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. Upheal: Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress notes. 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 Amical when dictating emails, messages, and documents hands-free with app-appropriate formatting matters most, and Upheal when group practices standardizing documentation and compliance across multiple clinicians matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
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.
Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress 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
Upheal is an AI-native electronic health record (EHR) platform built specifically for mental health therapists and behavioral health practices. It records and transcribes therapy sessions and then generates clinical progress notes formatted to a chosen template, typically within about a minute. Sessions can be captured through Upheal's built-in HIPAA-compliant telehealth video, in-person audio recording, dictation, or by uploading pre-recorded audio files; transcription supports multiple languages including English, Spanish, Portuguese, German, French, Italian, Mandarin, and Hindi. The platform offers numerous note formats such as SOAP, DAP, BIRP, GIRP, EMDR, intake, and mental status exam, plus customizable sections. Beyond documentation, it provides scheduling, client intake forms, billing and superbills, secure messaging, and compliance checking. A browser extension transfers notes into other EHRs and works alongside telehealth tools like Zoom and Google Meet. By default, audio recordings are deleted after transcription unless saved. It is aimed at solo therapists, group practices, and virtual care providers.
Best suited for
Amical is open source (open source); Upheal is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Amical | Upheal |
|---|---|---|
| Core capability | Local speech-to-text transcription powered by OpenAI Whisper | AI-generated clinical progress notes in formats like SOAP, DAP, BIRP, and GIRP with customizable templates |
| Standout feature | On-device LLM processing via Ollama, with a cloud fallback option | Session capture via built-in HIPAA-compliant telehealth video, in-person audio, dictation, or uploaded recordings |
| Team usage | Context-aware formatting that adapts tone to the active app (email, chat, IDE, terminal) | Multi-language transcription (English, Spanish, Portuguese, German, French, Italian, Mandarin, Hindi) |
| Integrations | Multi-language and mixed-language dictation support | Browser extension to transfer notes into other EHRs and use alongside Zoom and Google Meet |
| Languages & capture | Custom vocabulary for domain-specific terms and configurable hotkeys | Integrated practice management: scheduling, intake forms, billing/superbills, and secure messaging |
| Best-fit workflow | Smart voice notes with summaries and task generation (in development) | Automatic deletion of audio recordings after transcription unless explicitly saved |
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.
Upheal
Choose Upheal if you need therapists automating clinical progress notes after telehealth or in-person sessions — strengths include purpose-built for therapists with clinically structured note templates rather than generic meeting summaries.
Amical
Upheal
It depends on your workflow. Amical is strong for dictating emails, messages, and documents hands-free with app-appropriate formatting, while Upheal is strong for therapists automating clinical progress notes after telehealth or in-person sessions. Both transcribe and summarize meetings.
Amical is open source and Upheal 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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