Last Asylum: Plague

In-app purchases
4.6
98.8K reviews
5M+
Downloads
Content rating
Teen
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About this game

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.

[Gather Resources, Rebuild the Town]
Dispatch survivors to gather resources and secure outposts in the wild.
Collect timber, herbs, food, and other essential supplies. Construct production facilities, expand warehouses, and upgrade residential buildings to house more survivors.

[Seize Abandoned Ruins]
Form elite squads of heroes to reclaim plague-ridden towns.
Create the best lineup of different types of heroes. Outsmart contenders on the battlefield. Gain control of crucial cities. Expand your territory in this world.
Updated on
Apr 04, 2026
Events & offers

Data safety

Safety starts with understanding how developers collect and share your data. Data privacy and security practices may vary based on your use, region, and age. The developer provided this information and may update it over time.
This app may share these data types with third parties
Device or other IDs
This app may collect these data types
Location, Personal info and 3 others
Data is encrypted in transit
You can request that data be deleted

Ratings and reviews

4.6
94.8K reviews
Bernadette Macias
March 28, 2026
Truly no ads forced on you. It plays smoothly with really good graphics. Only giving it 4 out of 5 b/c I'm looking for something that has more to do with the crafting remedies and healing patients type of game. this one is another of the many I've come across of having to build out your town, gather your resources, join an alliance, and engage in random fights where you choose among your characters, but the gaming actually handles the mechanics. Not what I was looking for.
1 person found this review helpful
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Gabriella Valeriano
March 27, 2026
A nice and somewhat casual experience. I like the moody yet not bleak colors, the atmosphere is good, the music is actually quite soothing. You play a plague doctor trying to save what's left in a sick and dying world. With the help of the people you rescue, cure and recruit, there may be hope yet. There's lots of heroes to recruit and upgrade, and they get new skills at certain level thresholds! Survivors don't fight, but they do help gather resources on your base. Definitely give it a try.
1 person found this review helpful
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Jonathan Jacobovitz
March 17, 2026
First I thought the game was mostly like the ads. Gave it five-stars. Then a bit into it you're right into base building, collecting wood and grain, rolling for heroes at the tavern, and fighting other players. The cool hospital mechanics take a big back seat to exactly what everything else does. If you want another base building, fighting other players, waiting for upgrades, pay to win, you sadly found one.
4 people found this review helpful
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What’s new

App Beta Version.