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. Tandem Health: Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Amical when dictating emails, messages, and documents hands-free with app-appropriate formatting matters most, and Tandem Health when assisting clinicians with diagnosis and procedure coding suggestions matters most. Test each on your own meetings; the right choice tends to become obvious quickly.
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.
Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems.
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
Tandem Health, founded in 2023 and based in Stockholm, builds an AI medical assistant for healthcare professionals. Its AI Scribe captures patient consultations by listening to the conversation in real time and transcribes the audio, then generates a structured clinical note ready for the clinician to review and send to their electronic health record in one click. The platform supports in-person visits and virtual consultations, and produces notes in the clinician's chosen language. Alongside the scribe, Tandem offers a Coding Assistant that suggests diagnosis and procedure codes from validated guidelines, and Clinical Decision Support that answers patient-specific clinical questions with source citations. The product integrates with more than 100 medical record systems across Europe. It is CE marked under EU MDR as Class IIa medical devices and holds ISO 13485 and ISO 27001 certifications, with GDPR compliance and a stated policy of not storing conversation audio after transcription. It is used by clinicians across general practice, mental health, veterinary, and other care settings throughout Europe.
Best suited for
Amical is open source (open source); Tandem Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Amical | Tandem Health |
|---|---|---|
| Core capability | Local speech-to-text transcription powered by OpenAI Whisper | AI Scribe that transcribes consultations and auto-generates structured clinical notes |
| Standout feature | On-device LLM processing via Ollama, with a cloud fallback option | Real-time voice capture for in-person and virtual consultations |
| Team usage | Context-aware formatting that adapts tone to the active app (email, chat, IDE, terminal) | One-click transfer of notes to electronic health record systems |
| Integrations | Multi-language and mixed-language dictation support | Coding Assistant suggesting diagnosis and procedure codes from validated guidelines |
| Languages & capture | Custom vocabulary for domain-specific terms and configurable hotkeys | Clinical Decision Support answering patient-specific questions with source citations |
| Best-fit workflow | Smart voice notes with summaries and task generation (in development) | Multi-language note generation and integration with 100+ medical record systems |
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.
Tandem Health
Choose Tandem Health if you need generating clinical notes automatically during doctor-patient consultations to reduce documentation time — strengths include purpose-built for clinical documentation with deep ehr integration across europe.
Amical
Tandem Health
It depends on your workflow. Amical is strong for dictating emails, messages, and documents hands-free with app-appropriate formatting, while Tandem Health is strong for generating clinical notes automatically during doctor-patient consultations to reduce documentation time. Both transcribe and summarize meetings.
Amical is open source and Tandem 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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