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Cliff, the Real Ear Mannequin, and DJ Jazzy Jimbob, MD (a medical doctor but not an audiologist or an ENT, and who has no idea what he's doing when it comes to audiology), put 2025 OTC invisible hearing aids to the test against the prescription Phonak Lumity set for severe hearing loss. (OTCs are NOT recommended for severe hearing loss.) Hearing Aids: Gold Standard: Rx Phonak Lumity L90-LR 1st place OTC: Eargo 8 (around $2500) - Best CIC OTC. 2nd best amplification. It offers the best compression, is very comfortable, and is tied with Zepp Pixie for being the most discreet. Music listening is the best. The compression is similar to premium brand prescription hearing aids. Automatic program sensing seems to work as well as Phonak's. 2nd place OTC: Sony CRE-C10 (around $500) - Best Bang for the Buck. Extremely comfortable Signia sleeves. Signia sound quality. The only one made by a big brand hearing aid company (WS Audiology / Signia). Music listening is very good. The CRE-C20 newer audio tech may be in first place, but I haven't tested that. Not quite as good noise reduction and compression as the Eargo. 3rd place OTC: Zepp Clarity Pixie (around $1000) - Greatest amplification of the OTCs tested. Best customer service, but feedback issues without a closed fitting. Even with a closed fitting, I still have some issues adjusting things and have never quite gotten it dialed in. Music listening is mixed. I can't recommend this one yet. I want to love it, but can't. 4th place OTC: Ceretone Core One Pro (around $350) - Cheapest but not tunable to audiogram. Also, music sounds terrible in these. Anyone with more than mild hearing loss may struggle. I don't recommend it. I only did the 65 dB test, which is a medium speech level. Here is a link to the 50, 65, and 80 dB (soft, medium, and loud) curves comparing the Eargo 8 and the Phonak Lumity L90-LR in my severe hearing loss prescription. The Eargo matches very closely, only losing by a hair in the soft speech section between 3-6 khz https://imgur.com/a/xBJsFZk . The 50 db input (soft speech) is what you would expect OTCs not to nail in severe hearing loss, but the Phonak Lumities also fell slightly short in that region.