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Emergency 4 Deluxe has 3 More Missions and 1 More Freeplay Map than 911 First Responder
but you will play the game most likely with mods so there is not really a point for that because the mods come with new Freeplay maps and missions for free and are compatible with EM4 and 911
so...the only real differenc is the language so if you want to play in english get 911 if you want to play in German Play Em4