# SympNote vs Symptomz Pain Tracker

The clearest difference is in-app purchases: SympNote at none against Symptomz Pain Tracker's 2. On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Symptomz Pain Tracker sells 2 in-app purchases, starting at $19.99 per year. SympNote asks for nothing beyond the download.

SympNote ships an update every 3 weeks, Symptomz Pain Tracker every 2 weeks. The most recent releases landed on October 7, 2026 and October 18, 2026 respectively.

## The numbers

| Metric | SympNote | Symptomz Pain Tracker |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 83.3% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 2 weeks** |
| Monetization | Paid | — |
| Size | 25 MB | 13 MB |
| Requires iOS | 18.6 | **18.0** |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 4+ | 12+ |
| Developer | [Ralf Preuss](https://appshunter.io/developer/1817966728) | [WOLKK PTE. LTD.](https://appshunter.io/developer/1882923249) |

## What reviewers say

### SympNote

[App page](https://appshunter.io/ios/app/sympnote-symptom-tracker/id6746699466)

This app allows you to privately track your symptoms, mood, and overall well-being. It offers a structured journal with customizable categories, clear charts for progress analysis, and the ability to attach media. Your data is stored completely offline and is not shared.

**Highlights:** Symptom and mood tracking, Customizable journal categories, Progress analysis with charts, Attach photos, videos, and documents, Data export (CSV, PDF), 100% offline and private, Integrated mood tracker with reminders

**Features:** Family Sharing

**In-app purchases:** none


### Symptomz Pain Tracker

[App page](https://appshunter.io/ios/app/symptomz-pain-tracker/id6761880093)

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Yearly | $19.99 | per year |
| Lifetime | $29.99 | one-time |


## Frequently asked questions

### Is SympNote free?

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

### Is Symptomz Pain Tracker free?

Symptomz Pain Tracker is free to download, with in-app purchases available.

### Do SympNote or Symptomz Pain Tracker have ads?

Neither SympNote nor Symptomz Pain Tracker shows ads.

### Which is updated more often, SympNote or Symptomz Pain Tracker?

SympNote ships an update every 3 weeks, and Symptomz Pain Tracker every 2 weeks. Most recently, SympNote was updated on October 7, 2026 and Symptomz Pain Tracker on October 18, 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.*