Practice Better
Twenty
| Feature | Practice Better | Twenty |
|---|---|---|
| Pricing | From $25/mo | Free only |
| Free Plan | ✗ No | ✓ Yes |
| Rating | 4.6 / 5 | 4.2 / 5 |
| Best For | nutritionists, health-coaches, naturopaths, wellness-practitioners | startups, developers, privacy-focused-businesses, open-source-enthusiasts |
| Founded | 2014 | 2023 |
| Client Management | ✓ | ✗ |
| Telehealth | ✓ | ✗ |
| Scheduling | ✓ | ✗ |
| Billing | ✓ | ✗ |
| Protocols | ✓ | ✗ |
| Client Portal | ✓ | ✗ |
| Contacts Management | ✗ | ✓ |
| Pipeline | ✗ | ✓ |
| Email Integration | ✗ | ✓ |
| Custom Objects | ✗ | ✓ |
| Graphql Api | ✗ | ✓ |
| Calendar Sync | ✗ | ✓ |
| Task Management | ✗ | ✓ |
✓ Practice Better Pros
- Purpose-built for health practitioners
- HIPAA-compliant telehealth
- Client portal with meal plans and protocols
- Integrated payment processing
✗ Practice Better Cons
- No free plan
- Limited customization of forms
- Learning curve for full feature set
✓ Twenty Pros
- Completely open-source and free to self-host
- Modern, beautiful UI rivaling paid CRMs
- Flexible data model with custom objects
- GraphQL API for developers
✗ Twenty Cons
- Young project with frequent breaking changes
- Fewer integrations than mature CRMs
- Self-hosting requires technical expertise
The Verdict
Practice Better is built for nutritionists and health coaches, with a focus on client-management and telehealth. Twenty targets startups and developers and leads with contacts-management and pipeline.
Twenty uses custom enterprise pricing, while Practice Better starts at $25/mo — a tangible advantage for teams with a fixed budget.
Twenty has a free plan, which gives it a meaningful edge for individuals and small teams exploring their options. Practice Better requires a paid subscription from day one.
Practice Better edges out on user ratings (4.6 vs 4.2). While both are well-regarded, that gap reflects real differences in user satisfaction worth considering.
Feature-wise, Twenty offers broader built-in capabilities (7 features vs 6), while Practice Better takes a more focused approach — which can mean a simpler, faster onboarding experience.
Bottom line: Practice Better has a slight overall edge — but if completely open-source and free to self-host matters most to you, Twenty may still be the right call.