Otofonix Elite vs Otofonix Groove
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Otofonix Elite
The Otofonix Elite is a behind-the-ear amplification product priced at $249, earning a C grade with a SoundScore of 2.6/5 in HearAdvisor's lab testing. Released in 2016, this budget amplifier ranks #8 of 8 in the Amplification Product category. In our lab testing, the Elite demonstrates one clear strength: excellent feedback handling at 5.0/5, which is 0.72 points above the category average. This means users are unlikely to experience whistling or squealing during normal use. However, the device shows significant limitations in other areas. Speech performance is notably limited, with speech in quiet scoring 1.0/5 (1.11 points below category average) and speech in noise also at 1.0/5 (0.37 points below average). The device does not support Bluetooth streaming, resulting in a 0.0/5 music streaming score. Own-voice comfort is particularly low at 0.1/5, falling 2.54 points below the category average—users may notice their own voice sounds unnatural or boomy. At this price point, consumers may want to consider alternatives that offer better overall performance. Several devices with higher SoundScores are available at lower prices, including the Audien Hearing Atom (3.31/5) and HSKLock Hearing Aid (3.00/5). The Otofonix Elite may appeal to those prioritizing feedback-free operation above all else, but its limited speech clarity and lack of streaming make it difficult to recommend for general use.

Otofonix Groove
The Otofonix Groove is a behind-the-ear prescription hearing aid priced at $795, earning a C grade with a SoundScore of 2.7/5 in our lab testing. This rechargeable BTE device ranks 36th out of 36 tested prescription hearing aids, placing it in the bottom tier of its category. In our testing, the Groove demonstrated one clear strength: excellent feedback handling at 5.0/5, scoring 0.29 points above the category average. The device remained stable during our standardized challenge motions with no audible feedback issues. However, speech performance was significantly limited, with both speech in quiet and speech in noise scoring 1.0/5—falling 2.32 and 0.96 points below their respective category averages. Music streaming quality scored 0.0/5, which is 2.64 points below the prescription category average. Own-voice comfort was also low at 0.4/5 in the tuned configuration, 2.35 points below average, suggesting notable occlusion-related concerns. The normalized Initial Score of 2.7/5 and Tuned Score of 2.6/5 indicate that professional fitting adjustments did not improve overall performance. Given its positioning at the bottom of the prescription hearing aid category and the availability of lower-priced alternatives that scored higher in our testing, the Otofonix Groove may be difficult to recommend for most users seeking balanced sound quality across listening situations.
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)
Audio scenes
Using MUSHRA scenes (Tuned)
Fitting configuration for tuned fit