I just tried the new Google Pixel Watch 5 — and its upgraded health and safety features blow the Apple Watch out of the water

Breathing Emergency Detection could be a game-changer

Hands-on with the new Google Pixel Watch 5
(Image credit: © John Velasco/Tom's Guide)

Early Verdict

The Pixel Watch 5 sports the same design, dimensions, display, and battery life as the Pixel Watch 4. So what's actually new? In addition to improved GPS tracking accuracy for outdoor workouts and faster/more efficient processing power, the Pixel Watch 5 supports three unique new wellness tools: Breathing Emergency Detection — which works similarly to Loss of Pulse Detection — Blood Pressure Trends, and Insulin Resistance Trends. Unfortunately, like the also new Samsung Galaxy Watch 9, Google increased pricing across the board for the Pixel Watch 5.

Pros

  • +

    New Breathing Emergency Detection feature

  • +

    Monthly Blood Pressure and Insulin Resistance trend reports

  • +

    Improved sleep stage tracking accuracy

  • +

    Improved GPS tracking for outdoor workouts

  • +

    Gemini AI now more readily surfaces relevant real-time info

  • +

    Lots of new strap and case colors

Cons

  • -

    Price increase across the lineup

  • -

    Same design and display as predecessor

  • -

    Same battery life rating as before

  • -

    Aside from new health and fitness features, upgrades feel minimal

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Apple debuted Fall Detection in the Apple Watch Series 4 way back in 2018, a major milestone for smartwatch safety tech, but in 2026, I'd argue that the health and safety features in modern Google smartwatches far surpass what Apple offers. And the new Google Pixel Watch 5 is concrete proof.

The Google Pixel Watch 5 officially debuted today alongside the latest Pixel 11 smartphones, new Pixel Buds, and a nifty-looking PixelTag tracker, the brand's take on an Apple AirTag.

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Watch On

I checked out the new Google Pixel Watch 5 ahead of its launch, and although it looks physically identical to its predecessor, small improvements to battery, processing power, and the onboard Gemini AI assistant should make it an all-around smoother operator.

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However, the most notable and potentially groundbreaking upgrades come in the form of new safety features and health-tracking tools, namely Breathing Emergency Detection, Blood Pressure Trends, and Insulin Resistance Trends. Read on for everything you need to know about the Google Pixel Watch 5.

Google Pixel Watch 5: Upgrade cheat sheet

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

But first, here’s a cheat sheet to all the most notable Google Pixel Watch 5 stats and upgrades.

  • Price: The Pixel Watch 5 sees a price increase across the lineup versus the Pixel Watch 4; the 41mm starts at $50, and the 45mm starts at $30 more
  • Sizes and colors: 41mm and 45mm; same as Pixel Watch 4 and Pixel Watch 3; new colors include Obsidian, Fog, Olive, and Canyon; Olive features a Satin Pyrite casing
  • Design: Same design and dimensions as Pixel Watch 4
  • Limited edition model: Similar to the Fitbit Air, the new Pixel Watch 5 will be available in a Stephen Curry limited edition model with an upgraded strap for better breathability and moisture-wicking capabilities
  • Screen: Same 3,000-nit max-brightness AMOLED touchscreen as Pixel Watch 4; comparable to the Samsung Galaxy Watch 9
  • Health features: New Blood Pressure Trends + Insulin Resistance Trends with monthly reports on each (also coming to Fitbit Air); 15% more accurate sleep stage tracking; new sleep Breathing Quality Trends metric that tracks min-to-min SpO2
  • Safety features: New Breathing Emergency Detection feature that works similarly to Loss of Pulse Detection; exclusive to Pixel Watch 5 (for now); only available in the EU and other select markets at launch
  • Fitness features: Improved route mapping for workouts in “tough” environments (like cities and forests); new strength training workout builder feature
  • Processor: Pixel Watch 5 should be 20% faster than the Pixel Watch 4 thanks to a 12% more powerful processor and 50% more RAM
  • Battery life: Same 30 to 40-hour battery life rating as Pixel Watch 4

Google Pixel Watch 5: Versus competition

Swipe to scroll horizontally
Header Cell - Column 0

Pixel Watch 5

Pixel Watch 4

Samsung Galaxy Watch 9

Starting price

$399

$349

$379

Sizes

41mm, 45mm

41mm, 45mm

40mm, 4mm

Dimensions

41 x 41 x 12.3 mm,
45 x 45 x 12.3 mm

41 x 41 x 12.3 mm,
45 x 45 x 12.3 mm

42.7 x 40.4 x 8.6mm,
46.0 x 43.7 x 8.6 mm

Weight

31 g, 36.7 g

31 g, 36.8 g

31.5 g, 34 g

Display

1.2-inch, 1.4-inch AMOLED; 3,000 nits max brightness

1.2-inch, 1.4-inch AMOLED; 3,000 nits max brightness

1.34-inch, 1.47-inch AMOLED; 3,000 nits max brightness

Water resistance

50 meters

50 meters

50 meters

Battery life (rated)

30 to 40 hours

30 to 40 hours

30 to 40 hours

Google Pixel Watch 5: Price and release date

Limited edition Stephen Curry version of the new Google Pixel Watch 5

(Image credit: Google)

The Pixel Watch 5, like the new Samsung Galaxy Watch 9, sees a price increase across the lineup. The 41mm Pixel Watch 5 starts at $399 for the W-Fi model, an increase of $50 over the 41mm Pixel Watch 4. The 45mm Pixel Watch 5 is $429, a $30 increase over last year’s equivalent.

The 41mm LTE model, meanwhile, is $499, and the 45mm LTE model is $529.

Pre-orders begin today. The Pixel Watch 5 should start shipping and be on shelves beginning September 3rd.

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)
  • 41mm (Bluetooth/Wi-Fi): $399
  • 45mm (Bluetooth/Wi-Fi): $429
  • 41mm (LTE): $499
  • 45mm (LTE: $529

Google Pixel Watch 5: Design

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

The Pixel Watch 5 has the same circular design and button placement as the Pixel Watch 4, including the same domed, 3,000-nit max brightness display. The panel is still 1.2 inches for the smaller model and 1.4 inches for the larger one.

The weight and dimensions also remain roughly the same. Like the Pixel Watch 4, the Pixel Watch 5 has charging contacts on the side of the case and uses the same charger. It also features the same strap connecting system as prior models.

Google Pixel Watch 5: Health features

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

The most impressive updates to the Pixel Watch 5 come in the form of expanded proactive preventative health tools and real-time life-saving tools, including Breathing Emergency Detection, which works similarly to 2024's Loss of Pulse Detection.

Using the onboard heart rate sensor, accelerometer, and barometric altimeter, the Pixel Watch 5 can be set up to identify when a breathing emergency happens and automatically send for help via 911 dispatch and/or messages to friends/loved ones.

Breathing Emergency Detection joins Loss of Pulse Detection and Fall/Crash Detection under the Pixel Watch’s new “Health Guardian" features umbrella.

Pixel Watch 3 shown on a user's wrist with the Loss of Pulse feature displayed on the screen

(Image credit: Tom's Guide)

When it comes to preventative health, the Pixel Watch 5 has two additional, potentially revolutionary new features, both of which are non-invasive, including a monthly Blood Pressure trends report and a monthly Insulin Resistance trends report.

The former doesn’t provide a blood pressure reading, but instead tracks how your blood pressure may be changing over time based on a combination of metrics run through a snazzy algorithm. To ensure accuracy, Google built the algorithm using 60 billion hours of 24/7 heart rate monitoring data from half a million individuals.

The Insulin Resistance Trends feature is not the same as a continuous blood glucose monitor. It similarly predicts changes by tracking factors like your average sleep time, heart rate, workout routines, and more. This all gets fed into an algorithm that was separately tested against a large sample group to ensure accuracy.

Both of these new health trend features will also be coming to the Fitbit Air, but we don’t know yet if the Pixel Watch 4 and Pixel Watch 3 will similarly support them.

Google Pixel Watch 5: Fitness and sleep features

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

Google says that the Pixel Watch 5 should be 15% more accurate than its predecessor at identifying and tracking sleep stages. It also gets a new bedtime mode watch face, along with the popular Smart Alarm feature, which aims to help you wake up less groggy via on-wrist vibrations.

Daily sleep reports feature a new Sleep Breathing Quality Trends metric that’s based on minute-to-minute blood oxygen level tracking (Sp02).

The Pixel Watch 5 sports Google’s “most accurate GPS on a Pixel Watch.” Post-workout route mapping should be twice as accurate as before, especially in locations with obstructed skies, like cities and forests.

The Pixel Watch 5 should be 15% more accurate than its predecessor at identifying and tracking sleep stages

The Pixel Watch 5 is still using L1 and L5 satellite data to track, except now, when you finish a workout, that data gets sent to a server for analysis and adjustment. Basically, Google creates a 3D model of your efforts designed to compensate for things like building reflections, tree cover, and atmospheric anomalies, including heat haze and other aberrations.

Google says that the GPS route tracking for outdoor workouts in the Pixel Watch 5 outperforms even the Apple Watch Ultra 3 and Garmin Fenix 8 Pro, two much pricier models.

Starting in September, the Pixel Watch 5 and other older models will offer a new “workout builder” feature for strength training and HIIT workouts. This feature will include personalized routines, audio cues, rest timers, and weigh/rep tracking.

Google Pixel Watch 5: AI features

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

The Pixel Watch 5 continues to support Google’s fabulous Gemini AI voice assistant, which is accessible with a simple yet effective wrist raise.

Now, real-time relevant information is more accessible at a glance. For example, details like changed flight times or the number of train stops until you reach your destination will appear more frequently. Users can expand these bits of relevant information or dismiss them using one-handed gesture controls for added convenience.

The Pixel Watch 5 additionally supports eleven new information-rich homescreen complications.

Gemini’s proactive suggestions have also been tweaked to be more useful and actionable from the wrist, minimizing the need to switch to a smartphone. Finally, Google promises improved offline Gemini support, with the ability to execute basic tasks via voice control, like setting a timer or starting a workout.

Google Pixel Watch 5: Battery life

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

The Pixel Watch 5 sees a very small increase in battery capacity across both sizes, but the official ratings remain the same. The 41mm is rated at 30 hours per charge, and the 45mm model is rated at 40 hours per charge. That's the same rating as the Pixel Watch 4.

The question is, will the bigger one surpass that billing? After all, the 45mm Pixel Watch 4 easily cruised for 60 hours per charge in my testing.

Google Pixel Watch 5: Outlook

Hands-on with the new Google Pixel Watch 5

(Image credit: John Velasco/Tom's Guide)

There’s probably not enough here to warrant Pixel Watch 4 users upgrading to the Pixel Watch 5, especially if some or all of the new health and safety features eventually trickle down via firmware. Hardware-wise, this is basically the same devices as its predecessor, just with a slight increase in battery and processing power.

The new Breathing Emergency feature is particularly exciting to see, and I look forward to learning more about how it works... that is, when it's finally available in the U.S. Similarly, time will tell whether or not the new blood pressure and insulin resistance trend reports are actually useful.

Either way, Google has entered a league of its own when it comes to on-wrist smartwatch safety tech, from Breathing Emergency Detection to Loss of Pulse. The question is, can Apple match Google in this regard with the debut of the Apple Watch Series 12 launches in a few months? I'm not convinced, but I remain cautiously optimistic.

Stay tuned for my full Google Pixel Watch 5 review. Until then, what are your thoughts on the new Google Pixel Watch 5? Would you consider buying/upgrading to one? Let me know below.


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Dan Bracaglia
Senior Writer, Fitness & Wearables

Dan Bracaglia is the Tom’s Guide editorial lead for all things smartwatches, fitness trackers and outdoor gear. With 15 years of experience as a consumer technology journalist testing everything from Oura Rings to instant cameras, Dan is deeply passionate about helping readers save money and make informed purchasing decisions. In the past year alone, Dan has assessed major product releases from the likes of Apple, Garmin, Google, Samsung, Polar and many others. 

An avid outdoor adventurer, Dan is based in the U.S. Pacific Northwest where he takes advantage of the beautiful surroundings every chance he gets. A lover of kayaking, hiking, swimming, biking, snowboarding and exploring, he also makes every effort to combine his day job with his passions. When not assessing the sleep tracking and heart rate accuracy of the latest tach gadgets, you can find him photographing Seattle’s vibrant underground music community.

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