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.
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.
- Realistic ambulance models
- Open-city exploration
- Vehicle customization
- Life support upgrades
- Dynamic day/night and weather
- Multiple control options
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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
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.
- Open World Map (North America)
- Multiple Train Types (steam, diesel, electric)
- Passenger and Freight Hauling
- Next-Gen Graphics
- Dynamic Weather Conditions
- Online Rankings
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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
Verdict
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
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.
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.
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.
| Parameter | Emergency Ambulance Simulator | Train Driver 2018 |
|---|---|---|
| Price | Free | Free |
| Rating | 4.6 (1.8K ratings) — better | 3.3 (352 ratings) |
| Positive reviews | 89.4% of reviews — better | 41.3% of reviews |
| Number of ratings | 1.8K — better | 352 |
| Update frequency | Every 9 months | Every 6 days — better |
| Ads | Yes | No — better |
| In-app purchases | Yes | Yes |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 11.0 | 9.0 — better |
| Further details — not scored | ||
| Size | 121 MB | 432 MB |
| Age rating | 12+ | 4+ |
| Developer | SkisoSoft | Alexandru Marusac |
Customer experience
Emergency Ambulance Simulator
Train Driver 2018
User reviews
Emergency Ambulance Simulator
From 1.8K App Store ratingsWhat 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 ratingsWhat 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
Emergency Ambulance Simulator
- $12000$0.99
- 1 Day credit booster!$0.99
- 7 days credit booster!$0.99
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- 30 days credit booster!$0.99
- $30000$1.99
- $100000$3.99
Train Driver 2018
- 100,000 Coins$1.99
- Remove Ads$1.99
- 250,000 Coins$2.99
Show 3 moreShow fewer
- 500,000 Coins$5.99
- 1,000,000 Coins$6.99
- 1,500,000 Coins$10.99
Questions
Is Emergency Ambulance Simulator free?
Is Train Driver 2018 free?
Which has better reviews, Emergency Ambulance Simulator or Train Driver 2018?
Do Emergency Ambulance Simulator or Train Driver 2018 have ads?
Which is updated more often, Emergency Ambulance Simulator or Train Driver 2018?
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