MDHearingAid Neo XS vs. Zepp Clarity Pixie

Neo XS is an instant-fit in-ear OTC hearing aid that offers improvements in MDHearing's product line in terms of rechargeable battery life, audio processing, and size. However, our lab testing found its performance underwhelming.

Zepp Pixie are a unique OTC hearing aid offering useful wireless app features, a discrete size, near all-day battery life, and more. From a price and performance perspective, Pixie beats Eargo, its closest competitor, on both counts.

MDHearing Neo XS achieved a SoundScore of 2.47/5 and a SoundGrade of C in HearAdvisor lab testing. It ranked #47 of 61 OTC Hearing Aid devices tested. The OTC Hearing Aid category average SoundScore was 3.47/5.

Zepp Clarity Pixie achieved a SoundScore of 3.88/5 and a SoundGrade of B in HearAdvisor lab testing. It ranked #17 of 61 OTC Hearing Aid devices tested. The OTC Hearing Aid category average SoundScore was 3.47/5.

Neo XS do not have an ingress rating but they appear to be well built. The charging case feels sturdy and should offer good protection when Neo XS are recharging or otherwise not in use.

Zepp Pixie appear to be well built although their IP rating of X7 suggests regular cleaning and maintenance will be key to long-term protection from dust and debris.

Neo XS offers internal rechargeable batteries lasting up to 18 hours. This should be enough to get you through your day without needing a recharge.

With a battery life of 17 hours, Zepp Clarity should last your entire day without needing to recharge. The portable charger is also robust and the added on-the-go power is a nice addition.

Not yet rated by our experts

The Zepp app offers useful features for customizing the sound quality to your preferences. Be sure to complete the on-ear assessment within the More tab.

Neo XS are relatively comfortable in ear. However, using the button caused minor discomfort as it required some force which pushed the hearing aid deeper into my ear.

I found Zepp Clarity comfortable however, they sit deeper in your ear which may not suit everyone's preferences or needs.

Neo XS are smaller than other MDHearing aids and many OTC products. If you are interested in discrete hearing aids Neo XS are nearly invisible in your ears.

Clarity are small and sit almost completely in your ear canals. This can make them very desirable if you are looking for a discrete hearing aid option.

MDHearing Neo XS has a value score of 3.4/5 based on lab performance and public display price.

Zepp Clarity Pixie has a value score of 3.1/5 based on lab performance and public display price.

Neo XS are relatively small hearing aids which may be difficult for individuals with vision and or dexterity issues. This should not be a problem for most but MDHearing does offer assistance from licensed professionals if needed.

Some may find the smaller size of Pixie more difficult to handle and see, especially if you have limited finger dexterity and or low vision.

MDHearing does not offer in-person support or remote programming. You do however receive free lifetime phone and online help from their licensed hearing professionals. This is a nice offering especially if you are new to hearing aids.

Zepp currently offers technical assistance via phone, email, or directly through the Zepp mobile app. Additionally, the Support tab provides a helpful Q&A section should you need assistance.