Eargo 5 vs Vivtone Xpure Hearing Aid

The Eargo 5 is a premium-priced OTC hearing aid ($1,450) featuring an invisible-in-ear design with rechargeable batteries. In our lab testing, it earned a B grade with a SoundScore of 3.6/5, placing it in the top 52% of the OTC hearing aid category. This device demonstrates solid performance for speech understanding in quiet environments, scoring 3.5/5—0.75 points above the category average of 2.79/5. Own-voice comfort also measures above average at 2.8/5 (+0.29 vs category), though this remains mixed in absolute terms. Feedback handling is strong at 4.2/5, providing reliable stability during wear. However, the Eargo 5 shows notable limitations in other areas. Speech in noise performance is low at 1.4/5, slightly below the category average. Most significantly, music streaming scored 0.0/5, falling 1.92 points below the category average—this device does not support audio streaming functionality. The invisible-in-ear form factor appeals to users prioritizing discretion, and the closed sleeve coupling remains consistent between initial and tuned fits. Tuning provided modest improvement, moving from a normalized Initial Score of 3.5/5 to a Tuned Score of 3.7/5. Given its premium price point, consumers may want to compare against alternatives like the Sony CRE-C10 or Nuance Audio Glasses, which offer similar or better sound performance at lower price points. The Eargo 5 is best suited for users who prioritize cosmetic discretion and primarily need help with speech in quieter settings.

The Vivtone Xpure is a behind-the-ear OTC hearing aid priced at $549, earning a B grade with a SoundScore of 3.1/5 in HearAdvisor's lab testing. This places it in the lower tier of the OTC category, ranking #57 of 65 devices tested. The Xpure demonstrates a notably uneven performance profile. Its standout strength is music streaming, scoring an excellent 4.4/5—a remarkable 2.48 points above the category average. This makes it one of the better choices for users who prioritize audio entertainment through their hearing aids. Speech in quiet performs just slightly above category average at 2.9/5, though this remains mixed in absolute terms. However, the device shows significant weaknesses in several areas. Own-voice comfort scores a low 0.8/5, falling 1.71 points below the category average—a notable concern for users sensitive to how their own voice sounds. Speech in noise at 1.2/5 sits below the category average, and feedback handling, while solid at 3.3/5, still falls 1.24 points below what typical OTC devices achieve. The Xpure improves meaningfully with professional tuning, jumping from a normalized Initial Score of 3.0/5 to a Tuned Score of 3.5/5. Shoppers prioritizing music streaming may find value here, but those seeking balanced speech performance or natural own-voice quality should consider alternatives like the Linner Nova Earbud or Nuheara IQBuds Max, which offer higher overall scores at lower prices.