I've been through a similiar situation and ultimately decided to leave. For me it boiled down to my gut feeling and me not wanting to pour more of my heart and

I've been through a similiar situation and ultimately decided to leave. For me it boiled down to my gut feeling and me not wanting to pour more of my heart and soul into something I couldn't be genuinely passionate about anymore (partially due to ISOs / salary / titles on the table). My advice is to ask yourself some hard questions and then follow your gut feeling. If you are discontented you are not going to perform at your best, it will affect your life negatively, and this will only get worse with time. So ask yourself the hard questions. If nothing changes do you really want to stay there? If no, then what will have to change in order for you to stay and be happy? You know yourself, decide what it is that will make you happy and otherwise you would be happier leaving. Remember its just a business transaction, they profit from your skills and labor and you profit from the money and titles and equity they give you in exchange for it. I have the feeling a lot of startups will come along with the stingy spiel, but they have to pay up for services like everyone else and if they aren't willing you move along, also equity and titles cost a startup only theoretically (if they ever liquidate which is a rare thing) so even stingy investors etc will probably be more willing to upgrade you here than in the salary department since that cost real money next month. Good luck