Audien Atom X vs Resound Vivia 9 60S microRIE
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Audien Atom X
The Audien Atom X is a budget OTC hearing aid priced at $389 that earns a B grade with a SoundScore of 3.3/5 in our lab testing. This visible-in-ear style device ranks #54 of 65 OTC hearing aids tested, placing it in the bottom portion of its category. In our testing, the Atom X shows a mixed performance profile with notable strengths and weaknesses. Music streaming quality is a standout, scoring 3.3/5—a solid result that sits 1.38 points above the category average. Feedback handling is excellent at 5.0/5, meaning users can expect stable performance without whistling issues. However, the core speech intelligibility metrics are where this device falls short: speech in quiet scores just 1.5/5 (1.25 points below the OTC average), and speech in noise scores 1.0/5 (0.48 points below average). Own-voice comfort is mixed at 2.3/5, slightly below the category norm. At this price point, several alternatives offer stronger overall performance. Devices like the Elehear Beyond (4.34/5) and Apple AirPods Pro 2 (4.04/5) score meaningfully higher in the same price range. For those prioritizing value, the JLab Hear OTC delivers a similar SoundScore of 3.54/5 at a lower price. The Atom X may appeal to users who prioritize music streaming quality and want simple rechargeable convenience, but those seeking improved speech clarity—especially in challenging listening environments—should consider higher-performing alternatives in this competitive OTC category.

Resound Vivia 9 60S microRIE
The ReSound Vivia 9 60S microRIE is a premium prescription behind-the-ear hearing aid released in 2025, currently available at $3,798. In our lab testing, it earned a B grade with a SoundScore of 3.9/5, ranking #29 of 39 prescription hearing aids tested. This device shows a mixed performance profile. Its standout strength is own-voice comfort, scoring 3.4/5—a solid result that sits 0.70 points above the category average. Speech clarity in quiet environments also performs at category average with a score of 3.4/5. Feedback handling is strong in absolute terms at 4.2/5, though this falls 0.52 points below the category average, reflecting the high bar set by competing prescription devices. The Vivia 9's most notable weakness is speech understanding in noisy environments, where it scored just 1.1/5—a low result that trails the category average by 0.96 points. Music streaming performance is mixed at 2.6/5, sitting slightly below average. These limitations are worth considering given the premium price positioning. For listeners who prioritize comfortable own-voice perception and primarily encounter quieter listening situations, the Vivia 9 may be suitable. However, those frequently in challenging noise environments should note that several alternatives in this price range—including the Phonak Sphere Infinio and Oticon Intent—deliver stronger overall performance in our testing. Budget-conscious shoppers may also find comparable sound quality at lower price points with options like the Jabra Enhance Pro 20 at Costco.
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Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Fitting configuration for tuned fit