Acuity Risk Management STREAM® vs Clearwater IRM|Pro®: Side-by-Side Comparison (2026)

Acuity Risk Management STREAM®

Mid-market and enterprise security teams drowning in compliance checkbox work should seriously consider Acuity Risk Management STREAM® because it actually automates evidence collection across 50+ frameworks instead of just templating them. The platform covers 8 of 8 NIST CSF 2.0 Govern function areas, including the often-neglected supply chain risk management piece, and its continuous controls monitoring with security tool integrations means you stop running manual audit prep sprints every quarter. Skip this if your organization has zero appetite for configuration work; the no-code flexibility that makes STREAM adaptable to your specific regulatory mix requires someone to actually do that adaptation.

Clearwater IRM|Pro®

Mid-market and enterprise healthcare organizations need Clearwater IRM|Pro® if your compliance team spends more time hunting down ePHI asset inventories than actually managing risk. The platform's OCR-quality HIPAA Security Rule assessments and 405(d) Health Industry Cybersecurity Practices scoring mean you're working from the same risk baseline regulators will use in an audit, not a generic checklist. Skip this if you're looking for vulnerability scanning or threat detection; Clearwater owns the left side of risk assessment and compliance gap identification, not response.