# Plague Inc. vs Triage Trainer

The clearest difference is price: Triage Trainer at Free against Plague Inc.'s $0.99. Triage Trainer also leads on in-app purchases (none vs 10). Plague Inc.'s advantage is ratings volume (168K vs 3) and chart position (#1 vs unranked). On rating, update cadence, ads and device support there is nothing between them.

Triage Trainer is free to download; Plague Inc. costs $0.99 up front. Plague Inc. sells 10 one-off in-app purchases. Triage Trainer asks for nothing beyond the download.

Triage Trainer holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: Plague Inc. has 168K ratings behind it against 3, so its average is the more settled of the two.

Both ship on a similar rhythm, roughly every 2 months. The most recent releases landed on November 11, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | Plague Inc. | Triage Trainer |
| --- | --- | --- |
| Price | $0.99 | **Free** |
| Rating | [4.8 (168K ratings)](https://appshunter.io/ios/app/plague-inc/id525818839/reviews) | **[5.0 (3 ratings)](https://appshunter.io/ios/app/triage-trainer/id6756896866/reviews)** |
| Number of ratings | **168K** | 3 |
| Positive reviews | 75.9% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 2 months | Every 2 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#1** | — |
| Size | 116 MB | 39 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | +9 | 12+ |
| Developer | [Ndemic Creations](https://appshunter.io/developer/525818842) | [AARON MICHAEL BLEUER](https://appshunter.io/developer/1863539278) |

## What reviewers say

### Plague Inc.

[App page](https://appshunter.io/ios/app/plague-inc/id525818839)

**Currently charting:** #1 Top Paid · Strategy, #2 Top Paid · Simulation, #5 Top Paid · Games, #8 Top Paid, #199 Top Grossing · Strategy (US App Store)

A strategic simulation game where you evolve a deadly pathogen to infect the world and end humanity. Adapt your plague against global defenses and master different disease types to achieve victory. It's a high-stakes battle of strategy against the entire planet.

**Highlights:** Evolve deadly global plagues, Adapt against human defenses, Master 12 disease types, Infect 50+ countries, Hundreds of traits to evolve, Daily Diseases and Outbreak Mode

**Features:** Family Sharing, Vision Pro support

**In-app purchases (10)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Unlock Virus | $0.99 | one-time |
| Neurax Worm Expansion Pack | $1.99 | one-time |
| Necroa Virus Expansion Pack | $1.99 | one-time |
| Simian Flu Expansion Pack | $1.99 | one-time |
| Shadow Plague Expansion Pack | $1.99 | one-time |
| Unlock 7 Standard Plagues | $2.99 | one-time |
| Scenario Pack | $2.99 | one-time |
| Unlock All Genes | $7.99 | one-time |
| Unlock Cheats | $9.99 | one-time |
| Plague Pack | $12.99 | one-time |

**What reviewers like**

- 🚀 Addictive gameplay
- 🤔 Challenging and thought-provoking
- 👍 Realistic disease simulation
- 💡 Unique scenarios and special disease types
- 🎨 Immersive graphics and audio

**What reviewers complain about**

- 💰 Expensive in-app purchases
- 🕰️ Slow progression without paying
- 🐛 Inconsistent game mechanics
- 🤖 Unrealistic cure development
- 🤔 Lack of multiplayer mode

**Reported bugs**

- Inability to restore purchased content
- Glitches with certain disease types
- Inconsistent DNA point rewards
- Sudden difficulty spikes on normal mode

**Requested features**

- Multiplayer mode (player vs player)
- More realistic cure distribution and development
- Ability to customize game scenarios
- Expanded free content without paywall
- Improved progression for free-to-play users


### Triage Trainer

[App page](https://appshunter.io/ios/app/triage-trainer/id6756896866)

This simulation tool helps combat medics and first responders practice casualty assessment and treatment under pressure. It features dynamic patient profiles, a realistic vitals engine, and a complete mission workflow from gear selection to after-action review. Train your assessment skills anytime, anywhere.

**Highlights:** Dynamic casualty profiles, Realistic vitals engine, Complete mission workflow, Gear selection and management, Triage and treatment simulation, After-action review, Offline play

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Plague Inc. free?

Plague Inc. costs $0.99, and also offers in-app purchases.

### Is Triage Trainer free?

Triage Trainer is free to download, with no in-app purchases.

### Which has better reviews, Plague Inc. or Triage Trainer?

Triage Trainer is rated higher. Plague Inc. averages 4.8 out of 5 from 168K ratings, while Triage Trainer averages 5.0 from 3 ratings.

### Do Plague Inc. or Triage Trainer have ads?

Neither Plague Inc. nor Triage Trainer shows ads.

### Which is updated more often, Plague Inc. or Triage Trainer?

Plague Inc. ships an update every 2 months, and Triage Trainer every 2 months. Most recently, Plague Inc. was updated on November 11, 2026 and Triage Trainer on October 30, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*