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Core Pixel Watch 5 activity, sleep, and health tracking is included in Google Health’s Base tier; a paid subscription is for Google Health Coach’s personalized guidance. Google has renamed the Fitbit app Google Health and Fitbit Premium Google Health Premium, though many people still use the old names.
What works without Google Health Premium?
Google’s US Google Store comparison lists these tracking and logging features in the Base tier when Google Health is paired with a watch or tracker:
- Activity: steps, calories, distance, cardio load, and readiness.
- Sleep: sleep score, schedule, duration, and stages.
- Health metrics: heart rate, heart-rate variability (HRV), breathing rate, blood oxygen (SpO2), and medical records.
- Wellness logging: weight, nutrition, water intake, moods, and cycles.
Google’s Pixel Watch support page also describes tracking steps, calories, and GPS data during activities such as running, weightlifting, and tennis, with automatic detection and saving for some activities. It explains sleep goals, sleep-stage tracking, and heart-rate monitoring without saying that Premium is required for these basic functions. Google’s activity compatibility table lists Pixel Watch 5 for the supported activity metrics.
Which features require Google Health Premium?
Premium includes the Base features plus Google Health Coach. Google lists these Coach additions:
#1 Best Overall
- No APP & Phone Required Fitness Tracker Watch: This Fitness Tracker watch doesn't require any App or smartphone connections! It's as simple to use as a regular watch but smarter. Perfect for anyone looking for an easy fitness tracker without the hassle of smartphone setups.
- Heart Rate and Sleep Monitoring: The Fitness Tracker monitors your heart rate automatically all day, and you can select manual mode through the App. The fitness Watch also monitors your sleep at night, providing a detailed analysis of your sleep quality (deep sleep, light sleep, awake time). It is a health advisor for women men in daily life.
- Multi Sport Modes with Activity Tracking: The fitness tracker features 9 sport modes like running, walking and more. Additionally, the activity tracker records daily steps, calories burned, walking distance and active time throughout the day. You can also set a daily steps goals through the App to track your progress.
- Smart Notification Reminder: You can get SMS messages, and SNS notifications directly on your wrist including Facebook, Twitter, Gmail ect. You won't miss any important calls and message and stay updated. Please note: the smart watch can not make calls or text.
- Long Battery Life and IP68 Waterproof: This smart watch only requires 2 hours of charging and can be used for 5-7 days continuously, IP68 waterproof rating can withstand daily sweat, washing hands and rainy day, allowing you to fully enjoy your workouts.
- Ask Coach: personalized answers to health questions and related insights.
- Adaptive fitness plans: weekly plans and workouts tailored to goals and adjustable to changing circumstances.
- Personalized sleep summaries: detailed sleep summaries with coaching insights.
In practical terms, the dividing line is tracking versus interpretation: collecting core readings and logging wellness are included, while tailored recommendations and coaching are Premium benefits. Google describes Coach as offering advanced insights and recommendations to help build habits around fitness, sleep, nutrition, and mindfulness.
Are Pixel Watch 5’s new features subscription-gated?
Google’s Pixel Watch 5 announcement describes customized strength workouts, adaptive recommendations based on recovery metrics such as sleep and HRV, bedtime automations, and a dedicated bedtime watch face. Its subscription footnotes say some features need Google Health or Google Health Premium, and identify some capabilities as requiring Premium, but those footnotes do not establish that every newly announced watch feature requires a subscription. The tier comparison and support page make the clearest distinction between included tracking and paid Coach features.
Rank #2
- 【All-day Activity Tracker】: ENGERWALL IP68 Waterproof fitness tracker can record and track your daily steps, calories burned, exercise distance and time. It can also monitor your Body Temp, Heart Rate, Blood Oxygen and Blood Pressure. IP68 waterproof ensures that you don't need to take it off for daily hand washing and swimming, but don't soak it in water for a long time or wear it for hot baths, saunas.
- 【Slim and simple band design】The design concept of this tracker’s band is slim and unique, offering a comfortable and lightweight wearing experience. Suitable for men, women and the elderly.
- 【Heart Rate Monitor and Sleep Tracker】: Smart tracker can detect heart rate, blood pressure, blood oxygen, and body temperature in daily life. Monitor your sleep and analyze your sleep quality through Fall Sleep, Deep Sleep, Light Sleep, REM Sleep. You can view daily, weekly, and monthly data in the APP "Runmefit" to help you better understand your health status and lead a healthy lifestyle. [IMPORTANT] The blood pressure measurement feature must be downloaded and enabled within the app.
- 【Call and message notifications】: You can receive text messages and SNS notifications (including Facebook, Twitter, WhatsApp and Instagram) directly on your wrist. When your phone's Bluetooth is turned on, if you receive a message, the watch will vibrate to remind you and you can view the specific message. This function is very practical whether in work or life.
- 【Working Time】: Smart Fitness Watch is the best partner at work, you can set it on the mobile APP ‘Runmefit’: up to 5 sets of alarms, you don’t have to worry about being late for appointments or forgetting important things. You can set drinking Water Reminders and Sedentary Reminders to establish a healthy way of working.
Health Guardian monthly summaries
Google announced monthly Pixel Watch 5 Health Guardian trend summaries covering blood pressure, sleep breathing quality, and insulin resistance. The announcement described them as “Rolling out soon” and said the first detailed summary would arrive after one month of wear. It does not state that these summaries require Premium. Availability and requirements may change as the rollout proceeds, so check the current feature information for your location.
Sleep-stage accuracy claim
Google says Pixel Watch 5 has 15% more accurate sleep-stage detection than Pixel Watch 4. That is Google’s 2026 comparison claim, not an independent test result in the sources cited here. The announcement does not establish that bedtime automations or the bedtime watch face are subscription-gated.
Rank #3
![Apple Watch Series 11 [GPS 42mm] Smartwatch with Rose Gold Aluminum Case with Light Blush Sport Band - S/M. Sleep Score, Fitness Tracker, Health Monitoring, Always-On Display, Water Resistant](https://m.media-amazon.com/images/I/31caPPnRysL._SL160_.jpg)
- A FULL-FEATURED HEALTH TRACKER—Apple Watch Series 11 gives you invaluable insights about your body, right from your wrist. Take an ECG anytime* and get alerts for a high and low heart rate or an irregular rhythm*—so you can stay closer to your heart. You can also view your overnight health tracking metrics with the Vitals app* and be notified of possible sleep apnea.*
- KNOW YOUR SLEEP SCORE—With advanced sleep tracking, Series 11 gives you a daily sleep score. It’s an easy way to help measure and understand the quality of your sleep, so you can make it more restorative.
- GET HYPERTENSION NOTIFICATIONS—Did you know that Series 11 can spot signs of chronic high blood pressure? By analyzing how your blood vessels respond to beats of the heart, it can notify you of possible hypertension.*
- SAFETY FEATURES—A smartwatch that puts your safety first. Series 11 can detect a hard fall or severe car crash, automatically help connect you with emergency services, and notify your emergency contacts.* Check In can automatically notify a loved one when you’ve arrived at your destination.
- A POWERFUL FITNESS TRACKER—With advanced metrics and motivating features like Pacer, Heart Rate Zones, training load, and Workout Buddy powered by Apple Intelligence from your nearby iPhone*—Series 11 is made to help everyone stay active, from runners and hikers to strength-training enthusiasts.
Who can use Premium, and is there a trial?
Google says Coach and Premium coaching features are for users over 18 with a Fitbit or Pixel Watch device, and availability is limited by country. Languages, rollout timing, and plan details can vary by location. Google support describes a three-month Premium trial for eligible new users; it is conditional, not a guaranteed offer for every Pixel Watch 5 buyer. Check the offer shown in your account.
Quick Recap
Sources and regional scope
- Google Store: Google Health Premium comparison (US). Its Base-versus-Premium feature list is US-facing; do not assume commercial terms or availability are identical in every country.
- Google Pixel Watch Help: health and fitness tracking and Premium.
- Google Health activity compatibility table.
- Google Pixel Watch 5 announcement.
- Google’s Google Health naming transition announcement.
Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Amazon at the time of purchase will apply.
