Pulsetto vs Nurosym: Which Vagus Nerve Stimulator?

Comparing two of the most popular vagus nerve stimulators — and what most reviews don’t tell you about either of them.

Vagally Understood

Pulsetto vs Nurosym

Two of the most popular vagus nerve stimulators. Different technology, different location, different price. Here's what the differences actually mean.

Pulsetto

~$269

Nurosym

~$699

Stimulation target

Neck (cervical)

Electrodes on the back of the neck target the cervical vagus nerve trunk through the skin.

Stimulation target

Ear (auricular)

Clips to the tragus of the ear, which has the most direct vagal pathway to the brainstem.

Current control

Voltage-controlled (tENS)

Fixed voltage. The current reaching the nerve varies with skin moisture and contact pressure.

Current control

Voltage-controlled (tENS)

Also voltage-controlled. Proprietary waveform, but the current still fluctuates with skin conditions.

Conductive gel

Required every session

Electrolyte gel applied to the neck before each use. Ongoing cost.

Conductive gel

Not required

Water or any moisturiser can be used if needed. No proprietary consumable.

Ongoing costs

Gel + optional app subscription

Free app tier with 5 programs. Premium tier unlocks additional features for a recurring fee. Plus gel refills.

Ongoing costs

Earpiece replacement over time

No gel, no subscription. Earpiece electrodes have a 6-month warranty. Replacements at additional cost.

Price

~$269

Plus ongoing gel costs and optional premium subscription.

Price

~$699

Retail price as listed. Discounts occasionally available.

They're both voltage-controlled. Neither delivers a consistent dose. There's a better way.

Pulsetto and Nurosym both use voltage-controlled stimulation (tENS) — the current reaching your nerve fluctuates with every change in skin moisture, temperature, and contact pressure. You set a dose, your body receives something different. Current-controlled stimulation (tVNS) measures and adjusts 50,000 times per second. The dose you set is the dose delivered. Every session.

Wireless

Vagal Oh!

Sexier than Pulsetto. More effective than Nuropod.

$499

One-time purchase. No subscription. No gel.

Current-controlled tVNS (consistent dose every session)
18g wireless earpiece — invisible, no cables, no neck band
Full app control, 50+ protocols, OTA updates
No gel, no app subscription, no ongoing costs
HSA/FSA eligible — save 20-37%

"I use it every morning while making coffee. 15 minutes, and I just feel more together for the day. My husband bought one too."

Prina M. — Verified Buyer

View Oh! — $499

Best Value tVNS

Vagal Buddy tVNS

Same current control. Half the price.

$349

One-time purchase. No subscription. No gel.

Current-controlled tVNS (same EverSteady platform as Oh!)
EverCharge wireless charging — unlimited session length
Built-in screen and joystick, no app required
50+ protocols, expandable via Vagal Tones app
HSA/FSA eligible — save 20-37%

"After only 2 weeks I noticed a huge difference. I just purchased one for both my brothers."

Verified tVNS Customer

View Buddy — $349

45-Day Money-Back Guarantee HSA/FSA Eligible Free Shipping 50,000+ Shipped

Not sure? Take the 2-minute quiz What is current-controlled stimulation?

Based on publicly available specifications as of March 2026. Prices approximate and may vary. This comparison is provided for educational purposes. Pulsetto is a trademark of Pulsetto UAB. Nurosym is a trademark of Parasym Ltd. Verify current details with each manufacturer.