Daisy: Local-first, open-source macOS meeting recorder and AI notes app that transcribes on-device and exposes meetings to AI tools through a local MCP server. Tandem Health: Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Daisy when recording and transcribing meetings privately on a mac without cloud upload matters most, and Tandem Health when assisting clinicians with diagnosis and procedure coding suggestions matters most. Try them side by side on real calls before deciding — needs vary by team.
Local-first, open-source macOS meeting recorder and AI notes app that transcribes on-device and exposes meetings to AI tools through a local MCP server.
Tandem Health is an AI medical scribe that listens to clinician-patient consultations and automatically generates structured clinical notes for review and one-click transfer to medical record systems.
Daisy, from Addicted Studio, is a local-first meeting recorder and AI notes application for macOS that records meetings on the Mac, transcribes them on the device, and then exposes the captured conversations as a local MCP server for AI tools. It captures both microphone and system audio from any source, including Zoom, Google Meet, Telegram, and other apps, using ScreenCaptureKit, and performs on-device transcription with WhisperKit plus speaker identification via Pyannote diarization, so audio never leaves the Mac unless the user explicitly enables a cloud LLM provider. Beyond raw transcription, Daisy generates structured notes with action items and follow-ups and supports multiple summarization backends including Apple Intelligence, Anthropic, and OpenAI, as well as MCP. Because it runs a local MCP server, tools such as Claude Desktop and Cursor can read recorded meetings directly, and Daisy can export results to Notion, Linear, Attio, Slack, or arbitrary webhooks. It offers several capture modes covering meeting recording, voice dictation, and quick voice notes. Daisy is a native Mac application (not Electron) for Apple Silicon, is fully open source on GitHub under the Apache 2.0 license, and emphasizes privacy with no telemetry, tracking, or required account. The project maintains a product site at mydaisy.io with installation, FAQ, and support documentation. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Tandem Health, founded in 2023 and based in Stockholm, builds an AI medical assistant for healthcare professionals. Its AI Scribe captures patient consultations by listening to the conversation in real time and transcribes the audio, then generates a structured clinical note ready for the clinician to review and send to their electronic health record in one click. The platform supports in-person visits and virtual consultations, and produces notes in the clinician's chosen language. Alongside the scribe, Tandem offers a Coding Assistant that suggests diagnosis and procedure codes from validated guidelines, and Clinical Decision Support that answers patient-specific clinical questions with source citations. The product integrates with more than 100 medical record systems across Europe. It is CE marked under EU MDR as Class IIa medical devices and holds ISO 13485 and ISO 27001 certifications, with GDPR compliance and a stated policy of not storing conversation audio after transcription. It is used by clinicians across general practice, mental health, veterinary, and other care settings throughout Europe.
Best suited for
Daisy is a free tier with paid upgrades (freemium); Tandem Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Daisy | Tandem Health |
|---|---|---|
| Core capability | Local recording of mic and system audio from any source via ScreenCaptureKit | AI Scribe that transcribes consultations and auto-generates structured clinical notes |
| Standout feature | On-device transcription with WhisperKit and speaker diarization via Pyannote | Real-time voice capture for in-person and virtual consultations |
| Team usage | Structured AI notes with action items and follow-ups | One-click transfer of notes to electronic health record systems |
| Integrations | Multiple summarization backends: Apple Intelligence, Anthropic, OpenAI, and MCP | Coding Assistant suggesting diagnosis and procedure codes from validated guidelines |
| Languages & capture | Local MCP server so Claude Desktop, Cursor, and similar tools can read meetings | Clinical Decision Support answering patient-specific questions with source citations |
| Best-fit workflow | Exports to Notion, Linear, Attio, Slack, or custom webhooks | Multi-language note generation and integration with 100+ medical record systems |
Daisy
Choose Daisy if you need recording and transcribing meetings privately on a mac without cloud upload — strengths include fully local-first with audio kept on-device unless a cloud llm is explicitly enabled.
Tandem Health
Choose Tandem Health if you need generating clinical notes automatically during doctor-patient consultations to reduce documentation time — strengths include purpose-built for clinical documentation with deep ehr integration across europe.
Daisy
Tandem Health
It depends on your workflow. Daisy is strong for recording and transcribing meetings privately on a mac without cloud upload, while Tandem Health is strong for generating clinical notes automatically during doctor-patient consultations to reduce documentation time. Both transcribe and summarize meetings.
Daisy is a free tier with paid upgrades and Tandem Health 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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