#4 in top-grossing Simulation
🎮 Games
🕹 Simulation
🏰 Strategy
Free
In-App Purchases

Details

  • Released
  • Updated
  • February 11, 2026
  • September 17, 2026
Last Asylum: Plague screenshot #1 for iPhone
Last Asylum: Plague screenshot #2 for iPhone
Last Asylum: Plague screenshot #3 for iPhone
Last Asylum: Plague screenshot #4 for iPhone
Last Asylum: Plague screenshot #5 for iPhone
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About

Lead the last sanctuary as a plague doctor, managing resources, treating patients, and defending against a rat swarm. Strategically rebuild the town and reclaim abandoned ruins to guide survivors through a global pandemic.

Sanctuary management
Patient treatment and ward expansion
Hero recruitment and tower defense
Resource gathering and town rebuilding
Squad-based exploration and combat
Territory expansion
Show original description
+1

What's New in Last Asylum

1.0.64

September 17, 2026

Performance improvements and bug fixes

20

In-App Purchases

$9.99

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Charts

Top Grossing

The game has maintained its position at 4 recently.

Last updated on September 18, 2026.

Top Free

The game has maintained its position at 8 recently.

Last updated on September 18, 2026.

Top Free

This game rose +1 position in Strategy games chart.

Last updated on September 18, 2026.

Top Grossing

The game has maintained its position at 14 recently.

Last updated on September 18, 2026.

Top Grossing

📊 65

Games

The game has maintained its position at 65 recently.

Last updated on September 18, 2026.

Top Free

📈 69+5

Games

This game rose +5 positions in Games chart.

Last updated on September 18, 2026.

Top Grossing

📉 180-11

Global

This game dropped -11 positions in Global chart.

Last updated on September 18, 2026.

Events

Read more about Era of Revival event incoming

Era of Revival event incoming

A new world reborn.

Jun 28, 2026 Jul 28, 2026

Read more about Easter Celebration Begins

Easter Celebration Begins

A new dawn rises over the plague ridden world

Apr 3, 2026 Apr 9, 2026

Read more about Official Launch Gala

Official Launch Gala

Last Asylum is now online!

Mar 5, 2026 Apr 5, 2026

User reviews

Endless tutorial

The tutorial could not be skipped and was way too long. After 30 mins of game “play”, I was still trapped in the tutorial with no end in sight. But if you like playing tutorials this is the game for you!

LET ME PLAY THE GAME

omg what happen to letting players figure out the game, I don’t need the game to tell me what buttons to click. LEAVE ME ALONE.
Update I just uninstalled the game because wow, the tutorial won’t stop, I don’t know if it will ever, but I hate that it’s guiding me to every button and I can’t do my own thing. This is making kids dumber, let people figure it out.
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Bullying Do not bother waste of money

We should be refunded all money spent since we can’t migrate to other servers if you happen to be on a toxic one you have no choice. The alliances leading the server decide if you can play on it or not and if they don’t like you they burn and black list you so you quit the game. They bully you all the time and reporting to developers is useless they don’t do anything. You can’t change servers to leave a toxic server. So don’t bother installing it’s a waste of time and money
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Needs work

This game was fun for a little while, but the tutorial stage sets you loose in the game without explaining a lot of things. You have to figure out for yourself what many things are and how they work.

After a certain point, the story stops and you are just leveling for the sake of leveling. Most events are only playable if you’re in an alliance. I continued solo until I was attacked by other players too frequently to be able to recover in between. I was told the only form of safety is joining an alliance. I did not want to make that commitment, so I stopped playing.

If you want a game that you can devote time and effort to, where you can join a guild and do things as a group, this may be for you. It is NOT for solo or casual play.
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Stop lying in ads

So i was tricked in the internet again

Developer apps

FAQ

What is Last Asylum: Plague about?

Last Asylum: Plague is a survival strategy game where you play as a plague doctor managing the last sanctuary. You'll need to treat patients, gather resources, rebuild the town, and defend against threats like a rat swarm.

What are the main gameplay mechanics?

Key mechanics include managing your sanctuary by treating the sick and expanding wards, recruiting and upgrading heroes for defense against the Rat Swarm, gathering resources to rebuild the town, and forming elite squads to reclaim abandoned ruins.

Is Last Asylum: Plague free to play?

Yes, the game is free to download and play. It offers in-app purchases for optional items or boosts that can enhance your gameplay experience.

What kind of threats will I face in the game?

You will face a mysterious plague that requires patient treatment and sanctuary management. Additionally, you must defend against a 'Rat Swarm' by recruiting heroes and building defensive towers, and reclaim plague-ridden towns from contenders.

How do I rebuild the town and expand my territory?

Rebuilding involves dispatching survivors to gather essential resources like timber, herbs, and food. You'll construct production facilities and upgrade buildings to house more survivors. Expanding territory is achieved by forming elite hero squads to reclaim plague-ridden towns and gain control of crucial cities.