Canceled Salesforce after fixing patient management in the EMR → EMR
“They spent 6 figures a year on SF just to communicate with patients, make and change appointments”
Salesforce alternatives: where its users went, and why they left
Salesforce (salesforce.com) has 51 sourced reports on Friction, drawn from 84 public source threads (as of 2026-10-15), 15 of them describing a move away. This page reads them for one question: if you are leaving Salesforce, what do its users say they moved to, and what pushed them out?
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Where Salesforce users say they went
Switching reports that name a destination. A count is the number of reports naming it, not a market share: Friction only holds what people say in public.
| Named alternative | Reports naming it | Newest report |
|---|---|---|
| EMR | 2 | 2026 |
| another CRM provider | 2 | 2025 |
| FreshService | 1 | 2026 |
| Ungrind Ai | 1 | 2026 |
| Twenty | 1 | 2026 |
| Internally built AI tools | 1 | 2025 |
| Openkoda | 1 | 2024 |
| Zoho One | 1 | 2021 |
In their words
Patient-management use of Salesforce was costly and redundant → EMR
“They spent 6 figures a year on SF just to communicate with patients, make and change appointments, send and receive documents”
Salesforce ticket system was far more expensive than FreshService → FreshService
“Those folks we moved to FreshService. $180k down to $15k/yr”
Solopreneurs and small teams can use simpler tools instead → ungrind ai
“this solves 80% of what they actually use Salesforce for, without the complexity”
What pushes people away from Salesforce
The most-reported open problems, worst severity first. Each links to the item with its source.
Salesforce changes cannot be made quickly · Reliability & bugs · Blocks work
“The architecture and approval process of everything there has long been setup so that things can't be changed quickly”
Copilot cannot access Salesforce data · Integrations · Blocks work
“if they have Salesforce, then tough luck as copilot cant "see into" that”
High Salesforce bills for basic CRM use · Pricing & plans · Annoyance · 2 people
“Salesforce is very expensive, so it is not a go-to choice for most startups/no-CRM-experience people”
OmniScript PDF generation can take over 30 seconds · Performance · Annoyance
“Generating some PDFs can take in excess of thirty seconds, just because it hits five different objects”
SFMC navigation requires too many clicks · UI & usability · Annoyance
“The UX can be frustrating, especially when working across multiple business units”
See all 42 themes for Salesforce
Other crm and sales tools on Friction, and what their users struggle with
Switching trades one set of problems for another. The same evidence, for each tool Friction covers in this category:
HubSpot
15 reports · 29 source threads · most-discussed area: Pricing & plans
Counts and reports reflect people who post in public (developers and technical buyers are over-represented). A tool with fewer reports is not a better tool; it may only be discussed less. How the data is built.