# ALF Checklist vs MKSAP 19

The clearest difference is rating: ALF Checklist at 4.5 against MKSAP 19's 4.1. ALF Checklist also leads on review sentiment (100% vs 71%). MKSAP 19's advantage is update cadence (every 2 months vs every 108 months) and ratings volume (38 vs 2). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ALF Checklist holds the better App Store score, 4.5 against 4.1. That said, the two scores are not equally well evidenced: MKSAP 19 has 38 ratings behind it against 2, so its average is the more settled of the two. Written reviews point the same way: 100% of ALF Checklist's written reviews are positive against 71% of MKSAP 19's.

ALF Checklist ships an update every 108 months, MKSAP 19 every 2 months. The most recent releases landed on November 1, 2026 and November 4, 2026 respectively.

## The numbers

| Metric | ALF Checklist | MKSAP 19 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.5 (2 ratings)](https://appshunter.io/ios/app/alf-checklist/id893806157/reviews)** | [4.1 (38 ratings)](https://appshunter.io/ios/app/mksap-19/id1577787036/reviews) |
| Number of ratings | 2 | **38** |
| Positive reviews | **100.0% of reviews** | 70.6% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 108 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 1 MB | 423 MB |
| Requires iOS | 15.0 | **12.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Tung Tree LLC](https://appshunter.io/developer/893806160) | [American College of Physicians](https://appshunter.io/developer/371090673) |

## What reviewers say

### ALF Checklist

[App page](https://appshunter.io/ios/app/alf-checklist/id893806157)

This medical app provides a standardized checklist for healthcare professionals managing patients with acute liver failure. It aims to improve clinical management, diagnostic accuracy, and patient survival through task lists, diagnostic tests, and evaluation guides.

**Highlights:** Admission and daily task lists, Diagnostic test checklist, Recommended therapies guide, System-categorized evaluation checklists, Instructional video

**In-app purchases:** none


### MKSAP 19

[App page](https://appshunter.io/ios/app/mksap-19/id1577787036)

This medical education app provides access to current information in internal medicine and subspecialties. It includes exam-like questions and patient-based clinical scenarios to help physicians assess and update their knowledge. Offline access to content is available for subscribers.

**Highlights:** Current internal medicine information, 1,200 exam-like multiple-choice questions, Patient-based clinical scenarios, Offline content access, Syncs with online version, Enhances learning with figures, charts, and tables

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is ALF Checklist free?

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

### Is MKSAP 19 free?

MKSAP 19 is free to download, with no in-app purchases.

### Which has better reviews, ALF Checklist or MKSAP 19?

ALF Checklist is rated higher. ALF Checklist averages 4.5 out of 5 from 2 ratings, while MKSAP 19 averages 4.1 from 38 ratings.

### Do ALF Checklist or MKSAP 19 have ads?

Neither ALF Checklist nor MKSAP 19 shows ads.

### Which is updated more often, ALF Checklist or MKSAP 19?

ALF Checklist ships an update every 108 months, and MKSAP 19 every 2 months. Most recently, ALF Checklist was updated on November 1, 2026 and MKSAP 19 on November 4, 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.*