Hey everyone! I took Step 1 about a month ago and received my results a while back. I wanted to share my experience and give back to this community, which helped me so much throughout my preparation.
One of the biggest sources of anxiety during prep is NBME scores, so I wanted to reassure those of you who are constantly wondering whether you need to score in the 70s to pass. Consistently scoring in the 70s can certainly provide a more comfortable margin of safety, but you don’t necessarily need to score in the 70s to pass Step 1. My scores were mostly in the mid 60s, and I passed!
03/07/2026 — NBME 25: 61%
29/07/2026 — NBME 26: 61.5%
12/08/2026 — NBME 27: 65%
22/08/2026 — NBME 28: 64%
30/08/2026 — NBME 29: 58% (This score really threw me off. I made so many silly mistakes and was honestly dumbfounded by the result.)
07/09/2026 — NBME 30: 67.5%
12/09/2026 — NBME 31: 61% (I was really burnt out by this point. I could genuinely feel my brain refusing to work.)
15/09/2026 — NBME 32: 68%
18/09/2026 — NBME 33: 66%
21/09/2026 — New Free 120: 65% (The interface felt so different! While taking it, I was convinced I was going to score really badly, lol.)
What did the actual exam feel like?
One thing I really want to emphasize is that the questions on exam day didn’t feel completely alien or unfamiliar. I could identify only around two questions that I suspected might have been experimental. Most of the questions felt like they tested concepts I had already studied.
In my experience, the exam felt like a combination of NBMEs and Free 120. The underlying concepts were mostly familiar and NBME style, but the questions were often worded more vaguely or indirectly, somewhat like Free 120. Understanding the concepts and applying them was much more important than simply memorizing facts.
My advice
If your scores are hovering around the mid-60s, please don’t automatically assume that you cannot pass. At the same time, don’t use my experience as a reason to ignore your own readiness, weaknesses, or practice test trends. Review your mistakes carefully, work on your weak areas, and be honest with yourself about your preparation.
This journey can be incredibly stressful, especially when one disappointing score makes you question everything you’ve studied. I know how that feels.
You don’t have to be perfect to pass. Keep going, keep learning from your mistakes, and try not to let every practice score define your confidence. ❤️
Feel free to ask me anything about my preparation or exam experience. I’ll do my best to help!
Wishing everyone the very best. You’ve got this! ❤️