Aiko: On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately. Lyrebird Health: Lyrebird Health is an AI medical scribe that listens during clinical consultations and automatically generates transcribed, structured clinical notes and documents. We compare them on cost, capture approach, and day-to-day fit so you can choose faster.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Aiko when transcribing recorded lectures into searchable text for studying matters most, and Lyrebird Health when generating referral letters, medical certificates, and other clinical documents from consultation audio matters most. Test each on your own meetings; the right choice tends to become obvious quickly.
On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately.
Lyrebird Health is an AI medical scribe that listens during clinical consultations and automatically generates transcribed, structured clinical notes and documents.
Aiko is a native transcription app for macOS, iOS, and visionOS, developed by Sindre Sorhus, that converts speech to text from meetings, lectures, and recordings entirely on-device. It uses OpenAI's Whisper model running locally, so audio never leaves the user's device, which makes it appealing for students and professionals with privacy requirements. Aiko transcribes both audio and video files in common formats such as .m4a, .wav, .mp3, .mp4, and .mov, and supports around 100 languages. Transcriptions can be exported in multiple formats, including JSON, CSV, and SRT subtitles, and the app includes a word-replacement feature to automatically correct recurring errors. It also integrates with Apple Shortcuts for automation workflows. Because Aiko prioritizes accuracy over speed, it does not perform live transcription while recording and currently does not include speaker detection, so it is best for transcribing recorded lectures, interviews, and meetings after the fact. The app is offered as a Universal Purchase with a free trial via TestFlight, making it a low-cost, privacy-first option for turning lecture and meeting recordings into searchable text. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Lyrebird Health is an AI medical scribe built for healthcare practitioners. It listens in the background during a consultation, transcribes the conversation into text in real time, and then generates a structured clinical note (such as SOAP format or a custom template) within seconds of the consultation ending. Beyond notes, it can draft documents like referral letters and medical certificates ready for review. The product runs in the browser (Chrome recommended) on desktop and mobile, supports terminal-server and remote-desktop environments, and is compatible with in-person and telehealth (phone and video) consultations. It offers direct dictation and AI-driven "smart dictate" modes, learns each clinician's documentation style, and includes a translation feature for non-English consults. Lyrebird integrates with electronic medical record systems including Best Practice, Genie/Gentu, and FHIR-compliant systems for one-click note transfer. It is aimed at doctors, specialists, nurses, allied health professionals, dentists, psychologists, and other clinical roles across solo practices, clinics, and enterprise healthcare organizations.
Best suited for
Aiko is a free tier with paid upgrades (freemium); Lyrebird Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Aiko | Lyrebird Health |
|---|---|---|
| Core capability | Fully on-device transcription powered by a local Whisper model | Background listening with real-time voice-to-text transcription during consultations |
| Standout feature | Support for roughly 100 languages | Automatic generation of structured clinical notes (SOAP and customizable templates) |
| Team usage | Transcription of audio and video files in formats like m4a, wav, mp3, mp4, and mov | Drafting of clinical documents such as referral letters and medical certificates |
| Integrations | Export to multiple formats including JSON, CSV, and SRT subtitles | EMR integrations including Best Practice, Genie/Gentu, and FHIR-compliant systems for one-click transfer |
| Languages & capture | Word-replacement feature to auto-correct common errors | Direct dictate and AI-powered smart dictate modes |
| Best-fit workflow | Apple Shortcuts integration and Universal Purchase across Mac, iOS, and visionOS | Telehealth-compatible and browser-based with desktop and mobile support |
Aiko
Choose Aiko if you need transcribing recorded lectures into searchable text for studying — strengths include strong privacy because nothing leaves the device.
Lyrebird Health
Choose Lyrebird Health if you need automating clinical note-taking for doctors and specialists during in-person or telehealth consultations — strengths include purpose-built for clinical documentation and adapts to each clinician's note-taking style.
Aiko
Lyrebird Health
It depends on your workflow. Aiko is strong for transcribing recorded lectures into searchable text for studying, while Lyrebird Health is strong for automating clinical note-taking for doctors and specialists during in-person or telehealth consultations. Both transcribe and summarize meetings.
Aiko is a free tier with paid upgrades and Lyrebird Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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