# Emergency Ambulance Simulator vs Train Driver 2018

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.

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. Both last shipped on October 26, 2026.

## The numbers

| Metric | Emergency Ambulance Simulator | Train Driver 2018 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.6 (1.8K ratings)](https://appshunter.io/ios/app/emergency-ambulance-simulator/id1341648779/reviews)** | [3.3 (352 ratings)](https://appshunter.io/ios/app/train-driver-2018/id1358391625/reviews) |
| Number of ratings | **1.8K** | 352 |
| Positive reviews | **89.4% of reviews** | 41.3% of reviews |
| In-app purchases | Yes | Yes |
| Ads | Yes | **No** |
| Update frequency | Every 9 months | **Every 6 days** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 121 MB | 432 MB |
| Requires iOS | 11.0 | **9.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 4+ |
| Developer | [SkisoSoft](https://appshunter.io/developer/913113371) | [Alexandru Marusac](https://appshunter.io/developer/639579812) |

## What reviewers say

### Emergency Ambulance Simulator

[App page](https://appshunter.io/ios/app/emergency-ambulance-simulator/id1341648779)

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:** Vision Pro support

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| $12000 | $0.99 | one-time |
| 1 Day credit booster! | $0.99 | one-time |
| 7 days credit booster! | $0.99 | one-time |
| 30 days credit booster! | $0.99 | one-time |
| $30000 | $1.99 | one-time |
| $100000 | $3.99 | one-time |

**What reviewers like**

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

**What reviewers complain about**

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

**Reported bugs**

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

**Requested features**

- 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

[App page](https://appshunter.io/ios/app/train-driver-2018/id1358391625)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 100,000 Coins | $1.99 | one-time |
| Remove Ads | $1.99 | one-time |
| 250,000 Coins | $2.99 | one-time |
| 500,000 Coins | $5.99 | one-time |
| 1,000,000 Coins | $6.99 | one-time |
| 1,500,000 Coins | $10.99 | one-time |

**What reviewers like**

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

**What reviewers complain about**

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

**Reported bugs**

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

**Requested features**

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


## Frequently asked 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 26, 2026 and Train Driver 2018 on October 26, 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.*