We’ve reviewed 5 vagus nerve devices. Which one is our #1 pick?

After exploring various ways to manage stress while also improving mental & physical health, we turned to Vagus Nerve Stimulation (VNS).
With the market offering several options, we focused on Pulsetto, Sensate, Xen by Neuvana, Truvaga, and Apollo Neuro given their popularity and user testimonials.
We reviewed these devices based on their published features, setup, recommended use, and price. Here’s how they compare:
| Pulsetto | |
| Rating | 9/10 (1st place) |
| Price | $269 |

Pulsetto is designed to help you relax and unwind. Sessions can be as short as 4 minutes, and you can adjust the intensity to a level that feels comfortable.
The hands-free design makes it easy to fit a session into your day, whether you’re taking a break between meetings or winding down in the evening.
- Sessions as short as 4 minutes
- Designed to help you relax and unwind
- Adjustable stimulation intensity
- 400,000+ users worldwide
- Stylish, easy-to-use design
- Hands-free use
- Free app with five stimulation programs
- Dual stimulation
- For adults 18 and older
Why Pulsetto is our top pick ↓
Pulsetto stood out for its hands-free design, adjustable intensity, and short sessions. The app includes programs for Stress, Sleep, and Focus, so you can choose one that fits your routine.
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| Sensate | |
| Rating | 8/10 (2nd place) |
| Price | $300 |
Sensate combines gentle vibrations with sound for a more gradual relaxation experience. It takes about 10 minutes to feel the effects, and its rounded design looks a bit like a smooth stone.5
Sensate has a sturdy build and a long battery life. Its combination of touch and sound may appeal to people who like to set aside time to unwind, while the longer sessions may be less convenient for those who prefer something shorter.
- Takes about 10 minutes to feel the effects
- Rounded, stone-like design
- Long battery life
- Combines touch and sound
- Sturdy build
| Xen by Neuvana | |
| Rating | 7/10 (3rd place) |
| Price | $359 (regularly $449) |
Xen by Neuvana takes an ear-based approach to vagus nerve stimulation, delivering gentle electrical pulses through specially designed earbuds. The system pairs with the free Neuvana app, where users can adjust stimulation settings and control their sessions.6
Neuvana recommends starting with 15-minute sessions. Users can choose stimulation that follows their music, responds to ambient sound, or runs independently of audio. This may appeal to those who enjoy combining relaxation with listening to music.7
The setup requires Xen’s dedicated earbuds, a separate device, and a compatible smartphone. Those who prefer a neck-worn format may find the earbud setup less suited to their routine.
- Ear-based electrical vagus nerve stimulation
- Specially designed wired earbuds
- Free companion app
- Adjustable stimulation intensity
- Music-synchronized and ambient modes
- Manufacturer recommends starting with 15-minute sessions
| Truvaga | |
| Rating | 7/10 (4th place) |
| Price | $499 |

Truvaga is a handheld vagus nerve stimulator designed to support relaxation and mental clarity. You hold the device against your neck during each session, which may be less convenient if you prefer a hands-free option.
Its compact design and simple controls make it a straightforward option for people who prefer a handheld device.
- Quick activation for immediate effects
- Sleek, portable design
- Customizable settings
- Easy-to-use controls
- Promotes mental clarity and relaxation
| Apollo Neuro | |
| Rating | 7/10 (5th place) |
| Price | $398 |
Apollo Neuro is a wearable designed to help manage stress and support overall well-being. Worn on the wrist, it delivers gentle vibrations to support relaxation and focus. Its customizable settings let you choose a mode that suits what you’re doing.
- Provides soothing vibrations to promote calm
- Lightweight and stylish for everyday wear
- Multiple modes for relaxation and focus
- Can be worn during work, exercise, or relaxation
Discover the secret behind Pulsetto’s popularity

Black Friday sale. Get Pulsetto for up to $350 off now.
Claim my discountPulsetto is a general wellness product intended to support a healthy lifestyle. It is not intended to diagnose, treat, cure, or prevent any disease or medical condition.