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. Thoth: Privacy-first macOS app that records, transcribes, and summarizes meetings entirely on-device with no cloud or data leaving the Mac. 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 Thoth when users who want offline, private meeting notes on a mac 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.
Privacy-first macOS app that records, transcribes, and summarizes meetings entirely on-device with no cloud or data leaving the Mac.
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
Thoth is a native macOS application, created by Matthieu Veinhard, that records, transcribes, and summarizes meetings entirely on the user's device. It captures both microphone and system audio so it can record both sides of online meetings on platforms such as Zoom, Teams, and Google Meet, and it provides live transcription with on-device speech-to-text. An on-device engine detects and color-codes individual speakers in the transcript, and the app supports a large number of languages via Whisper-based transcription. After a meeting, Thoth extracts notes, action items, and key decisions, and lets users choose between several on-device models or supply their own cloud API key, with an on-device anonymization step that can redact sensitive information before any optional cloud processing. Output can be exported to formats including PDF, Word, Markdown, and timestamped JSON. Because the app has no server and no user database, the company emphasizes that there is nothing to breach or hand over. Thoth requires Apple Silicon and is aimed at privacy-conscious professionals, those handling confidential information, and neurodivergent users who benefit from automatic capture, and it is available on the Mac App Store with an iOS beta in progress. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Thoth is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Thoth |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | 100% local, on-device recording, transcription, and summarization |
| Standout feature | Automatic transcription and structured clinical note generation | Dual-channel capture of microphone and system audio |
| Team usage | Multi-speaker and multilingual support with dictation | On-device speaker detection with color-coded transcripts |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Whisper-based transcription supporting many languages |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | On-device anonymization to redact sensitive content |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Export to PDF, Word, Markdown, and timestamped JSON |
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.
Thoth
Choose Thoth if you need professionals handling confidential or regulated information — strengths include fully local processing with no cloud requirement and no user database.
Empathia AI
Thoth
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Thoth is strong for professionals handling confidential or regulated information. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Thoth 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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