On Mac and iOS, Spokenly does a hell of a good job using local models to enable voice dictation. Some of my patients with ALS or Huntington's disease can dictate whole letters, even with broken speech and often long pauses between words.
Even better, it's all local; no AI credits or remote models are needed, and it works well on an M1 Pro or even an M1 iPad (iPad only remote models for $9/month).
Even better, I could train it to gender ;)