Vehicle emission regulations in Europe and many Asian countries include a particle number limit. The number concentration is measured, typically, with condensation particle counters (CPCs). For research purposes, the size distributions provide useful information. Scanning mobility particle sizers (SMPSs) accurately provide the size distribution but are not suitable for transient aerosol. Engine (fast) exhaust particle sizers (EEPSs) cover this gap, but with less accuracy. Fast size distribution instruments are commonly used in the research and development of engines. In the last few years, instrument algorithms have been improved, but studies assessing the improvements are limited, in particular in their lower size range, around 10–20 nm, and for soot-like aerosol. In this paper, we compared the three instruments using salt, silver, diffusion flame soot (CAST), and spark discharge graphite particles. Moreover, vehicle exhaust number concentration measurements with EEPSs over a seven-year period were presented. In terms of particle concentration, EEPS overestimated, on average, 25% compared to CPC, in agreement with previous studies. Its accuracy for mean particle size determination was better than 5 nm compared to SMPS. The agreement between the instruments was satisfactory but the uncertainty increased at low concentrations and larger particle sizes, showing that there is still room for further improvements. Experimental challenges, such as low concentration levels of modern vehicles, losses in the diluters, use of photometric mode by the CPCs, and the material impact, are also discussed.