Audien Atom X vs Resound Vivia 9 60S microRIE

The Audien Atom X is a budget-priced OTC hearing aid available for $389, earning 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 lower portion of the category. In our testing, the Atom X showed a mixed performance profile with notable strengths and weaknesses. Feedback handling was excellent at 5.0/5, scoring 0.46 points above the category average—meaning users are unlikely to experience whistling during normal wear. Music streaming was also a highlight at 3.3/5, coming in 1.38 points above the OTC average, making it a solid choice for those who prioritize audio entertainment. However, speech clarity showed limitations. Speech in quiet scored 1.5/5, falling 1.25 points below the category average, while speech in noise measured 1.0/5, which is 0.48 points below average. These low absolute scores suggest users may find speech understanding challenging, particularly in difficult listening environments. Own voice comfort was mixed at 2.3/5, slightly below the category average. The Atom X may appeal to budget-conscious consumers who prioritize streaming quality and feedback-free wear over speech enhancement. However, several competitors in the same price range—including the Elehear Beyond (4.36/5) and Apple AirPods Pro 2 (4.06/5)—offer stronger overall performance. Shoppers focused primarily on speech clarity may want to explore alternatives.

The Resound Vivia 9 60S microRIE is a premium prescription behind-the-ear hearing aid released in 2025, currently available at $3,798. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.9/5, ranking #27 of 36 prescription hearing aids tested. This device demonstrates a mixed performance profile in our testing. Own-voice comfort is a notable strength, scoring 3.4/5—a solid result that sits 0.65 points above the category average, which may appeal to users sensitive to the hollow or boomy sound of their own speech. Speech clarity in quiet environments also performs well at 3.4/5, slightly above the category average. However, the Vivia 9 shows significant limitations in challenging listening situations. Speech in noise scored just 1.1/5, falling 0.81 points below the prescription hearing aid average—a substantial gap that suggests difficulty in restaurants, group conversations, or other noisy environments. Feedback handling, while strong in absolute terms at 4.2/5, still lands 0.51 points below what we typically see from prescription devices. Music streaming quality is mixed at 2.6/5, essentially matching the category average. At this premium price point, the Vivia 9 faces stiff competition. Several same-priced alternatives, including the Phonak Sphere Infinio and Oticon Intent, achieved notably higher overall scores in our testing. Consumers prioritizing noise performance may want to explore these options or consider lower-priced alternatives like the Sennheiser All Day Clear that delivered stronger overall results in our lab.