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Games like Pathologic 3

2026 PCPlayStationXbox 34.99 €

As the rationalist doctor Dankovsky, you try to beat death itself in a strange town ravaged by plague. Its new twist is time manipulation, letting you revisit and alter key events across twelve days, in an oppressive, narrative-heavy blend of horror and survival.

What defines Pathologic 3:

  • Choices with consequences
  • Dark, serious atmosphere
  • Strong, story-driven narrative
  • Open world
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More in these topics: Story-driven games Games with meaningful choices Games with unique art styles Survival games

The closest matches for Pathologic 3 are Pathologic 2, Pathologic and Sunless Sea. Each of these 10 games shares something of what makes Pathologic 3 special – the reasons are listed right on each game.

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Pathologic 2

98 %

2019 PCPlayStationXbox 33.99 € 👍 92 % Very positive, 10,915 reviews on Steam

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

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.

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Pathologic

Challenging difficulty

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.

Sunless Sea

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 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.

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

Strong, story-driven narrative

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.

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.

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.

Stygian: Outer Gods

Strong, story-driven narrative

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.

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