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. Sotto: Sotto is a native macOS voice-to-text dictation app that turns speech into text system-wide using local AI transcription models. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Sotto when privacy-first transcription of imported audio recordings on-device matters most. Run both through a week of actual calls to see which suits your workflow.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Sotto is a native macOS voice-to-text dictation app that turns speech into text system-wide using local AI transcription models.
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
Sotto is a native Swift dictation app for macOS 13 and later that converts speech to text in real time. It works as a system-wide push-to-talk layer: the user holds a hotkey, speaks, and Sotto inserts clean text into whatever app is in focus, from Slack and Notion to Xcode and email fields. Audio is transcribed by local engines, including OpenAI Whisper models (Tiny through Large V3 Turbo and Distil Large V3) and NVIDIA Parakeet v2/v3, so by default recordings never leave the Mac; users can optionally connect cloud providers such as OpenAI or Groq with their own API keys for added accuracy. Beyond live dictation, it can import and re-transcribe audio files, supports 90+ languages, keeps a searchable history of recordings with timestamps, and offers a custom vocabulary dictionary. One-click AI processing can rewrite, summarize, translate, or reformat dictated text. It is aimed at developers, writers, and privacy-conscious professionals who want fast, local voice input rather than a cloud meeting-bot service.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Sotto is a free tier with paid upgrades (paid). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Sotto |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | System-wide push-to-talk dictation that inserts text into any app |
| Standout feature | Automatic transcription and structured clinical note generation | Local on-device transcription via Whisper and NVIDIA Parakeet models |
| Team usage | Multi-speaker and multilingual support with dictation | Audio file import and re-transcription with searchable, timestamped history |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Support for 90+ languages with per-language hotkeys |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | One-click AI processing to summarize, translate, or rewrite dictated text |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Optional cloud transcription via user-supplied OpenAI or Groq API keys |
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.
Sotto
Choose Sotto if you need hands-free dictation of emails, messages, and documents across mac apps — strengths include local processing keeps audio on-device for strong privacy.
Empathia AI
Sotto
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Sotto is strong for hands-free dictation of emails, messages, and documents across mac apps. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Sotto 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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