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Google Pixel Watch 4 review

Google's Wear OS 6 watch for Android phones with ECG, SpO2, skin temperature and a body response sensor.

By the DBotMaker research desk · Updated November 12, 2026

Capabilities (40%)
8.9
Ease of setup (30%)
8.8
Value (30%)
8.6

The Pixel Watch 4 is the best fit for Android owners who are not tied to Samsung. Google's US store lists it from $349.99. The spec sheet includes multipurpose electrical sensors for the ECG app, red and infrared sensors for SpO2, a multi-path optical heart rate sensor, a far field skin temperature sensor and a cEDA sensor for body response tracking. It runs Wear OS 6.0 on a Snapdragon W5 Gen 2 with 2 GB of SDRAM and 32 GB of storage, and dual frequency GPS uses GPS, Galileo and Glonass. Battery is listed at up to 30 hours on the 41mm and 40 hours on the 45mm with the always-on display, and up to 48 or 72 hours in Battery Saver Mode. Charging reaches 50% in about 15 minutes. Google says it works with most phones on Android 11.0 or newer and requires a Google Account. Personalized coaching built with Gemini needs a Google Health Premium membership. We compared documented features and published prices only.

Who it is for

Android owners who want Google apps and a full sensor set

Price

From $349.99 one-time for the 41mm model.

From $349.99 or $29.17/month with 12-month financing
Quoted from the vendor pricing page on November 12, 2026.

Key features

  • ECG app sensors, SpO2 sensors and a far field skin temperature sensor
  • cEDA skin conductance sensor for body response tracking
  • Up to 30 hours (41mm) or 40 hours (45mm) with always-on display
  • Dual frequency GPS with Galileo and Glonass
  • Snapdragon W5 Gen 2, 2 GB SDRAM and 32 GB storage

Strengths and weaknesses

  • Strength: Starts at $349.99, $30 below the Galaxy Watch9
  • Strength: 45mm model lists up to 72 hours with Battery Saver Mode
  • Strength: Works with most Android phones on Android 11.0 or newer
  • Weakness: Requires a Google Account and the Pixel Watch app on Android; no iPhone support listed
  • Weakness: 41mm battery is up to 30 hours with always-on display
  • Weakness: Gemini coaching needs a Google Health Premium membership

Key facts

  • Price: From $349.99
  • Phone: Android 11.0 or newer
  • Battery: Up to 30 hours (41mm), 40 hours (45mm) with AOD
  • Charging: About 15 minutes to 50%
  • OS: Wear OS 6.0

Where it ranks

Google Pixel Watch 4 is No. 2 in our Best Smartwatches verdict.

Alternatives we scored

Visit store.google.com · Questions or corrections: editorial@dbotmaker.io