“Pay to win and way too expensive — Like the title says, the packs are super expensive and it definitely has pay to win aspects. All of the high tier warriors are pay walled, most events also are pay walled, and holy heck it’s $100 for…”
Independent automated assessment · 3 signal sources · 631 reviews scanned · analyzed 2026-10-04.
4.8 ★41,417 ratings
—Downloads
12+Age rating
639 MBApp size
FreeIn-app purchases
About this app
Includes random-item purchases
One sanctuary. One doctor. One last chance. A mysterious plague has swept across the world, leaving chaos in its wake. As a plague doctor, you become the town's final beacon of hope. Build and manage a sanctuary, heal those you can, and guide your people through the darkest days of the pandemic. Your strategy will shape their future.
[The Sanctuary of Hope] Run your sanctuary as the last refuge against the plague. Treat patients, craft herbal remedies, and expand your wards to shelter the growing tide of the sick and desperate.
[Counter the Rat Swarm] Hold the last line against the Rat Swarm. Recruit and upgrade your heroes. Build as many defensive towers as you can. Slay the Rat King to repel the swarm.…
Preview
Real screenshots from the store listing.
Independent evidence report
The evidence behind this assessment
This is where the page changes from an app-store listing into an evidence report: findings, important reviews, pricing and a dated history.
Which version this describes
When we ran this analysis, and what the store lists now.
This analysis describes version 1.0.65 of the app, analyzed 2026-10-04 . The app may have changed since.
The store currently lists version 1.0.65, updated 2026-09-20.
What we measured
Each line is a measurement published as a measurement, never a verdict.
Each line is a measurement, published as a measurement. Where we have not looked, the line says so rather than reading as a zero.
Developer replies to reviews
Replies to fewer than 1 review in 20
Price in the store description
States no price and billing period
Cancelling, in the store description
Does not say how to cancel
Themes reported by reviewers
3 or more themes reported
Counted from the reviews we have read for this app. "No theme reported" means no theme reached our reporting threshold — it is not a finding that nothing is wrong with this app, and we do not say it is.
Five-star share of ratings
80–89% five-star
Arithmetic on the stores' own published rating counts. It says nothing about why the ratings fall where they do.
In the package we scanned
No package has been scanned for this app, so nothing is published about what it ships. That is an absence of evidence about the app, not a finding about it.
Graded bands · predicate set 1.4 · how these are measured
What the analysis found
App-specific findings, grouped by what each one rests on. How they are graded lives on its own page.
The catch list 2
Charges we publish at a strength we stand behind: measured from an artefact, agreed by independent sources, or reported by enough users to clear that charge's own published bar.
Reported by users: Pay to progress
Advancement or competition is gated behind spending money rather than playing.
What we saw: Raised by 37 distinct reviewers — 5.9% of the 631 reviews scanned on this store leg (App Store).
Reported by users: Reports that the ads misrepresent the app
Reviewers repeatedly report that the app is not what its advertising showed. We never see the ad creative itself, so nothing we collect can corroborate or refute this — it is published as an attributed user report: what reviewers say, and how many of them said it.
What we saw: Raised by 51 distinct reviewers — 8.1% of the 631 reviews scanned on this store leg (App Store).
One source only — shown, not confirmed 1
A single kind of evidence. We publish these because withholding them would be the bigger distortion, and we do not treat any of them as a finding we stand behind.
Reported by users: Aggressive ad load
Advertising volume or placement that interrupts normal use: ads between every action, unskippable or forced full-screen ads.
What we saw: Aggressive ad load: raised by 8 distinct reviewers (1.3% of 631 reviews scanned)
Highlighted reviews
Representative public review excerpts shown as user reports, not Appworthy audit evidence.
“Extremely pay to win — It’s a ok game but it is p2w you won’t get far f2p honestly I have no idea why I still play it”
“Another toxic pay-to-win game — AI slop, rampant bigotry, deceptive ads. It’s designed to get you hooked and keep you spending.”
Assessment & version history
App changes and Appworthy events in one timeline.
Store listing updated to version 1.0.65.
What this app sells
Useful store-disclosed pricing, kept below the app listing.
Business modelFree
Prices and terms as disclosed by the store listing.