Amical: Amical is an open-source, local-first AI dictation and voice-notes app that transcribes speech to text on your own machine using Whisper and open-source LLMs. PatientNotes: PatientNotes is an AI medical scribe that listens to clinician-patient conversations and automatically generates structured clinical notes. Which one wins depends on your platform mix, budget, and how hands-off you want notes to be.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Amical when dictating emails, messages, and documents hands-free with app-appropriate formatting matters most, and PatientNotes when generating specialty-formatted soap and progress notes for entry into an ehr matters most. Try them side by side on real calls before deciding — needs vary by team.
Amical is an open-source, local-first AI dictation and voice-notes app that transcribes speech to text on your own machine using Whisper and open-source LLMs.
PatientNotes is an AI medical scribe that listens to clinician-patient conversations and automatically generates structured clinical notes.
Amical is an open-source, MIT-licensed AI dictation application that turns speech into formatted text directly on your device. It runs OpenAI's Whisper for speech recognition locally and uses open-source LLMs (via Ollama) for intelligent processing, so dictation can work offline once a local model is set up; for machines that can't handle local inference, it offers a cloud fallback. Built with Electron and TypeScript, it runs on Mac and Windows as a desktop app with a floating widget interface and configurable hotkeys. Its standout feature is context-aware formatting: it detects the active application and adapts tone and structure accordingly, producing professional text in email, casual phrasing in chat apps, or prompt and command-style output in IDEs and terminals. It supports many languages plus mixed-language dictation, and custom vocabulary for domain-specific terms. Beyond dictation, it is adding smart voice notes with summaries and task generation. It targets privacy-conscious writers, developers, and professionals wanting a free alternative to paid dictation tools.
Best suited for
PatientNotes is an AI medical scribe built for healthcare providers. It uses ambient AI listening to capture natural conversations between clinicians and patients in the background, transcribing both speakers without requiring typing or voice commands. From each encounter it generates structured clinical documentation including SOAP notes, progress notes, H&P documentation, and custom formats automatically formatted to specialty standards. The platform also suggests ICD-10 diagnosis and CPT procedure codes based on the documentation. It supports a range of medical specialties such as primary care, psychiatry, cardiology, dermatology, and pediatrics, with specialty-specific templates. Finished notes are moved into electronic health record systems via one-click copy and paste, with formatting optimized for major EHRs like Epic, Cerner, and Athena; direct API integration is not used. It is available as a native iOS app for iPhone and iPad and as a web application, with automatic syncing across devices and an Android app noted as in development. The product is marketed as HIPAA compliant.
Best suited for
Amical is open source (open source); PatientNotes is a free tier with paid upgrades (paid). Always confirm current pricing on each vendor's site before buying.
| Feature | Amical | PatientNotes |
|---|---|---|
| Core capability | Local speech-to-text transcription powered by OpenAI Whisper | Ambient AI listening that captures both patient and clinician speech in the background |
| Standout feature | On-device LLM processing via Ollama, with a cloud fallback option | Automatic generation of structured clinical notes (SOAP, progress, H&P, custom) |
| Team usage | Context-aware formatting that adapts tone to the active app (email, chat, IDE, terminal) | AI-suggested ICD-10 diagnosis and CPT procedure codes |
| Integrations | Multi-language and mixed-language dictation support | Specialty-specific templates across multiple medical specialties |
| Languages & capture | Custom vocabulary for domain-specific terms and configurable hotkeys | One-click copy and paste into any EHR, optimized for Epic, Cerner, and Athena |
| Best-fit workflow | Smart voice notes with summaries and task generation (in development) | Native iOS app plus web application with cross-device syncing |
Amical
Choose Amical if you need dictating emails, messages, and documents hands-free with app-appropriate formatting — strengths include fully open source (mit) and actively maintained with frequent releases.
PatientNotes
Choose PatientNotes if you need clinicians documenting in-person patient visits hands-free during the encounter — strengths include removes manual documentation work by transcribing encounters and drafting notes automatically.
Amical
PatientNotes
It depends on your workflow. Amical is strong for dictating emails, messages, and documents hands-free with app-appropriate formatting, while PatientNotes is strong for clinicians documenting in-person patient visits hands-free during the encounter. Both transcribe and summarize meetings.
Amical is open source and PatientNotes 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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