# Case Files vs USMLE

The clearest difference is update cadence: USMLE at every 6 weeks against Case Files's every 4 months. USMLE also leads on chart position (#180 vs unranked). Case Files's advantage is review sentiment (60% vs 49%). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Case Files sells 9 one-off in-app purchases and USMLE sells 1 in-app purchase, starting at $49.99 per month. Whichever you choose, the download price is not the number that matters.

Case Files ships an update every 4 months, USMLE every 6 weeks. The most recent releases landed on November 3, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | Case Files | USMLE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.7 (5K ratings)](https://appshunter.io/ios/app/usmle-rx/id1222119266/reviews)** |
| Number of ratings | — | **5K** |
| Positive reviews | **60.0% of reviews** | 48.9% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 6 weeks** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Best chart rank | — | **#180** |
| Size | 47 MB | 40 MB |
| Requires iOS | 15.6 | **15.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Expanded Apps](https://appshunter.io/developer/313709778) | [MedIQ Learning, LLC](https://appshunter.io/developer/344457828) |

## What reviewers say

### Case Files

[App page](https://appshunter.io/ios/app/case-files-usmle-test-prep/id656504693)

Prepare for medical exams with realistic clinical case studies and USMLE-style questions. Learn through interactive cases, clinical pearls, and proven study methods designed to improve shelf-exam scores and real-world practice readiness.

**Highlights:** Realistic clinical case studies, USMLE-style practice questions, Interactive learning system, Clinical pearls and explanations, Study, Exam, and Bookmark modes, Progress tracking and notes

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

**In-app purchases (9)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Emergency Medicine | $29.99 | one-time |
| Family Medicine | $29.99 | one-time |
| Neurology | $29.99 | one-time |
| Gynaecology | $29.99 | one-time |
| Pediatrics | $29.99 | one-time |
| Psychiatry | $29.99 | one-time |
| Surgery | $29.99 | one-time |
| Lifetime Access | $29.99 | one-time |
| Lifetime Access | $39.99 | one-time |


### USMLE

[App page](https://appshunter.io/ios/app/usmle-rx/id1222119266)

**Currently charting:** #180 Top Grossing · Medical (US App Store)

Master medical school and the USMLE with a comprehensive resource app. Access board-style questions, interactive learning modules, flashcards, and videos. Study anytime, anywhere with cloud syncing and personalized study tools.

**Highlights:** Thousands of USMLE board-style questions, Nearly 800 eLearning modules, Over 14,000 flashcards, Over 80 hours of high-yield videos, Cloud syncing across devices, Spaced repetition study tool

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| RX360+ | $49.99 | per month |


## Frequently asked questions

### Is Case Files free?

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

### Is USMLE free?

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

### Do Case Files or USMLE have ads?

Neither Case Files nor USMLE shows ads.

### Which is updated more often, Case Files or USMLE?

Case Files ships an update every 4 months, and USMLE every 6 weeks. Most recently, Case Files was updated on November 3, 2026 and USMLE on November 2, 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.*