thats like comparing an mpc 60 to a TR808 … kind of 
[ul]
[li]one is a dedicated drum synth to design sounds and beats[/li]
[/ul]
[ul]
[li]the other is a sampler to mangle beats[/li]
[/ul]
if you allready got sounds and beats, buy the OT
if you wanna design your own sounds, get the MD
i was arguing with me about the same, then decided to get the MD even without the UW because at that time i got sucked into iOS and found out i can hook up my ipad to my soundcard and thought i would do the sampling part with the ipad, but sadly up until now there is no decent sampler for iOS ^^
then i thought about getting the A4 or the OT, and decided for the A4 over the OT for the same reason.
for me i want an instrument that can produce sounds through sysnthesis, VA or analog. i couldnt live with preproduced samples anymore 
so i will always choose a synth before a sampler
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