Sketchy Cases vs Full Code: Which Case Simulator Fits You

Sketchy Cases fits if you want structured ward-style cases with a virtual attending correcting your reasoning and a 7-day trial, with Cases-only from $19.99 a month as of October 2026; Full Code fits if you want 4 free cases, acute-care cases, CME credit available, and an Android app, with Pro at $11.99 a month as of October 2026.

You've got two tabs open and one card. You want a fit for wards and Step 2 CK.

This page covers where each shines, where each stops, and a simple workflow. For a wider roundup, see Full Code alternatives.

If what you want is to talk to a patient out loud, there's a third option below: try a free Diagnosica case.

Disclosure: Diagnosica is an AI clinical simulator for medical students and junior doctors, so we have a stake in this category; neither Sketchy nor Full Code paid for or reviewed this page; competitor details come from their own public pages and store listings, checked on 20 October 2026.

Sketchy Cases vs Full Code compared

Sketchy Cases and Full Code are both case simulators for interviewing AI patients, but they differ on feedback model, platforms, and pricing. The table compares Sketchy Cases vs Full Code, with Diagnosica as a third, different option, using each company's own pages as of October 2026. It's aimed at MS3 and MS4s choosing a subscription.

For current plan names and amounts, see Sketchy's pricing page and Full Code's pricing page.

If your gap is speaking to patients under time pressure, practice a history out loud.

What is Sketchy Cases?

Sketchy Cases is a case simulator where you type or talk with an AI virtual patient. The flow covers five steps, History & Physical, Differential, Orders & Results, Management, and Feedback. A virtual attending corrects your reasoning in real time with teaching points and MCQs, and feedback compares you with peers and links to Sketchy lessons. It's marketed as "built for shelf, USMLE, and COMLEX prep," with 405+ cases as of October 2026.

Pricing splits between a Cases only plan and an All Access bundle. The Cases only plan is $19.99 per month billed monthly, or $119.99 for 12 months, as of October 2026. Sketchy Medical All Access lists 6 months at $349.99, 12 months at $449.99, and 24 months at $649.99, as of October 2026.

Every Sketchy plan starts with a 7 day free trial, and there's no permanent free tier described, as of October 2026. Sign up asks you to save a valid method of payment before the trial starts, per Sketchy's help center.

You can read the feature claims and workflow examples on the Sketchy Cases page. For a step through how it presents prompts and feedback, see our Sketchy Cases walkthrough, a separate review on this blog.

What is Full Code Medical Simulation?

Full Code Medical Simulation is a case simulator that lets you talk to virtual patients by keyboard or microphone, work with real medical imaging, and get a full score and debrief for each case. It also advertises an AI tutor, 23 patient models, and CME accredited, peer reviewed cases, all in a game like, open ended simulation of acutely sick patients with hundreds of possible actions, per the company's pages on Full Code for individuals.

Plans as of October 2026: a Free plan at $0 with 4 cases and basic scoring, no full debrief. Pro at $11.99 per month or $71.99 per year. Pro plus CME at $99.99 per year, with 0.5 AMA PRA Category 1 Credit per case.

Case counts differ by page as of October 2026. The individual pricing page says 200 plus cases, organization plans show 250 plus, and the App Store listing says 300 plus. Treat the catalog as large, but check which tier you are buying into.

The iOS app lists a 4.8 out of 5 rating from about 6,600 ratings as of October 2026. Version 3.8 on 19 October 2026 added heart and lung sounds so you can practice auscultation, per the App Store listing.

Where Sketchy Cases is stronger

Sketchy Cases is stronger if you want an exam-framed, ward-shaped simulator with guidance baked in. The product markets a virtual attending that corrects your reasoning in real time and drops MCQs and teaching points as you go, and the flow mirrors rounds from history to feedback. It also lists a larger library, with 405 plus cases across core rotations, and links back into Sketchy's lesson library if you already study there.

Library depth matters during busy rotations. Sketchy lists 405 plus cases across every core rotation and setting, which gives you more slots to see the same themes recur. If you live in Sketchy videos already, those lesson links reduce context switching.

Where Full Code is stronger

Full Code is a medical simulation app focused on acute care, and it leads on access and price as of October 2026. It offers a free plan with 4 cases, Pro at $11.99 per month or $71.99 per year, iOS and Android apps plus desktop, and new heart and lung sounds added on 19 October 2026.

On paid plans, the listed Pro price is $11.99 per month or $71.99 per year, which undercuts Sketchy Cases only at $19.99 per month or $119.99 per year, both as of October 2026.

If you care about credit, Pro + CME is $99.99 per year and lists 0.5 AMA PRA Category 1 Credit(s) per case, again on the Full Code pricing page.

Platform coverage is broad, with native apps on iOS and Android plus a desktop browser experience, which helps if you bounce between wards and call rooms. Here's Full Code on Google Play.

What neither one lists: a video patient you talk to

Sketchy Cases says you can type or talk with a virtual patient, and Full Code offers Patient AI conversations by keyboard or microphone, but neither product's page lists a video patient as of October 2026, and Sketchy lists no Android app.

Diagnosica is an AI clinical simulator for medical students and junior doctors: you take a history from an AI patient by voice or text, order labs and imaging, commit to a diagnosis and management plan, and get a competency scorecard. The patient appears as a video avatar, it's free to start with no card needed, and it runs on the web, iPhone and Android. It's used by learners outside the US, including the UK, Canada, Australia and Ireland. The library has over 130 cases across 18 specialties, each signed off by a doctor, plus a two minute quick case that keeps a daily streak. There's no virtual attending or debrief conversation, which makes Sketchy's attending a real advantage there, no physical exam practice, and no CME credit. "It doesn't give advice about real patients, and it's not a diagnostic system. Treat every output as educational."

Shopping around for similar tools that focus on reasoning, here are more clinical reasoning apps.

Which should you choose, Sketchy Cases or Full Code?

Sketchy Cases and Full Code target different study jobs. Sketchy Cases leans into shelf and USMLE framing with a virtual attending and 405+ guided cases as of October 2026, while Full Code leans into open-ended acute care with a free plan and lower listed prices as of October 2026. Your call comes down to platform, feedback style, and whether CME matters.

Choose Sketchy Cases if:

• You want exam framing for shelves, USMLE, and COMLEX, since that's how the product is positioned.
• You like a virtual attending that corrects your reasoning in real time, with peer comparisons and links to Sketchy lessons.
• You want breadth, with 405+ cases across every core rotation and setting as of October 2026.
• You study on web or iOS in the US, and an Android app is not listed as of October 2026.

Choose Full Code if:

• You want a free plan first, with 4 cases, Patient AI conversations, and basic scoring as of October 2026.
• You need Android, iOS, or desktop browser support across devices.
• You care about CME, with Pro + CME at $99.99 per year offering 0.5 AMA PRA Category 1 Credit(s) per case as of October 2026.
• You prefer acute care, open-ended play with hundreds of possible actions, real imaging, and a full debrief on paid tiers.

A simple way to decide:

1. Play Full Code's 4 free cases and try Patient AI conversations with basic scoring.
2. Start Sketchy's 7-day trial only when you can use it daily, since sign-up asks for a valid payment method.
3. If it isn't the fit, cancel before the trial ends.
4. Recheck pricing pages, since prices change and Full Code's case counts differ by page as of October 2026.

For a broader stack, see AI tools for Step 2 CK.

If your gap is talking out loud, you could add Diagnosica's free tier to drill history-taking reps between apps.

Common questions

Sketchy Cases and Full Code are compared using what each company's own pricing, product and help pages and store listings show as of October 2026. The answers below follow those sources. If something isn't on a public page, we describe it as not listed rather than absent.

Is Full Code free?

Yes. Full Code lists a Free plan as of October 2026 with 4 cases, Patient AI conversations and basic scoring, and no full debrief. Full Code Pro is $11.99 per month or $71.99 per year as of October 2026, with all 200+ cases, full debriefs, The Daily Patient, and rare diseases.

Does Sketchy Cases have a free trial?

Yes. Sketchy says every plan starts with a 7-day free trial as of October 2026, but sign-up requires saving a valid payment method, and Klarna Pay in 4 purchases start immediately with no trial, per Sketchy's trial help page. No permanent free tier is listed as of October 2026.

Do Sketchy Cases and Full Code work on Android?

Sketchy Cases lists no Android app as of October 2026, its iOS app is US-only, and others use the mobile web version, per Sketchy's mobile app note. Full Code lists Google Play and App Store apps plus a desktop browser version, and says it works on mobile, tablet, and desktop.

Which has more cases, Sketchy Cases or Full Code?

Sketchy Cases lists more cases by count as of October 2026, with 405+ across core rotations. Full Code's count varies by page as of October 2026, showing 200+ for individuals, 250+ for organizations, and 300+ on the App Store. Raw count isn't the same as a fit for your rotation.

Can you get CME credit from either one?

Yes, from Full Code; Sketchy's Cases page lists no CME credit as of October 2026. Full Code's Pro + CME plan is $99.99 per year (no monthly option) and lists 0.5 AMA PRA Category 1 Credit(s) per case, as of October 2026. Full Code's organization Program plan also includes CME credit.

If you want to practice talking to a patient out loud alongside either subscription, Diagnosica gives you a video AI patient by voice or text, labs and imaging, and you commit to a diagnosis and management plan, with a competency scorecard. Free to start, no card. iPhone, Android and web. Start a free case.