Lucid Engage vs MDHearing Neo XS

The Lucid Engage is a mid-priced OTC hearing aid that earned an A grade with a SoundScore of 4.2/5 in our lab testing, ranking #14 among 65 OTC devices tested. Priced at $850, this behind-the-ear rechargeable device has received our Expert's Choice Award in both 2023 and 2024. In our testing, the Engage demonstrated strong speech clarity in quiet environments, scoring 4.3/5—a full 1.46 points above the OTC category average. Speech understanding in noisy settings scored 2.4/5, which is above the category average by 0.94 points but remains mixed in absolute terms. Own-voice comfort was solid at 3.6/5, exceeding the category average by over a point, which should help with natural-sounding self-perception during conversations. The device's main weakness is feedback handling, scoring 2.6/5—nearly 2 points below the category average of 4.54/5. Users may experience more whistling or feedback artifacts compared to other OTC options. Music streaming quality was mixed at 2.4/5, slightly above average but not a standout feature. The Lucid Engage is well-suited for consumers prioritizing speech clarity in everyday quiet-to-moderate listening situations who can accept trade-offs in feedback stability. Buyers in this price range may also consider alternatives like the Sony CRE-E10 or Lexie B2 Plus, which scored higher in our testing. The Engage supports both iPhone and Android streaming and offers rechargeable convenience.

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.