Abstract: Systems and methods pertaining to a hearing system programming device are described. The hearing system programming device includes a test signal generator configured to generate at least one acoustic test signal, at least one acoustic reproduction unit or a transmission unit for transmitting the at least one test signal to a reproduction unit, an input unit designed to receive a response of a user in reaction to the at least one test signal, a program modification unit designed for determination of a modified programming of a hearing system while taking into consideration the received reaction, a trainable configuration storage unit, and a communication unit designed for a data communication with the hearing system and for a transmission of the modified programming to the hearing system. A hearing system arrangement including a hearing system programming device and a method for programming a hearing system in a patient-specific manner are also described.