Empathia AI: Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians. Monologue: Monologue is an AI voice dictation app for Mac and iOS that turns speech into polished, app-aware text and can record, transcribe, and summarize meetings, calls, and voice 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 Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Monologue when recording and transcribing personal voice notes, calls, and meetings, then generating summaries matters most. Test each on your own meetings; the right choice tends to become obvious quickly.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Monologue is an AI voice dictation app for Mac and iOS that turns speech into polished, app-aware text and can record, transcribe, and summarize meetings, calls, and voice notes.
Empathia AI is an AI medical scribe built for clinicians and healthcare practices. Its core engine, EMMA, uses ambient AI to listen to doctor-patient interactions across in-person visits, telehealth, and phone calls, then transcribes the conversation and generates structured, customizable clinical notes. Beyond note-taking, it produces chart summaries, referral and consult letters, form autofill, patient instructions, and suggested ICD/CPT/service billing codes. The platform supports multi-speaker conversations, dictation, and multilingual encounters, and offers specialty-tuned templates across 20+ medical specialties. It works on desktop and mobile and integrates with numerous EMR/EHR systems, including Epic, Athenahealth, eClinicalWorks, NextGen, DrChrono, Practice Fusion, Elation, and Canadian systems such as Accuro, OSCAR, and Juno. Empathia emphasizes compliance, citing HIPAA, PHIPA, PIPEDA, and GDPR alignment, and notes pre-qualified vendor status with Canada Health Infoway's national AI scribe program. It targets individual practitioners and clinics seeking to reduce documentation time and refocus attention on patient care.
Best suited for
Monologue, built by Every (Every Media Inc), is an AI-powered voice dictation app for macOS, iOS, iPadOS, and watchOS. Instead of typing, you speak and Monologue produces clean, finished text: it strips filler words and repetitions, adds punctuation, and uses a language model to infer intent and match your tone. Its standout trait is app-aware formatting, the output adapts to where you are, short conversational messages in iMessage, structured paragraphs in email, and organized lists or headings in Notes. On iOS a custom keyboard works across every app, with Live Activity support in the Dynamic Island, and preferences, modes, and a personal dictionary sync across devices. Beyond dictation, a Notes feature lets you record freeform thoughts, calls, and meetings, then transcribe and summarize them, and route captured notes to tools like Notion via an API, CLI, and MCP integrations. It supports 100+ languages and mixed-language speech. The company states audio and transcripts are not retained on its servers, with offline transcription available. It targets professionals across many fields who want faster, hands-free writing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Monologue is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Monologue |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | App-aware smart formatting that adapts output to the app in use (iMessage, email, Notes, code) |
| Standout feature | Automatic transcription and structured clinical note generation | AI cleanup that removes filler words and repetitions, adds punctuation, and matches tone |
| Team usage | Multi-speaker and multilingual support with dictation | Notes feature to record, transcribe, and summarize meetings, calls, and voice memos |
| Integrations | Specialty-tuned templates across 20+ medical specialties | iOS custom keyboard plus sync of modes, dictionary, and preferences across Mac, iPhone, iPad, and Apple Watch |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Auto Dictionary that learns names, acronyms, and personal vocabulary |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | API, CLI, and MCP integrations for routing notes to tools like Notion |
Empathia AI
Choose Empathia AI if you need clinicians automating post-visit charting and clinical note documentation — strengths include purpose-built for clinical documentation with deep emr integration.
Monologue
Choose Monologue if you need drafting emails, messages, and documents hands-free by speaking instead of typing — strengths include deep apple-ecosystem integration with a system-wide ios keyboard and cross-device sync.
Empathia AI
Monologue
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Monologue is strong for drafting emails, messages, and documents hands-free by speaking instead of typing. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Monologue is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
You can — some teams pair them when each covers a different part of the meeting workflow.
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