Audien Atom Pro 2 vs MDHearing Neo XS

The Audien Atom Pro 2 is a budget-priced OTC hearing aid that earns a B grade with a SoundScore of 3.3/5 in our lab testing. At $289, it sits in the lower price tier of the OTC category, though several competitors at similar or lower prices deliver stronger overall performance. In our testing, the Atom Pro 2 showed a clear strength in feedback handling, scoring an excellent 5.0/5—0.46 points above the category average. This means users are unlikely to experience whistling or squealing during normal wear. However, the device showed mixed results for speech clarity, with speech in quiet scoring 2.3/5 (0.49 points below category average) and speech in noise at 1.3/5 (0.16 points below average). Own-voice comfort was slightly above average at 2.6/5, though still mixed in absolute terms. The most significant limitation is music streaming, which scored 0.0/5—nearly 2 points below the category average. Users who want to stream phone calls or music through their hearing aids should consider alternatives like the Olive Union Air or Elehear Beyond, which offer substantially better streaming performance. The Atom Pro 2 may suit budget-conscious buyers who prioritize basic amplification without feedback issues and don't need streaming functionality. However, shoppers in this price range should also consider the Linner Saturn or Olive Union Air, which offer similar or better sound performance at lower prices.

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.