Comparison

UMMC Distress! vs ED Rush

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

Head to head
About

UMMC Distress!

Engage in realistic medical scenarios as a nurse to identify acute symptoms and make critical decisions. This training simulation, developed with medical professionals, allows you to assess patient conditions and learn from your choices to improve outcomes.

Highlights
  • Realistic patient scenarios
  • Early symptom identification training
  • Decision-making based on real events
  • Evaluation of choices
  • Developed with medical professionals
Features
Read full description

In Distress! you are a nurse on a daily routine to check patients. However, one of your patients seems restless. When you take a closer look, you know that something is wrong. It’s up to you to make the right decisions in this scenario based on real life events. Realistic scenario Distress! is developed together with the nursing staff and doctors of a real hospital. The patient conditions, equipment and actions are all based on real situations. The content is developed by medical professionals, for medical professionals. Recognize the signs Distress! is developed to train early identification of acute symptoms. Watch the patient closely to be able to make the right assessment and escalate when needed. Make the right decisions Your choice matters. Will you waste time by doing nothing? Or make the right decision to stabilize the patient? There are several ways to get to the right outcome, but there are a lot more that make the situation worse. Evaluate your decisions Look back and evaluate the choices you made. See where you can improve and try again to set the best time. --- Distress! is brought to you by University of Maryland Medical Center and Grendel Games

About

ED Rush

Manage a chaotic emergency department, triaging patients, ordering tests, and making critical decisions under pressure. Features daily challenges, a slower student mode with teaching content, and over 160 clinical cases.

Highlights
  • Manage a busy emergency department
  • Triage incoming patients
  • Order tests and perform interventions
  • Handle dynamic patients
  • Daily Challenge mode
  • Student Mode with teaching content
  • Over 160 clinical cases
Features
Read full description

Welcome to ED Rush. The shift just started. Patients are waiting. Labs are pending. Consultants are not answering pages. A patient refuses medication after reading something online. Your coffee is gone. Manage a busy emergency department where priorities change constantly and interruptions never stop. Triage incoming patients, order tests, perform interventions, and make quick decisions while new problems keep arriving. You cannot do everything. You just have to decide what matters most right now. Handle multiple patients at once, run codes when someone crashes, and keep the department moving before things spiral out of control. Some shifts go smoothly. Most do not. DAILY CHALLENGE Four cases a day, fixed for everyone. All four land on the board at once, on a Hard board with the full phone, and the challenge ends when the last one leaves. Who you see first is part of the test. One recorded run a day, practice runs after, a streak to protect, and a share card with your score and four colored squares so you can compare with anyone who played today without spoiling the cases. Plus a tip of the day. STUDENT MODE A slower department for learners. Four patients max, arrivals spaced out, and an attending looking over your shoulder. Get a warning before a harmful order or an unsafe discharge, a nudge when a result sits unread or a patient is getting worse, and a full case review the moment every patient leaves: the diagnosis, the workup it wanted, the traps, and three teaching points to take with you. Done early? Tap NEXT to bring in the next patient. Over 150 cases with teaching content. Scored, never recorded. FEATURES - Over 160 clinical cases spanning chest pain, stroke, trauma, sepsis, pediatrics, psychiatry, and the everyday bread and butter - Daily Challenge: the same four cases for every player, new set every day, with streaks and a share card - Order labs, imaging, and POCUS, then act on what comes back - A medication system with real consequences: the right drug helps, the wrong one has a price - Full code simulations with rhythm checks, RSI, and decisions under a running clock - Dynamic patients whose conditions change while you are busy elsewhere - Consultants with opinions, and a call history in the chart so you can reread what they said - Interruptions that never stop - Custom order sets, as many as you want - A detailed end-of-shift debrief: every patient, every decision, every point - Rare Coffee Rush bonuses that briefly speed up every action - Humor inspired by familiar emergency department moments - Easy to learn. Hard to master. Different every time you play. IMPORTANT NOTICE ED Rush is a fictional entertainment game inspired by healthcare environments. It is not intended to provide medical advice, clinical training, or professional guidance. Scenarios and outcomes are simplified for gameplay, built around common emergency medicine cases rather than strict clinical accuracy. Nothing in Student Mode replaces your preceptors, attendings, or institutional protocols.

Screenshots

UMMC Distress!3 screens
ED Rush4 screens

Verdict

The call

The clearest difference is review sentiment: ED Rush at 100% against UMMC Distress!'s 0%. ED Rush also leads on rating (4.9 vs 1.0) and update cadence (every 3 days vs every 2 months). UMMC Distress!'s advantage is in-app purchases (none vs 1) and iOS requirement (11.0 vs 17.6). On price, ads 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. ED Rush sells 1 one-off in-app purchase. UMMC Distress! asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

ED Rush holds the better App Store score, 4.9 against 1.0. That said, the two scores are not equally well evidenced: ED Rush has 58 ratings behind it against 2, so its average is the more settled of the two. Written reviews point the same way: 0% of UMMC Distress!'s written reviews are positive against 100% of ED Rush's.

UpkeepUpdate frequency

UMMC Distress! ships an update every 2 months, ED Rush every 3 days. The most recent releases landed on November 3, 2026 and November 9, 2026 respectively.

Scorecard7 real differences · 3 level
UMMC Distress! versus ED Rush: the parameters behind the verdict, then further details
ParameterUMMC Distress!ED Rush
PriceFreeFree
Rating1.0 (2 ratings)4.9 (58 ratings) — better
Positive reviews0.0% of reviews100.0% of reviews — better
Number of ratings258 — better
Update frequencyEvery 2 monthsEvery 3 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree — betterFree with in-app purchases
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS11.0 — better17.6
Further details — not scored
Size116 MB14 MB
Age rating17+17+
DeveloperGrendel GamesJames Napolitano

Customer experience

UMMC Distress!

Written reviews1 reviews
Positive0.0%
Neutral0.0%
Negative100.0%

ED Rush

All ratings52 ratings
Positive98.1%
Neutral1.9%
Negative0.0%
Written reviews12 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

UMMC Distress!

No in-app purchases

1 purchases

ED Rush

One-time1
  • Unlock the Full Department$11.99

Questions

Is UMMC Distress! free?
UMMC Distress! is free to download, with no in-app purchases.
Is ED Rush free?
ED Rush is free to download, with in-app purchases available.
Which has better reviews, UMMC Distress! or ED Rush?
ED Rush is rated higher. UMMC Distress! averages 1.0 out of 5 from 2 ratings, while ED Rush averages 4.9 from 58 ratings.
Do UMMC Distress! or ED Rush have ads?
Neither UMMC Distress! nor ED Rush shows ads.
Which is updated more often, UMMC Distress! or ED Rush?
UMMC Distress! ships an update every 2 months, and ED Rush every 3 days. Most recently, UMMC Distress! was updated on November 3, 2026 and ED Rush on November 9, 2026.

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