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. StenoAI: Open-source desktop app that records, transcribes, and summarizes meetings entirely on-device with no bots, subscriptions, or cloud processing. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Augnito when clinicians dictating reports, discharge summaries, and imaging notes hands-free matters most, and StenoAI when generating diarized live transcripts during zoom, teams, or meet calls on a mac matters most. Try them side by side on real calls before deciding — needs vary by team.
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.
Open-source desktop app that records, transcribes, and summarizes meetings entirely on-device with no bots, subscriptions, or cloud processing.
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
StenoAI (Steno) is an open-source desktop application that records meetings, transcribes them in real time, and generates AI-powered summaries while keeping all data local on the user's device. It positions itself as a privacy-first meeting notes tool with no cloud processing, no subscriptions, and no bots joining calls, and it is distributed under the MIT license with an actively maintained release history (v0.5.4 in June 2026). On Apple Silicon it can use the Parakeet TDT v3 model for live transcription, and it also supports Whisper models, capturing both system audio and microphone input via a native Core Audio Tap on recent macOS versions so it works across platforms like Zoom, Teams, Meet, Discord, and phone calls without OAuth integrations. During recording it shows live speaker labels distinguishing the user from others, and it supports 25 European languages for live transcription with up to 99 languages available via Whisper after recording. Summaries are produced with local LLMs through Ollama (for example Llama 3.2, Gemma, or Qwen), with optional remote Ollama server support to run larger models on a separate machine, and both transcripts and summaries can be exported as editable Markdown. A Windows build is in alpha alongside the primary macOS app. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Augnito is custom pricing (contact sales); StenoAI is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Augnito | StenoAI |
|---|---|---|
| Core capability | Medical speech-to-text dictation with voice commands (Augnito Spectra) | On-device transcription with Parakeet TDT v3 (Apple Silicon) or Whisper models |
| Standout feature | Ambient AI scribe that structures clinician-patient conversations into notes (Augnito Omni) | System audio and microphone capture via native Core Audio Tap (no bots) |
| Team usage | Accent-agnostic recognition with no voice-profile training, across 55+ clinical specialties | Real-time on-screen speaker labels distinguishing you from others |
| Integrations | Multilingual ambient capture supporting 37+ languages | Local LLM summaries through Ollama, with remote Ollama server support |
| Languages & capture | Works with third-party EMR/EHR, RIS, and PACS without native integration | 25 European languages live, up to 99 languages via Whisper after recording |
| Best-fit workflow | Customizable templates and SOAP-note formats with a built-in Smart Editor | Markdown export of transcripts and summaries |
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.
StenoAI
Choose StenoAI if you need capturing and summarizing confidential meetings without sending audio to the cloud — strengths include fully local, bot-free capture with no cloud processing or subscriptions for core use.
Augnito
StenoAI
It depends on your workflow. Augnito is strong for clinicians dictating reports, discharge summaries, and imaging notes hands-free, while StenoAI is strong for capturing and summarizing confidential meetings without sending audio to the cloud. Both transcribe and summarize meetings.
Augnito is custom pricing and StenoAI 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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