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. 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 Tandem Health when generating clinical notes automatically during doctor-patient consultations to reduce documentation time matters most, and Thoth when users who want offline, private meeting notes on a mac matters most. Run both through a week of actual calls to see which suits your workflow.
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.
Privacy-first macOS app that records, transcribes, and summarizes meetings entirely on-device with no cloud or data leaving the Mac.
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
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
Tandem Health 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 | Tandem Health | Thoth |
|---|---|---|
| Core capability | AI Scribe that transcribes consultations and auto-generates structured clinical notes | 100% local, on-device recording, transcription, and summarization |
| Standout feature | Real-time voice capture for in-person and virtual consultations | Dual-channel capture of microphone and system audio |
| Team usage | One-click transfer of notes to electronic health record systems | On-device speaker detection with color-coded transcripts |
| Integrations | Coding Assistant suggesting diagnosis and procedure codes from validated guidelines | Whisper-based transcription supporting many languages |
| Languages & capture | Clinical Decision Support answering patient-specific questions with source citations | On-device anonymization to redact sensitive content |
| Best-fit workflow | Multi-language note generation and integration with 100+ medical record systems | Export to PDF, Word, Markdown, and timestamped JSON |
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.
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.
Tandem Health
Thoth
It depends on your workflow. Tandem Health is strong for generating clinical notes automatically during doctor-patient consultations to reduce documentation time, while Thoth is strong for professionals handling confidential or regulated information. Both transcribe and summarize meetings.
Tandem Health 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.
Sure. Running both makes sense when their strengths don't overlap and the budget allows.
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