Side-by-side comparison · Productivity & Notes
Abridge vs Fathom vs Smartsheet
Everything that matters when choosing between them, in one place: our rating, what each can do, what they cost, and the trade-offs.
Comparing 3 tools, the maximum.
At a glance
Pick it if: Hospital and health-system leaders choosing an AI scribe for their doctors and nurses.
Pick it if: Sales and customer-facing teams who want every call recorded and summarised without paying per seat to start.
Pick it if: Operations, PMO and project teams who think in spreadsheets and need Gantt charts, reports and approvals.
Overview
| Attribute | Abridge | Fathom | Smartsheet |
|---|---|---|---|
| In one line | Turns doctor–patient conversations into notes inside the hospital EHR. | Records your video calls and sends you a summary, action items and transcript. | Spreadsheet-style project tracking with AI for formulas, summaries and dashboards. |
| Pricing model | Paid | Freemium | Paid |
| Starting price | See website | $20/mo | $9/member/mo |
| Free plan | No | Yes | No |
| Works with Claude Code | No | Yes | Yes |
Rating breakdown
Our scores out of 5. The higher bar in each row is highlighted.
| Attribute | Abridge | Fathom | Smartsheet |
|---|---|---|---|
| Overall rating | 4.2 | 4.2 | 3.7 |
| Ease of useHow quickly someone non-technical gets value from it. | 4.5 | 4.5 | 3.5 |
| FeaturesHow completely it covers its own job, and how well the pieces fit together. | 4.5 | 4.5 | 4.5 |
| Output qualityHow good the results are before you fix them. | 4.5 | 3.5 | 4.0 |
| Value for moneyWhat you get for the price, including the free plan. | 3.5 | 4.5 | 3.0 |
| Speed & reliabilityHow fast it is and how often it falls over. | 4.0 | 4.0 | 3.5 |
Feature comparison
A tick means it does this today. A dash means we haven't checked.
| Attribute | Abridge | Fathom | Smartsheet |
|---|---|---|---|
| Access & platform | |||
| Free plan | No | Yes | No |
| Mobile app | Yes | – | Yes |
| Desktop app | – | Yes | Yes |
| Browser extension | No | – | – |
| API access | – | Yes | Yes |
| Teams & business | |||
| Team workspace | Yes | Yes | Yes |
| Enterprise plan or SSO | Yes | Yes | Yes |
| Connects to other apps | Yes | Yes | Yes |
| Open source or self-hosted | No | No | No |
| AI abilities | |||
| Works with your files | – | No | Yes |
| Understands images | – | No | – |
| Makes images | No | No | No |
| Makes video | No | No | No |
| Writes code | No | No | – |
| Runs agents or automations | – | No | No |
| Learns your brand or style | – | No | – |
| Works in many languages | Yes | Yes | Yes |
| Capabilities score | 5/ 17 | 7/ 17 | 8/ 17 |
Pricing
Plans as listed on each vendor's site when we last checked. Confirm before you buy.
| Attribute | Abridge | Fathom | Smartsheet |
|---|---|---|---|
| Plans | EnterpriseOur pick Custom Health systems rolling it out across many clinicians. | FreeOur pick Free Anyone who wants every call recorded without paying. | Pro $9/member/mo billed yearly ($12 monthly) Individuals and small teams of up to 10. |
Premium $20/mo, or $16/mo billed yearly One person who wants the fuller summaries every time. | BusinessOur pick $19/member/mo billed yearly ($24 monthly) Teams running several projects together. | ||
Team $19/user/mo, or $15/user/mo billed yearly Small teams sharing calls with each other. | Enterprise Custom Larger organisations needing admin and security controls. | ||
Business $34/user/mo, or $25/user/mo billed yearly Sales teams living in a CRM. | Advanced Work Management Custom PMOs managing large portfolios. | ||
Enterprise Custom Larger organisations needing SSO and rollout help. | |||
| Which plan to pick | There is only one way to buy it: a contract between your organisation and Abridge. If you are a single clinician or small practice, look at Heidi instead. | Most people should simply use Free; it covers more than the paid tiers of its rivals. Only move to Team or Business when several people need to search each other's calls or you want notes landing in HubSpot or Salesforce without lifting a finger. | Business is where Smartsheet's reporting and approvals pay off for a team. Pro suits one person or a very small team. Use the 30-day trial on a real project before you commit to a yearly plan. |
Key features
| Attribute | Abridge | Fathom | Smartsheet |
|---|---|---|---|
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Pros and cons
| Attribute | Abridge | Fathom | Smartsheet |
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Who each one is for
| Attribute | Abridge | Fathom | Smartsheet |
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Questions people ask
Which is better, Abridge, Fathom or Smartsheet?
They tie on our overall rating (Abridge 4.2/5, Fathom 4.2/5 and Smartsheet 3.7/5). Abridge is best for large health systems on Epic and cutting after-hours note writing. Fathom is best for recording sales and client calls and sharing call clips with the team. Smartsheet is best for Replacing Excel project trackers and gantt charts with dependencies.
Which is cheaper, Abridge, Fathom or Smartsheet?
Abridge: Pricing isn't published; check the vendor's site for a quote. Fathom: There's a free plan, and paid plans start at $20/mo. Smartsheet: There's no free plan. Paid plans start at $9/member/mo.
How we compare
Ratings are our own, from using each tool, across ease of use, features, output quality, value for money, speed & reliability.
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