# Pain Squad vs Act

The clearest difference is update cadence: Act at every 3 weeks against Pain Squad's every 29 months. Pain Squad's advantage is iOS requirement (9.3 vs 17.0). On price, ads, in-app purchases and device support there is nothing between them.

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

Pain Squad ships an update every 29 months, Act every 3 weeks. The most recent releases landed on October 4, 2026 and October 10, 2026 respectively.

## The numbers

| Metric | Pain Squad | Act |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 29 months | **Every 3 weeks** |
| Monetization | Free | — |
| Size | 50 MB | 63 MB |
| Requires iOS | **9.3** | 17.0 |
| Devices | **iPhone, iPod** | iPhone |
| Age rating | 4+ | 17+ |
| Developer | [The Hospital for Sick Children](https://appshunter.io/developer/444728983) | [Emory University](https://appshunter.io/developer/387102326) |

## What reviewers say

### Pain Squad

[App page](https://appshunter.io/ios/app/pain-squad/id929781246)

This app is an electronic pain diary designed for children with cancer, aged 8-18, to track their pain. It gamifies the process of reporting pain intensity, location, and relief methods, allowing users to advance in ranks and share reports with healthcare providers.

**Highlights:** Electronic pain diary, Gamified experience, Pain tracking and reporting, Rank advancement system, Printable pain reports, Reminders for reports

**In-app purchases:** none


### Act

[App page](https://appshunter.io/ios/app/act-gen/id1591106974)

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

**In-app purchases:** none


## Frequently asked questions

### Is Pain Squad free?

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

### Is Act free?

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

### Do Pain Squad or Act have ads?

Neither Pain Squad nor Act shows ads.

### Which is updated more often, Pain Squad or Act?

Pain Squad ships an update every 29 months, and Act every 3 weeks. Most recently, Pain Squad was updated on October 4, 2026 and Act on October 10, 2026.

---

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