 weeks | **Every 5 days** |
| Monetization | **Ad-supported** | Free with in-app purchases |
| Size | 47 MB | 79 MB |
| Requires iOS | **15.0** | 18.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, Apple Watch |
| Age rating | 17+ | 4+ |
| Developer | [Wippl Ltd](https://appshunter.io/developer/1729089831) | [Geoff Davis](https://appshunter.io/developer/1326616805) |

## What reviewers say

### Symtally

[App page](https://appshunter.io/ios/app/symtally-symptom-tracker/id6477356076)

This app provides a private and simple way to log symptoms, pain, mood, and health patterns. It's designed for individuals managing chronic illness, mental health, or menstrual cycles, with all data stored securely on your device.

**Highlights:** Track symptoms, pain, and mood, Log period and cycle patterns, Built for chronic illness and mental health, Works fully offline, No accounts or data sharing, Data stays on device, View patterns with charts

**In-app purchases:** none


### Tended

[App page](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910)

This health journal helps you track chronic illness symptoms, pain, and daily well-being. Log entries quickly, even on difficult days, and identify potential patterns to better prepare for doctor appointments. It's designed for fluctuating conditions and prioritizes your privacy.

**Highlights:** Log symptoms, pain, energy, mood, and more, Identify patterns and potential triggers, Prepare for doctor appointments with reports, Condition-specific starter sets, On-device AI for descriptions, Privacy-focused with no data collection

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Lifetime | $34.99 | one-time |


## Frequently asked questions

### Is Symtally free?

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

### Is Tended free?

Tended is free to download, with in-app purchases available.

### Which has better reviews, Symtally or Tended?

Tended is rated higher. Symtally averages 4.0 out of 5 from 1 ratings, while Tended averages 4.3 from 7 ratings.

### Do Symtally or Tended have ads?

Symtally shows ads; Tended does not.

### Which is updated more often, Symtally or Tended?

Symtally ships an update every 5 weeks, and Tended every 5 days. Most recently, Symtally was updated on September 22, 2026 and Tended on October 19, 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.*