# Mako Training vs LLEM

The clearest difference is update cadence: LLEM at every 9 days against Mako Training's every 6 months. LLEM also leads on iOS requirement (15.0 vs 18.0). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Mako Training ships an update every 6 months, LLEM every 9 days. The most recent releases landed on September 28, 2026 and September 27, 2026 respectively.

## The numbers

| Metric | Mako Training | LLEM |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[2.5 (2 ratings)](https://appshunter.io/ios/app/mako-training/id6743401898/reviews)** | — |
| Number of ratings | **2** | — |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 9 days** |
| Monetization | Free | — |
| Size | 477 MB | 38 MB |
| Requires iOS | 18.0 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 12+ |
| Developer | [Stryker](https://appshunter.io/developer/418553597) | [PRAKTYKA LEKARSKA SPECJALISTYCZNA PRZEMYSLAW CZUMA](https://appshunter.io/developer/1883258637) |

## What reviewers say

### Mako Training

[App page](https://appshunter.io/ios/app/mako-training/id6743401898)

An educational tool to practice Mako Total Knee balancing scenarios and visualize surgical plans. It reinforces key concepts of Mako workflows to build confidence for high-impact cases. This app is for training purposes only and not for clinical use.

**Highlights:** Practice Mako Total Knee balancing scenarios, Visualize surgical plans and outcomes, Reinforce Mako workflow concepts, Explore pre-set surgical cases, Build confidence in case preparation

**In-app purchases:** none


### LLEM

[App page](https://appshunter.io/ios/app/llem/id6760212758)

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

**In-app purchases:** none


## Frequently asked questions

### Is Mako Training free?

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

### Is LLEM free?

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

### Do Mako Training or LLEM have ads?

Neither Mako Training nor LLEM shows ads.

### Which is updated more often, Mako Training or LLEM?

Mako Training ships an update every 6 months, and LLEM every 9 days. Most recently, Mako Training was updated on September 28, 2026 and LLEM on September 27, 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.*