Audicus Omni 2 vs MDHearing Neo XS

The Audicus Omni 2 is a premium behind-the-ear OTC hearing aid priced at $1,898 that earned an A grade in our lab testing, placing it in the top 6% of the 65 OTC hearing aids we've evaluated. This two-time Expert's Choice Award winner (2023 and 2024) delivers consistently strong performance across multiple listening scenarios. In our testing, the Omni 2 demonstrated particular strength in speech clarity during quiet environments, scoring 4.2/5—a strong result that sits 1.38 points above the category average. Music streaming quality also impressed at 3.6/5, exceeding the category average by 1.68 points. Speech understanding in noisy environments scored 2.3/5, which is above the category average of 1.48 but represents mixed performance in absolute terms—meaning challenging noise situations may still prove difficult. The device offers flexible power options with both rechargeable and disposable batteries, and supports streaming from both iPhone and Android devices with hands-free capability. Feedback handling is excellent at 4.5/5, essentially matching the category average, while own-voice comfort scores a solid 3.0/5. The Audicus Omni 2 is best suited for consumers seeking a premium OTC option with strong everyday speech clarity and quality streaming capabilities. Those frequently in very noisy environments should set realistic expectations, though the device still outperforms most OTC competitors in these conditions.

The MDHearing Neo XS is a budget-priced OTC hearing aid in the invisible-in-ear style, available for $397. In HearAdvisor lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 OTC hearing aids tested. Performance results reveal a mixed profile. The Neo XS shows strength in own-voice comfort, scoring 3.2/5—0.69 points above the category average—meaning wearers may experience less of the "boomy" quality that can accompany hearing aid use. Feedback handling is excellent at 5.0/5, sitting 0.46 points above average, so users should experience stable performance without whistling during typical wear. However, speech clarity is a significant limitation. Speech in quiet scores just 1.0/5, falling 1.77 points below the OTC category average. Speech in noise also scores 1.0/5, 0.48 points below average. Music streaming scored 0.0/5, which is 1.92 points below the category average—this device is not suited for audio entertainment. At this price point, several alternatives offer notably stronger performance. The Elehear Beyond (4.36/5), Apple AirPods Pro 2 (4.06/5), and Zepp Clarity Omni (3.88/5) all deliver better overall sound quality in the same price range. The Neo XS may appeal to those prioritizing own-voice comfort and feedback stability over speech intelligibility, but most users seeking meaningful hearing benefit should consider higher-scoring options.