POWER OF ATTORNEY

I, Donald J. Spence, hereby authorize  and designate  each of Anthony
TenHaagen, Adrain
Bryant, Joseph Army, and John Landry,  signing singly, as my true and
lawful attorney-in-fact to:

(I)execute  for and on my behalf,  in my capacity  as a director of
Vapotherm Inc.
(the "Company"), the Forms 3, 4 and 5 in accordance  with Section
16(a) of the Securities
Exchange  Act of 1934, as amended  (the "Exchange  Act") and the
rules and regulations
promulgated thereunder;

(2)do and perform  any and all acts for and on my behalf which may be
necessary
or desirable  to complete  and execute any such Form  3, 4 or 5,
complete  and execute any
amendment or amendments  thereto, and timely file such form with the
Securities  and Exchange
Commission, any stock exchange  or similar authority;  and

(3)take any other action of any type whatsoever  in connection  with
the foregoing
which,  in the opinion of such attorney-in-fact, may be to my
benefit, in my best interest, or
legally required  ofme, it being understood  that the documents
executed by such attorney-in-fact
on my behalf pursuant  to this Power of Attorney shall be in such
form and shall contain such
terms and conditions  as such attorney-in-fact may approve in such
attorney-in-fact's discretion.


I hereby  further grant to each such attorney-in-fact full power and
authority  to do and
perform  any and every act and thing whatsoever  requisite,
necessary, or proper to be done in the
exercise  of any of the rights and powers herein granted, as fully to
all intents and purposes as
I might or could do if personally  present, with full power of
substitutes or revocation,  hereby
ratifying  and confirming all that such attorney-in  fact, or such
attorney-in-fact's substitute  or
substitutes, shall lawfully  do or cause to be done by virtue of this
Power of Attorney and the
rights and powers  herein granted.  I hereby acknowledge  that the
foregoing attorney-in-fact, in
serving  in such capacity  at my request,  is not assuming, nor is
the Company  assuming,  any of my
responsibilities to comply with Section  16 of the Exchange  Act.

This Power  of Attorney  shall remain in full force and effect until
I am no longer required
to file the Forms 3, 4 and 5 with respect to my holdings  of and
transactions  in securities  issued
by  the Company, unless earlier revoked by me in a signed writing
delivered  to the foregoing
attorney-in-fact.

IN WITNESS  WHEREOF, I have caused this Power of Attorney to be duly
executed  as
of this 21st day of October,  2020.

/s/ Donald J. Spence
Donald J. Spence