Otofonix Elite vs Sennheiser Conversation Clear Plus
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.
Choice

Sennheiser Conversation Clear Plus
The Sennheiser Conversation Clear Plus is a premium amplification product priced at $850 that earns an A grade with a SoundScore of 4.1/5 in our lab testing. This visible-in-ear device ranks #1 among the 8 amplification products we've tested, earning Expert's Choice Awards in both 2023 and 2024. Streaming and audio quality stand out as exceptional strengths. Music streaming scores an excellent 5.0/5, a remarkable 3.84 points above the category average of 1.16/5. Feedback handling also achieves a perfect 5.0/5, providing excellent stability during use. Speech performance is above the category average, with speech in noise scoring a solid 3.1/5 (+1.74 points vs category) and speech in quiet at 2.6/5 (+0.45 points vs category)—though the latter remains mixed in absolute terms. The primary limitation is own-voice comfort, which scores a low 0.6/5—well below the category average of 2.64/5. This suggests users may notice more occlusion-related effects when speaking. The closed dome coupling used in both initial and tuned configurations contributes to the device's strong feedback performance but does impact own-voice naturalness. The Conversation Clear Plus is best suited for users who prioritize excellent streaming audio quality and stable feedback-free performance over own-voice comfort. Those seeking similar sound quality at a lower price point may consider alternatives like the Apple AirPods Pro 2 or Jabra Enhance Plus. Features include rechargeable batteries, iPhone and Android streaming, and hands-free functionality.
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