Plus
Questions about Plus
What stays free, what Plus adds, and how gifts, billing and cancelling work.
The basics
What's free?
Today's daily case, Criterions board and Differential Duel, every day, with no account needed, in Classic or Hard mode. After a case you also get the clinical Overview and how other players did.
With a free account you can also catch up on the daily cases from the last 7 days, and finish any case or Criterions board you've started, whenever you come back to it.
Everything else (the rest of the archive, two extra cases a day, Evidence Check, Case Review and Practice) is part of Plus.
What does Plus add?
- The whole archive: every past daily case, Criterions board and Duel.
- Two Plus cases a day, and every one released before.
- Evidence Check and Case Review.
- Practice: plans built from your map and aimed at your gaps.
- Reasoning and Differentials for every case in the clinical breakdown.
- A gift link every 30 days to give a colleague a month of Plus.
Do I need an account?
Not to play today's games. A free account saves your stats, streaks and your map, and syncs them across your devices. What you played on a device before signing in comes with you.
It also keeps the archive's last week open to you: play any daily case from the last 7 days (a catch-up still counts for your streak), finish any case or Criterions board you've started, and reopen the ones you've finished to see your result.
Plus does need an account, so your membership goes wherever you sign in. You sign in with a link sent to your email, or with Google. There's no password.
Is there a free trial?
No, but you can see every Plus mode before you pay: open one without Plus and it shows you how it plays. A colleague with Plus can also send you a free month. And if Plus isn't for you, you can ask for a refund within 7 days of your first payment (see below).
Is DSMdle a clinical tool?
No. DSMdle is for learning and play, not for diagnosing or treating anyone. All case content is AI-generated and simplified, and it hasn't been clinically validated. That's true of Plus content too.
Which languages is DSMdle in?
English and Spanish, with the same cases in both.
Plus cases and the archive
How do Plus cases work?
Two Plus cases come out every day, on top of the daily case, at midnight in your time zone. As a member you can play all of them: today's, and every one released before, including days before you joined.
They stay in the archive, so you can't miss one.
Where do I find them?
After any daily case, Play another case takes you to your next unplayed Plus case. Once you've played them all, it counts down to the next ones.
Or open the archive and set Case source to Plus to see every released Plus case.
Are Plus cases harder than the daily case?
No. They're made the same way, with the same clue progression and the same difficulty target. They're more cases, not harder ones.
What's in the archive?
Every past daily case, Criterions board and Differential Duel, plus every Plus case: over 170 cases so far, and it grows every day. Filters help you find what you haven't played yet.
Without Plus, the daily cases from the last 7 days are open with a free account.
Game modes
What is Hard mode?
One guess, no second chances. You reveal the clues yourself and make your call when you're ready; the fewer clues you needed, the better your score. It's free on every case you can play, today's included, and keeps its own stats and win streak.
What is Criterions Hard?
The same board of 16 criteria and four diagnoses, but each time you group four criteria you also name the diagnosis. A wrong group or a wrong name costs one of your four mistakes. It's free on today's board; past boards are in the Plus archive.
How does a Differential Duel work?
Five rounds, each with two look-alike diagnoses. Choose the one that fits the vignette better, then the detail that settles it, for up to 10 points. Today's Duel is free for everyone, and every past one is in the Plus archive.
What is Evidence Check?
A criterion, a short clinical note and one call: does the note support the criterion, contradict it, or is there not enough information? Then you read the reasoning. Some notes come from the original case; others ask “what if…?”. Sets are organized by diagnosis in the Evidence Check library.
What's in the clinical breakdown?
After any case, See clinical breakdown opens four tabs:
- Review: Case Review (below).
- Overview: the clinical picture. Free for everyone.
- Reasoning: how the clues lead to the diagnosis, step by step.
- Differentials: the look-alikes, and what rules each one out.
Everything but the Overview is part of Plus.
What is Case Review?
A 30-second matching game after a case: connect each excerpt from the case to the clinical feature it describes. It's the Review tab of the clinical breakdown, and you can replay it from the archive for any case you've finished.
Practice and your map
What is your map?
Every diagnosis you meet lands on your map, scored on four skills: Recognize, Know criteria, Differentiate and Apply criteria. Each game mode trains one of them. A skill takes three milestones, over more than one day; earn all four and the diagnosis is mastered.
The map is free with an account. Plus adds Practice, which turns its gaps into plans.
How does Practice work?
Open Practice and choose:
- Recommended for you: five activities built from your map, aimed at the diagnoses and skills with the most room to grow.
- Choose your own: pick up to five activities yourself.
A plan can mix cases, Criterions boards, Duels, Evidence Checks and Case Reviews. New cases come from past daily cases, so Practice can introduce ones you haven't played.
Does Practice count for my streak or stats?
It counts for your streak on the days you play it, and toward your map. It never changes your stats, and it doesn't mark archive cases as played. If you miss something, it can count toward your map once more after 7 days.
Gifting Plus
How do gift links work?
If you pay for Plus, you can make one gift link every 30 days from Your subscription, under Gift a free month. Whoever claims it gets 30 days of Plus. A link nobody claims expires after 30 days.
Who can claim a gift?
Anyone who doesn't already have Plus or a subscription, including people who've never signed up: they create a free account when they claim it. Each person can receive one gifted month, and you can't claim your own link.
What happens when a gifted month ends?
Plus locks again, and everything you played stays on your account. If you subscribe during the gift, billing starts only when the gift ends, so you don't lose a day.
Billing and your account
How much is Plus?
$1.99 a month, or $19.99 a year (about $1.66 a month). In eurozone countries it's €1.99 and €19.99, and in Mexico it's MX$39 and MX$399. The pricing page always shows the current price in your currency.
Monthly or annual?
Both unlock exactly the same Plus. Annual saves 16%, about two months, so it's the better deal if you're staying a while.
How are payments handled?
Checkout and billing run on Stripe. We never see or store your card details.
Can I cancel anytime?
Yes. Go to Your subscription and choose Cancel subscription. You keep Plus until the end of the period you've paid for, and you can reactivate before then.
After that, Plus locks, but your results, stats and map stay on your account. Subscribe again and everything opens, including the Plus cases released while you were away.
How do I change my card or see invoices?
In Your subscription, Manage billing opens Stripe's billing portal, where you can update your payment method and see past invoices.
Can I get a refund?
Yes. If Plus isn't for you, write to us within 7 days of your first payment and we'll refund it. After that, you can still cancel anytime and keep access until the end of your billing period.
How do I delete my account?
Go to Your profile, choose Need to delete your account? and confirm with your email. It's immediate: an active Plus subscription is cancelled right away, without a refund.
Still have a question? Send us a message.