The headline features are the new ECG monitor that unlocks the ability for serious heart health monitoring. It's been FDA cleared, so the feature can be used to detect heart rhythm irregularities - however, it's only in the US only for now. There's also a new fall detection mode that can let users access Siri to contact emergency services or a emergency contact. Apple's new smartwatch offers groundbreaking features and an improved design that makes it the standout option for iPhone owners right now.
The screen is great, and the pre-installed watch faces make it stand out from rivals. Android Wear feels very samey across all devices, but it's a well developed OS. It's reasonably intuitive and simple, but there's a little too much swiping and tapping on the small screen. It also works across both Android and iOS, although iPhone functionality is limited (no apps etc.)
For deeper integration with your Android phone, you can give Google's Wear OS platform a try with Fossil's $275 Q Control touchscreen smartwatch. It lacks GPS and support for NFC payments, which is why the Gear Sport is a better fitness-focused smartwatch for Android users, but Fossil's Google Assistant integration and stylish design make it a solid contender. However, smartwatches with Qualcomm's new Snapdragon Wear 3100 processor start shipping in October, so you may want to hold off until we put them to the test.