Comparison

Emergency Ambulance Simulator vs Train Driver 2018

Price, ratings, monetisation and update history for both games, side by side — with what reviewers say about each.

Head to head
About

Emergency Ambulance Simulator

Experience the thrill of being an ambulance driver in a realistic open city. Race to accident sites, stabilize patients, and earn money to upgrade your vehicle. Customize your ambulance with paints and accessories, and enhance its life support systems for better patient care.

Highlights
  • Realistic ambulance models
  • Open-city exploration
  • Vehicle customization
  • Life support upgrades
  • Dynamic day/night and weather
  • Multiple control options
Features
Read full description

Emergency Ambulance Simulator Take a seat and start your job in a fully modeled and realistic ambulance, all of which are based on real vehicles. Make your way to a accident site in the open city, without loading screens. The faster you get people to the hospital, the more money you earn. The way you use the money is up to you, personalize the ambulance or upgrade the lifesupport in it. Upgrading the lifesupport keeps the patients stable for longer, giving you more time to get them to the hospital. You can also use the money to purchase different ambulances.There are also a lot of customisation options for the Ambulances, including paints and acessories. Features: Selection of detailed vehicles All vehicles are fully customizable Realistic accident sites Dynamic day and night with weather effects Many control options (buttons, tilt, sliders or steering wheel) Different gearbox options Realistic physics Big open City without loading screens Realistic engine sounds Lively AI traffic system

About

Train Driver 2018

Experience the thrill of operating various trains across a vast North American open world. Haul passengers or freight, manage different locomotive types, and enjoy realistic graphics and dynamic weather. Challenge friends with online rankings.

Highlights
  • Open World Map (North America)
  • Multiple Train Types (steam, diesel, electric)
  • Passenger and Freight Hauling
  • Next-Gen Graphics
  • Dynamic Weather Conditions
  • Online Rankings
Features
Read full description

Train Driver 2018 is the newest train simulator that will let you experience the real trains world! A huge Open World Map, amazing trains, unique features will make you feel like a real train mechanic! Travel across North America, carry people or haul freight trains! You will be able to drive steam, diesel or electric locomotives! Get Train Driver 2018 now, the best Train Simulator on the market! "Features: - Open World Map - North America - Different trains to drive (steam, diesel, electric, freight, inter-city, subway) - Unique Features - Next-Gen Graphics - Open/Close Doors - Realistic People Animations - Dynamic Weather Conditions - Amazing landscapes: city, countryside, mountain, desert and snow - Intuitive train controls - Detailed Interiors - Challenge your friends with Online rankings"

Screenshots

Emergency Ambulance Simulator4 screens
Train Driver 20184 screens

Verdict

The call

The clearest difference is review sentiment: Emergency Ambulance Simulator at 89% against Train Driver 2018's 41%. Emergency Ambulance Simulator also leads on rating (4.6 vs 3.3) and ratings volume (1.8K vs 352). Train Driver 2018's advantage is ads (none vs shown) and update cadence (every 6 days vs every 9 months). On price, in-app purchases, monetization model and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Emergency Ambulance Simulator sells 6 one-off in-app purchases and Train Driver 2018 sells 6 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

ReceptionRating · Positive reviews · Number of ratings

Emergency Ambulance Simulator holds the better App Store score, 4.6 against 3.3. That said, the two scores are not equally well evidenced: Emergency Ambulance Simulator has 1.8K ratings behind it against 352, so its average is the more settled of the two. Written reviews point the same way: 89% of Emergency Ambulance Simulator's written reviews are positive against 41% of Train Driver 2018's.

UpkeepUpdate frequency

Emergency Ambulance Simulator ships an update every 9 months, Train Driver 2018 every 6 days. The most recent releases landed on October 24, 2026 and October 25, 2026 respectively.

Scorecard6 real differences · 4 level
Emergency Ambulance Simulator versus Train Driver 2018: the parameters behind the verdict, then further details
ParameterEmergency Ambulance SimulatorTrain Driver 2018
PriceFreeFree
Rating4.6 (1.8K ratings) — better3.3 (352 ratings)
Positive reviews89.4% of reviews — better41.3% of reviews
Number of ratings1.8K — better352
Update frequencyEvery 9 monthsEvery 6 days — better
AdsYesNo — better
In-app purchasesYesYes
MonetizationFree with in-app purchasesFree with in-app purchases
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS11.09.0 — better
Further details — not scored
Size121 MB432 MB
Age rating12+4+
DeveloperSkisoSoftAlexandru Marusac

Customer experience

Emergency Ambulance Simulator

All ratings1,817 ratings
Positive91.1%
Neutral4.5%
Negative4.3%
Written reviews312 reviews
Positive89.4%
Neutral6.4%
Negative4.2%

Train Driver 2018

All ratings353 ratings
Positive54.4%
Neutral7.4%
Negative38.2%
Written reviews252 reviews
Positive41.3%
Neutral12.7%
Negative46.0%

User reviews

Emergency Ambulance Simulator

From 1.8K App Store ratings

What we love

  • 👍 Great game
  • 🚀 Realistic driving and mechanics
  • 💡 Customization options for ambulances
  • 🚑 Variety of emergency calls

Room to improve

  • 🐛 Speed bumps cause vehicles to fly
  • 🚗 Cars don't pull over enough for sirens
  • 💰 Expensive fuel and maintenance costs

Train Driver 2018

From 352 App Store ratings

What we love

  • 🚀 Great graphics
  • 🚃 Realistic train simulation
  • 👍 Enjoyable gameplay
  • 🌇 Diverse locations
  • 🎮 Fun for train enthusiasts

Room to improve

  • 🐛 Bugs and glitches
  • 🕹️ Poor controls and navigation
  • ⏱️ Slow train speeds
  • 🚦 Unrealistic speed limits
  • 💰 Expensive in-app purchases

Bugs and requests

Emergency Ambulance Simulator

Reported bugs

3 issues
  • Steering wheel issues causing loss of control
  • Random crashes and freezes
  • Ambulance speed capped at low speeds after incidents

Requested features

4 requests
  • Add police and fire department integration
  • Ability to perform medical procedures on patients
  • More siren and light customization options
  • Larger map with more hospitals and emergency locations

Train Driver 2018

Reported bugs

5 issues
  • Trains get stuck on tracks
  • GPS and navigation issues
  • Frequent crashes and freezes
  • Inconsistent speed limits
  • Cargo loading problems

Requested features

5 requests
  • Add steam locomotives
  • Improve camera angles and views
  • Increase route and train variety
  • Implement more realistic physics
  • Reduce advertisements

In-app purchases

6 purchases

Emergency Ambulance Simulator

One-time6
  • $12000$0.99
  • 1 Day credit booster!$0.99
  • 7 days credit booster!$0.99
Show 3 more
  • 30 days credit booster!$0.99
  • $30000$1.99
  • $100000$3.99
6 purchases

Train Driver 2018

One-time6
  • 100,000 Coins$1.99
  • Remove Ads$1.99
  • 250,000 Coins$2.99
Show 3 more
  • 500,000 Coins$5.99
  • 1,000,000 Coins$6.99
  • 1,500,000 Coins$10.99

Questions

Is Emergency Ambulance Simulator free?
Emergency Ambulance Simulator is free to download, with in-app purchases available.
Is Train Driver 2018 free?
Train Driver 2018 is free to download, with in-app purchases available.
Which has better reviews, Emergency Ambulance Simulator or Train Driver 2018?
Emergency Ambulance Simulator is rated higher. Emergency Ambulance Simulator averages 4.6 out of 5 from 1.8K ratings, while Train Driver 2018 averages 3.3 from 352 ratings.
Do Emergency Ambulance Simulator or Train Driver 2018 have ads?
Emergency Ambulance Simulator shows ads; Train Driver 2018 does not.
Which is updated more often, Emergency Ambulance Simulator or Train Driver 2018?
Emergency Ambulance Simulator ships an update every 9 months, and Train Driver 2018 every 6 days. Most recently, Emergency Ambulance Simulator was updated on October 24, 2026 and Train Driver 2018 on October 25, 2026.

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