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Games like Pathologic

2005 PC 12.99 € 👍 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:

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

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

Best match

Pathologic 2

96 %

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

Choices with consequences
Dark, serious atmosphere
Challenging difficulty

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 3

Strong, story-driven narrative

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.

Dreams in the Witch House

Strong, story-driven narrative

A Lovecraftian horror adventure where you play student Walter Gilman, freely exploring Arkham to uncover the Witch House's secret before May Eve arrives. You choose your own approach as nightmares and madness close in.

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.

Darkwood

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.

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.

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.

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.

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.