Microsoft Dragon Copilot vs Suki (2026)
Both products grew past the scribe some time ago, and the question is which expansion you want and how much you can see of it. Suki adds a voice command layer over the record, so a clinician can order, navigate, stage and query by speaking, with orders staged for review rather than submitted. Dragon Copilot adds roles, evidence summaries and letters, and publishes white papers on where its models degrade. Microsoft documents how its system behaves in far more detail, while Suki lets the clinician do more inside the chart. In the UCLA randomized trial, Microsoft DAX, now part of Dragon Copilot, reduced time in note by 1.7 percent, which was not statistically significant, and Suki has no controlled evaluation. If your failure mode is a governance review you have to defend, or nurses and radiologists in scope, start with Dragon Copilot. If it is the clicks around the visit, start with Suki.
- It documents how the system fails, with transparency, privacy, security and subprocessor papers, named limitations such as omitted findings and hallucinated details, and preview features labeled as preview.
- Separate editions serve physicians, nurses and radiologists, with multilingual, multi party capture and generated referral and patient letters.
- For a health system already on Microsoft agreements, the contracting, identity and cloud relationship are in place, and those existing agreements bear on the price.
- The voice command layer is the center of the product. A clinician can order medications, navigate the chart, stage orders and ask questions of the specific patient record by speaking.
- Record system reach is broad, with bidirectional integrations with Epic, Oracle Health, athenahealth, MEDITECH and Elation and Suki Platform for vendors that embed it.
- The oversight is built into the design. Commands and ambient capture stage orders rather than submit them, and each generated prescription can be accepted, edited or rejected before it goes to the EHR.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Microsoft Dragon Copilot and Suki are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Microsoft Dragon Copilot | Suki |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2025 | 2017 |
| Headquarters | Redmond, Washington, United States | Redwood City, California |
| Website | microsoft.com | suki.ai |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Microsoft Dragon Copilot
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Safety / governance
Microsoft's October release of Dragon Copilot for radiologists moves feature control into Dragon admin center, where admins can switch Chat, AI Draft and Optimization on or off and manage who has access.
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Suki
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EHR / interoperability
Suki's iOS app version 3.11.0 keeps the HCC insights that athenaOne clinicians add during pre charting in the note as problems, with their ICD-10 and HCC codes attached.
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EHR / interoperability
Suki's Headless Web SDK 0.3.1 adds Embedded Forms, letting partners seed the custom fields in their own note templates, plus any prior section text, and read the filled values back once the note is ready.
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Product / capability
Suki launched Suki Dictation, a standalone clinical dictation product built natively inside Epic and Meditech rather than delivered as a separate application alongside them.
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Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Microsoft Dragon Copilot is the ambient clinical documentation assistant Microsoft created in March 2025 by merging DAX Copilot with Dragon Medical One, both from its 2022 acquisition of Nuance. It captures multi party, multilingual encounters and returns specialty specific draft notes, coding suggestions, clinical evidence summaries, referral letters and after visit summaries for clinician review inside the EHR.
Source: AI Health Index, August 2026
Suki pairs ambient documentation with a voice command layer over the EHR. Clinicians can dictate, capture visits ambiently, or use voice commands to order medications, navigate charts, query patient records, stage orders for review and pull schedules. The product also offers ICD-10, E/M and HCC coding assistance, chart aware clinical questions answered against the patient record, and pre visit summaries.
Source: AI Health Index, August 2026
Questions buyers ask
How do Microsoft Dragon Copilot and Suki work with the EHR?
For Microsoft Dragon Copilot, the product is embedded natively there, with Android and iOS parity and an Epic nursing app path for flowsheet capture, and the web application launches through SMART on FHIR R4. A partner Developer Kit lets a record system vendor embed the whole workflow, so recording is captured and the summary delivered without clinical content leaving the EHR.
A clinician speaks the recommended orders, and Suki structures, codes and stages them in the EHR for review and sign off. At launch, Suki named labs, imaging, referrals and other order types across Epic, Cerner and MEDITECH as the next step. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do Microsoft Dragon Copilot and Suki handle patient data?
Microsoft says the process meets the HIPAA deidentification standard, the GDPR standard for anonymization and Canadian guidance under PIPEDA and Quebec Law 25. The resulting data is used to improve Dragon Copilot's models, which Microsoft says are trained solely on anonymized data.
Suki does not identify the clinician or the patient in voice recordings, creates and keeps no voice signatures, and uses voice only to transcribe and summarize the note. Audio and transcripts are permanently deleted after 30 days, and the final clinical note is kept for the length of the service contract. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do Microsoft Dragon Copilot and Suki cover?
With Microsoft Dragon Copilot, language support follows the product documentation. Only languages listed there are supported for speech to text and ambient summarization in a given locale, and multilingual mode must be enabled by an organization administrator before clinicians can use it.
In Suki's case, the homepage claims use across more than 100 specialties, on desktop and on iOS and Android devices, in various care settings. Integration with Epic, Oracle Health, athenahealth and MEDITECH puts the product inside the EHRs most US health systems run, from large integrated networks down to ambulatory practices. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
What evidence is published for Microsoft Dragon Copilot and Suki?
For Microsoft Dragon Copilot, the trial, Lukac and colleagues in NEJM AI, published 26 November 2025 under registration NCT06792890, randomized 238 UCLA Health outpatient physicians across 14 specialties to DAX Copilot, Nabla or usual care over two months, from November 2024 to January 2025. DAX Copilot is the ambient product Microsoft has since folded into Dragon Copilot.
With Suki, deployment scale carries most of the public case. MedStar Health expanded its partnership and put the product in front of thousands of clinicians across ambulatory specialties, alongside partnerships with Zoom and athenahealth. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers.
Neither vendor publishes a price, and Suki offers no free tier or trial, so a clinician cannot test it on their own notes before a sales process. Suki publishes no accuracy rate for command interpretation and no behavior for a misheard command, and its homepage outcome figures carry no study design. Suki states that audio and transcripts are deleted after 30 days by default and that anything used for training is de identified.