# Case Files vs DIRE

The clearest difference is in-app purchases: DIRE at none against Case Files's 7. DIRE also leads on iOS requirement (12.0 vs 15.6). Case Files's advantage is update cadence (every 20 months vs every 51 months). On price, review sentiment, ads and device support there is nothing between them.

Both are free to download. Case Files sells 7 in-app purchases, starting at $8.99 per 7 days. DIRE asks for nothing beyond the download.

Case Files ships an update every 20 months, DIRE every 51 months. The most recent releases landed on September 18, 2026 and June 3, 2026 respectively.

## The numbers

| Metric | Case Files | DIRE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (1 ratings)](https://appshunter.io/ios/app/dire/id1188944849/reviews)** |
| Number of ratings | — | **1** |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 20 months** | Every 51 months |
| Monetization | Free with in-app purchases | **Free** |
| Size | 23 MB | 8 MB |
| Requires iOS | 15.6 | **12.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Expanded Apps](https://appshunter.io/developer/313709778) | [Riemenrade Studios LLC](https://appshunter.io/developer/801028125) |

## What reviewers say

### Case Files

[App page](https://appshunter.io/ios/app/case-files-geriatrics/id866926025)

This app offers 40 realistic clinical cases to sharpen critical thinking and improve patient care in geriatrics. It includes discussions, key terms, clinical pearls, and board-style review questions to reinforce learning and help users learn instead of memorize.

**Highlights:** 40 high-yield clinical cases, Board-style review questions, Clinical pearls for key concepts, Study, Exam, and Bookmark modes, Progress tracking, Interactive case explanations, iCloud support for multi-device use

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

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Week | $8.99 | per 7 days |
| Weekly Access | $10.99 | per 7 days |
| 1 Month | $18.99 | per month |
| Monthly Access | $19.99 | per month |
| 1 Year | $69.99 | per year |
| Lifetime Access | $29.99 | one-time |
| Case Files Geriatrics, Geriatric Medicine, Gerontology Clinical Cases | $39.99 | one-time |


### DIRE

[App page](https://appshunter.io/ios/app/dire/id1188944849)

This tool assists clinicians in evaluating the risk and potential success of prescribing opioids for chronic pain. It uses a scoring system based on seven factors to guide decision-making, but does not replace professional judgment.

**Highlights:** Opioid prescribing risk assessment, Seven-factor scoring system, Chronic non-malignant pain focus, Decision-making aid for clinicians, Risk vs. success prediction

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Case Files free?

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

### Is DIRE free?

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

### Do Case Files or DIRE have ads?

Neither Case Files nor DIRE shows ads.

### Which is updated more often, Case Files or DIRE?

Case Files ships an update every 20 months, and DIRE every 51 months. Most recently, Case Files was updated on September 18, 2026 and DIRE on June 3, 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.*