Perhaps I am just lucky but the ottos in my tank have proved to be the hardiest of all my fish. In terms of acclimating to new tanks, moving from tank to tank, et cetera, my Ottos have consistently proven to be the fish species that does so first and best. As a matter of fact, when other fish showed signs of illness or stress, the Ottos were completely fine, happily munching away on algae.
I do know that when I brought home my Ottos from the LFS they were malnourished but the algae in my tanks proved more than enough to fill their little bellies. For those rare occations that I did not have enough algae to feed them, I tucked a slice of cuccumber under a rock and the Ottos seems to like that well enough. I also gave them algae wafers but I don't think I will be doing that again—it gets quite messy after it starts to disolve.
Like most fish, of course, Ottos appreciate clean water so frequent water changes help quite a bit.
I have a couple of Amano shrimp as backup—the shrimp can clean in places the Ottos can't go—and I tell ya, watching algae disappear has never been more fun.
So in my opinion, and despite what I have read about Otto being fragile creatures, I consider my Ottos to be warriors. Little algae eating warriors.