diff --git a/src/components/insights/derived/score-anatomy-view.tsx b/src/components/insights/derived/score-anatomy-view.tsx
index bbc2b1dc5..aed092d6a 100644
--- a/src/components/insights/derived/score-anatomy-view.tsx
+++ b/src/components/insights/derived/score-anatomy-view.tsx
@@ -10,6 +10,7 @@ import type {
   DerivedCoverage,
   DerivedProvenance,
 } from "@/lib/insights/derived/types";
+import { TileHeader } from "@/components/insights/tile-header";
 import { ScoreRing } from "./score-ring";
 import { CoverageMeter } from "./coverage-meter";
 import {
@@ -126,20 +127,19 @@ export function ScoreAnatomyView({
           : undefined
       }
       className={cn(
-        "flex flex-col gap-5 rounded-xl border p-5",
+        "flex flex-col gap-4 rounded-xl border p-4 md:p-6",
         hue ? "wellness-detail-card" : "border-border bg-card",
         className,
       )}
       aria-label={typeof title === "string" ? title : undefined}
     >
-      {/* Hero: title + ring + caption */}
+      {/* Left-aligned canonical tile header — sits on the same reading edge as
+          the sibling assessment card that stacks beneath it on a score
+          sub-page, instead of the old centred uppercase title that floated
+          toward the middle and shared no left line with any card. */}
+      <TileHeader title={title} />
+      {/* Hero: ring + caption — a centred identity block below the header. */}
       <div className="flex flex-col items-center gap-3 text-center">
-        <h2
-          data-slot="score-anatomy-title"
-          className="text-foreground text-sm font-semibold tracking-wide uppercase"
-        >
-          {title}
-        </h2>
         {/* v1.15.12 F2 — vertical breathing room so the ring's bloom/glow is
             never clipped top/bottom by the hero container. */}
         <div className="py-2">
@@ -176,7 +176,7 @@ export function ScoreAnatomyView({
         />
       ) : (
         <div data-slot="score-anatomy-contributors" className="space-y-3">
-          <p className="text-muted-foreground text-[11px] font-semibold tracking-wide uppercase">
+          <p className="text-muted-foreground text-xs font-semibold tracking-wide uppercase">
             {t("insights.derived.anatomy.contributorsLabel")}
           </p>
           <ul className="space-y-2.5">
diff --git a/src/components/insights/derived/sparkline-delta-tile.tsx b/src/components/insights/derived/sparkline-delta-tile.tsx
index f6a3467eb..c6241b52f 100644
--- a/src/components/insights/derived/sparkline-delta-tile.tsx
+++ b/src/components/insights/derived/sparkline-delta-tile.tsx
@@ -9,6 +9,7 @@ import {
   sentimentColorClass,
   type TrendDirectionSentiment,
 } from "@/lib/insights/trend-sentiment";
+import { TileHeader } from "@/components/insights/tile-header";
 
 /**
  * v1.10.0 — the Apple-Health-Highlights grid tile.
@@ -138,27 +139,26 @@ export function SparklineDeltaTile({
         className,
       )}
     >
-      {/* Header row matches the canonical TileHeader language: a leading
-          foreground icon + a foreground `CardTitle`-weight heading — never
-          the old muted-uppercase caption. Kept on one line for the dense
-          grid; provenance trails to the right edge. */}
-      <div className="flex min-w-0 items-center gap-2">
-        <Icon className="text-foreground h-5 w-5 shrink-0" aria-hidden="true" />
-        <span
-          className="text-foreground min-w-0 flex-1 truncate text-base leading-none font-semibold whitespace-nowrap"
-          data-slot="sparkline-delta-tile-label"
-        >
-          {label}
-        </span>
-        {provenance ? (
-          <span
-            data-slot="sparkline-delta-tile-provenance"
-            className="ml-auto shrink-0"
-          >
-            {provenance}
-          </span>
-        ) : null}
-      </div>
+      {/* The canonical tile-header primitive (was a hand-rolled copy of it):
+          leading foreground icon + foreground `CardTitle` heading, provenance
+          in the `right` slot. Routing through the primitive keeps this dense
+          grid tile from drifting out of the header contract. */}
+      <TileHeader
+        icon={Icon}
+        title={label}
+        className="min-w-0"
+        titleClassName="min-w-0 truncate whitespace-nowrap"
+        right={
+          provenance ? (
+            <span
+              data-slot="sparkline-delta-tile-provenance"
+              className="shrink-0"
+            >
+              {provenance}
+            </span>
+          ) : undefined
+        }
+      />
 
       <div
         className="mt-2 flex flex-wrap items-baseline gap-x-1.5"
diff --git a/src/components/insights/device-score-tile.tsx b/src/components/insights/device-score-tile.tsx
index 178617bb1..e984a2980 100644
--- a/src/components/insights/device-score-tile.tsx
+++ b/src/components/insights/device-score-tile.tsx
@@ -6,16 +6,11 @@ import { useAuth } from "@/hooks/use-auth";
 import { useInsightsAnalytics } from "@/hooks/use-insights-analytics";
 import { useTranslations } from "@/lib/i18n/context";
 import type { DataSummary } from "@/lib/analytics/trends";
-import {
-  Card,
-  CardAction,
-  CardContent,
-  CardHeader,
-  CardTitle,
-} from "@/components/ui/card";
+import { Card, CardContent, CardHeader } from "@/components/ui/card";
 import { LearningGate } from "@/components/ui/learning-gate";
 import { HealthChartDynamicMini } from "@/components/charts/health-chart-dynamic";
 import { SectionHeading } from "@/components/insights/section-heading";
+import { TileHeader } from "@/components/insights/tile-header";
 
 /**
  * v1.17.1 — calm, data-gated readout for a device-native score that has no
@@ -100,26 +95,31 @@ export function DeviceScoreTile({
       className={className}
     >
       <CardHeader>
-        <CardTitle className="flex min-w-0 items-center gap-2 text-sm">
-          <Icon
-            className="text-muted-foreground h-4 w-4 shrink-0"
-            aria-hidden="true"
-          />
-          <span className="truncate">{title}</span>
-        </CardTitle>
-        {latest != null ? (
-          <CardAction
-            data-slot="device-score-latest"
-            className="text-foreground self-baseline text-lg font-semibold tabular-nums"
-          >
-            {fmt(latest)}
-            {unit ? (
-              <span className="text-muted-foreground ml-1 text-xs font-normal">
-                {unit}
+        {/* Canonical compact tile header — foreground `h-4` icon + `text-sm`
+            title on the shared inset; the latest reading rides the `right`
+            slot so it stays pinned to the row's right edge. */}
+        <TileHeader
+          size="sm"
+          icon={Icon}
+          title={title}
+          className="min-w-0"
+          titleClassName="min-w-0 truncate"
+          right={
+            latest != null ? (
+              <span
+                data-slot="device-score-latest"
+                className="text-foreground text-lg font-semibold tabular-nums"
+              >
+                {fmt(latest)}
+                {unit ? (
+                  <span className="text-muted-foreground ml-1 text-xs font-normal">
+                    {unit}
+                  </span>
+                ) : null}
               </span>
-            ) : null}
-          </CardAction>
-        ) : null}
+            ) : undefined
+          }
+        />
       </CardHeader>
       <CardContent className="space-y-3">
         {isLearning ? (
diff --git a/src/components/insights/recovery/resilience-tile.tsx b/src/components/insights/recovery/resilience-tile.tsx
index dc7233802..2fd357fbd 100644
--- a/src/components/insights/recovery/resilience-tile.tsx
+++ b/src/components/insights/recovery/resilience-tile.tsx
@@ -4,15 +4,10 @@ import { ShieldCheck } from "lucide-react";
 
 import { useInsightsAnalytics } from "@/hooks/use-insights-analytics";
 import { useTranslations } from "@/lib/i18n/context";
-import {
-  Card,
-  CardAction,
-  CardContent,
-  CardHeader,
-  CardTitle,
-} from "@/components/ui/card";
+import { Card, CardContent, CardHeader } from "@/components/ui/card";
 import { LearningGate } from "@/components/ui/learning-gate";
 import { LearnMoreLink } from "@/components/ui/learn-more-link";
+import { TileHeader } from "@/components/insights/tile-header";
 
 /**
  * v1.19.2 — calm readout for Oura's daily resilience level.
@@ -96,21 +91,25 @@ export function ResilienceTile() {
   return (
     <Card data-slot="resilience-tile" data-metric="RESILIENCE">
       <CardHeader>
-        <CardTitle className="flex min-w-0 items-center gap-2 text-sm">
-          <ShieldCheck
-            className="text-muted-foreground h-4 w-4 shrink-0"
-            aria-hidden="true"
-          />
-          <span className="truncate">{t("measurements.typeResilience")}</span>
-        </CardTitle>
-        {bandKey != null ? (
-          <CardAction
-            data-slot="resilience-band"
-            className="text-foreground self-baseline text-lg font-semibold"
-          >
-            {t(bandKey)}
-          </CardAction>
-        ) : null}
+        {/* Canonical compact tile header — foreground `h-4` icon + `text-sm`
+            title; the current band rides the `right` slot. */}
+        <TileHeader
+          size="sm"
+          icon={ShieldCheck}
+          title={t("measurements.typeResilience")}
+          className="min-w-0"
+          titleClassName="min-w-0 truncate"
+          right={
+            bandKey != null ? (
+              <span
+                data-slot="resilience-band"
+                className="text-foreground text-lg font-semibold"
+              >
+                {t(bandKey)}
+              </span>
+            ) : undefined
+          }
+        />
       </CardHeader>
       <CardContent className="space-y-3">
         <p className="text-foreground text-sm leading-relaxed">
diff --git a/src/components/insights/sub-page-shell.tsx b/src/components/insights/sub-page-shell.tsx
index ece0a44a0..0908f48c3 100644
--- a/src/components/insights/sub-page-shell.tsx
+++ b/src/components/insights/sub-page-shell.tsx
@@ -218,10 +218,13 @@ export function SubPageShell({
       <div data-slot="insights-subpage" className="space-y-3 md:space-y-4">
         {/* v1.8.7.1 — back-nav leads the page, above the heading. */}
         {backLink}
-        {/* The heading + explainer indent to the cards' inner text edge
-            (`px-6`, the Card content padding), so the page head reads as
-            part of the card column instead of hanging outside it. */}
-        <header className="space-y-1.5 px-6">
+        {/* The heading + explainer indent to the cards' inner text edge so
+            the page head reads as part of the card column instead of hanging
+            outside it. Track the card slot inset EXACTLY (`px-4 md:px-6`) —
+            never a flat `px-6`, which sat 8 px right of every card body on
+            mobile and reopened the heading-vs-body step (insights left-edge
+            rule: one reading edge across breakpoints). */}
+        <header className="space-y-1.5 px-4 md:px-6">
           {/* v1.8.6 — the heading row pins the Coach icon top-right while the
             title / nudge / badge wrap together on the left.