ΔE 20.7, loose: different enough that you should pick on purpose. Old Rose is more saturated, warmer than Purple Flesh.
Not as a straight swap; see the closer alternatives below. Loose match (ΔE 21). Old Rose is more saturated, warmer than Purple Flesh.
The same difference applies the other way round: Purple Flesh is more muted, cooler.
ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.
See Purple Flesh on the colour wheel See Old Rose on the colour wheel
All matches: Purple Flesh equivalents · Old Rose equivalents