Augnito: Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes. Natively: A free, open-source desktop AI meeting assistant offering real-time transcription, structured notes, and on-call answers with local processing and bring-your-own-key support. The right pick comes down to team size, budget, and the workflows you want to automate.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Augnito when clinicians dictating reports, discharge summaries, and imaging notes hands-free matters most, and Natively when running a fully local, offline meeting assistant via ollama for sensitive discussions matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
Augnito is a voice AI platform for clinical documentation, offering medical speech-to-text dictation and an ambient AI scribe that turns clinician-patient conversations into structured notes.
A free, open-source desktop AI meeting assistant offering real-time transcription, structured notes, and on-call answers with local processing and bring-your-own-key support.
Augnito is a healthcare voice AI company (founded 2020, co-developed with Scribetech) focused on clinical documentation. Its two main products are Augnito Spectra, a medical speech-to-text engine for real-time dictation and voice commands, and Augnito Omni, an ambient AI scribe that captures clinician-patient conversations and structures them into EMR-ready notes such as SOAP notes. Capture is microphone-based: clinicians dictate directly, or Omni listens ambiently to natural conversation, with no voice-profile training required. The vendor states accent-agnostic recognition across 55+ clinical specialties, with Omni supporting 37+ languages. It is delivered as cloud-based SaaS and runs on desktop workstations, a mobile app, and a Chrome browser extension, with an on-premises deployment option for Spectra. Augnito integrates with third-party EMR/EHR, RIS, and PACS systems (including Epic and Cerner) without requiring native integration, and includes a Smart Editor plus customizable templates. It holds HIPAA, SOC 2 Type II, and ISO 27001 certifications. It is intended for doctors, radiologists, GPs, nurses, surgeons, and healthcare enterprises.
Best suited for
Natively is an open-source AI meeting assistant maintained by the Natively-AI-assistant project and actively developed through 2025 and 2026. It runs as a desktop application on macOS (Apple Silicon and Intel) and Windows, capturing meeting audio directly on the device rather than joining calls as a visible participant. Built with a Rust-based audio pipeline, it provides low-latency real-time transcription and generates structured, searchable meeting notes that include action items, decisions, and key moments, alongside an on-demand AI assist triggered by a keyboard shortcut. It offers several meeting modes for different contexts and works alongside major platforms such as Zoom, Google Meet, and Microsoft Teams. Natively is bring-your-own-key and supports providers including Google Gemini, OpenAI, Anthropic Claude, and Groq, plus a fully local option through Ollama so transcription and analysis can stay offline on the user's machine; meeting data is stored locally by default. As an indie, community-driven tool it positions itself as a free alternative to paid commercial assistants, though it relies on user-supplied API keys for cloud models and is still evolving. Verify current features and any policies on the official site. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Augnito is custom pricing (contact sales); Natively is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Augnito | Natively |
|---|---|---|
| Core capability | Medical speech-to-text dictation with voice commands (Augnito Spectra) | Real-time transcription with a low-latency Rust-based audio pipeline |
| Standout feature | Ambient AI scribe that structures clinician-patient conversations into notes (Augnito Omni) | Structured, searchable meeting notes with action items and decisions |
| Team usage | Accent-agnostic recognition with no voice-profile training, across 55+ clinical specialties | On-demand AI assist via keyboard shortcut during calls |
| Integrations | Multilingual ambient capture supporting 37+ languages | Bring-your-own-key support for Gemini, OpenAI, Claude, and Groq |
| Languages & capture | Works with third-party EMR/EHR, RIS, and PACS without native integration | Fully local/offline option through Ollama with local data storage by default |
| Best-fit workflow | Customizable templates and SOAP-note formats with a built-in Smart Editor | Works alongside Zoom, Google Meet, and Microsoft Teams without a visible bot |
Augnito
Choose Augnito if you need clinicians dictating reports, discharge summaries, and imaging notes hands-free — strengths include specialized for healthcare with broad emr/ehr/ris/pacs compatibility and no native integration required.
Natively
Choose Natively if you need capturing real-time transcripts and structured notes from calls without a visible bot — strengths include free and open source with active development.
Augnito
Natively
It depends on your workflow. Augnito is strong for clinicians dictating reports, discharge summaries, and imaging notes hands-free, while Natively is strong for capturing real-time transcripts and structured notes from calls without a visible bot. Both transcribe and summarize meetings.
Augnito is custom pricing and Natively is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Often yes: teams combine tools when one handles capture and another handles analysis.
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