Comparison

Emergency Shift vs Existence

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

Head to head
About

Emergency Shift

Manage a busy emergency department by assessing patients, prioritizing triage, and deploying your medical team. Expand your hospital, upgrade facilities, and grow your career through challenging scenarios. Create a custom doctor avatar to lead your staff.

Highlights
  • Emergency department management
  • Patient assessment and triage
  • Staff deployment and management
  • Hospital upgrades and automation
  • Career progression and scenarios
  • Customizable doctor avatar
Features
Read full description

Every shift is a new test of judgment. Emergency Shift is a hospital management simulation where you take command of a busy emergency department. Assess symptoms, determine triage priorities, deploy your medical team, and keep the hospital running as the pressure rises. MAKE THE CALL Patients arrive with different symptoms and levels of urgency. Examine their findings, choose the right response, and act before the waiting room overwhelms your team. LEAD YOUR MEDICAL TEAM Assign doctors, nurses, and technicians according to their roles, specialties, energy, and current workload. Build an effective roster and adapt when your staff becomes tired or unavailable. BUILD A BETTER HOSPITAL Expand capacity, manage medical supplies, unlock automation, and invest your earnings in permanent upgrades such as automatic doctor assignment and patient routing. GROW YOUR CAREER Complete shifts, earn experience, unlock new scenarios, take on night duty, and face increasingly demanding hospital conditions. CREATE YOUR DOCTOR Create your own doctor avatar with customizable facial features, hairstyles, skin tones, eye colors, uniforms, glasses, and accessories. GAME FEATURES - Emergency department management gameplay - Patient assessment and triage decisions - Doctors, nurses, and technicians - Staff workload, energy, and fatigue management - Hospital upgrades and automation - Medical supply and rapid restocking systems - Career progression and challenging scenarios - Day and night shifts - Customizable doctor avatar - Save and continue your active shift - Light and dark themes - No advertisements - No subscriptions Start with three free training shifts. Continue your hospital career with a single optional Full Hospital purchase. Cosmetic Founder content is available separately and provides no gameplay advantage. Can you keep the emergency department under control when every second counts? Nobet Yoneticisi is a fictional management game. It does not provide medical advice, diagnosis, or treatment. Privacy URL : https://docs.google.com/document/d/1wXQnZ5N55QPKI7LpfPOilebHSIsfde1TU2rxZF5kSw0/edit?usp=sharing

About

Existence

Features
Read full description

You are born. The rest is up to you. Top of the class, or drop out and start your own company? Find love on a dating app, or cheat and lose everything? Doctor, lawyer, influencer, politician or crime boss: Existence is a text-based life simulator where you live one life, from your first day to your last. Every choice shapes the years ahead, and no two lives turn out the same. SCHOOL AND REPORT CARDS Go from kindergarten to university. Study hard: your report cards decide your exam scores and which school you get into. Build skills at the library and raise your limits with courses. CAREER AND BUSINESS 41 careers, each with its own promotion ladder. Ace the interview, get promoted, quit. Or start your own company: a café, a software studio, a construction firm, a grocery store, a trucking company, an online shop, even a soccer club. Each one runs its own way. MONEY Salary, rent, taxes and loan payments tick by day. Invest in currencies, stocks, gold, crypto and funds. Every country has its own tax system. HOMES AND TENANTS Buy houses, land and cars. Rent your place out and deal with tenants who pay late. RELATIONSHIPS Get to know your family, make friends, match with someone on the dating app. Ask them out, get engaged, get married, have kids. Relationships run on four dimensions: closeness, trust, attraction and anger. Neglect them and they fade. You can adopt a pet, too. HEALTH 18 illnesses, treatment decisions, hospital stays. How you eat and move decides how long you live. Careful players live a very long time. CHOICES HAVE A PRICE Take the shortcut if you want: theft, fraud, robbery. Get caught and prison, a criminal record and closed doors are waiting. THE WORLD 22 countries with real cities and neighborhoods: New York, Los Angeles, Chicago, London, Toronto, Tokyo and more. Each has its own wages, housing prices and culture. Travel, buy property abroad, run for office and win elections, grow a following on social media. WHAT IS INSIDE 1,001 events, 143 activities, 66 courses, 71 shop items, 40 vehicles, 41 careers, 22 countries and badges to collect. Every life starts from a different seed, so even the same choices can lead somewhere else. If you like life sim games, text adventures and stories where your decisions matter, Existence lets you write your own life story. The game requires an internet connection. Your save is kept on your phone and backed up on our server. Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://varolus.zippex.dev/privacy/

Screenshots

Emergency Shift4 screens
Existence4 screens

Verdict

The call

The clearest difference is ads: Emergency Shift at none against Existence's shown. Existence's advantage is update cadence (weekly vs every 3 weeks). On price, in-app purchases, device support and iOS requirement 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. Emergency Shift sells 2 one-off in-app purchases and Existence sells 10 in-app purchases, starting at $4.99 per month. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Emergency Shift ships an update every 3 weeks, Existence weekly. Both last shipped on October 31, 2026.

Scorecard2 real differences · 7 level
Emergency Shift versus Existence: the parameters behind the verdict, then further details
ParameterEmergency ShiftExistence
PriceFreeFree
Rating5.0 (1 ratings) — better—
Number of ratings1 — better—
Update frequencyEvery 3 weeksWeekly — better
AdsNo — betterYes
In-app purchasesYesYes
MonetizationFree with in-app purchases—
DevicesiPhone, iPad — betteriPhone
Requires iOS17.016.4 — better
Further details — not scored
Size23 MB121 MB
Age rating4+17+
DeveloperSEDAT BABURZIPPEX Yazılım

In-app purchases

2 purchases

Emergency Shift

One-time2
  • Kurucu Doktor Paketi$2.99
  • Tam Hastane Paketi$4.99
10 purchases

Existence

Subscriptions1
  • Supporter$4.991 Month
One-time9
  • Buy us a tea$0.99
  • Nature & Adventure$2.99
  • Furry Friends$2.99
Show 6 more
  • Stormy Love$3.99
  • Buy us a meal$3.99
  • Fame$5.99
  • God Mode$5.99
  • Back a day of work$7.99
  • 700 Diamonds$13.99

Questions

Is Emergency Shift free?
Emergency Shift is free to download, with in-app purchases available.
Is Existence free?
Existence is free to download, with in-app purchases available.
Do Emergency Shift or Existence have ads?
Existence shows ads; Emergency Shift does not.
Which is updated more often, Emergency Shift or Existence?
Emergency Shift ships an update every 3 weeks, and Existence weekly. Most recently, Emergency Shift was updated on October 31, 2026 and Existence on October 31, 2026.

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