Best in KLAS two years running, sold only to health systems
Medical & Legal
Ambient AI clinical documentation with deep Epic and Cerner integration, used by 250+ health systems. Roughly $2,500 per clinician per year, quote-only.
Bidirectional EHR integration — it reads the chart as well as writing to it
Medical & Legal
Voice-first clinical assistant with real-time bidirectional EHR integration across Epic, Cerner, athenahealth, and MEDITECH. Reported from $299/user/month.
The foundation the whole voice-coding world is built on
Voice Coding
Free hands-free computer control with voice, noise recognition, and eye tracking, scriptable in Python. The platform most voice coding setups are built on.
A ready-made command set for Dragonfly, covering 13+ languages
Voice Coding
Free voice programming toolkit built on Dragonfly with prebuilt commands for 13+ languages and major IDEs. Needs Dragon, Kaldi, or Windows Speech Recognition.
The Python layer that lets one grammar drive four different engines
Voice Coding
LGPL Python framework for writing custom speech recognition grammars, with a single API across Dragon, Windows Speech Recognition, Kaldi, and Pocket Sphinx.
Free, offline, full device control — and natural language is coming
Accessibility
Apple's built-in voice control for Mac, iPhone, and iPad. Works fully offline, costs nothing, and gains natural language input via Apple Intelligence in 2026.
Broad platform coverage with an optional offline mode
General Dictation
AI dictation across Mac, Windows, iPhone, and Android that strips filler words and matches your tone per app. Free tier is unlimited on the weaker model.
Free, on-device, already installed — try this before you pay for anything
General Dictation
Apple's built-in dictation runs fully on-device on Apple Silicon with no time limit and no cost. WWDC 2026 added on-device auto-punctuation and formatting.
AAC software for people who communicate by eye gaze, switch, or touch
Accessibility
Comprehensive AAC and environmental control software for Windows, supporting eye gaze, switch, touch, and pointer access. Around £550 with a 60-day free trial.
Native Mac app that transcribes audio and video files locally with Whisper. Free tier included; Pro is a one-time €59 with batch processing and speaker labels.
The only tool here built for speech that other systems can't understand
Accessibility
Speech recognition trained on non-standard speech, including dysarthria. Around $50/month or $500-600/year, with a 30-day free trial and bulk licensing.