# Surgery Doctor Simulator vs Skill Duel

The clearest difference is in-app purchases: Surgery Doctor Simulator at none against Skill Duel's 10. Surgery Doctor Simulator also leads on iOS requirement (13.0 vs 15.0). Skill Duel's advantage is ads (none vs shown) and update cadence (every 9 days vs every 3 months). On price and device support there is nothing between them.

Both are free to download. Skill Duel sells 10 in-app purchases, starting at $6.99 per month. Surgery Doctor Simulator asks for nothing beyond the download.

Surgery Doctor Simulator ships an update every 3 months, Skill Duel every 9 days. The most recent releases landed on November 3, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | Surgery Doctor Simulator | Skill Duel |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.1 (23 ratings)](https://appshunter.io/ios/app/surgery-doctor-simulator/id6470626340/reviews)** | — |
| Number of ratings | **23** | — |
| Positive reviews | 14.3% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | Yes | **No** |
| Update frequency | Every 3 months | **Every 9 days** |
| Monetization | Ad-supported | — |
| Size | 386 MB | 42 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 12+ | 4+ |
| Developer | [TapNation](https://appshunter.io/developer/1483575279) | [Michel Jung](https://appshunter.io/developer/1796695438) |

## What reviewers say

### Surgery Doctor Simulator

[App page](https://appshunter.io/ios/app/surgery-doctor-simulator/id6470626340)

Step into the role of a surgeon in a hospital game, performing various surgical procedures to save patients. Utilize realistic tools and manage patient care from diagnosis to recovery in this simulation.

**Highlights:** Perform various surgeries, Use realistic surgical tools, Manage patient care, Simulate hospital environment, Treat different diseases

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Skill Duel

[App page](https://appshunter.io/ios/app/skill-duel/id6742787689)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (10)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Gold | $6.99 | per month |
| Gold | $69.99 | per year |
| 20 Coins | $0.99 | one-time |
| Name Change | $1.99 | one-time |
| Theme Change | $1.99 | one-time |
| 100 Coins | $3.99 | one-time |
| 200 Coins | $6.99 | one-time |
| All Avatar Styles | $9.99 | one-time |
| 500 Coins | $14.99 | one-time |
| Everything | $99.99 | one-time |


## Frequently asked questions

### Is Surgery Doctor Simulator free?

Surgery Doctor Simulator is free to download, with no in-app purchases.

### Is Skill Duel free?

Skill Duel is free to download, with in-app purchases available.

### Do Surgery Doctor Simulator or Skill Duel have ads?

Surgery Doctor Simulator shows ads; Skill Duel does not.

### Which is updated more often, Surgery Doctor Simulator or Skill Duel?

Surgery Doctor Simulator ships an update every 3 months, and Skill Duel every 9 days. Most recently, Surgery Doctor Simulator was updated on November 3, 2026 and Skill Duel on October 30, 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.*