# Ada's Hospital vs Echo Blade

The clearest difference is rating: Ada's Hospital at 3.6 against Echo Blade's 1.5. Ada's Hospital also leads on ads (none vs shown) and review sentiment (41% vs 10%). On price, update cadence, in-app purchases and monetization model there is nothing between them.

Both are free to download. Ada's Hospital sells 2 one-off in-app purchases and Echo Blade sells 6 in-app purchases, starting at $2.99 per month. Whichever you choose, the download price is not the number that matters.

Ada's Hospital holds the better App Store score, 3.6 against 1.5. That said, the two scores are not equally well evidenced: Ada's Hospital has 70 ratings behind it against 11, so its average is the more settled of the two. Written reviews point the same way: 41% of Ada's Hospital's written reviews are positive against 10% of Echo Blade's.

Ada's Hospital ships an update every 5 weeks, Echo Blade every 2 months. The most recent releases landed on September 21, 2026 and June 5, 2026 respectively.

## The numbers

| Metric | Ada's Hospital | Echo Blade |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.6 (70 ratings)](https://appshunter.io/ios/app/adas-hospital/id364575127/reviews)** | [1.5 (11 ratings)](https://appshunter.io/ios/app/echo-blade/id6449520016/reviews) |
| Number of ratings | **70** | 11 |
| Positive reviews | **41.0% of reviews** | 10.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | **Every 5 weeks** | Every 2 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 10 MB | 332 MB |
| Requires iOS | **3.0** | 12.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 4+ | 9+ |
| Developer | [Triniti Interactive Limited](https://appshunter.io/developer/328034860) | [Halfbrick](https://appshunter.io/developer/356994313) |

## What reviewers say

### Ada's Hospital

[App page](https://appshunter.io/ios/app/adas-hospital/id364575127)

Manage a busy hospital as a newly graduated doctor facing financial pressure. Serve patients, manage resources, and keep the clinic open to fulfill your dream of global healthcare. Features classic time-management gameplay across 30 levels.

**Highlights:** Time-management gameplay, 30 unique levels, Engaging story, Hospital management, Patient care simulation

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Ada's Hospital Unlock All Levels Pack | $0.99 | one-time |
| Ada's Hospital $40,000 Pack | $0.99 | one-time |

**What reviewers like**

- 💕 Addictive and fun
- 🎨 Cute graphics
- 🕹️ Engaging gameplay

**What reviewers complain about**

- 🕰️ Not enough levels
- 💰 Expensive upgrades
- 🐛 Bugs and glitches

**Reported bugs**

- Difficulty removing glass from patient's back
- Characters getting stuck in chairs
- Inconsistent performance and crashes

**Requested features**

- More levels and content updates
- Improved touch responsiveness
- Better instructions and tutorials


### Echo Blade

[App page](https://appshunter.io/ios/app/echo-blade/id6449520016)

This is a strategic slash 'em up puzzle game with satisfying gameplay. Explore unique worlds, conquer challenging levels, and face diverse enemies with intuitive one-touch controls. Available through a subscription service.

**Highlights:** Strategic slashing gameplay, 3 unique worlds, 21 challenging levels, 4 unique enemy types, Intuitive one-touch controls, No ads or in-app purchases (for subscribers)

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Halfbrick+ | $2.99 | per month |
| Halfbrick+ (Early Adopter) | $2.99 | per month |
| Halfbrick+ | $2.99 | per month |
| Halfbrick+ | $29.99 | per year |
| Halfbrick+ | $29.99 | per year |
| Halfbrick+ | $99.99 | one-time |


## Frequently asked questions

### Is Ada's Hospital free?

Ada's Hospital is free to download, with in-app purchases available.

### Is Echo Blade free?

Echo Blade is free to download, with in-app purchases available.

### Which has better reviews, Ada's Hospital or Echo Blade?

Ada's Hospital is rated higher. Ada's Hospital averages 3.6 out of 5 from 70 ratings, while Echo Blade averages 1.5 from 11 ratings.

### Do Ada's Hospital or Echo Blade have ads?

Echo Blade shows ads; Ada's Hospital does not.

### Which is updated more often, Ada's Hospital or Echo Blade?

Ada's Hospital ships an update every 5 weeks, and Echo Blade every 2 months. Most recently, Ada's Hospital was updated on September 21, 2026 and Echo Blade on June 5, 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.*