The best gout-friendly vinegar

By Oliver Silen · Ratings computed 2026-10-09 from GoutSafe data · Ranked by gout rating only

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Our picks, ranked by gout rating

  1. Marukan Organic Rice Vinegar, front of pack
    Best gout grade

    Marukan Organic Rice Vinegar

    AGoodThe best grade on this shelf: A.
    Check price at Amazon
  2. Pompeian Balsamic vinegar, front of pack
    Lowest purine

    Pompeian Balsamic vinegar

    AGoodEssentially no purine, under 1 mg per serving.
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  3. Nakano Natural Rice Vinegar, front of pack
    No added sugar

    Nakano Natural Rice Vinegar

    AGoodThe Nutrition Facts panel lists 0 g of added sugar.
    Check price at Amazon
  4. Bragg Organic Apple Cider Vinegar, front of pack
    Also graded Good

    Bragg Organic Apple Cider Vinegar

    AGoodGrade A, no added-sugar line.
    Check price at Amazon

We rated 22 vinegar from their ingredient labels against GoutSafe's purine and fructose data. 12 earn a Good rating. These are the 4 that rank highest, each for a different reason.

All 22 compared

#ProductRatingPurine per serving, at mostAdded sugarBuy
1 Marukan Organic Rice Vinegar AGood 1 mg – Amazon
2 Pompeian Balsamic vinegar AGood 0 mg 0 g Amazon
3 Nakano Natural Rice Vinegar AGood 0 mg 0 g Amazon
4 Bragg Organic Apple Cider Vinegar AGood 0 mg – Amazon
5 Pompeian Red Wine Vinegar AGood 0 mg – Amazon
6 Pompeian Organic Red Wine Vinegar AGood 0 mg – Amazon
7 Pompeian White wine vinegar AGood 0 mg – Amazon
8 Tonnelli Vinaigre balsamique AGood 0 mg – Amazon
9 Alessi Vinegar AGood 0 mg – Amazon
10 Spectrum Organic Red Wine Vinegar AGood 0 mg – Amazon
11 Nishiki Rice vinegar natural AGood 1 mg – Amazon
12 Marukan Lite Seasoned Rice Vinegar BGood 0 mg 4 g Amazon
13 Mizkan Seasoned Rice Vinegar CModerate 0 mg 3 g Amazon
14 Acetum Blaze the first balsamic glaze CModerate 0 mg – Amazon
15 Wild Harvest Organic apple cider vinegar DLimit 0 mg – Amazon
16 Colavita Balsamic vinegar of modena DLimit 0 mg 1 g Amazon
17 Bionaturae Vinegar, Balsamic Organic DLimit 0 mg – Amazon
18 De Nigris Balsamic Vinegar of Modena Bronze Eagle DLimit 0 mg – Amazon
19 Newman's Own Balsamic Vinegar of Modena DLimit 0 mg – Amazon
20 Monari Federzoni Balsamic Vinegar of Modena DLimit 0 mg – Amazon
21 Heinz Vinegar DLimit 0 mg – Amazon
22 Bertolli Balsamic Glaze With Balsamic Vinegar Of Modena DLimit 0 mg – Amazon

How we picked

Every product is rated from its ingredient label against GoutSafe's purine and fructose data. Only products rated Good (A or B) can be picks. The first pick is the best-rated product, and each other pick is the best-rated product that earns a distinct role, such as the lowest purine or no added sugar. Commission and sponsorship play no part. Read the full method.