PILL vs. XDSQ

Last updated Jun 5, 2026

PILL (Direxion Daily Pharmaceutical & Medical Bull 3X Shares) and XDSQ (Innovator US Equity Accelerated ETF) are both Leveraged Equities funds. PILL is passively managed, while XDSQ is actively managed. Over the past 5 years, PILL returned -10.52%/yr vs 9.81%/yr for XDSQ. A 0.57 correlation means they provide meaningful diversification when combined. PILL charges 0.98%/yr vs 0.79%/yr for XDSQ.

Performance

PILL vs. XDSQ - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) and Innovator US Equity Accelerated ETF (XDSQ). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, PILL achieves a -1.69% return, which is significantly lower than XDSQ's 2.84% return.

PILL

• 1D: 8.24%
• 1M: -11.70%
• YTD: -1.69%
• 6M: 7.86%
• 1Y: 123.35%
• 3Y*: 16.40%
• 5Y*: -10.52%
• 10Y*: —

XDSQ

• 1D: 0.04%
• 1M: 1.36%
• YTD: 2.84%
• 6M: 3.73%
• 1Y: 16.08%
• 3Y*: 15.08%
• 5Y*: 9.81%
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

PILL vs. XDSQ - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021
PILL Direxion Daily Pharmaceutical & Medical Bull 3X Shares	-1.69%	75.14%	-7.26%	-12.06%	-43.16%	-27.95%
XDSQ Innovator US Equity Accelerated ETF	2.84%	14.22%	23.12%	23.00%	-16.78%	12.75%

Correlation

The correlation between PILL and XDSQ is 0.45, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.45
Correlation (3Y) Calculated over the trailing 3-year period	0.50
Correlation (5Y) Calculated over the trailing 5-year period	0.58
Correlation (All Time) Calculated using the full available price history since Apr 5, 2021	0.57

The correlation between PILL and XDSQ shifts across timeframes, from 0.45 (1 year) to 0.58 (5 years), reflecting how their relationship changes across market environments.

PILL vs. XDSQ - Sectors Allocation Comparison

Sectors	PILL	XDSQ
Healthcare	100.0%	8.5%
Basic Materials	-	1.8%
Communication Services	-	11.3%
Consumer Cyclical	-	10.2%
Consumer Defensive	-	4.9%
Energy	-	3.5%
Financial Services	-	11.6%
Industrials	-	8.3%
Real Estate	-	1.9%
Technology	-	35.7%
Utilities	-	2.4%

Return for Risk

PILL vs. XDSQ — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

PILL

PILL Risk / Return Rank: 61
PILL Sharpe Ratio Rank: 60
PILL Sortino Ratio Rank: 52
PILL Omega Ratio Rank: 49
PILL Calmar Ratio Rank: 75
PILL Martin Ratio Rank: 68

XDSQ

XDSQ Risk / Return Rank: 45
XDSQ Sharpe Ratio Rank: 44
XDSQ Sortino Ratio Rank: 42
XDSQ Omega Ratio Rank: 52
XDSQ Calmar Ratio Rank: 35
XDSQ Martin Ratio Rank: 49

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

PILL vs. XDSQ - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) and Innovator US Equity Accelerated ETF (XDSQ). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	PILL	XDSQ	Difference
Sharpe ratio: Return per unit of total volatility	1.99	1.53	+0.46
Sortino ratio: Return per unit of downside risk	2.51	2.11	+0.41
Omega ratio: Gain probability vs. loss probability	1.30	1.32	-0.02
Calmar ratio: Return relative to maximum drawdown	3.74	1.68	+2.05
Martin ratio: Return relative to average drawdown	12.24	8.02	+4.22
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

PILL vs. XDSQ - Sharpe Ratio Comparison

The current PILL Sharpe Ratio is 1.99, which is higher than the XDSQ Sharpe Ratio of 1.53. The chart below compares the historical Sharpe Ratios of PILL and XDSQ, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	PILL	XDSQ	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.99	1.53	+0.46
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.17	0.65	-0.82
Sharpe Ratio (All Time) Calculated using the full available price history	-0.11	0.69	-0.80

Drawdowns

PILL vs. XDSQ - Drawdown Comparison

The maximum PILL drawdown since its inception was -88.76%, which is greater than XDSQ's maximum drawdown of -26.06%. Use the drawdown chart below to compare losses from any high point for PILL and XDSQ.

Drawdown Indicators

	PILL	XDSQ	Difference
Max Drawdown Largest peak-to-trough decline	-88.76%	-26.06%	-62.70%
Max Drawdown (1Y) Largest decline over 1 year	-33.21%	-9.60%	-23.61%
Max Drawdown (3Y) Largest decline over 3 years	-60.43%	-19.15%	-41.28%
Max Drawdown (5Y) Largest decline over 5 years	-83.38%	-26.06%	-57.32%
Current Drawdown Current decline from peak	-66.31%	0.00%	-66.31%
Average Drawdown Average peak-to-trough decline	-58.54%	-4.96%	-53.58%
Ulcer Index Depth and duration of drawdowns from previous peaks	10.12%	2.01%	+8.11%

Volatility

PILL vs. XDSQ - Volatility Comparison

Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) has a higher volatility of 22.02% compared to Innovator US Equity Accelerated ETF (XDSQ) at 0.53%. This indicates that PILL's price experiences larger fluctuations and is considered to be riskier than XDSQ based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	PILL	XDSQ	Difference
Volatility (1M) Calculated over the trailing 1-month period	22.02%	0.53%	+21.49%
Volatility (6M) Calculated over the trailing 6-month period	48.70%	8.39%	+40.31%
Volatility (1Y) Calculated over the trailing 1-year period	62.21%	10.54%	+51.67%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	60.53%	15.27%	+45.26%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	63.83%	15.09%	+48.74%

PILL vs. XDSQ - Expense Ratio Comparison

PILL has a 0.98% expense ratio, which is higher than XDSQ's 0.79% expense ratio.

Dividends

PILL vs. XDSQ - Dividend Comparison

PILL's dividend yield for the trailing twelve months is around 0.64%, while XDSQ has not paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017
PILL Direxion Daily Pharmaceutical & Medical Bull 3X Shares	0.64%	0.69%	1.28%	1.83%	0.67%	0.00%	0.00%	0.38%	0.91%	0.10%
XDSQ Innovator US Equity Accelerated ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both PILL and XDSQ in my portfolio?

PILL and XDSQ have a correlation of 0.45, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, PILL or XDSQ?

PILL has higher volatility (22.02%) compared to XDSQ (0.53%). In terms of maximum drawdown, PILL dropped -88.76% vs XDSQ's -26.06%.

Which ETF is better, PILL or XDSQ?

On 5-year performance, XDSQ leads with 9.81% vs -10.52% for PILL. On fees, XDSQ is cheaper at 0.79% per year. On volatility, XDSQ has been the lower-risk option at 0.53%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, PILL or XDSQ?

Over the 5-year period, XDSQ has performed better with a 9.81% return vs -10.52%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, PILL or XDSQ?

XDSQ is cheaper with a 0.79% expense ratio, compared with 0.98% for PILL.

Which ETF pays a higher dividend yield, PILL or XDSQ?

PILL has the higher dividend yield at 0.64%, compared with 0.00% for XDSQ.

What is the main difference between PILL and XDSQ?

They also come from different issuers: Direxion and Innovator. Their fees differ too: 0.98% for PILL and 0.79% for XDSQ.

Which has better risk-adjusted returns?

PILL currently has the higher Sharpe Ratio (1.99 vs 1.53), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.