# IntubAcus Pro vs UPDATE SIM

The clearest difference is price: IntubAcus Pro at $2.99 against UPDATE SIM's $49.99. UPDATE SIM's advantage is update cadence (daily vs every 7 months) and device support (3 vs 1). On ads and in-app purchases there is nothing between them.

IntubAcus Pro costs $2.99 and UPDATE SIM $49.99 up front. Neither carries in-app purchases, so what you see is what you pay.

IntubAcus Pro ships an update every 7 months, UPDATE SIM daily. The most recent releases landed on October 7, 2026 and September 28, 2026 respectively.

## The numbers

| Metric | IntubAcus Pro | UPDATE SIM |
| --- | --- | --- |
| Price | **$2.99** | $49.99 |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Daily** |
| Size | 3 MB | 7 MB |
| Requires iOS | 26.2 | **16.0** |
| Devices | iPhone | **iPhone, iPad, Apple Watch** |
| Age rating | 17+ | 17+ |
| Developer | [DIEGO FELIPE ACUNA SOTO](https://appshunter.io/developer/1875712030) | [Osvaldo Campos Carvajal](https://appshunter.io/developer/6794471588) |

## What reviewers say

### IntubAcus Pro

[App page](https://appshunter.io/ios/app/intubacus-pro/id6759066961)

**Features:** macOS Compatibility

**In-app purchases:** none


### UPDATE SIM

[App page](https://appshunter.io/ios/app/update-sim-ecg-simulator/id6794471586)

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

**In-app purchases:** none


## Frequently asked questions

### Is IntubAcus Pro free?

IntubAcus Pro costs $2.99, with no in-app purchases.

### Is UPDATE SIM free?

UPDATE SIM costs $49.99, with no in-app purchases.

### Do IntubAcus Pro or UPDATE SIM have ads?

Neither IntubAcus Pro nor UPDATE SIM shows ads.

### Which is updated more often, IntubAcus Pro or UPDATE SIM?

IntubAcus Pro ships an update every 7 months, and UPDATE SIM daily. Most recently, IntubAcus Pro was updated on October 7, 2026 and UPDATE SIM on September 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.*