# Sanitarium vs Moth Lake

The clearest difference is update cadence: Moth Lake at every 2 months against Sanitarium's every 73 months. Sanitarium's advantage is ratings volume (131 vs 12) and iOS requirement (9.0 vs 11.0). On price, rating, review sentiment and ads there is nothing between them.

Sanitarium costs $3.99 and Moth Lake $3.99 up front. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.2 for Sanitarium against 4.3 for Moth Lake. That said, the two scores are not equally well evidenced: Sanitarium has 131 ratings behind it against 12, so its average is the more settled of the two. Written reviews are what separate them: 70% of Sanitarium's written reviews are positive against 72% of Moth Lake's.

Sanitarium ships an update every 73 months, Moth Lake every 2 months. The most recent releases landed on November 1, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | Sanitarium | Moth Lake |
| --- | --- | --- |
| Price | $3.99 | $3.99 |
| Rating | [4.2 (131 ratings)](https://appshunter.io/ios/app/sanitarium/id1008783470/reviews) | **[4.3 (12 ratings)](https://appshunter.io/ios/app/moth-lake/id1627267032/reviews)** |
| Number of ratings | **131** | 12 |
| Positive reviews | 70.5% of reviews | **72.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 73 months | **Every 2 months** |
| Monetization | Paid | Paid |
| Size | 887 MB | 121 MB |
| Requires iOS | **9.0** | 11.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 9+ | 12+ |
| Developer | [DotEmu](https://appshunter.io/developer/329185054) | [Stefano Mazzotta](https://appshunter.io/developer/1546727173) |

## What reviewers say

### Sanitarium

[App page](https://appshunter.io/ios/app/sanitarium/id1008783470)

Embark on a dark adventure as an amnesiac in a creepy asylum. Solve puzzles, uncover a complex plot, and escape this morbid universe. This enhanced mobile version offers new features for an immersive point-and-click horror experience.

**Highlights:** Amnesiac protagonist, Morbid and creepy universe, Puzzle solving, Complex plot, Touch and pad controls, New inventory system, Achievements

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🎮 Nostalgic and entertaining visuals
- 🕹️ Unique and bizarre adventure
- 🎬 Excellent atmosphere
- ⏰ Long gameplay with cool cutscenes
- 🕵️‍♀️ Compelling story and creepy atmosphere

**What reviewers complain about**

- 🤖 Clunky and unresponsive controls
- 🐛 Frequent crashes and bugs
- 🤯 Confusing navigation and UI
- 🔇 Poor audio balancing and dialogue issues
- 🔍 Difficulty interacting with objects and environments

**Reported bugs**

- Game freezes or crashes in certain levels
- Dialogue skipping and desynchronization issues
- Unresponsive interactions and missing prompts

**Requested features**

- Add Russian language support
- Improve touch controls and UI for mobile
- Provide more instructions and tutorials


### Moth Lake

[App page](https://appshunter.io/ios/app/moth-lake/id1627267032)

Uncover a small town's dark secret through a story-driven adventure. Navigate a 2.5D pixel art world, solve unconventional puzzles, and make choices that impact character relationships and the narrative's outcome. Experience thrills, suspense, and horror with a touch of dark humor.

**Highlights:** 2.5D pixel art with frame-to-frame animations, Simple controls for touch, mouse, keyboard, and controllers, Unconventional puzzles with optional walkthrough, Stealth-action gameplay, Choices affecting character bonds and narrative, Multiple endings, Original soundtrack

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Sanitarium free?

Sanitarium costs $3.99, with no in-app purchases.

### Is Moth Lake free?

Moth Lake costs $3.99, with no in-app purchases.

### Which has better reviews, Sanitarium or Moth Lake?

Moth Lake is rated higher. Sanitarium averages 4.2 out of 5 from 131 ratings, while Moth Lake averages 4.3 from 12 ratings.

### Do Sanitarium or Moth Lake have ads?

Neither Sanitarium nor Moth Lake shows ads.

### Which is updated more often, Sanitarium or Moth Lake?

Sanitarium ships an update every 73 months, and Moth Lake every 2 months. Most recently, Sanitarium was updated on November 1, 2026 and Moth Lake on October 30, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*