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.
Bottom line: Fathom wins this matchup. Granola ranks #1 on our Transcription list. Granola is the highest-listed Transcription tool with a free plan. Pick Nabla if you need healthcare.
Short on time? Here's the quick answer
Based on published vendor pricing and features and on public review data, here's who should pick what:
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
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)
| At a Glance | Nabla | Fathom |
|---|---|---|
Starts at | Free Free plan | Free 100% free |
Category | Healthcare Transcription | Productivity Transcription |
Rating | 4.5/5 G2 4.5 700 reviews | 4.9/5 G2 5.0 · Trustpilot 4.8 7,187 reviews |
Free plan | Yes | Yes |
Watch out for | Enterprise requires custom quote, no published per-seat price | Team tier requires 2+ users minimum. |
Choose Nabla or Fathom?
Choose Nabla 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)
- You work in healthcare, not productivity
Choose Fathom if
- You want a fully free tool (Nabla requires payment)
- You want meeting transcription
- You want AI summaries
- You work in productivity, not healthcare
In-Depth Analysis
Nabla
Ambient AI for clinical notes and EHR dictation
Custom pricing likely lands mid-to-high versus ambient AI scribes, depending on scale.
Watch out
Enterprise requires custom quote, no published per-seat price
Strengths
- Pro: Three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control.
- Pro: Scale proof a CMIO asks for: a large number of organizations, clinicians, and encounters a year (vendor figures).
- Pro: HIPAA, SOC 2 Type 2, ISO 27001, and GDPR listed. Embed via Nabla Connect or API.
Weaknesses
- Con: No public per-provider list price. A small clinic that wants a published monthly number should start on other platforms.
- Con: 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
- Pro: Meeting transcription
- Pro: AI summaries
- Pro: Free tier generous
- Pro: Privacy focused
- Pro: Good accuracy
Weaknesses
- Con: Limited integrations
- Con: Newer platform
- Con: Enterprise features limited
- Con: Storage limits
- Con: 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.
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 wins this matchup. Granola ranks #1 on our Transcription list. Granola is the highest-listed Transcription tool with a free plan.
Frequently Asked Questions
Is Nabla or Fathom better in 2026?
Fathom wins this matchup. Granola ranks #1 on our Transcription list. Granola is the highest-listed Transcription tool with a free plan. Pick Nabla for healthcare workflows (main strength: three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control). Pick Fathom for productivity workflows (main strength: meeting transcription).
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 pricing is on their site. Fathom is free.
What's the main difference between Nabla and Fathom?
Nabla's main strength: three jobs in one layer: ambient notes, clinical dictation inside Epic and other major EHRs, and coding suggestions under clinician control. Fathom's main strength: meeting transcription.