# Counsel EM vs AcilDesk

The clearest difference is in-app purchases: AcilDesk at none against Counsel EM's 2. AcilDesk also leads on update cadence (weekly vs every 2 months). Counsel EM's advantage is iOS requirement (13.0 vs 15.0). On price, ads and device support there is nothing between them.

Both are free to download. Counsel EM sells 2 in-app purchases, starting at $99.99 per year. AcilDesk asks for nothing beyond the download.

Counsel EM ships an update every 2 months, AcilDesk weekly. The most recent releases landed on October 6, 2026 and October 28, 2026 respectively.

## The numbers

| Metric | Counsel EM | AcilDesk |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 2 months | **Weekly** |
| Monetization | Free with in-app purchases | — |
| Size | 107 MB | 42 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Inosante Medikal Saglik Urunleri Sanayi Ve Ticaret Anonim Sirketi](https://appshunter.io/developer/1743943467) | [ACLTEX MEDIKAL TASARIM TEKSTIL LIMITED SIRKETI](https://appshunter.io/developer/6772609039) |

## What reviewers say

### Counsel EM

[App page](https://appshunter.io/ios/app/counsel-em/id6499582997)

This medical reference app provides quick access to information on over 500 diseases, over 1000 concise cards on treatments and drugs, and diagnostic algorithms. It includes tools for blood gas interpretation, medical scores, and symptom-based diagnosis, designed for emergency medicine physicians.

**Highlights:** Disease information (500+), Treatment and drug cards (1000+), Blood gas interpretation tool, Digitalized medical scores, Symptom-to-diagnosis guide, Diagnosis and treatment algorithms

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Counsel EM Premium | $99.99 | per year |
| Counsel EM Premium | $69.99 | one-time |


### AcilDesk

[App page](https://appshunter.io/ios/app/acildesk/id6772612569)

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

**In-app purchases:** none


## Frequently asked questions

### Is Counsel EM free?

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

### Is AcilDesk free?

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

### Do Counsel EM or AcilDesk have ads?

Neither Counsel EM nor AcilDesk shows ads.

### Which is updated more often, Counsel EM or AcilDesk?

Counsel EM ships an update every 2 months, and AcilDesk weekly. Most recently, Counsel EM was updated on October 6, 2026 and AcilDesk on October 28, 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.*