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AI Pill Counter

Count pills and tablets from a photo in seconds

Photograph the tray of tablets and AI tallies every pill — each one marked with a dot so you can verify at a glance. Built for pharmacy, clinic and care-home stock work.

  • Counts pills even when they touch or overlap
  • Mark 1–3 example pills to count exactly that item
  • Preview free · free account required to download · files deleted automatically
  • Free counts carry a small “Counted with Pixoate” badge · watermark-free with Premium

Works with JPG, PNG, WEBP · Free up to 20 MB, Premium 50 MB

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What you can do with Pill Counter

Everything this tool helps you accomplish — no learning curve, no setup.

  • Count pills and tablets from a single photo
  • Tally a tray faster than counting by hand
  • See every pill marked for a verifiable count
  • Mark a few examples to guide tricky counts
  • Batch-count many trays in a bulk audit
  • Filter out tiny specks with a size cutoff

Settings information

Every control in Pill Counter, explained — what it does and when to use it.

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Single photo / Bulk auditPresets
Switches between counting one photo at a time and Bulk audit (Premium), which counts a whole queue of photos and adds every result to the tally sheet with a grand total.Options: Single photoBulk audit

Count

Add to tallyOne-click
Adds the current photo's count as a new row on the tally sheet so counts from several shelves, crates or batches combine into one stock-take.
Counting modePresets
Chooses the counting engine: Auto picks the best one for the photo, Similar items handles piles and rows of pills, Distinct objects labels each separate item, and Max accuracy cross-checks every engine (slower).Options: AutoSimilar itemsDistinct objectsMax accuracy
ConfidenceSliderRange: 0–1 · Default: 0.05
Re-filters the marked detections after a count — slide toward Only confident to drop doubtful marks or toward Show more to include faint ones; the total updates instantly.
Overlay stylePresets
Sets how counted items appear on the live preview — dots on each item, a density heatmap, both, or a clean image — so you can verify the total visually.Options: BothDotsHeatNone
What to countText input
Names the item to count and comes pre-filled with pills; clear or change it to count a different item in the photo.
Detection sensitivitySliderRange: 0–1 · Default: 0.5
Controls how eagerly items are marked, from Larger items to Smaller items — raise it if small or faint items are missed, lower it if specks or shadows inflate the count.

Examples

Mark example pillsDraw on image
Drag a box around 1–3 example pills on the photo to teach the counter exactly which item to count in a busy or mixed scene.

Tally

LabelText input
Renames a tally row (e.g. Shelf 4 — 500ml) so each counted photo stays identifiable in the exported stock-take.
CountNumber input
Lets you hand-correct a row's counted number (minimum 0) if you spot a miscount; the running total and the CSV or PDF export update immediately.

Advanced

Result overlayDropdown
Chooses how the downloadable result image is annotated so the count can be verified on the saved file; not used in Distinct objects mode.Options: Dots + heatmapDots onlyHeatmap only
Ignore small detectionsSliderRange: 0–1 · Default: 0
Filters out detections smaller than the chosen size, from Off to Large only, so dust, specks and distant clutter stop inflating the total.
Files are auto-deleted after processingProcessed securely over HTTPS

Frequently Asked Questions

On a tray photo with even light, accuracy is high even when tablets touch — the AI uses density counting rather than shape detection, so clusters don't merge into one. Every pill gets a dot, so a quick glance verifies the total. For regulated counts, treat it as a fast double-check alongside your standard procedure.

quality

Mark 1–3 example pills by dragging a box around them and the AI counts exactly that item, ignoring everything else in the frame. Every counted item gets a dot on the image so you can verify the total at a glance.

usage

Yes — the engine counts ANY repeated item. If the tray has more than one medication on it, mark 1–3 examples of the one you're counting and it counts only that one.

usage

Yes — counting photos is free to preview; create a free account to download for everyday use. Free downloads of the marked-up image carry a small “Counted with Pixoate” badge; with Premium that same download is watermark-free. Photos are uploaded only to process and are deleted automatically afterwards; we never keep or share them.

privacy

Similar items is built for a tray of one medication — the standard pharmacy tablet count — and uses density counting so touching tablets don't merge into one. Distinct objects switches to object detection so a tray with several different medications can have each one recognised separately. Auto lets the tool choose, but for a mixed tray, switching to Distinct objects (or marking examples of one pill at a time) gives a cleaner per-medication split.

usage

Sensitivity (Low to High) sets how confident the AI must be before marking a tablet. Raise it toward High if low-contrast white or pale pills on a light tray are being under-counted; lower it toward Low if shadows or the tray's texture are being picked up as extra tablets. A plain, matte tray with even overhead light needs the least adjustment.

technical

Result overlay controls how the count is marked on the photo — Dots + heatmap places a dot on every tablet and shows a density map, Dots only keeps the marked image clean for a regulated-count record, and Heatmap only shows concentration without individual markers. Ignore small detections raises the minimum size counted, which is useful for excluding capsule fragments, dust or tablet debris on the tray from the total.

features

Yes — switch Single photo to Bulk audit to upload a photo of every tray you need counted. Each is counted using your current Sensitivity setting, a grand total across all trays is shown, and each tray's count is added automatically to the tally sheet, speeding up a full pharmacy or clinic stock check.

features

Add each tray's count to the tally sheet, labelling rows with the medication and batch, then export the sheet as a CSV or generate a branded PDF stock-take report to keep alongside your standard procedure. Sign in to save the stock-take to your account and share a read-only link for a second reviewer to verify.

features

Set Counting mode to Distinct objects so different tablet shapes and colors aren't merged into one count, keep Sensitivity moderate to High for pale tablets on a light tray, and set Ignore small detections low so partial tablets aren't dropped from a regulated count. Mark 1–3 examples of each medication in turn and log every pass as its own tally row for a documented per-medication total.

tips

Counting a single tray photo is always free to preview; create a free account to download. Bulk audit — queuing a whole batch of tray photos into one grand total — is a Premium feature. Signing in lets you save a stock-take to your account for free, up to 3 saved counts, with unlimited saved history on Premium.

pricing

CSV export of your tally sheet is free for everyone. The branded PDF stock-take report — useful for a controlled-substance or regulated count record — and sharing a read-only link with a second reviewer are both Premium features.

pricing

Yes — each tally row's Count number can be edited directly if a manual recount finds a different total, not just the row's Label. A remove button (×) deletes a single tray's row, and Clear tally resets the whole sheet for a new stock check.

usage

Opening a saved stock-take with Open in tally replaces the entire current tally sheet — it does not merge the saved rows into what you're currently counting. Export, save or note down your current tally first if you still need it, since there's no undo once a saved session loads in.

usage

Yes — Pixoate supports batch and bulk processing. Switch to Batch mode, add up to 100 photos, set your options once, and every photo is processed with the same settings before you download one tally per photo plus a grand total. Bulk processing is a Premium feature; the output uses the same quality and settings as single mode.

features

Yes — with bulk processing you configure the settings a single time and they apply to every item in the batch, up to 100 photos. There is no need to repeat the setup per item, and Temporary uploaded and generated files are processed securely and deleted automatically.

usage

How Pill Counter helps you get it done

Real problems it solves every day — for businesses, creators, and everyday tasks. Find the use case that fits you and start in seconds.

For Business

Pharmacy Fill Double-Checks in Seconds

Photograph a filled tray and use it as a fast second check on a manual count, with a dot placed on every tablet counted so a pharmacist can visually confirm the total before it goes out.

Legal

Controlled-Substance Count Audit Trail

Save each controlled-substance count as its own stock-take, export a branded PDF report, and keep a dated, shareable audit trail alongside your standard procedure.

For Business

Care Home Medication Round Counts

Count a resident's weekly pill organizer or a full medication cart tray in one photo instead of counting by hand between shift changes.

For Developers

Supplement & Capsule Manufacturing QC

Mark an example capsule or tablet and use Similar items mode to verify fill counts on a production sample, catching an under-filled bottle before it ships.

Productivity

Multi-Tray Stock Checks for Pharmacies

Switch to Bulk audit to count every tray in a full stock check in one pass, with a grand total and a per-tray tally row ready to export.