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. StenoAI: Open-source desktop app that records, transcribes, and summarizes meetings entirely on-device with no bots, subscriptions, or cloud processing. The right pick comes down to team size, budget, and the workflows you want to automate.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and StenoAI when generating diarized live transcripts during zoom, teams, or meet calls on a mac matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Open-source desktop app that records, transcribes, and summarizes meetings entirely on-device with no bots, subscriptions, or cloud processing.
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
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
Empathia AI is a free tier with paid upgrades (freemium); StenoAI is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | StenoAI |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | On-device transcription with Parakeet TDT v3 (Apple Silicon) or Whisper models |
| Standout feature | Automatic transcription and structured clinical note generation | System audio and microphone capture via native Core Audio Tap (no bots) |
| Team usage | Multi-speaker and multilingual support with dictation | Real-time on-screen speaker labels distinguishing you from others |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Local LLM summaries through Ollama, with remote Ollama server support |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | 25 European languages live, up to 99 languages via Whisper after recording |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Markdown export of transcripts and summaries |
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.
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.
Empathia AI
StenoAI
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while StenoAI is strong for capturing and summarizing confidential meetings without sending audio to the cloud. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and StenoAI 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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