AppBreakup

OsiriX MD alternatives: 3 apps ranked by verified data

Facts checked Nov 1, 2026AppBreakup editorialHow we rank

Common reasons people leave OsiriX MD: runs only on Apple hardware, and subscription pricing adds up compared with free viewers. We ranked 3 alternatives by how directly each one replaces OsiriX MD, then by reviews, real visits and how recently each app's facts were checked against its own website. Horos currently ranks first.

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Show all 3 alternatives

The best OsiriX MD alternative for…

The highest-ranked app in this list for each need.

Horos logo

Best OsiriX MD alternative for most people

Horos

Free open-source fork with a very similar interface, for users who don't need a certified device.

Weasis logo

Best OsiriX MD alternative for a free option

Weasis

Free cross-platform viewer that integrates with PACS and web portals, without the subscription.

Horos logo

Best OsiriX MD alternative for open source

Horos

Free open-source fork with a very similar interface, for users who don't need a certified device.

Horos logo

Best OsiriX MD alternative for Mac

Horos

Free open-source fork with a very similar interface, for users who don't need a certified device.

RadiAnt DICOM Viewer logo

Best OsiriX MD alternative for Windows

RadiAnt DICOM Viewer

A lighter, fast Windows viewer for practices that don't run Macs.

Weasis logo

Best OsiriX MD alternative for Linux

Weasis

Free cross-platform viewer that integrates with PACS and web portals, without the subscription.

OsiriX MD alternatives: common questions

What is the best alternative to OsiriX MD?

Horos ranks first right now. Free open-source fork with a very similar interface, for users who don't need a certified device. Weasis and RadiAnt DICOM Viewer follow it in our ranking.

Is there a free alternative to OsiriX MD?

Yes. Horos (open source) and Weasis (open source) have a free option. Check each app's verified facts for current plan limits.

Is there an open-source alternative to OsiriX MD?

Yes: Horos and Weasis.

Which OsiriX MD alternatives work on Linux?

Weasis runs on Linux.

Why do people switch from OsiriX MD?

The complaints we hear most: runs only on Apple hardware; subscription pricing adds up compared with free viewers; free Lite version marks images as not for medical use.

How is this list ranked?

Every app is scored with the same published formula: how directly it replaces OsiriX MD, reviews (weighted by verification), visits from AppBreakup, how recently its facts were checked against its own website, and reader votes.