Similar games

Games like Pathologic

2005PCSteam Deck verified88 % positive12.99 €

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.

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 Alone in the Dark, Thief: Deadly Shadows and Thief II: The Metal Age. Each of these 10 games shares something of what makes Pathologic special – the reasons are listed right on each game.

Best match

Alone in the Dark

84 %Match

2008PCSteam Deck playable92 % positive14.99 €

Dark, serious atmosphere
Challenging difficulty
Strong, story-driven narrative

A pioneer of survival horror: you explore a cursed 1920s mansion, solve puzzles and fight sparingly against monsters. Its 3D characters on pre-rendered backdrops and menacing mood shaped the entire genre.

Similar games →

Thief: Deadly Shadows

Strong, story-driven narrative

As master thief Garrett you creep through a gloomy, steampunk-tinged city, using light and shadow to slip past guards. Dense atmosphere, free-roaming city hubs and a conspiracy among the Keepers define the experience.

Thief II: The Metal Age

Strong, story-driven narrative

Master thief Garrett sneaks through a steampunk-tinged city across large, open-ended missions full of guards, shadows and loot. Stealth is the core mechanic: light, noise and clever gadgets decide whether you succeed.

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.

Gloomwood

Lots to discover

Gloomwood is a stealth survival horror set in a cursed Victorian city, drawing on immersive sims and classics like Thief and Resident Evil. You sneak, scrounge scarce resources and use eccentric weapons while exploring a dark, secret-filled world.

InSomnia: The Ark

Choices with consequences

A grim dieselpunk RPG set aboard a vast, half-abandoned space ark, featuring a non-linear plot, free exploration and survival elements. The atmosphere is oppressive and the world full of mysteries.

Cry of Fear

Strong, story-driven narrative

A free Half-Life total conversion that tells a oppressive psychological horror story with a bleak atmosphere and scarce resources. Multiple endings and an optional co-op mode add replay value.

Blood West

Lots to discover

A grim stealth first-person shooter set in a cursed Wild West, where you play a resurrected gunslinger hunting monsters, scavenging supplies and unlocking traits. It feels like an old-school immersive sim blended with survival horror.

S.T.A.L.K.E.R.: Shadow of Chernobyl

Open world

A bleak survival shooter set in the irradiated Zone around Chernobyl, where anomalies, mutants and rival stalkers make every expedition a gamble. Its oppressive atmosphere and multiple endings have made it a cult classic.

Resident Evil

Lots to discover

The survival horror blueprint: scarce ammo, tight inventory and interlocking puzzles in a zombie-infested mansion, with fixed camera angles building constant dread and a campy charm.