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. VoiceboxMD: VoiceboxMD is a medical dictation and AI scribe platform that turns physician speech and doctor-patient conversations into 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 VoiceboxMD when generating ehr-ready soap notes from in-person or telehealth conversations 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.
VoiceboxMD is a medical dictation and AI scribe platform that turns physician speech and doctor-patient conversations into 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
VoiceboxMD is a cloud-based medical dictation and AI scribe platform built for physicians, nurse practitioners, and other clinicians. It converts spoken words into clinical text in real time using speech recognition trained on medical terminology, drug names, diagnostic codes, and clinical abbreviations. Beyond solo dictation into an EHR, its ambient AI scribe can listen to in-person or telehealth encounters over Zoom, Microsoft Teams, or Doxy.me, separate the clinician's voice from the patient's, and produce structured SOAP, H&P, DAP, or custom-template notes with suggested CPT and ICD-10 codes. Audio can be captured through real-time ambient listening or by uploading recorded files, depending on plan. It runs on Windows, macOS (including Apple Silicon), and iOS, and is EHR-agnostic, working with systems such as Epic, Cerner, Athenahealth, eClinicalWorks, and Practice Fusion, plus apps like Word and Outlook. The service is HIPAA-compliant, encrypts data in transit and at rest, deletes audio after processing, and includes a Business Associate Agreement on every plan.
Best suited for
Amical is open source (open source); VoiceboxMD is a free tier with paid upgrades (paid). Always confirm current pricing on each vendor's site before buying.
| Feature | Amical | VoiceboxMD |
|---|---|---|
| Core capability | Local speech-to-text transcription powered by OpenAI Whisper | Ambient AI scribe that listens to in-person and telehealth encounters and generates structured notes |
| Standout feature | On-device LLM processing via Ollama, with a cloud fallback option | Real-time medical speech-to-text dictation trained on clinical terminology |
| Team usage | Context-aware formatting that adapts tone to the active app (email, chat, IDE, terminal) | Automatic SOAP, H&P, and DAP note generation with custom templates |
| Integrations | Multi-language and mixed-language dictation support | CPT and ICD-10 billing code suggestions plus superbill creation |
| Languages & capture | Custom vocabulary for domain-specific terms and configurable hotkeys | EHR-agnostic integration (Epic, Cerner, Athenahealth, eClinicalWorks, Practice Fusion) |
| Best-fit workflow | Smart voice notes with summaries and task generation (in development) | Cross-platform support on Windows, macOS, and iOS with audio file upload |
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.
VoiceboxMD
Choose VoiceboxMD if you need physicians documenting patient visits hands-free during or after encounters — strengths include combines solo dictation and ambient conversation capture in one platform.
Amical
VoiceboxMD
It depends on your workflow. Amical is strong for dictating emails, messages, and documents hands-free with app-appropriate formatting, while VoiceboxMD is strong for physicians documenting patient visits hands-free during or after encounters. Both transcribe and summarize meetings.
Amical is open source and VoiceboxMD 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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