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

Details

  • Released
  • Updated
  • February 11, 2026
  • September 20, 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
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What's New in Last Asylum

1.0.65

September 20, 2026

Performance improvements and bug fixes

20

Subscriptions & In-App Purchases

$29.99

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Charts

Top Grossing

The game has maintained its position at 4 recently.

Last updated on October 13, 2026.

Top Grossing

The game has maintained its position at 11 recently.

Last updated on October 13, 2026.

Top Free

The game has maintained its position at 19 recently.

Last updated on October 13, 2026.

Top Free

📉 19-1

Strategy games

This game dropped -1 position in Strategy games chart.

Last updated on October 13, 2026.

Top Grossing

📈 53+1

Games

This game rose +1 position in Games chart.

Last updated on October 13, 2026.

Top Free

📈 141+4

Games

This game rose +4 positions in Games chart.

Last updated on October 13, 2026.

Top Grossing

📉 168-7

Global

This game dropped -7 positions in Global chart.

Last updated on October 13, 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

Ads claim no paywall

I’m a little perturbed by the ads claiming uninterrupted gameplay and the putting in paywalls

WTF

So I’m over here having a conversation with one of my friends and direct message and I randomly get banned. I can’t even send a message to support because they are saying inappropriate activity was detected. How the hell would that make any sense when I am having a conversation with a friend about guys we have dated and ages etc. she was talking about a 27-year-old. It’s not like we were having an inappropriate conversation. The fact I can’t even contact support right now is beyond me. I have spent money in this game and they think they can just shut off communication? Certainly move onto the next game. Do not choose this one.

And to the developers — if you’re going to have a game played in America try to remind yourselves the first amendment for freedom of speech. I didn’t even say anything offensive and you took away my ability to message even my own alliance. Ridiculous. Y’all can refund me.
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Nothing but bots, avoid!

I’ve never seen anything like it. Server, whole alliances, nothing but bot accounts, insane. Also, there is no landscape mode, despite how it is presented here.

Game play

If the game was actually like the demo version I would’ve kept it. The demo is way better than the actual game

Excellent

This really great game with high quality and exact the ads you should try it

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.