The only tool here built for speech that other systems can't understand
Accessibility
Speech recognition trained on non-standard speech, including dysarthria. Around $50/month or $500-600/year, with a 30-day free trial and bulk licensing.
Broad platform coverage with an optional offline mode
General Dictation
AI dictation across Mac, Windows, iPhone, and Android that strips filler words and matches your tone per app. Free tier is unlimited on the weaker model.
Bidirectional EHR integration — it reads the chart as well as writing to it
Medical & Legal
Voice-first clinical assistant with real-time bidirectional EHR integration across Epic, Cerner, athenahealth, and MEDITECH. Reported from $299/user/month.
Five platforms and an AppSumo lifetime deal, with the risks that implies
General Dictation
Cloud dictation across Mac, Windows, Linux, iPhone, and Android with zero-retention processing. Free tier is 1,000 words a month; Pro is $12/month annually.
Free, on-device, already installed — try this before you pay for anything
General Dictation
Apple's built-in dictation runs fully on-device on Apple Silicon with no time limit and no cost. WWDC 2026 added on-device auto-punctuation and formatting.
Free, offline, full device control — and natural language is coming
Accessibility
Apple's built-in voice control for Mac, iPhone, and iPad. Works fully offline, costs nothing, and gains natural language input via Apple Intelligence in 2026.
Unlimited free consults, with the clever bits metered
Medical & Legal
AI medical scribe with a free tier offering unlimited basic consults and dictation, capped at 10 Pro Actions a month. Clinician plan reported at $150/month.
Best in KLAS two years running, sold only to health systems
Medical & Legal
Ambient AI clinical documentation with deep Epic and Cerner integration, used by 250+ health systems. Roughly $2,500 per clinician per year, quote-only.