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Your progress, patients saved, and rank are tied to your account.

Before you start: Differential's AI features (patient interviews, consultant debriefs, teaching cards) need a free Google Gemini API key — you'll paste it once in Settings after signing in. Google Sign-in does not grant Gemini access; Google requires an explicit key from AI Studio. The rest of the simulator works without one.
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Guest progress is saved to this device only.