head to head
Neither is simply harder - they are hard in different places. Grand Theft Auto: San Andreas demands more optimization; MadWorld demands more execution.

Optimization · Practiced Mastery
A sprawling open-world crime epic with RPG-style character stats across a whole state.

Execution · Practiced Mastery
Black-and-white Wii brawler chasing stylish kills for points.
Grand Theft Auto: San Andreas leans Optimization (Practiced Mastery); MadWorld leans Execution (Practiced Mastery).
MadWorld leans clearly harder on execution.
Grand Theft Auto: San Andreas
Flying school and drive-bys need decent hands
MadWorld
Motion-combo brawling and boss QTE timing
Same score on reads - which means the number cannot separate them. The difference is in what each one asks of you.
Grand Theft Auto: San Andreas
Gang AI is scripted, never adaptive
MadWorld
Enemies are scripted fodder
Grand Theft Auto: San Andreas leans a little harder on variance, though the gap is small.
Grand Theft Auto: San Andreas
Territory wars and traffic add light randomness
MadWorld
Arenas are fixed
Grand Theft Auto: San Andreas leans clearly harder on optimization.
Grand Theft Auto: San Andreas
Stats, gym, weapon skill, and routes reward systematic play
MadWorld
Score multipliers reward creative kill routing
A matching score does not mean a matching test. Two games can both sit at 10 on execution and demand completely different things of you - which is why the reasoning above matters more than the number beside it.