Free
In-App Purchases

Details

  • Released
  • Updated
  • February 11, 2026
  • July 9, 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
Last Asylum: Plague screenshot #6 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

1.0.47

July 9, 2026

Performance improvements and bug fixes

20

In-App Purchases

$9.99

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Charts

Top Free

This game dropped -1 position in Simulation games chart.

Last updated on July 19, 2026.

Top Grossing

This game rose +1 position in Simulation games chart.

Last updated on July 19, 2026.

Top Free

📉 11-1

Strategy games

This game dropped -1 position in Strategy games chart.

Last updated on July 19, 2026.

Top Grossing

The game has maintained its position at 18 recently.

Last updated on July 19, 2026.

Top Free

📉 79-5

Games

This game dropped -5 positions in Games chart.

Last updated on July 19, 2026.

Top Grossing

📈 81+3

Games

This game rose +3 positions in Games chart.

Last updated on July 19, 2026.

Top Grossing

📈 170+19

Global

This game rose +19 positions in Global chart.

Last updated on July 19, 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

What Is This?

This game really needs to pick a lane. It’s like Kingshot and My Perfect Hotel had a baby and that baby is having an identity crisis.

Игра г

Игра дерьмо полное ,не стоит тратить свое время

Another mmo raid game

I was happy enough playing it and rebuilding the town and sanctuary and following missions. Deleted it as soon as I realised it was a PvP game as well.
A shame as it was enjoyable and plenty of content

First game style game for me

I’m learning so much with this game style (have played other game styles) and I tried a few others like this game once I learned the ins and outs. However, this game is amazing for a beginner like me with prompts and guidance every step of the way unlike other similar games. No ads. They are very reasonable with leveling up, time to build (they provide stuff to speed up process which is amazing and wish other games had this) and I’ve really enjoyed this game so far.
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Same game as always

With the fake ads and asylum expansion, they make it look like it’s not just another one of those my city against your city stupid games.

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.