# Emergency Shift vs Existence

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.

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.

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

## The numbers

| Metric | Emergency Shift | Existence |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/emergency-shift-ai-powered/id6792423369/reviews)** | — |
| Number of ratings | **1** | — |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 3 weeks | **Weekly** |
| Monetization | Free with in-app purchases | — |
| Size | 23 MB | 121 MB |
| Requires iOS | 17.0 | **16.4** |
| Devices | **iPhone, iPad** | iPhone |
| Age rating | 4+ | 17+ |
| Developer | [SEDAT BABUR](https://appshunter.io/developer/6781320727) | [ZIPPEX Yazılım](https://appshunter.io/developer/6817331775) |

## What reviewers say

### Emergency Shift

[App page](https://appshunter.io/ios/app/emergency-shift-ai-powered/id6792423369)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Kurucu Doktor Paketi | $2.99 | one-time |
| Tam Hastane Paketi | $4.99 | one-time |


### Existence

[App page](https://appshunter.io/ios/app/existence-life-simulator/id6817331773)

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

**In-app purchases (10)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Supporter | $4.99 | per month |
| Buy us a tea | $0.99 | one-time |
| Nature & Adventure | $2.99 | one-time |
| Furry Friends | $2.99 | one-time |
| Stormy Love | $3.99 | one-time |
| Buy us a meal | $3.99 | one-time |
| Fame | $5.99 | one-time |
| God Mode | $5.99 | one-time |
| Back a day of work | $7.99 | one-time |
| 700 Diamonds | $13.99 | one-time |


## Frequently asked 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.

---

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