Arthur packets have been defined for pure real forms of symplectic and special orthogonal groups following two different approaches. The first approach, due to Arthur, Moeglin, and Renard uses harmonic analysis. The second approach, due to Adams, Barbasch, and Vogan uses microlocal geometry. We prove that the two approaches produce essentially equivalent Arthur packets. This extends previous work of the authors and J. Adams for the quasisplit real forms.