Nabla vs Fathom: Which is Better in 2026?
Choosing between Nabla and Fathom 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.
Short on time? Here's the quick answer
We've tested both tools. Here's who should pick what:
Nabla
Ambient AI for clinical notes and EHR dictation
Best for you if:
- • You need healthcare features specifically
- • Ambient notes, Epic dictation, and E/M plus ICD-10 suggestions in one clinical AI layer.
- • Nabla cites a large number of health organizations and clinicians. HIPAA, SOC 2 Type 2, ISO 27001, GDPR.
Fathom
AI notetaker that summarizes your meetings so you can focus on the conversation.
Best for you if:
- • You need something completely free
- • You need productivity features specifically
- • Automatically transcribes, summarizes, and extracts action items from meetings.
- • Integrates with popular tools like Slack, Salesforce, and Notion for automatic syncing.
| At a Glance |  Nabla |  Fathom |
|---|---|---|
Starts at | FreeFree tier available | FreeFree tier available |
Best For | Healthcare | Productivity |
Rating | 4.5/5 | 5.0/5 |
Free plan | Yes | Yes |
Choose Nabla or Fathom?
Choose Nabla if
Ambient AI for clinical notes and EHR dictation
- 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.
- Your work is healthcare-shaped, not productivity-shaped
Choose Fathom if
AI notetaker that summarizes your meetings so you can focus on the conversation.
- Meeting transcription
- AI summaries
- Free tier generous
- You want a fully free tool (Nabla requires payment)
- Your work is productivity-shaped, not healthcare-shaped
| Feature | Nabla | Fathom |
|---|---|---|
| Pricing Model | Freemium | Free |
| User Rating | ★4.5/5 700 reviews | ★5.0/5 7,815 reviews |
| Categories | HealthcareTranscription | ProductivityTranscription |
In-Depth Analysis
Nabla
Ambient AI for clinical notes and EHR dictation
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
Fathom
AI notetaker that summarizes your meetings so you can focus on the conversation.
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
Pricing: Nabla vs Fathom
| Plan | Nabla | Fathom |
|---|---|---|
| Tier 1 | Free Free | 0 Free |
| Tier 2 | Contact us Enterprise | 20 Premium |
| Tier 3 | N/A | 18 Team |
| Tier 4 | N/A | 28 Business |
Pricing verified from each vendor's public pricing page. Compare in detail on Nabla pricing and Fathom pricing.
Who Should Use What?
On a budget?
Fathom is free. Nabla is freemium.
Go with: Fathom
Want the highest-rated option?
Nabla: 4.5/5 (700 reviews). Fathom: 5.0/5 (7,815 reviews).
Go with: Fathom
Value user reviews?
Nabla: 700 reviews (4.5/5). Fathom: 7,815 reviews (5.0/5).
Go with: Fathom
3 Questions to Help You Decide
What's your budget?
Nabla is freemium. Fathom is free. Go with Fathom if free matters most.
What's your use case?
Nabla is a healthcare tool. Fathom is in productivity. Pick the category that matches your needs.
How important are ratings?
Fathom is rated higher: 5.0/5 vs 4.5/5.
Key Takeaways
Fathom
- Higher user rating: 5.0/5 vs 4.5/5
- Larger review base (7,815 reviews)
- Completely free
- Our pick for this comparison
Nabla
- Better fit for healthcare
The Bottom Line
Fathom is our pick.
Frequently Asked Questions
Is Nabla or Fathom better?
Fathom is rated in our evaluation. Nabla is freemium and Fathom is free.
What are Nabla and Fathom used for?
Nabla: Ambient AI for clinical notes and EHR dictation. Fathom: AI notetaker that summarizes your meetings so you can focus on the conversation..
What does Nabla cost vs Fathom?
Nabla is freemium (free tier + paid plans). Fathom is completely free. Visit their websites for detailed pricing.