Anki alternatives that write the questions for you
MedUni Exam is ours. The other tools are listed with facts read from their own sites on September 24, 2026. The bar for this list is one thing: the tool writes practice questions from material you give it, your notes, your slides or a PDF, rather than handing you a bank someone else wrote. Six tools clear it on their own pages. They are listed alphabetically, so MedUni Exam sits third because of the letter M and nothing else. For each one you get what it writes from, whether each question shows where it came from, what the free plan gives you, what it costs, and at least one thing it does that MedUni Exam does not.
Launch offer: 5,000 free questions a month with an account, until .
The six side by side
Every cell below comes from the tool's own website, read on September 24, 2026. "Not stated" means the pages linked in that tool's section do not say, not that the feature is missing.
| Tool | Writes questions from | Shows where each question came from | Free plan | Paid price |
|---|---|---|---|---|
| Knowt | Notes, PDFs, slides and lecture recordings | Not stated on knowt.com | Basic, no cost | Ultra, $149.99 a year or $24.99 a month |
| Lexie | A photo or upload of notes, worksheets, slides, screenshots or PDFs | Not stated on lexielearn.com | 3 study sets | Semester Pass 35 euros for 5 months, Yearly Pass 69 euros for 12 months |
| MedUni Exam | PDFs, PowerPoint, Word, photographed notes, pasted text or a web page | Yes: a quote from your file and its page number under every question | 5,000 verified questions a month with an account, 1,000 as a guest | Pro $9.99 a month, or a 90 day Exam Pass for $19.99 once |
| QuizMed | PDFs, slides, images, text files or pasted notes | Not stated on quiz-med.com | 5 quizzes | $19 a month |
| RemNote | A PDF, or text you select in your notes | Not stated on remnote.com | 250 AI credits a month | Pro with AI, $216 a year ($18 a month) |
| Scholarly | PDFs, pasted notes or slides | Yes: a citation in each answer explanation | 5 practice questions in total | Premium, $144 a year or $30 a month |
Sources: each tool's own pages, linked in its section below, read on September 24, 2026. MedUni Exam figures from its pricing page and how it works.
Knowt: lecture recordings into quizzes
Knowt says it will "turn your messy notes into organized study guides, flashcards & quizzes", and its FAQ describes a practice test "generated from your notes". It takes PDFs, slides and lecture videos as well.
What it does that MedUni Exam does not: it records a lecture. Knowt's lecture notetaker promises you can "record your next lecture and instantly get detailed notes, flashcards, quizzes, and games", and it can bring over your existing Quizlet sets. MedUni Exam works from a file or a page of text and cannot take audio.
On its plans page the Basic plan costs nothing and includes unlimited file creation. Ultra costs $149.99 billed yearly, which Knowt prints as $12.99 a month, or $24.99 billed monthly, and adds the AI summarizers, the lecture summarizer and a voice tutor. Neither page says whether a generated question shows the passage it came from.
Lexie: a photo of your notes, with spaced repetition built in
Lexie works from "your handwritten notes, worksheets, slides from class, screenshots, pdfs", and turns them into multiple choice, fill in the blank, typed recall, match the pair and true or false questions, plus flashcards and open questions it grades.
What it does that MedUni Exam does not: it schedules reviews with FSRS, the algorithm Anki added as an option in version 23.10, and its Anki alternatives page says Lexie has it built in and on by default. It also does image occlusion with typed recall, reads your material aloud, and runs as an app on iPhone, Android and Mac. MedUni Exam brings back the questions you missed at growing intervals, which is a simpler thing than FSRS.
Lexie's pricing page gives the free plan as 3 study sets, then a Semester Pass at 35 euros for 5 months or a Yearly Pass at 69 euros for 12 months, both one time purchases. The site does not say whether a question shows the line it was written from.
MedUni Exam: a checked quote under every question
This site writes exam style questions from a PDF, a PowerPoint deck, a Word handout, a photographed page of notes, pasted text or a public web page: single best answer, clinical vignette, multi-select, true or false and short answer. Every question prints a quote from your file and the page it is on, and before you see it the server has looked that quote up on that page and a second model has answered the question without the key. A question that fails either check is thrown out, and the rejection rates page publishes how many were.
The free plan gives 5,000 verified questions a month with an account and 1,000 as a guest, on open-weight models. Pro is $9.99 a month and the Exam Pass is $19.99 once for 90 days; both move your jobs to the priority models and add downloads, including an Anki file whose cards carry the answer, the quote and the page.
What it does not do, so you can weigh it against the other five: it records no lectures, has no image occlusion, spaces your reviews with a plain growing interval rather than an algorithm like FSRS, has no offline mode, and caps Pro at 10,000 verified questions a month. The checks catch a quote that is not on the page and a key a second model disagrees with. They cannot judge the medicine, which is why the accuracy article prints what gets thrown out rather than a promise.
QuizMed: unlimited questions for one flat price
QuizMed is built for medical students: "Upload a PDF or paste your notes. QuizMed generates MCQs, true/false, and short answer questions." It takes PDFs, slides, images and text files.
What it does that MedUni Exam does not: its paid plan has no cap. QuizMed's FAQ says the monthly subscription gives "unlimited questions" with "no hidden caps or restrictions", where MedUni Exam's Pro stops at 10,000 verified questions a month. QuizMed also says you can export your questions to an Anki compatible deck "after any quiz"; MedUni Exam keeps its downloads for Pro and the Exam Pass.
The free plan is 5 quizzes, "no credit card, no trial timer", then $19 a month. The page does not say whether a question shows the passage it came from.
RemNote: quizzes inside your notes and flashcards
RemNote's AI quiz maker says to "upload any PDF or select text from your notes, and the AI generates exam-style multiple-choice questions", each with an explanation of the right and the wrong answers.
What it does that MedUni Exam does not: RemNote is where you take the notes in the first place. Notes, flashcards with spaced repetition, PDF annotation, an exam scheduler and a lecture recorder sit in one app, so the quiz is written from notes you already keep there.
RemNote's pricing page lists a free plan with 250 AI credits a month and 50 monthly runs of AI cards and quizzes, Pro at $96 a year, and Pro with AI, which carries the AI quizzes from PDFs and 20,000 credits, at $216 a year ($18 a month). The page does not say whether a question shows the passage it came from.
Scholarly: citations in every explanation
Scholarly's quiz generator takes a PDF, pasted notes or slides and returns multiple choice, true or false, short answer and fill in the blank questions. It is the one tool here besides MedUni Exam that states where each question came from: "every answer explanation carries a citation pointing back to the passage it came from."
What it does that MedUni Exam does not: fill in the blank questions, a timed exam mode that tracks your time on each question, and podcasts and video lectures made from the same sources.
Scholarly's pricing page gives the free plan as 5 practice questions and 1 practice exam in total, then Premium at $144 billed yearly, which it prints as $12 a month, or $30 billed monthly, with unlimited quizzes and an export to Anki.
When to keep Anki
None of the six replaces what Anki is best at. Anki schedules cards you already have, keeps the decks as files on your own device, works offline, and carries the shared decks built for the big licensing exams. If your deck already exists, the scheduler is the reason to stay, and the Anki comparison sets out what each side is good at.
The six earn their place one step earlier, when the deck does not exist yet because your course is not the one the shared deck was written for. A split that works: generate questions from this week's chapter, take them cold, and move the handful of facts you keep missing into Anki as cards.
How this list was made
A tool made the list when its own site says it writes practice questions from material you upload or paste. A tool that only its competitors or a review site describe that way would have been dropped rather than described secondhand; all six confirmed it on their own pages. Prices and plans are copied as printed on September 24, 2026, and they change, so the vendor's page wins wherever it disagrees with this one.
The order is alphabetical. The one thing each tool does that MedUni Exam does not comes from that tool's own site, because a comparison written by one of the six should show where the others are ahead.
Questions people ask
Which Anki alternative writes the questions for you?
Six tools say so on their own sites as of September 24, 2026: Knowt, Lexie, MedUni Exam, QuizMed, RemNote and Scholarly. Each writes practice questions from notes, slides or a PDF you give it. Which one fits depends on what you want next to the questions: a lecture recorder (Knowt, RemNote), FSRS spaced repetition (Lexie), your notes and flashcards in the same app (RemNote), no cap on a paid plan (QuizMed), or a source shown with every question (MedUni Exam, Scholarly). MedUni Exam wrote this list and is one of the six.
Which of these show where each question came from?
Two say so on their own sites. MedUni Exam prints a quote from your file and its page number under every question and checks the quote on that page before you see it. Scholarly puts a citation to the source passage in each answer explanation. Knowt, Lexie, QuizMed and RemNote do not say either way on the pages read on September 24, 2026.
Is there a free Anki alternative that makes questions from notes?
All six have a free plan, of very different sizes. As printed on September 24, 2026: Knowt's Basic plan costs nothing, Lexie gives 3 study sets, MedUni Exam gives 5,000 verified questions a month with an account, QuizMed gives 5 quizzes, RemNote gives 250 AI credits a month, and Scholarly gives 5 practice questions in total.
Can I move generated questions into Anki?
QuizMed says you can export to an Anki compatible deck after any quiz, and Scholarly lists an export to Anki on its paid plans. MedUni Exam downloads any exam or document as a tab separated Anki file with the fields Front, Back, Quote, Page and Tags on Pro and the Exam Pass, so every card keeps its quote and page.
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