Download the free MileDown 90-page MCAT review sheet and learn what it covers, how it pairs with Anki, and whether it is enough for MCAT content review.
MileDown 90-Page MCAT Review Sheet: Free PDF Download, Review, and How to Use It
The MileDown 90-page MCAT review sheet is one of the classic free MCAT resources that has circulated among premed students for years. It condenses a large amount of Biology, Biochemistry, General Chemistry, Organic Chemistry, Physics, Psychology, and Sociology material into a relatively short document that you can use for quick review without reopening an entire set of MCAT books every time you forget a concept.
You can download the MileDown MCAT review sheet currently hosted through AspiringMD here:
Download the MileDown 90-Page MCAT Review Sheet PDF
I also recommend bookmarking the original creator’s Reddit post because it gives you important context about where the resource came from and how MileDown actually intended students to use it:
Read MileDown’s Original Review Sheets Post
The creator’s original Google Drive version is available here:
Download MileDown’s Original Review Sheets
MileDown described the document as a 90-page PDF containing material gathered from the review books used during MCAT preparation as well as content encountered throughout practice exams. The creator later revised the document after students identified several minor errors, so the Google Drive file linked from the original Reddit post was updated rather than leaving the initial version unchanged.
I want to be transparent about my own experience with this resource before I recommend how you should use it. I did not personally use the MileDown 90-page review sheet during my own MCAT preparation. I did, however, use MileDown’s Anki deck extensively, and MileDown was the primary Anki deck I relied on while studying. I also spent some time using JackSparrow when I wanted more detail, although I found many of its longer cards more strenuous to get through consistently.
For Psychology and Sociology, I personally used the much more detailed Khan Academy 300-page document during my broader content review and then returned to the condensed 86-page version about two weeks before my MCAT for faster final review. That experience is part of why the MileDown review sheets make sense to me as a study tool even though I did not personally use this exact PDF. A condensed resource becomes much more useful once you already understand the material because it lets you refresh an entire topic quickly without starting content review from the beginning every time you forget one detail.
That is also how I would recommend approaching the MileDown review sheets. I would not ask a 90-page PDF to replace learning the MCAT from the ground up. I would use it as a compact reference, a way to identify weak areas, a companion to Anki, and eventually a fast review document once most of the concepts already feel familiar.
What Is the MileDown 90-Page MCAT Review Sheet?
The MileDown review sheet is a condensed MCAT content document created by the same Reddit user who later released the popular MileDown Anki deck. According to the creator, the sheets were made during personal MCAT preparation and compiled information from review books and practice tests into a much shorter reference.
The creator’s motivation was practical. Instead of reopening a full review-book chapter whenever a concept needed refreshing, MileDown wanted a clear and succinct resource where the basic information could be found quickly. The creator also used the sheets much more actively than simply reading them, which is an important part of the story that tends to get lost when people share the PDF as another free download.
MileDown explained that pages were studied repeatedly and sometimes written back out entirely from memory. The creator also acknowledged that making your own review sheets may provide even more learning value because creating them forces you to organize the information yourself.
I think that distinction matters because a review sheet does not automatically become an effective study method simply because you downloaded it. The PDF is the resource, but what you do with it determines whether it actually helps.
Who Created the MileDown MCAT Review Sheets?
The sheets were created by Reddit user u/MileDown, who later became much better known within the MCAT community for the MileDown Anki deck.
In the original Reddit discussion, MileDown explained that there had been no traditional science background before completing a post-baccalaureate program and preparing for the MCAT. The creator had previously studied music and worked professionally as a musician, which meant much of the scientific material being learned during the post-bacc and MCAT period was genuinely new. MileDown said that this was probably one reason the review process became so thorough.
The creator reported scoring in the “5-teens” on the MCAT and said the review sheets were the primary study method used to prevent content gaps. I would not take that as evidence that reading this PDF will automatically produce a similar score because MileDown did much more than simply read the document. The creator built the sheets, revised them, studied them repeatedly, and actively reconstructed material from memory.
That is actually one of the most important lessons I take from the resource. The value of the MileDown sheets is not that there is something magical about ninety pages. Their value is that they give you a well-organized starting point for repeated retrieval and targeted review.
Download the MileDown 90-Page MCAT Review Sheet PDF
You can download the copy currently linked on AspiringMD here:
Free MileDown 90-Page MCAT Review Sheet PDF
You can also access the original creator’s Google Drive file here:
MileDown Original MCAT Review Sheets
The creator’s original Reddit post is here:
I would save the PDF somewhere you can actually access during your studying instead of downloading it and allowing it to disappear into a folder containing twenty other MCAT resources. If you use a digital note-taking system, you can annotate the document and flag topics you repeatedly miss. If you prefer paper, you can print only the sections that are most useful rather than necessarily printing the entire document.
Is It 90 Pages or 92 Pages?
You may see this resource described online as either the 90-page MileDown review sheet or the 92-page MileDown review sheet. MileDown personally called it a 90-page PDF in the original Reddit post, which is why I use “90-page” throughout this article.
Some later copies and listings refer to approximately 92 pages, which can result from slightly different versions, formatting, or the way a PDF is displayed. I would not worry about whether your copy contains exactly ninety pages as long as you are using the recognizable MileDown review sheets from the creator or a faithful mirror.
The content is much more important than whether a particular viewer displays ninety or ninety-two pages.
What Subjects Are Covered in the MileDown Review Sheets?
The review sheets provide condensed material across the major content-heavy MCAT subjects. These include Biology, Biochemistry, General Chemistry, Organic Chemistry, Physics, Psychology, and Sociology.
That coverage reflects the same broad content areas eventually represented in MileDown’s Anki deck. When MileDown released the Anki collection, the creator specifically explained that every item from the 90-page review sheet had been incorporated into the approximately 2,900-card deck. The Anki collection was divided into Behavioral Sciences, Biochemistry, Biology, Essential Equations, General Chemistry, Organic Chemistry, and Physics and Math.
This relationship between the two resources is useful because it gives you two different ways to interact with much of the same underlying information. The PDF lets you see material grouped together and understand the larger context, while Anki breaks information into individual retrieval prompts and schedules when you should see those prompts again.
I personally used MileDown’s Anki deck extensively, and that is the way I would think about pairing the two resources. I would use the sheets to see the larger picture and Anki to repeatedly test whether I can retrieve the important details without looking.
What Is Not Covered by a Traditional Review Sheet?
The most obvious limitation is CARS. You cannot meaningfully prepare for Critical Analysis and Reasoning Skills by memorizing a ninety-page content summary because CARS is testing reading, argument analysis, interpretation, and reasoning from passages rather than a traditional body of science facts.
I would therefore keep CARS practice entirely separate from the way you use this resource. A student could theoretically know every factual line on the MileDown review sheets and still struggle with CARS if they have not spent enough time reading passages and reviewing their reasoning.
The review sheets also cannot reproduce the experience of interpreting experimental figures, evaluating research designs, navigating unfamiliar passages, managing time, or distinguishing between several plausible answer choices. The AAMC describes the exam as testing both knowledge of natural and social science concepts and critical thinking and scientific problem-solving skills, which is why content review and question practice need to work together.
Is the MileDown Review Sheet Officially From the AAMC?
No. This is a community-created MCAT study resource made by MileDown, not an official AAMC publication.
That distinction is important because I would not use the sheet as your final authority for what can and cannot appear on the exam. The AAMC publishes its own official What’s on the MCAT Exam? Content Outline, which describes the competencies, foundational concepts, content categories, and scientific reasoning skills students are expected to understand.
You can access my guide to the official outline here:
AAMC MCAT Topic List PDF Download and Complete Guide
I would use the AAMC outline as your official content map and the MileDown review sheets as a convenient condensed review resource. That gives each document a clear job rather than asking a community summary to replace the organization responsible for the exam.
Does the MileDown Review Sheet Cover Everything on the MCAT?
I would not describe it that way.
The current older version of this AspiringMD page says the review sheets “cover all of the info tested on by AAMC’s MCAT,” and I would remove that sentence. The creator said the sheets contained content from the review books used during preparation and the practice tests taken, which is different from an official guarantee that every possible tested detail appears in the document.
MileDown later described the related Anki deck as covering the content the AAMC expected students to know, but even a very good community deck or review sheet should not be treated as an official exhaustive specification of every possible question.
I think a much healthier way to use the sheets is to ask whether they give you a strong condensed overview of the material you have already learned. For many students, the answer will be yes. If your practice questions continually expose gaps that are not well covered in the document, supplement those gaps instead of assuming the practice question must be unusually low yield.
My Personal Experience With MileDown
I did not personally use this exact PDF when preparing for my MCAT, but I did use the MileDown Anki deck as my primary Anki resource, which gives me a good sense of the strengths and limitations of MileDown’s overall approach.
What I appreciated most was efficiency. The MileDown cards were concise enough that I could consistently complete my reviews without feeling like Anki was taking over every study day. That mattered because I still needed time for practice questions, CARS, full-length exams, and reviewing mistakes.
I also used some JackSparrow because I liked having additional depth available. I appreciated how comprehensive JackSparrow could be, but many of the cards were longer and more strenuous to work through, which made it difficult for me to use the deck as extensively as I initially wanted.
That experience is why I think a resource like the MileDown review sheets has a legitimate place in MCAT preparation. Sometimes you need the detailed chapter or long explanation, but sometimes you already understand the concept and simply need a concise way to bring it back into working memory.
My Experience With Condensed Review Resources
Psychology and Sociology gave me a particularly clear example of how I think condensed resources should be used.
Earlier in my preparation, I personally used the detailed Khan Academy 300-page Psychology and Sociology document because I wanted the broader explanations and comprehensive coverage. I also used MileDown Anki cards to reinforce the material.
Then, about two weeks before my MCAT, I switched to the much shorter 86-page Khan Academy document for quick review. At that stage, I was not trying to relearn every theory from the beginning. I wanted something that could remind me of a large amount of material quickly.
That is the same role I would give the MileDown review sheets.
If you do not understand metabolism, reading a condensed bullet about the citric acid cycle is probably not enough. If you already understand the pathway and simply need to remind yourself about one intermediate or regulatory relationship, a condensed review sheet can be extremely efficient.
You can access the Khan Academy documents I used here:
Khan Academy 86-, 100-, and 300-Page MCAT Psych/Soc Documents
Is the MileDown 90-Page Sheet Enough for MCAT Content Review?
I would not use it as my only content resource if I were learning a substantial amount of the material for the first time.
Ninety pages sounds long until you remember that the MCAT draws on introductory Biology, General Chemistry, Organic Chemistry, Physics, Biochemistry, Psychology, and Sociology. The official AAMC outline describes the exam around ten foundational scientific concepts plus scientific inquiry and reasoning skills, so an enormous amount of undergraduate coursework is being condensed into a relatively short PDF.
That compression is exactly what makes the document useful for review, but it also explains why it cannot provide the same depth as a complete set of content books, lectures, or detailed videos.
If your undergraduate science foundation is strong and you mainly need to refresh material you learned previously, I could see the MileDown sheets playing a much larger role in your content review.
If you have major gaps, I would use Kaplan, Khan Academy, another structured MCAT course, textbooks, or another detailed resource to actually learn the material and then return to MileDown for consolidation.
Can You Use MileDown Instead of Kaplan?
I would not think of this as an either-or decision.
Kaplan and the MileDown sheets serve different purposes. A review book gives you explanations, examples, conceptual development, and enough space to teach something that you may not fully understand. MileDown compresses that information so you can revisit the important points quickly.
If I were using Kaplan today, I might read a chapter normally and then review the corresponding material in the MileDown PDF afterward. The long resource teaches me the concept, while the condensed resource tells me which relationships I should still be able to retrieve several days later.
I also have the official Kaplan Quicksheets available here:
MCAT Kaplan Quicksheets PDF Download
The Kaplan Quicksheets and MileDown review sheets overlap in purpose, so I would preview both before deciding whether you need to use both extensively.
MileDown Review Sheets vs. Kaplan Quicksheets
This is one of the most natural comparisons because both resources aim to condense a huge amount of MCAT material into something easier to review.
Kaplan’s Quicksheets are much shorter and function more like a rapid summary of important facts, diagrams, equations, and relationships from the Kaplan curriculum. The MileDown document gives you substantially more space and therefore more detail.
If I wanted a quick reference during normal content review, I would probably prefer MileDown because the additional detail makes it more useful when I actually need to remember what a concept means.
If I were only days away from the exam and wanted something I could move through very quickly, Kaplan Quicksheets might be more realistic.
There is also no reason you have to commit to one for your entire preparation. The longer MileDown sheets can be more useful earlier, while an even shorter resource can become useful during final review.
MileDown Review Sheets vs. the MileDown Anki Deck
These two resources complement each other unusually well because the same creator made both and specifically stated that every item in the 90-page review sheet was included in the approximately 2,900-card Anki deck.
The review sheet is better when you want context. You can see several related facts next to one another, understand a pathway as a whole, or quickly review an entire topic.
Anki is better when you want retrieval practice and spaced repetition. Instead of deciding to reread the Biology section every five days, Anki schedules individual cards according to how successfully you remember them.
During my own preparation, the MileDown Anki deck was the resource I personally used. If I were combining the two today, I would probably use the PDF as a reference whenever an Anki card felt too condensed or when I wanted to review how several facts fit together.
My full guide to the deck is here:
MileDown MCAT Anki Deck: Free Download and My Review
Why the Review Sheets and Anki Deck Feel Similar
The similarity is intentional.
When MileDown later announced the Anki deck, the creator said that all of the content from the 90-page review-sheet PDF had been incorporated. The deck also added every item from the 300-page Khan Academy Psych/Soc document along with equations, units, constants, images, linked videos, and hierarchical tags.
That means students who already use MileDown Anki should expect substantial overlap with this PDF.
I do not think that makes one resource redundant. Seeing information in a large summary and retrieving information from isolated cards are different cognitive tasks. What I would avoid is treating them as two completely independent syllabi that both have to be “finished” before you are allowed to move on to practice.
Use each one where it helps.
Should You Read the MileDown Review Sheet From Beginning to End?
You can, particularly at the beginning of a review phase, but I would not make passive linear rereading your main strategy.
One option is to skim the entire document once and identify which sections feel familiar versus uncomfortable. Then spend more time actively retrieving the weak areas instead of repeatedly rereading pages you already know well.
Another option is to pair the sheet with your content-review schedule. If you are working through Biology this week, review the corresponding MileDown pages rather than trying to keep all ninety pages active at once.
Later in your preparation, you can move through the whole document more quickly because most of it should feel familiar. At that point, unfamiliar-looking sections become useful warning signs that something may deserve another review.
How MileDown Personally Used the Review Sheets
This is one of the most useful parts of the original Reddit discussion.
MileDown explained that there were two major purposes. The first was having a succinct reference that could quickly refresh the basics of a topic without requiring an entire review-book chapter. The second was memorization. The creator would select a few pages and attempt to write out the entire page from memory.
That is much more active than simply highlighting the PDF.
I do not think every student needs to reproduce entire pages from memory exactly the way MileDown did, but the underlying principle is excellent. Close the document and see what you can reproduce.
You might redraw a metabolism pathway, list amino-acid categories, explain a physics relationship, reconstruct a hormone feedback axis, or write down the major psychological theories from memory.
Then reopen the sheet and see what you missed.
That process tells you far more about your actual knowledge than reading the same paragraph for the fourth time.
The Best Way to Use the MileDown Review Sheet With Active Recall
If I were using the document today, I would read a section and then deliberately look away from it.
I would ask myself to explain the concept without seeing the answer. If I could explain it clearly, I would move forward. If I could remember only fragments, I would review the section again and possibly create or activate an Anki card.
For a pathway, I might reproduce it on blank paper. For an equation, I might write the relationship and explain what happens when each variable changes. For Psych/Soc, I might define the theory and create my own example rather than repeating the sentence in the PDF.
That workflow fits closely with what I liked about MileDown Anki during my own preparation. The resource should continually make you retrieve, not simply recognize.
Use the Review Sheet to Find Content Gaps
One very practical way to use the document is as a diagnostic.
Move through the pages relatively quickly and pay attention to anything that makes you think, “I have absolutely no idea what this is.”
That response is useful information.
If you see the Henderson-Hasselbalch equation and remember the general relationship but forget which concentration belongs in the numerator, you may only need a quick review.
If you see Michaelis-Menten kinetics and realize that Km, Vmax, competitive inhibition, and noncompetitive inhibition all feel unfamiliar, that is probably not a five-minute review-sheet problem. You have identified a larger content gap.
The PDF helps you distinguish those two situations.
Use Practice Questions to Decide What Deserves More Review
Practice questions should gradually become the main source of information about your weaknesses.
If you answer a difficult renal physiology passage correctly and can explain your reasoning, you probably do not need to reread every kidney bullet in the MileDown document that evening.
If you repeatedly miss electrochemistry questions, mark that section and return to it.
This is more efficient than treating every page as equally important for you personally.
I learned during my own preparation that active recall and practice need to work together. Anki helped me keep information available, but questions exposed whether I could actually use that information when the MCAT presented it in an unfamiliar context.
I would use the review sheets in exactly the same way.
Pair the MileDown Sheets With a Content Review Tracker
A ninety-page PDF can still become difficult to organize if you are also using seven review books, Anki, Khan Academy, UWorld, and practice exams.
I created a free MCAT Content Review Tracker to make this easier. You can use it to track subjects, chapters, videos, Anki progress, and practice work so that the MileDown sheets become part of an organized system rather than another resource you occasionally remember exists.
You can find the tracker through my free MCAT spreadsheet collection here:
Free Premed and MCAT Spreadsheets
I would use the tracker to identify the topic you are currently working on and the MileDown PDF to provide quick review at the beginning or end of that topic.
How to Use MileDown After a Practice Question
Suppose you miss a question about fluid dynamics because you do not understand the continuity relationship.
After reviewing the explanation, open the relevant MileDown section and look at the broader set of fluid concepts around it.
Ask whether the continuity equation was the only problem or whether Bernoulli, viscosity, pressure, and flow relationships are also weak.
If the rest feels strong, create or activate one focused Anki card and move on.
If the entire group is weak, return to your full Physics resource and review the topic properly.
This is one of the most efficient ways to use a condensed sheet because one missed question can lead you to the right level of review instead of automatically sending you back through an entire book chapter.
How to Use the MileDown Sheets After a Full-Length Exam
I think this is where the PDF can become particularly useful.
After reviewing a full-length, create a list of your genuine content errors. Do not include every question you missed because some mistakes come from reasoning, timing, reading, or interpretation rather than missing knowledge.
Group the content errors by subject and then use the review sheets to revisit those sections.
If you miss one obscure detail, make a small correction.
If several mistakes cluster around metabolism, acids and bases, circuits, or another major topic, do a deeper review.
I created a free full-length review template for exactly this kind of analysis:
MCAT Full-Length Review Template
The goal is to make your full-length exam determine what you review rather than randomly opening the PDF and hoping you happen to study something useful.
Should You Highlight the MileDown Review Sheets?
You can, but I would use highlighting strategically.
If you highlight almost every sentence, you have created a yellow version of the same document and learned very little about which material actually deserves your attention.
I would instead use a simple system where you mark topics based on mastery. One type of mark can mean “I know this confidently,” another can mean “I recognize this but need review,” and another can mean “I do not understand this.”
You can then revisit only the uncertain sections after completing more practice.
That makes the PDF increasingly personalized as your preparation continues.
Should You Rewrite the Review Sheets Yourself?
There is real value in creating your own condensed notes, and MileDown personally acknowledged that students probably gain the greatest benefit when they make their own review sheets from scratch.
I would not necessarily spend months reproducing an entire ninety-page document if you already have a good resource available, though. MCAT preparation involves opportunity costs, and every hour spent formatting notes is an hour not spent answering questions.
A good compromise is to use MileDown as the foundation and build a much shorter personal sheet containing only your recurring weaknesses.
By the final weeks of studying, you may have five or ten pages of material that matters much more to you than rereading all ninety pages.
Should You Turn the Entire PDF Into Anki Cards?
You probably do not need to because MileDown already did.
When the creator released the MileDown Anki deck, it contained approximately 2,900 cards and explicitly included every item from the 90-page review-sheet PDF.
Instead of spending days manually recreating the same cards, you can download the existing deck and then modify it for your needs.
You can access my complete MileDown Anki guide here:
MileDown MCAT Anki Deck Download and Review
I would create additional personal cards only when practice questions expose something that the existing deck does not test effectively for you.
MileDown Review Sheets vs. JackSparrow
These resources serve different purposes.
The MileDown review sheets are intentionally condensed and let you move across large amounts of content quickly. JackSparrow is an Anki deck designed around substantially more detailed active recall.
My personal experience with JackSparrow is that I liked the additional comprehensiveness, but I found some of the longer cards strenuous enough that I did not use the deck as heavily as I initially wanted.
That experience made me appreciate concise resources more, but it also reminded me that sometimes you genuinely need the extra detail.
If the MileDown PDF gives you enough context to understand a topic, there is no reason to make your studying harder simply because another resource is longer.
If MileDown leaves you confused, use the detailed resource.
My JackSparrow guide is here:
JackSparrow MCAT Anki Deck Download and Review
MileDown Review Sheets vs. Khan Academy Psych/Soc Documents
For Psychology and Sociology specifically, I have more firsthand experience with the Khan Academy documents.
I personally used the 300-page version during my broader content review because I wanted a detailed foundation. Then, roughly two weeks before my MCAT, I used the 86-page version as a faster review.
That progression is exactly how I think condensed resources should work.
The MileDown document covers much more than Psych/Soc because it includes the major science subjects as well. The Khan Academy documents are behavioral-science-specific, which allows the longer version to go much deeper into Psych/Soc than an all-subject ninety-page MCAT summary reasonably can.
If Psych/Soc is a major weakness, I would use the detailed Khan Academy document or another strong behavioral resource and then use MileDown as a broad refresher.
You can download all of those documents here:
Khan Academy MCAT Psych/Soc 86-, 100-, and 300-Page Documents
MileDown Review Sheets vs. the AAMC Content Outline
These documents should not compete because they have completely different purposes.
The AAMC content outline is the official source describing the competencies, foundational concepts, content categories, and reasoning skills you are responsible for on the MCAT.
The MileDown review sheets are a study resource created by a successful MCAT student to condense the material that person learned from books and practice tests.
I would keep both open during your preparation.
Use the AAMC outline to ask, “Is this part of the official exam framework?”
Use MileDown to ask, “Can I quickly remind myself how this concept works?”
That combination is stronger than trying to make either document do both jobs.
Is the MileDown Review Sheet Still Useful in 2026?
Yes, but I would use it with appropriate expectations.
The document itself is older, but many of the foundational scientific concepts it summarizes have not changed. Amino acids, enzyme kinetics, metabolism, circuits, fluid mechanics, acid-base chemistry, genetics, and major psychological theories do not become irrelevant because a newer PDF was created.
What has changed is the number of alternative resources available. Students now have newer Anki decks, updated community summaries, large free video libraries, and more sophisticated tracking tools.
That means MileDown is no longer your only good free condensed review option, but it does not need to be.
Its usefulness comes from being organized, free, relatively concise, and closely connected with one of the most widely used MCAT Anki decks.
Are There Errors in the MileDown Review Sheets?
Students have identified errors in different copies of the sheets over the years, which is something I think you should know rather than assuming every community-created MCAT resource is automatically correct.
MileDown updated the original PDF in August 2018 after students reported several minor errors and explicitly asked users to continue sending corrections. More recent Reddit discussions still mention occasional questionable details or errors in versions of the MileDown sheets and derivative review resources.
I would therefore verify anything that conflicts with an official AAMC explanation, a reliable textbook, UWorld, or another trusted source.
That is not unique to MileDown. I would apply the same rule to every community Anki deck, mnemonic collection, Reddit summary, and study sheet.
Should the Possibility of Errors Stop You From Using It?
I do not think so.
A community resource can still be extremely useful without being treated as an unquestionable scientific authority.
I would simply keep the distinction clear. MileDown can help organize and refresh your knowledge, while official AAMC materials and reliable educational sources should resolve disputes when something looks wrong.
One advantage of combining the PDF with practice questions is that contradictions often reveal themselves. If your review sheet says something that does not match repeated explanations in trusted resources, investigate instead of blindly memorizing whichever sentence you saw first.
How I Would Use the MileDown Review Sheet if I Were Taking the MCAT Again
If I were preparing again today, I would probably use the MileDown PDF as a secondary content-review resource rather than my primary textbook.
Early in preparation, I would learn difficult material from a more complete source and use Anki to keep that information accessible. Because MileDown Anki already worked well for me personally, I would be comfortable using that deck again or considering one of its modern descendants depending on how much detail I wanted.
I would keep the 90-page review sheet bookmarked and use it when I wanted a broader view of a subject or needed to quickly refresh something without reopening an entire chapter.
Once I started doing a large volume of practice questions, I would begin marking sections of the PDF that corresponded with repeated mistakes.
As my exam approached, I would use those marked sections more heavily and spend less time rereading material that I had already demonstrated I could apply correctly.
This would essentially recreate the strategy that worked for me with the Khan Academy Psych/Soc documents, where the detailed resource mattered earlier and the condensed resource became more useful near the end.
How I Would Use the Review Sheet With MileDown Anki
I would keep the PDF open as the big-picture reference and use the Anki deck for daily retrieval.
When an Anki card feels obvious and I understand the concept, I would answer it and continue.
When a card feels like a random sentence I am memorizing without understanding, I would open the corresponding review-sheet section and look at the surrounding information.
If that still is not enough, I would go to a detailed book, Khan Academy, or another teaching resource.
This creates a natural escalation:
Anki card → MileDown review sheet → detailed content resource
You only spend more time when the concept actually needs it.
That is much more efficient than reading every textbook chapter three times because you are worried that you might have forgotten something.
How I Would Use the Review Sheet With UWorld
UWorld and MileDown would play very different roles.
UWorld is valuable because it forces you to apply your knowledge inside questions and passages. The MileDown sheet is useful because it lets you quickly repair or review the content that UWorld exposes as weak.
After a question set, I would separate my mistakes into content and reasoning problems.
For content errors, I would find the relevant MileDown section and decide whether I needed a quick refresh or a deeper review.
For reasoning mistakes, I would not spend another hour rereading content that I already understood. I would review why my interpretation failed.
That keeps the solution matched to the problem.
How I Would Use the Review Sheet During the Final Month
By the final month, I would want most of the PDF to look familiar.
I would move through it relatively quickly and pause only when a section feels uncertain.
At the same time, practice questions and full-lengths would remain the priority because they provide much better evidence about what I can actually use under exam conditions.
I might keep a short list of pages or sections that still require work and revisit those periodically.
By the final week, I would not want to be relearning large sections of the ninety-page document for the first time. I would want it to function mostly as reassurance and targeted reinforcement.
Can You Use the MileDown Sheets if You Only Have One Month?
Yes, and a condensed resource can be particularly attractive when your timeline is short.
I would still resist the temptation to make the PDF your entire plan.
With one month remaining, practice questions and official AAMC material should tell you which content areas are most important for you to review. Use MileDown to refresh those areas efficiently.
If an entire subject is unfamiliar, the PDF may not contain enough teaching detail, and you will need a more complete explanation.
If most of your content foundation is already built, the sheets can save a lot of time compared with rereading several hundred pages of review books.
Can You Use the MileDown Sheets if You Have Three to Six Months?
Yes, but I would use them differently.
With a longer timeline, I would pair them with structured content review and gradually build active recall through Anki.
After finishing each subject or chapter, use the MileDown section as a condensed summary and check whether you can explain the major ideas without looking.
Then begin practice questions before you feel that every page is completely memorized.
Over several months, the sheets can transition from a content summary into a diagnostic reference and eventually into a final-review resource.
Should You Memorize All 90 Pages?
I would not make that your primary goal.
MileDown personally used a very aggressive retrieval strategy and attempted to reconstruct pages from memory, but that was the creator’s individual method. You can learn from the active-recall philosophy without deciding that your success depends on reproducing every sentence verbatim.
The MCAT tests whether you understand and can apply scientific and behavioral concepts, not whether you can recreate MileDown’s formatting from memory.
I would know the major relationships well enough to explain and use them, while allowing practice performance to tell me which smaller details deserve additional memorization.
How to Tell Whether You Actually Know a Page
Close the PDF.
Try to explain the section aloud or on paper.
If the page contains a pathway, redraw it.
If it contains an equation, reproduce it and explain what happens when the variables change.
If it contains psychological theories, create examples that distinguish the terms.
If you can do those things, you probably understand the section reasonably well.
If you only recognize the information when the PDF is sitting in front of you, you need more active recall.
That is the difference between familiarity and retrieval, and it was one of the main reasons Anki worked so well for me personally during MCAT preparation.
Should You Print the MileDown Review Sheets?
You certainly can if you prefer studying on paper, but I would not print ninety pages simply because somebody online says printed notes are better.
A digital copy has some advantages because you can search for terms instantly, keep it available on several devices, and annotate sections without carrying another binder.
A physical copy makes it easier to write in margins, cover sections, and reproduce information on blank paper nearby.
Choose whichever format makes you more likely to actively use the resource.
The format matters much less than whether you turn the information into retrieval and practice.
Should You Use MileDown or Make Your Own Review Sheets?
If you have plenty of time and learn well by organizing information yourself, creating your own condensed sheets can be extremely valuable. MileDown personally acknowledged that making your own sheets probably gives you more benefit than simply inheriting someone else’s work.
If your MCAT is three months away and you already have hundreds of hours of studying ahead of you, I would be careful about deciding that you need to create an entirely new ninety-page textbook from scratch.
I would use MileDown and personalize it.
Add notes where your understanding differs, flag weak areas, create a shorter personal document, and spend the saved time on practice questions.
What I Would Add to the MileDown Sheets
I would not attempt to rewrite the entire PDF, but I would add things that repeatedly matter to my own practice.
If I miss a question because two amino-acid properties keep getting confused, I would add that distinction.
If I misunderstand a laboratory technique, I would add a note or link.
If a physics relationship makes more sense to me through a diagram, I would add the diagram.
If a Psychology term keeps appearing in questions with a specific example, I might add that example next to the definition.
By the end of studying, you should ideally have a resource that feels increasingly customized to the way you think.
Combine the Review Sheet With an MCAT Equation Sheet
Some quantitative relationships deserve more focused review than a general all-subject document can provide.
I keep a separate MCAT equation sheet here:
Free MCAT Equation Formula Sheet
If equations are a major weakness, I would use that resource alongside MileDown and create targeted Anki cards for the relationships you repeatedly forget.
Do not simply stare at equations. Reproduce them, manipulate them, check units, and solve questions where you have to decide which relationship applies.
Combine the Review Sheet With MCAT Mnemonics
The MileDown PDF gives you the content, but some categories and sequences become easier when you attach a memory hook.
I maintain a separate collection of corrected MCAT mnemonics here:
I would only use a mnemonic when it solves an actual retrieval problem. If you already remember the concept naturally, there is no reason to learn a strange additional phrase just so you can say you used a mnemonic.
The goal is to simplify memorization rather than create another syllabus.
What About MileDown Errors and Modern Alternatives?
The MileDown review sheets remain popular, but they are not the only condensed MCAT resource available, and later community discussions have pointed out that occasional errors remain possible even after the creator’s original corrections.
I would not constantly switch resources looking for a theoretically perfect PDF, though. Every community resource can contain mistakes, and even newer derivative documents can introduce their own errors.
Use the official AAMC content outline as your scope reference, rely on trusted explanations when factual disagreements arise, and focus most of your energy on actually learning and applying the material.
Frequently Asked Questions About the MileDown 90-Page MCAT Review Sheet
Where can I download the MileDown 90-page review sheet?
You can download the copy currently hosted through AspiringMD here:
MileDown 90-Page MCAT Review Sheet PDF
You can also access the creator’s original Google Drive file here:
MileDown Original Review Sheets
Who made the MileDown review sheet?
The document was created by Reddit user u/MileDown while preparing for the MCAT. The creator later made the popular MileDown Anki deck and incorporated every item from the review sheets into the deck.
How many pages is the MileDown MCAT review sheet?
MileDown personally described it as a 90-page PDF. You may encounter versions or listings that describe it as approximately 92 pages, but “MileDown 90-page review sheet” remains the name most closely associated with the original resource.
Is the MileDown review sheet free?
Yes. MileDown originally shared the review sheets freely with the MCAT community through Google Drive and Reddit.
Is the MileDown review sheet official AAMC material?
No. It is a community-created study resource. The official AAMC content outline should be your primary reference for the competencies and content framework of the exam.
Is the MileDown review sheet enough for the MCAT?
I would not use it as the only resource if you still need to learn substantial amounts of content. It is much better suited to condensed review, identifying gaps, and refreshing previously learned material.
Does MileDown cover all MCAT subjects?
The review sheets cover the major content-heavy areas of Biology, Biochemistry, Chemistry, Organic Chemistry, Physics, Psychology, and Sociology. CARS requires separate passage-based preparation.
Does the MileDown Anki deck contain the review-sheet material?
Yes. MileDown specifically stated that every item from the 90-page review-sheet PDF was incorporated into the approximately 2,900-card Anki deck.
Should I use MileDown review sheets or MileDown Anki?
I think they work well together. The PDF provides context and broad review, while Anki provides repeated active recall and spaced repetition.
I personally used the MileDown Anki deck extensively during my own MCAT preparation, and I would use the PDF as a companion rather than replacing the deck.
Should I use MileDown or Kaplan?
I would use Kaplan or another detailed resource when I need to learn or relearn a concept and MileDown when I want a faster summary. They solve different problems.
MileDown review sheets or Kaplan Quicksheets?
MileDown is substantially more detailed, while Kaplan Quicksheets are useful for extremely condensed review. I would prefer MileDown earlier and could see Quicksheets becoming more useful when time is very limited.
MileDown review sheets or the Khan Academy 300-page Psych/Soc document?
For dedicated Psychology and Sociology content review, the 300-page Khan Academy document is much more detailed. I personally used that document during my own MCAT preparation and then used the condensed 86-page version near the end.
MileDown is much broader because it summarizes multiple MCAT subjects rather than focusing almost entirely on behavioral science.
Are there errors in the MileDown review sheets?
The original creator revised the PDF after students reported errors, and later community discussions have continued to identify occasional issues in MileDown or derivative review resources. I recommend checking questionable statements against reliable sources rather than treating any community PDF as infallible.
Should I memorize all 90 pages?
I would focus on understanding and retrieving the important concepts rather than memorizing the document word for word. Use practice questions to determine which details deserve the most attention.
Can I use MileDown during the final week?
Yes. A condensed resource becomes especially useful near the end when most of the material is already familiar and you want to rapidly identify anything that still feels weak.
I would still prioritize official AAMC practice and review of your own mistakes rather than spending the entire final week rereading notes.
Can I use the MileDown sheets with UWorld?
Yes. Use UWorld to expose content gaps and then return to the corresponding MileDown section for targeted review. If the sheet is not detailed enough to repair the gap, move to a more complete content resource.
Does MileDown replace practice questions?
No. A review sheet cannot teach passage interpretation, experimental reasoning, timing, or answer-choice analysis. You still need substantial question-based practice.
Final Thoughts: Is the MileDown 90-Page MCAT Review Sheet Worth Using in 2026?
I think the MileDown review sheets are still a very useful free MCAT resource as long as you use them for the job they are actually good at.
This is not an official AAMC document, and I would not tell you that ninety pages contain every possible piece of information that can appear on your MCAT. The creator built the resource from personal review books and practice exams, revised it after community feedback, and used it as part of an unusually active study method.
What I find most valuable is the philosophy behind the sheets. MileDown wanted a resource concise enough to quickly revisit the basics of a topic and then used active recall to make sure that familiarity turned into retrieval.
That approach lines up well with what worked for me during my own MCAT preparation, even though I did not personally use this exact PDF. MileDown was the Anki deck I relied on most because its concise cards gave me a way to keep content available without consuming my entire study schedule. I also learned from using some JackSparrow that additional depth can be valuable, but it comes with a real time cost.
My Psychology and Sociology studying reinforced the same lesson. I personally used the detailed Khan Academy 300-page document when I needed broader content review and then used the 86-page version about two weeks before my exam when I wanted a fast refresher. A resource becomes more condensed as your understanding becomes stronger.
That is how I would use MileDown today. Learn difficult concepts from a source that gives you enough explanation, use the review sheets to organize and refresh that knowledge, use Anki to repeatedly retrieve it, and let practice questions tell you which sections deserve more attention.
If you are several months away from the exam, the MileDown sheets can sit beside your normal content review and help you consolidate each subject. If you are closer to test day, they can become a fast way to move through a large amount of information and notice anything that still feels unfamiliar.
Just do not let reading the PDF become a substitute for testing yourself. Close the document, reproduce the pathway, explain the theory, write the equation, or answer a question without seeing the summary in front of you. The goal is not to become familiar with ninety pages. The goal is to make the underlying information available when the MCAT asks you to use it.
You can download the MileDown review sheet here:
MileDown 90-Page MCAT Review Sheet PDF
You can access the creator’s original version here:
MileDown Original Review Sheets
You can read the original creator’s explanation here:
You can pair the sheets with the Anki deck I personally used here:
MileDown MCAT Anki Deck Download and Review
If you want the rest of my free MCAT review documents, Anki decks, spreadsheets, practice resources, and study tools, I keep them together here: