On the recordOn your device
Silo Scribe vs Abridge · on-device

The on-device alternative to Abridge and cloud medical scribes.

Silo Scribe is a 100% on-device clinical documentation assistant for macOS — a private alternative to cloud scribe tools like Abridge that records sessions, transcribes locally, and drafts structured SOAP and DAP notes on your Mac, with no PHI ever leaving the device.

See everything Silo Scribe does →
· one-time100% on-deviceNo accountNo subscription
I · Side by Side

Silo Scribe vs Abridge.

on-device · vs cloud
Dimension
Silo Scribe
Cloud (Abridge, DeepScribe)
Where it runs
On your Mac (Apple Silicon, offline)
Their servers
PHI & audio
Never leaves your Mac (AES-GCM at rest)
Uploaded & processed in cloud
Account
None required
Required
Note templates
SOAP, DAP, BIRP (Pro)
Varies by EHR integration
Speaker diarization
On-device (clinician vs. client)
Cloud diarization
Pricing
Free trial + optional subscription
Per-clinician subscription
EHR integration
Export Markdown/PDF you paste
Direct EHR integrations
Works without internet
Yes, after one model download
No

Cloud column reflects the typical architecture of Abridge and similar hosted tools. Names are trademarks of their owners; not affiliated.

II · Frequently Asked

Abridge alternative, answered.

Silo Scribe · on-device

Yes, for clinicians who want documentation assistance without sending PHI to a third-party cloud. Silo Scribe records, transcribes, and drafts structured notes entirely on your Mac — the same workflow Abridge offers, but with no upload.

Keep your work on your Mac.

Silo Scribe is a one-time purchase on the Mac App Store. No subscription, no account, nothing uploaded — a private, on-device alternative to Abridge.

Full Silo Scribe overview