# Spiral vs PatternMD

The clearest difference is in-app purchases: PatternMD at none against Spiral's 2. Spiral's advantage is update cadence (fortnightly vs monthly). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Spiral sells 2 in-app purchases, starting at $4.99 per month. PatternMD asks for nothing beyond the download.

Spiral ships an update fortnightly, PatternMD monthly. The most recent releases landed on October 25, 2026 and October 28, 2026 respectively.

## The numbers

| Metric | Spiral | PatternMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (25 ratings)](https://appshunter.io/ios/app/patternmd/id6761932969/reviews)** |
| Number of ratings | — | **25** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Fortnightly** | Monthly |
| Monetization | — | Free |
| Size | 40 MB | 7 MB |
| Requires iOS | 15.1 | **15.0** |
| Devices | **iPhone, iPad, iPod, Mac** | iPhone, iPad, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Emre Yavuz](https://appshunter.io/developer/1294025226) | [PatternMD LLC](https://appshunter.io/developer/1892138257) |

## What reviewers say

### Spiral

[App page](https://appshunter.io/ios/app/spiral-mindful-journal/id6760195091)

**Features:** Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Spiral Premium | $4.99 | per month |
| Spiral Premium | $39.99 | per year |


### PatternMD

[App page](https://appshunter.io/ios/app/patternmd/id6761932969)

Log symptoms, discover triggers, and connect anonymously with others experiencing similar health issues. This app uses AI to help you understand your patterns and offers private journaling and optional provider sharing.

**Highlights:** Anonymous symptom logging, AI-powered pattern discovery, Community support ('Say ME TOO'), Private health journal, Medication tracking, Optional doctor connection, Wellness mini-games

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

**In-app purchases:** none


## Frequently asked questions

### Is Spiral free?

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

### Is PatternMD free?

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

### Do Spiral or PatternMD have ads?

Neither Spiral nor PatternMD shows ads.

### Which is updated more often, Spiral or PatternMD?

Spiral ships an update fortnightly, and PatternMD monthly. Most recently, Spiral was updated on October 25, 2026 and PatternMD 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.*