Hear.com Horizon Go IX vs Zepp Clarity Pixie
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.
Choice

Hear.com Horizon Go IX
The Hear.com Horizon Go IX is a premium prescription behind-the-ear hearing aid released in 2024, priced at $6,500. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.4/5, ranking #19 among 39 prescription hearing aids tested. Speech performance is a clear strength for the Horizon Go IX. It scores 4.0/5 in speech-in-quiet conditions—0.64 points above the category average—delivering strong audibility in conversational settings. Speech-in-noise performance also exceeds the category average by 0.46 points, though at 2.6/5 the absolute score remains mixed, meaning challenging listening environments may still pose difficulties. Own-voice comfort is the device's most notable weakness, scoring just 1.8/5—a low result that falls 0.90 points below the category average. Users sensitive to how their own voice sounds may find this limiting. Feedback handling scores 4.4/5, which is strong in absolute terms, though slightly below the category average of 4.72/5. Music streaming performance is essentially average at 2.7/5. At this price point, shoppers face stiff competition. Several alternatives in the same premium tier—including the Phonak Sphere Infinio, Oticon Intent, and Widex Allure RIC 440—deliver higher overall scores. Devices like the Rexton Reach R-Li T80 at Costco offer comparable or better sound performance at lower prices. The Horizon Go IX is best suited for users who prioritize speech clarity and have access to this product through hear.com's network, but those flexible on brand should compare alternatives before committing.

Zepp Clarity Pixie
The Zepp Clarity Pixie is a mid-priced OTC hearing aid featuring an invisible-in-ear design, priced at $999. In our lab testing, it earned a B grade with a SoundScore of 3.6/5, placing it in the top 48% of the OTC hearing aid category. This device delivers solid speech clarity in quiet environments, scoring 3.6/5—notably 0.77 points above the category average. Speech understanding in noisy settings scores 1.7/5, which is above the category average but low in absolute terms, indicating modest benefit when background noise is present. Feedback handling is strong at 4.3/5, though slightly below the category average of 4.54/5. The Pixie shows significant limitations in certain areas. Own-voice comfort scores 1.5/5, falling 1.01 points below the category average, which may result in a noticeable hollow or boomy quality to your own voice. Music streaming capability is essentially absent, scoring 0.0/5—nearly 2 points below average—making this device unsuitable for those who prioritize streaming audio quality. The invisible-in-ear form factor offers excellent discretion, and the device includes rechargeable batteries with both iPhone and Android streaming connectivity. However, shoppers in this price range should note that several competitors offer substantially higher sound performance. The Zepp Clarity Pixie may appeal to those prioritizing an ultra-discreet design and strong speech clarity in quiet settings, but listeners who value streaming music or need better noise management may find better options elsewhere in this price tier.
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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