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By default a reminder is a normal notification, which follows your silent switch and Focus settings. To have one ring through silent mode and Focus, open the reminder, tap More Options, and set Alert type to Alarm (AlarmKit). The first time, iPhone asks for permission to set alarms — allow it.

You declined alarm permission earlier. Open the iPhone Settings app, find ReAlarmed, and allow Alarms and Notifications. ReAlarmed's own Settings screen has a button that takes you there.

Nag-Me repeats a reminder's alert on an interval — every few minutes — until you mark the reminder done. Set it per reminder under “Do it / delay it”, or choose a default for new reminders in Settings.

Snooze right from the alert. In the list, tap a reminder to show the quick-adjust buttons and move it by five minutes, an hour or a day. On iPhone you can also swipe a reminder; on Mac, right-click it.

On the Mac, ReAlarmed rings in a window of its own, from inside the app. Closing the window is fine — the app keeps running and will still ring — but quitting ReAlarmed stops its alerts until you open it again. Settings → Open at Login keeps it running.

ReAlarmed syncs through your iCloud account. Make sure you're signed in to the same Apple Account on each device, with iCloud turned on for ReAlarmed. Changes can take a moment to arrive. If an alarm looks out of date, ReAlarmed's Settings → Rebuild Schedule re-arms everything.

Yes. ReAlarmed follows your device language, and you can pick English or Swedish in its Settings.