# Tended vs Symptio

The clearest difference is rating: Symptio at 5.0 against Tended's 4.3. Tended's advantage is ratings volume (7 vs 1). On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Tended sells 1 one-off in-app purchase and Symptio sells 3 in-app purchases, starting at $4.99 per month. Whichever you choose, the download price is not the number that matters.

Symptio holds the better App Store score, 5.0 against 4.3. That said, the two scores are not equally well evidenced: Tended has 7 ratings behind it against 1, so its average is the more settled of the two.

Both ship on a similar rhythm, roughly every 4 days. The most recent releases landed on October 3, 2026 and October 7, 2026 respectively.

## The numbers

| Metric | Tended | Symptio |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.3 (7 ratings)](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/symptio-symptom-tracker/id6761065369/reviews)** |
| Number of ratings | **7** | 1 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 4 days | Every 4 days |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 69 MB | 13 MB |
| Requires iOS | 18.0 | **17.0** |
| Devices | iPhone, iPad, Apple Watch | iPhone, iPad, Apple Watch |
| Age rating | 4+ | 12+ |
| Developer | [Geoff Davis](https://appshunter.io/developer/1326616805) | [Liwei Xie](https://appshunter.io/developer/1106616046) |

## What reviewers say

### Tended

[App page](https://appshunter.io/ios/app/tended-symptom-tracker/id6760765910)

This health journal helps you track chronic illness symptoms, pain, and daily well-being. Log entries quickly, even on difficult days, and identify potential patterns to better prepare for doctor appointments. It's designed for fluctuating conditions and prioritizes your privacy.

**Highlights:** Log symptoms, pain, energy, mood, and more, Identify patterns and potential triggers, Prepare for doctor appointments with reports, Condition-specific starter sets, On-device AI for descriptions, Privacy-focused with no data collection

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Lifetime | $34.99 | one-time |


### Symptio

[App page](https://appshunter.io/ios/app/symptio-symptom-tracker/id6761065369)

Track symptoms, medications, and triggers to identify health patterns. Visualize trends with charts and gain insights into your well-being. Syncs with Apple Health and offers family profiles for comprehensive care.

**Highlights:** Symptom logging (1-10 rating), Add photos, medications, notes, triggers, 7-day and 30-day trend charts, Calendar heatmap, Smart Insights for pattern detection, Apple Health sync, Family profiles, PDF and CSV report export

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

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Symptio Pro | $4.99 | per month |
| Symptio Pro | $29.99 | per year |
| Symptio Pro Lifetime | $59.99 | one-time |


## Frequently asked questions

### Is Tended free?

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

### Is Symptio free?

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

### Which has better reviews, Tended or Symptio?

Symptio is rated higher. Tended averages 4.3 out of 5 from 7 ratings, while Symptio averages 5.0 from 1 ratings.

### Do Tended or Symptio have ads?

Neither Tended nor Symptio shows ads.

### Which is updated more often, Tended or Symptio?

Tended ships an update every 4 days, and Symptio every 4 days. Most recently, Tended was updated on October 3, 2026 and Symptio on October 7, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*