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Games like Pathologic

2005 PC −90 % 12.99 € 1.29 € ends today 👍 88 % Very positive, 4,064 reviews on Steam

A bleak survival-horror RPG set in a steppe town ravaged by plague. Over twelve days you play one of three outsiders, scrambling for scarce resources and truth in an uneasy, cryptic world that offers little reassurance.

What defines Pathologic:

  • Dark, serious atmosphere
  • Challenging difficulty
  • Choices with consequences
  • Strong, story-driven narrative
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More in these topics: Story-driven games Games with unique art styles Survival games Horror games

The closest matches for Pathologic are Darkwood, 2Dark and Silent Hill. Each of these 10 games shares something of what makes Pathologic special – the reasons are listed right on each game.

10 games with a similar feel, sorted by match

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Best match

Darkwood

90 %

2017 PCPlayStationXboxNintendo Switch 19.99 € 👍 95 % Overwhelmingly positive, 21,618 reviews on Steam

  • Dark, serious atmosphere
  • Challenging difficulty
  • Lots to discover

Darkwood is a bleak top-down survival horror where you scavenge a eerie, partly randomized forest by day and barricade your hideout against horrors by night. Its surreal atmosphere and deliberately cryptic story create constant dread.

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2Dark

Strong, story-driven narrative

A grim voxel-styled stealth horror game from the creator of Alone in the Dark: as detective Mr. Smith you sneak through brutal locations to rescue abducted children without being caught.

Silent Hill

Strong, story-driven narrative

As ordinary father Harry Mason, you search a fog-shrouded town for your missing daughter and slip into a nightmarish otherworld. Oppressive fog, unsettling industrial sound design and cryptic puzzles make this a defining psychological horror classic with multiple endings.

Sunless Sea

Choices with consequences

As the captain of a steamship, you sail the dark underground sea of Fallen London, juggling fuel, supplies and your fraying sanity. It thrives on grim, literary storytelling, discovery and the constant risk of death.

The Void

Choices with consequences

A surreal, unsettling first-person nightmare from Ice-Pick Lodge where Color is your life force, your weapon and your currency all at once. Surviving means carefully hoarding and spending it, and choosing which Sisters to nurture. The result is a punishing but singular exercise in resource strategy.

Siren

Strong, story-driven narrative

A survival horror classic where you play several villagers in Hanuda and use sightjacking to see through enemies' eyes while sneaking past the eerie Shibito. Its non-linear story told via the Link Navigator is as distinctive as it is punishingly difficult.

Cultist Simulator

Choices with consequences

A dark narrative card game set in a 1920s world of hidden gods, where you build your own cult by juggling time, resources and rituals. Cryptic rules and emergent stories arise from your experiments and failures.

Dead Static Drive

Choices with consequences

A road-bound horror survival adventure where the world collapses around you, and your choices and friendships decide whether you fight, hole up, sneak, or drive away in a stolen car.

The Sinking City

Choices with consequences

As a 1920s private eye in the half-drowned town of Oakmont, you solve eerie cases by reconstructing crime scenes and drawing your own conclusions, with little hand-holding, in a Lovecraftian nightmare. Thick atmosphere and morally grey decisions carry the game, while the combat is serviceable rather than great.

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