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. Shadow: A bot-free, Mac-based AI meeting assistant that transcribes and summarizes calls locally without joining as a participant. 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 Augnito when clinicians dictating reports, discharge summaries, and imaging notes hands-free matters most, and Shadow when privacy-conscious teams that prefer on-device transcription matters most. Test each on your own meetings; the right choice tends to become obvious quickly.
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 bot-free, Mac-based AI meeting assistant that transcribes and summarizes calls locally without joining as a participant.
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
Shadow is a bot-free AI meeting assistant for macOS that captures meetings by listening to your computer's audio in the background rather than joining the call as a visible participant. Because transcription runs locally on the Mac, the audio does not need to leave the device for that core processing step, which the company positions as a privacy advantage. Shadow can automatically detect when a meeting starts, transcribe the conversation with speaker identification, and turn the discussion into structured notes, summaries, and follow-up items. It also captures on-screen content alongside the spoken audio, so material shared during a call (slides, dashboards, or shared windows) can be reflected in the output. The tool works across common conferencing platforms including Zoom, Microsoft Teams, Google Meet, Webex, Slack, and Discord. Users can configure customizable prompts (described as Skills) to generate notes, summaries, or drafted emails, and connect outputs to other tools via webhooks. It is aimed at professionals and teams who want meeting capture without adding another bot to the call. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Augnito is custom pricing (contact sales); Shadow is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Augnito | Shadow |
|---|---|---|
| Core capability | Medical speech-to-text dictation with voice commands (Augnito Spectra) | Bot-free capture that records system audio without joining the meeting as a participant |
| Standout feature | Ambient AI scribe that structures clinician-patient conversations into notes (Augnito Omni) | On-device (local) transcription on macOS |
| Team usage | Accent-agnostic recognition with no voice-profile training, across 55+ clinical specialties | Speaker identification during transcription |
| Integrations | Multilingual ambient capture supporting 37+ languages | Captures on-screen content in addition to spoken audio |
| Languages & capture | Works with third-party EMR/EHR, RIS, and PACS without native integration | Customizable prompts/Skills to generate notes, summaries, and emails |
| Best-fit workflow | Customizable templates and SOAP-note formats with a built-in Smart Editor | Webhook integration to connect outputs to other tools |
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.
Shadow
Choose Shadow if you need capturing notes and summaries across multiple conferencing platforms without a bot joining — strengths include does not add a visible bot to meetings.
Augnito
Shadow
It depends on your workflow. Augnito is strong for clinicians dictating reports, discharge summaries, and imaging notes hands-free, while Shadow is strong for capturing notes and summaries across multiple conferencing platforms without a bot joining. Both transcribe and summarize meetings.
Augnito is custom pricing and Shadow 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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