This document summarizes a study evaluating alternatives to ion exchange for preventing scale formation in hot water heaters. The study tested several physical water treatment devices, including those that induce scale formation and those that prevent it. Testing was based on the DVGW W512 protocol and involved operating a system for 20 days to quantify scale formation. Preliminary results found that template assisted crystallization and capacitive deionization were most effective at preventing scale, forming little to no scale. Electromagnetic treatment and electrically induced precipitation significantly reduced scale formation compared to untreated water, producing only soft scale. Further analysis of the scale produced and treated water was suggested to develop a more rapid assessment method.