Comparison
VoiceInk gets a lot right: local, open source, paid for once. For a German practice three things are missing, and the first is Windows.
As of 19.09.2026
VoiceInk is a dictation app for macOS and iOS: local models, the voice does not leave the Mac, the source is on GitHub, and you pay once, $25 for one device, $39 for two, $49 for three. For one person with a Mac that is a good deal. MediSync Dictate also runs on Windows, formats German clinical text with numbers, units and doses, throws away invented words, works with a foot pedal and a dictation microphone, and brings a processor agreement under Art. 28 GDPR for a practice.
The first point is hard and short: VoiceInk runs on macOS with Apple Silicon and on iOS. German practices and hospitals mostly run Windows, and that is where the practice system lives. If that describes you, the comparison ends on this line.
The second point is formatting. A general dictation tool writes what it hears. A clinical letter needs more: a hundred and forty over ninety becomes 140/90, one nought nought becomes 1-0-0, units and abbreviations have to land. That is what Smart Dictation is trained on, and a guard throws away any result that adds a word or loses a number.
The third point is the frame. One person buys an app. A practice needs a processor agreement, technical and organisational measures, an operating concept, and sometimes licence keys for machines with no internet. That sits on our Enterprise plan.
Windows 10 from 1809 and Windows 11, plus macOS on Apple Silicon. VoiceInk is macOS and iOS.
Blood pressure, dosing schedules, units, abbreviations and paragraphs, tuned to German clinical text.
The model may not add a word or drop a number. Otherwise the raw text stands. In documentation that is the difference between useful and dangerous.
Hold, speak, release, or tap once for hands-free, with the hardware already in the practice.
Processor agreement under Art. 28 GDPR, security measures and an operating concept, plus licence keys for closed networks.
Import from Dragon word lists and MyCommands, from Wispr Flow dictionaries and snippets, and from Office CUSTOM.DIC.
| Feature | MediSync | VoiceInk |
|---|---|---|
| Operating system | Windows 10 (1809) and newer, macOS 14 on Apple SiliconGerman practices mostly run Windows. That often settles it on its own. | macOS 14.4 on Apple Silicon, and iOS |
| What you pay | €0 on the free plan, €10 net a month for Pro | A one-off $25 for 1 device, $39 for 2, $49 for 3 |
| On the device | MediSync Local, no network and no account | Local models; the voice does not leave the Mac |
| Medical formatting | Smart Dictation: numbers, units, doses, paragraphs | Not published |
| Guard against invented words | Yes; otherwise the raw text stands | Not published |
| Foot pedal and dictation microphone | Supported | Not published |
| Bringing a vocabulary across | From Dragon, Wispr Flow and Office | Not published |
| A contract for a practice | Processor agreement under Art. 28 GDPR, security measures and an operating concept on Enterprise | Not published |
| Closed networks | Licence keys for machines with no internet | Not published |
| Open source | No | Yes, on GitHub |
Every price is in the currency the vendor publishes it in. We do not convert dollars into euro: the rate moves, the table does not.
You work on Windows; the text has to format German clinical writing correctly; nothing may be invented; you use a foot pedal or dictation microphone; or your practice needs a processor agreement and an operating concept.
The website names macOS 14.4 with Apple Silicon, and iOS. Windows is not on it.
A one-off $25 for one device, $39 for two and $49 for three, with lifetime updates. Dictate Free costs nothing, Dictate Pro €10 net a month.
Yes. MediSync Local recognises and formats on the machine, with no network and no account, and writes no audio to disk.
No. VoiceInk is, and that is a real argument if you want to read the code yourself. What we bring instead is a processor agreement, security measures and an operating concept, because those are the papers a practice is asked for.
Every figure about the other vendor comes from their own page or from a reseller's. Next to each one is the date we read it.