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

Details

  • Released
  • Updated
  • February 11, 2026
  • August 27, 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

1.0.60

August 27, 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 5 recently.

Last updated on August 28, 2026.

Top Free

This game rose +1 position in Simulation games chart.

Last updated on August 28, 2026.

Top Free

The game has maintained its position at 10 recently.

Last updated on August 28, 2026.

Top Grossing

The game has maintained its position at 15 recently.

Last updated on August 28, 2026.

Top Grossing

📉 67-2

Games

This game dropped -2 positions in Games chart.

Last updated on August 28, 2026.

Top Free

📈 75+6

Games

This game rose +6 positions in Games chart.

Last updated on August 28, 2026.

Top Grossing

📉 181-16

Global

This game dropped -16 positions in Global chart.

Last updated on August 28, 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

Awesomeness

I love the way the characters talk you through whats going on and they make sure that you’re on track. It’s very enjoyable!! 😊

Disappointed

Had hoped it really was skill based but you can pay to win. Buying heroes and other item is not skill based that is pay to win. Deleted it, I guess I am truly a “the journey is half the fun kinda person” never got past healing Cecilia before deleted.

So fun!

When they said no ads they meant it and it’s really cool!!

Péssimo

Péssimo

Great game

This game is a great example of a game that you can just play I think they need to do a little more explaining of things in game but generally I have found this game a breath of fresh air keep up the good work

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.