Psious and Amelia Alternatives in 2026: 5 Real Options

Why This Article, in 2026

Psious was for years the leading clinical VR platform in Spain. After its acquisition by Amelia (2021) and subsequent absorption into the XRHealth group (2024), the product roadmap came to depend on decisions made in Tel Aviv and Boston. Many Spanish private practices report: higher prices, scenarios that were never localized, support only in English/French, rigid per-headset contracts.

If you're in that position, you're not alone. This article is the concise answer we get asked every week: "What real alternatives exist if I want to leave Amelia or never signed up in the first place?" The 5 we list here are the only ones that meet the minimum filter: operating in Spanish private practice in 2026, with paying clients, and public or accessible pricing.

Spoiler: we are VRET, and we're not pretending to be neutral. But the inclusion filter and the honesty about where another alternative beats us are real. If all you want is marketing copy, close this tab and talk to a sales rep instead.

The 5 Alternatives, Side by Side

VRET (Spain) — Per-clinic pricing. Starter $119/mo, Clinic $289/mo, Enterprise $1,499/mo. Co-founded by a practicing licensed clinical psychologist. Support in Spanish. EU servers. 30/60/90-day refund window depending on plan. 2026 founding cohort open now.

C2Care (France) — Per-headset pricing, roughly €220/headset/month (Spanish market). Broad scenario catalog (a European pioneer). Support in French/English. EU servers. Longer rollout (1-3 months). Fits clinics with a comfortable budget and tolerance for non-native support.

oVRcome (New Zealand) — Per-patient model with a mobile app plus a budget headset. Real pricing depends on the package (€10-20 per patient/month, Spanish market). Key limitation: it isn't built for therapist-structured clinical use — it's guided self-help.

TRIPP (United States) — Mindfulness and wellness, not strict clinical exposure. Per-user model via the Quest Store (roughly €10/month). Useful as a complement, not as a clinical exposure tool.

Healium (United States) — VR plus biofeedback. Focused on relaxation and wellness. Annual per-license model. Useful for clinics with a mindfulness focus, not for phobia exposure work.

The feature-by-feature detail is in the lead magnet (an 8-page PDF comparison). This summary is here to help you rule out the options that don't fit your clinical use case.

The Factor That Will Hurt Most in 18 Months: the Pricing Model

The most expensive mistake in B2B clinical VR is choosing software by feature list instead of by pricing model. The reason: features converge within 12-18 months, but the pricing model shapes your bill for the entire life of the contract.

Per-headset model (Amelia, C2Care, oVRcome): you pay a fixed amount for every active headset every month. It works well if your clinic has 1-2 headsets and will stay that way. It works badly if you go from 1 to 4 headsets in 18 months: your bill multiplies ×4 without the per-patient value changing.

Per-clinic model (VRET): you pay one flat fee per clinic with a set number of headsets included (4 on Clinic, 10 on Enterprise). Add-ons are predictable. It works best when your clinic is growing, worse for clinics that will always run just 1 headset.

Per-patient model (oVRcome): you pay by the number of active patients each month. It works well for high volume without much structure. It works badly for a solo psychologist with 10 active patients: it ends up costing as much as a flat plan and you lose control.

Honest recommendation: if you're going to run just 1 headset and plan to keep it that way, the per-headset model can work out cheaper. If your clinic is growing or already has 2+ headsets, the per-clinic model wins in 80% of cases. The ROI calculator quantifies it with your real numbers, and the pricing page has the full plan comparison.

Localized Support: the Most Common Crack

A psychologist in Seville reported in 2025: "It took us 4 days to resolve a manifest-signing bug because Amelia's support only responded during US hours and didn't understand the Spanish clinical-practice context." That's the most common crack with foreign platforms.

Filter to apply: does support have a Spanish-speaking clinical psychologist on staff, or only engineering? Do queued responses take hours or days? Is there cultural localization in the scenarios (a "fear of flying" scenario with an Iberia aircraft and Barajas airport, not Heathrow)?

VRET has human support in Spanish, backed by a practicing licensed co-founder. C2Care has multinational support with French/English as the primary languages. The other alternatives have no office or localized support in Spain — not even sales.

GDPR/AEPD: What Your DPO Will Ask

Any clinical software that touches Spanish patient data has to comply with GDPR and the requirements of Spain's data protection authority, the AEPD. The question isn't "does it comply?" — it's "how does it prove it and sign for it?"

Operational filters: (1) servers in the EU (not just "encryption"), (2) a signable DPA — a data processing agreement your DPO can execute, (3) a visible sub-processor registry (which cloud provider the data goes to), (4) a documented breach procedure, (5) reliable data export in a usable format for GDPR portability.

VRET offers a signable DPA on Clinic+ plans, EU-based Supabase servers, per-tenant row-level security, and an audit trail. C2Care has EU servers and a DPA available. oVRcome and TRIPP run on US servers under standard US contractual terms (Privacy Shield 2.0): acceptable, but more friction with a conservative DPO. Healium is the same.

Practical takeaway: if your DPO is strict, VRET and C2Care are the two options that pass the filter without discussion. The others require extra explanation to the committee.

Honest Recommendation by Profile

Solo psychologist with 1 headset: VRET for independent psychologists ($119/mo, support in Spanish, 30-day refund window). If you need very specific scenarios that VRET doesn't include, C2Care per headset, if you can be patient with FR/EN support.

Small clinic (2-4 therapists) coming from Amelia: VRET Clinic ($289/mo, 4 headsets included, 60-day refund window with a clinical condition). The 14-day migration plan is the differentiator. C2Care if your clinic has budget to spare and prefers a broad catalog over localized support.

Group practice with 5+ therapists and a committee: VRET Enterprise (SSO, DPA, account manager, custom scenario). C2Care Enterprise if you work closely with Francophone clinics or your director comes from that environment.

Hospital or insurer with public procurement: none of the 5 currently holds Class IIa CE medical-device certification. For public healthcare tenders, the correct answer today is to wait 2-3 years or use VRET/C2Care as professional support software (not as a medical device).

Mindfulness and wellness without structured clinical exposure: TRIPP or Healium. Neither is a real competitor to VRET for phobia-exposure work.

This article is for informational purposes for psychology professionals. It is not clinical advice for any individual case and does not replace the judgment of the licensed psychologist in charge. VRET is professional clinical-support software, not a CE-marked medical device.