Communication is a critical need in ICUs and many other settings where a person cannot speak. Vocalizer for patients is a free Assistive Communication app intended to help conscious people who are unable to speak. Dr. Jagannath, a leading cancer surgeon conceived an idea of using figurative expressions and vocalizing them as spoken voice. The app is based on assessment in the ICU by Dr. Sanjith, Intensivist. It has been developed by Tata Interactive Solutions. We hope that this will help your near and dear to communicate with you in a setting of an ICU or at home when they may not be able to speak and desperately want to communicate their desires to you. We welcome your review and feedback. The effort is funded by Crusade Against Cancer Foundation, a charitable organization specially for children with cancer. (www.indiacancer.org). Donations for cancer patients are welcome. The application is for iPad devices.