People with aphasia (PWA) who cannot meet their needs through natural speech alone can benefit from using an augmentative and alternative communication (AAC) device as support. In structured settings, alternative modes of communication can assist individuals with moderate to severe aphasia. Low and high technology are forms of AAC to help individuals with communication and language impairments. Learning how to use an AAC system can be difficult for people with aphasia, yet, with training, AAC can be used to effectively address deficits in spoken language comprehension and expression. The investigation’s purpose was to determine whether a low-tech device compared to a high-tech device was more effective for functional communication for adults over the age of 50, diagnosed with expressive aphasia.