The Best Anki Decks for USMLE Step 1 (That Actually Work)
Struggling to pick an Anki deck for Step 1? Here’s the no-BS guide to choosing decks that’ll save you time and stress.
The Anki Decks That Got Me Through Step 1 (And Yours Can Too)
Let’s cut to the chase: you’re staring at a mountain of Step 1 material and wondering which Anki deck will actually stick. Been there. After helping dozens of students (and surviving Step 1 myself), here’s the real talk about decks that deliver.
Why Anki is Your Step 1 Secret Weapon
*Caption: Me after completing all the day's reviews.
Anki isn’t just flashy tech – it’s how you’ll:
- Remember the 1000+ facts that seem to evaporate post-lecture
- Connect First Aid dots that look like alphabet soup at first
- Survive Pharm without mixing up every -lolol drug suffix
But here’s the kicker: the deck matters as much as the grind. Pick wrong, and you’ll waste weeks relearning what you could’ve nailed upfront.
The 2025 Deck Hall of Fame
🥇 Anking Overhaul (v12) – The GOAT
“If Anki decks had a superhero, this would be Iron Man.”
- What’s inside: 30k+ cards tagging First Aid, Pathoma, Sketchy – even UWorld diagrams
- Why I love it: Found a random UWorld question about Kupffer cells? There’s a tagged card for that.
- Pro tip: Use the “#AK_Step1” filtered deck 6 months out. Trust me.
Caption: When you realize 80% of UWorld is already in these tags
Heads up:
- Feels overwhelming at first – start with organ systems you hate most
- Update through AnkiHub weekly (those errata fixes are clutch)
🥈 Lightyear 2025 – For the “I Need Structure” Crew
“Boards & Beyond’s BFF”
- Perfect if: You get anxiety from 30k cards and just want a clear path
- Secret sauce: Cards follow BnB video timestamps – watch a video, crush the cards
- My hack: Pair with Pepper Micro/Pharm for Sketchy memory hooks
Why it works:
- No decision fatigue – just follow the video order
- The HY arrows → filter by these during dedicated
🥉 Duke’s Pathoma – Histology Hero
“For when Robbins makes you want to cry”
- Saves you from: That “Wait, is this a basophil or a mast cell?” panic
- MVP feature: 500+ annotated Pathoma sketches (RIP Dr. Sattar’s handwriting)
- How I used it: Hammered Chapters 1-3 daily for 2 weeks pre-exam
How to Pick Without Regrets
Ask yourself:
-
“Do I learn better with:
- 🎯 Precision (Anking)
- 🛣️ Structure (Lightyear)
- 🧩 Gaps (Duke’s + AnKing combo)
-
“How much time do I have?”
- 6+ months → Go full Anking
- 3 months → Lightyear + Duke’s weak areas
- 4 weeks → Dorian’s 420 (HY only) + UWorld incorrects
-
“Will I actually keep up with reviews?”
(Be honest. If not, Lightyear’s shorter leash helps.)
Pro Moves I Wish I Knew Earlier
-
Image Occlusion Ninja Trick:
Screenshot UWorld tables → make custom cards DURING reviews. Future-you will weep with joy. -
The Tag Triage:
In Anking, searchtag:#AK_Step1 -is:new
during dedicated. Instant HY filter. -
Avoid the “Shiny Deck” Trap:
Found a new viral deck? Check Anking’s update notes first – it’s probably already there.
Caption: Me adding memes to cards so I actually remember them
“But What If I Hate All These Decks?”
Been there. Try:
-
Frankenstein Mode:
- 70% Anking + 20% Duke’s Pathoma + 10% Anatomy Blueprints
- Sync via AnkiHub to avoid conflicts
-
The Minimalist Approach:
- Pepper Micro/Pharm + Lightyear’s BnB cards
- Add 5 custom cards daily from UWorld
The Cold Hard Truth
No deck is perfect. You’ll still:
- Curse the 20 ambiguous cards out of 30,000
- Debate deleting that 1990s-style histo image
- Consider rage-quitting during glycogen storage diseases
But: The right deck cuts your “WTF is this?” moments by 80%. And that’s worth its weight in UWorld subscriptions.
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P.S. Coffee > sleep during dedicated. You’ve been warned.