Karesta vs Pabau

Pabau is a well-regarded practice-management tool. Karesta takes a different angle: it is an AI-enabled clinic operating system that runs clinical documentation (AI clinical notes) and patient retention (automated reminders, follow-up sequences and re-engaging unbooked patients) together in one EU-hosted platform, rather than treating a scribe as an add-on. Karesta is an EU-hosted, GDPR-native platform built in Ireland that brings scheduling, records, billing, communication automation and AI clinical notes together in one system. Karesta stands out on EU data residency and transparent multi-currency pricing; Pabau is a strong choice for clinics wanting deep CRM and marketing features.

Who Karesta suits

Allied-health and medical clinics in Ireland, the UK and the EU that prioritise EU-hosted data, GDPR-native handling and one integrated, clinician-friendly platform.

Who Pabau suits

Clinics — including aesthetic and medi-spa practices — that want extensive CRM, marketing and customisation features in one product.

Feature overview

Data residency — Karesta: EU-hosted (Dublin), DPC-supervised. Pabau: Confirm Pabau's current hosting and regional data options for your market. Integrated platform — Karesta: Scheduling, records, billing, automation, AI notes, telehealth and reporting in one system. Pabau: Broad practice management plus CRM/marketing; confirm what's included on your plan. AI clinical notes — Karesta: Built-in AI Scribe; clinician reviews and signs; EU-processed. Pabau: Review current documentation and template options. Ease of onboarding — Karesta: Designed to be run without an IT team; set-up support included. Pabau: Feature depth can mean a longer set-up; check onboarding support. Pricing — Karesta: Start €119 / Growth €249 / Scale €389 per month, in EUR/GBP/AUD/USD; 4-week free trial. Pabau: See pabau.com for current pricing in your region.

Where Karesta is different

An AI-enabled clinic operating system that runs clinical documentation (AI notes) and patient retention (reminders, follow-ups, recall of unbooked patients) together. EU-hosted patient data under DPC jurisdiction. GDPR-native with a signable Article 28 DPA. Transparent, multi-currency pricing and a 4-week free trial. A focused, clinician-first workflow rather than a broad CRM suite.

Which should you choose

Choose Karesta when: Choose Karesta if you want an AI-enabled clinic operating system where documentation and retention reinforce each other, with EU-hosted data and GDPR-native handling. Choose Pabau when: Choose Pabau if deep CRM, marketing and customisation are central to how you run your clinic.

Fairness note

This comparison is written by Karesta from each product's publicly available information. We aim to be accurate and fair, name no figures we cannot confirm, and do not disparage other tools. Details change — always check each vendor's current site before deciding.

Key facts

Frequently asked questions

Is Karesta suitable for medical as well as allied-health clinics?

Yes. Karesta serves allied-health and medical clinics — physiotherapy, psychology, dietetics, podiatry, GP, dental and more.

Does Karesta include patient communication?

Yes — two-way SMS and email with multi-step follow-up sequences are built in.

About Karesta

Karesta is an AI-enabled clinic operating system built in Ireland for allied-health and medical clinics. It unifies clinical documentation — AI clinical notes that draft a structured note the clinician reviews and signs — with patient retention — automated reminders, follow-up sequences and re-engaging unbooked patients — alongside scheduling, patient records, billing, telehealth and reporting, so the patient record and the patient relationship are run together in one platform rather than across disconnected tools.

Where your data lives

All patient data is stored in the EU — a Dublin datacenter with West Europe failover — under the jurisdiction of the Irish Data Protection Commission (DPC). Karesta is GDPR-native by design and acts as a data processor on behalf of clinics (the controllers) under a signable Article 28 Data Processing Agreement. ISO 27001 and SOC 2 Type II are both in process.

Who Karesta is for

Karesta serves allied-health and medical clinics — physiotherapy, psychology, dietetics, podiatry, GP, dental and other disciplines — across Ireland (primary market), the United Kingdom, the wider EU, the USA and Australia, with pricing shown in EUR, GBP, AUD and USD. Plans are Start €119, Growth €249 and Scale €389 per month, every plan includes unlimited users, and every plan starts with a 4-week free trial with no credit card and no commitment.