Cover of Pathologic 2

Similar games

Games like Pathologic 2

2019 PCPlayStationXbox

As the healer Artemy Burakh, you struggle through a plague-ridden steppe town against hunger, relentless time pressure and scarce resources. Every decision leaves lasting consequences, and the bleak, surreal narrative never lets you rest.

What defines Pathologic 2:

  • Choices with consequences
  • Dark, serious atmosphere
  • Challenging difficulty
  • Strong, story-driven narrative

10 games with a similar feel, sorted by match

Show games from the same series

Best match

Sunless Sea

92 %

2015 PC

  • Choices with consequences
  • Dark, serious atmosphere
  • Open world

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

Challenging difficulty

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.

Darkwood

Challenging difficulty

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.

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.

Cultist Simulator

Challenging difficulty

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

Open world

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.

Stygian: Outer Gods

Challenging difficulty

A Lovecraft-inspired survival horror game with RPG elements where ammo, resources and your sanity are scarce. You unravel a thousand-year-old mystery in a hostile, oppressive world.

Silent Hill 2

Strong, story-driven narrative

A landmark of psychological horror where James's search for his dead wife through fog-shrouded Silent Hill becomes a harrowing confrontation with guilt and grief. Oppressive atmosphere, symbolic monsters and multiple endings make it unforgettable.

The Sinking City

Open world

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.

Frostpunk 2

Tactical depth

A society-management strategy game in a frozen world where you lead a growing city through factional politics, moral dilemmas and scarce resources. Every decision about laws and expansion has tangible consequences for your people.

Feedback