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Fathom vs Nabla: Which is Better in 2026?

Choosing between Fathom and Nabla comes down to understanding what each tool does best. This comparison breaks down the key differences so you can make an informed decision based on your specific needs, not marketing claims.

Bottom line: Fathom is our overall Transcription pick. Pick Nabla if you need healthcare.

··Methodology
Editor reviewed0 verified reviews comparedPricing checked Sep 2026

Short on time? Here's the quick answer

We've tested both tools. Here's who should pick what:

Fathom

AI notetaker that summarizes your meetings so you can focus on the conversation.

Best for you if:

  • You want a fully free tool (Nabla requires payment)
  • You want meeting transcription
  • You want aI summaries

Nabla

Ambient AI for clinical notes and EHR dictation

Best for you if:

  • You want three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control
  • You want scale proof a CMIO asks for: a large number of organizations, clinicians, and encounters a year (vendor figures)
At a Glance
FathomFathom
NablaNabla
Starts at
FreeFree tier available
FreeFree tier available
Best For
ProductivityHealthcare
Rating
4.9/54.5/5
Free plan
Yes Yes

Choose Fathom or Nabla?

Fathom

Choose Fathom if

AI notetaker that summarizes your meetings so you can focus on the conversation.

  • You want a fully free tool (Nabla requires payment)
  • You want meeting transcription
  • You want aI summaries
  • Your work is productivity-shaped, not healthcare-shaped
Nabla

Choose Nabla if

Ambient AI for clinical notes and EHR dictation

  • You want three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control
  • You want scale proof a CMIO asks for: a large number of organizations, clinicians, and encounters a year (vendor figures)
  • Your work is healthcare-shaped, not productivity-shaped
FeatureFathomNabla
Pricing ModelFreeFreemium
User Rating
4.9/5
7,187 reviews
4.5/5
700 reviews
Categories
ProductivityTranscription
HealthcareTranscription

In-Depth Analysis

FathomFathom

AI notetaker that summarizes your meetings so you can focus on the conversation.

Starts at Free
Great value

Fathom's pricing is very generous, especially with its robust Free tier offering unlimited recordings and transcription.

Watch out

Team tier requires 2+ users minimum.

Strengths

  • +Meeting transcription
  • +AI summaries
  • +Free tier generous
  • +Privacy focused
  • +Good accuracy

Weaknesses

  • -Limited integrations
  • -Newer platform
  • -Enterprise features limited
  • -Storage limits
  • -Competition from others

Key features

Meeting assistantAI summariesAction itemsTranscriptionCRM integrationZoom integration

NablaNabla

Ambient AI for clinical notes and EHR dictation

Starts at Free
Fair value

Nabla's free tier is a generous $0 entry point, but the Enterprise plan is contact-us only, making fairness hard to judge.

Watch out

Enterprise requires custom quote, no published per-seat price

Strengths

  • +Three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control.
  • +Scale proof a CMIO asks for: a large number of organizations, clinicians, and encounters a year (vendor figures).
  • +HIPAA, SOC 2 Type 2, ISO 27001, and GDPR listed. Embed via Nabla Connect or API.

Weaknesses

  • -No public per-provider list price. A small clinic that wants a published monthly number should start on other platforms.
  • -Implementation is a health-system project: write-back, specialty templates, and change management.

Key features

Ambient documentation from the visitClinical-grade dictation inside Epic and major EHRsE/M and ICD-10 coding suggestionsNabla Connect and API embed pathsConfigurable data retentionHIPAA, SOC 2 Type 2, ISO 27001, GDPR

Pricing: Fathom vs Nabla

PlanFathomNabla
Tier 1
0
Free
Free
Free
Tier 2
20
Premium
Contact us
Enterprise
Tier 3
18
Team
N/A
Tier 4
28
Business
N/A

Pricing verified from each vendor's public pricing page. Compare in detail on Fathom pricing and Nabla pricing.

Who Should Use What?

On a budget?

Fathom is free. Nabla is freemium.

Go with: Fathom

Want the highest-rated option?

Fathom: 4.9/5 (7,187 reviews). Nabla: 4.5/5 (700 reviews).

Go with: Fathom

Value user reviews?

Fathom: 7,187 reviews (4.9/5). Nabla: 700 reviews (4.5/5).

Go with: Fathom

3 Questions to Help You Decide

1

What's your budget?

Fathom is free. Nabla is freemium. Go with Fathom if free matters most.

2

What's your use case?

Fathom is a productivity tool. Nabla is in healthcare. Pick the category that matches your needs.

3

How important are ratings?

Fathom is rated higher: 4.9/5 vs 4.5/5.

Key Takeaways

Fathom

  • Higher user rating: 4.9/5 vs 4.5/5
  • Larger review base (7,187 reviews)
  • Completely free
  • Our pick for this comparison

Nabla

  • Better fit for healthcare

The Bottom Line

Fathom is our overall Transcription pick.

Frequently Asked Questions

Is Fathom or Nabla better?

Fathom is rated in our evaluation. Fathom is free and Nabla is freemium.

What are Fathom and Nabla used for?

Fathom: AI notetaker that summarizes your meetings so you can focus on the conversation.. Nabla: Ambient AI for clinical notes and EHR dictation.

What does Fathom cost vs Nabla?

Fathom is completely free. Nabla is freemium (free tier + paid plans). Visit their websites for detailed pricing.

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