Aiko: On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately. Twofold Health: An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes. This comparison weighs them on pricing, features, and everyday workflow fit.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Aiko when transcribing recorded lectures into searchable text for studying matters most, and Twofold Health when telehealth providers capturing and documenting zoom, doxy, or google meet visits matters most. Run both through a week of actual calls to see which suits your workflow.
On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately.
An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes.
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
Twofold Health is an AI medical scribe for clinicians that listens to patient encounters and automatically drafts structured clinical documentation. It captures audio from in-person visits or telehealth sessions on Zoom, Doxy, Google Meet, and other video platforms, and also supports dictating a summary, uploading an existing recording, or uploading handwritten notes via OCR. From the captured audio it produces formatted notes in formats such as SOAP, DAP, BIRP, GIRP, intake, History and Physical, discharge summaries, progress notes, treatment plans, and referral letters. An in-app assistant can answer progress questions, suggest ICD/CPT codes, and generate homework ideas. It runs in any modern browser on macOS, Windows, or Linux, with native iOS and Android apps, and works with EHR systems including Epic, Cerner, Athena, and SimplePractice. Twofold is HIPAA compliant, provides a signed Business Associate Agreement, and states it does not use audio, transcripts, notes, or PHI to train AI models. It targets mental and behavioral health, primary care, psychiatry, and allied health providers.
Best suited for
Aiko is a free tier with paid upgrades (freemium); Twofold Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Aiko | Twofold Health |
|---|---|---|
| Core capability | Fully on-device transcription powered by a local Whisper model | Captures audio from in-person visits and telehealth platforms (Zoom, Doxy, Google Meet) |
| Standout feature | Support for roughly 100 languages | Generates formatted clinical notes (SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, progress notes) |
| Team usage | Transcription of audio and video files in formats like m4a, wav, mp3, mp4, and mov | Multiple capture modes: live session, dictated summary, audio upload, and handwritten-note OCR |
| Integrations | Export to multiple formats including JSON, CSV, and SRT subtitles | In-app assistant for progress questions, ICD/CPT code suggestions, and homework ideas |
| Languages & capture | Word-replacement feature to auto-correct common errors | Works across browser (macOS, Windows, Linux) plus native iOS and Android apps |
| Best-fit workflow | Apple Shortcuts integration and Universal Purchase across Mac, iOS, and visionOS | EHR compatibility including Epic, Cerner, Athena, and SimplePractice |
Aiko
Choose Aiko if you need transcribing recorded lectures into searchable text for studying — strengths include strong privacy because nothing leaves the device.
Twofold Health
Choose Twofold Health if you need mental and behavioral health clinicians automating session notes and treatment plans — strengths include hipaa compliant with a signed business associate agreement, and states it does not train ai models on phi.
Aiko
Twofold Health
It depends on your workflow. Aiko is strong for transcribing recorded lectures into searchable text for studying, while Twofold Health is strong for mental and behavioral health clinicians automating session notes and treatment plans. Both transcribe and summarize meetings.
Aiko is a free tier with paid upgrades and Twofold Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Sure. Running both makes sense when their strengths don't overlap and the budget allows.
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