Patternwise vs Attune
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Patternwise
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Patternwise is a calm, private journal for noticing your own health patterns. Track migraine, reflux, sleep, food, stress and the weather around you — all in one place — and see how they line up over time. Most trackers follow a single condition. Patternwise is built to hold several at once, so you can spot connections a one-condition app would miss — like how a short night's sleep or a skipped meal tends to show up around a flare. WHAT YOU CAN DO • Log a symptom in seconds — what, how intense, done. Add detail only if you want to. • Track food, drinks and lifestyle factors (sleep, stress, exercise, and your own custom ones). • Track for yourself or someone you care for, with separate private profiles. • See gentle, honest insights — a calendar and frequency view, plus a look-back at what you logged in the hours around an entry (for context, never as a cause). • Auto-capture weather and pressure, and — with your permission — last night's sleep, so there's less to type. • Export a clean summary or CSV to keep, or to share with your doctor. PRIVATE BY DESIGN Everything you log stays on your device, encrypted. There's no account, no sign-up, and nothing is sent to a server. Optional AI summaries run entirely on your device. A NOTE ON WHAT THIS IS Patternwise is a wellness journal, not a medical device. It does not diagnose, treat, or predict any condition. For anything health-related, talk with your doctor.
Attune
Effortlessly track hot flashes and monitor the impact of hormone therapy. Log symptoms with a single tap on your iPhone or Apple Watch, and visualize changes in your health data over time. Generate comprehensive reports for your doctor.
- One-tap hot flash logging
- Hormone therapy dose tracking
- Sleep and heart rate integration
- Customizable reminders
- Doctor-ready PDF reports
- Data export to CSV
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Track hot flashes in one tap. See what your hormone therapy actually changed. Log hot flashes with one tap — on your iPhone or right from your Apple Watch. Every dose change becomes a line on your charts, so you can see exactly what happened after: fewer hot flashes, better sleep, calmer heart rate. REMINDERS THAT CLOSE THE LOOP Patch days (twice a week, your schedule), daily gel or pills. If you don't mark it done, Attune follows up 45 minutes later. Mark it done right from the notification — no more "did I change it on Thursday?" EVERY MEDICATION ON ITS OWN SCHEDULE Two tablets at once is the normal prescription, not the exception. Each medication keeps its own doses, its own schedule and its own reminders — including cyclical progesterone by day of the month. Nothing is merged, nothing overwrites anything else. THE DOSE LINE Change your patch, gel or pills — Attune marks the date on every chart and compares before with after over 2 weeks, 6 weeks or 3 months, and flags short coverage as preliminary. Not on therapy yet? Start logging now — the "before" period can only be recorded while it is happening. "Hot flashes down 40% since your dose change" is a sentence your doctor can work with. ONE-TAP LOGGING Hot flashes happen anywhere. Tap once on your Apple Watch and it's recorded with the exact time — day and night episodes counted separately. Adjust intensity and triggers later, only if you want. APPLE HEALTH, BUILT IN Attune imports 6 months of sleep and heart history the moment you connect, so your charts mean something from day one. Sleep, resting heart rate and HRV update automatically. A REPORT YOUR DOCTOR TAKES SERIOUSLY A concise PDF: hot flash frequency by week, response to your last dose change, sleep and heart trends. Generate a PDF and walk into your appointment with evidence. WHAT YOU TRACK IS UP TO YOU Add your own symptoms — joint pain, anxiety, palpitations — and rate them 1–5 next to the built-in ones. Log bleeding on any day, or never: there is no cycle setup anywhere in Attune, and it works the same after a hysterectomy. Fix a wrong entry or add a missed one on any past day. YOUR DATA STAYS YOURS No account is required, and your diary and Apple Health readings never leave your device. Export to CSV anytime. Subscription: after a 7-day free trial, at the price shown in your App Store. Payment is charged to your Apple Account. Subscription renews automatically unless cancelled at least 24 hours before the end of the period. Manage or cancel in Settings. Attune is a tracking tool, not a medical device. Always consult your clinician about your therapy. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://attunehrt.pages.dev/privacy
Screenshots
Verdict
The clearest difference is update cadence: Attune at every 2 days against Patternwise's every 3 weeks. On price, ads, in-app purchases and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Patternwise sells 1 one-off in-app purchase and Attune sells 2 in-app purchases, starting at $5.99 per month. Whichever you choose, the download price is not the number that matters.
Patternwise ships an update every 3 weeks, Attune every 2 days. Both last shipped on October 31, 2026.
| Parameter | Patternwise | Attune |
|---|---|---|
| Price | Free | Free |
| Rating | — | 5.0 (2 ratings) — better |
| Positive reviews | — | 100.0% of reviews |
| Number of ratings | — | 2 — better |
| Update frequency | Every 3 weeks | Every 2 days — better |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Monetization | — | Freemium |
| Devices | iPhone, iPad | iPhone, Apple Watch |
| Requires iOS | 16.4 — better | 17.0 |
| Further details — not scored | ||
| Size | 61 MB | 6 MB |
| Age rating | 4+ | 12+ |
| Developer | Thilina Abeyrathna | Ilia Usatov |
In-app purchases
Patternwise
- Patternwise Premium — Lifetime$14.99
Attune
- Monthly$5.991 Month
- Yearly7 Days trial$49.991 Year









