Cover of Pathologic 3

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Games like Pathologic 3

2026PCPlayStationXboxSteam Deck playable34.99 €

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.

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

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The closest matches for Pathologic 3 are Cultist Simulator, Back to the Dawn and Beholder 2. Each of these 10 games shares something of what makes Pathologic 3 special – the reasons are listed right on each game.

Best match

Cultist Simulator

90 %Match

2018PCSteam Deck verified79 % positive19.99 €

Choices with consequences
Dark, serious atmosphere
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.

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Back to the Dawn

Choices with consequences

You are locked in a maximum-security prison and must uncover a conspiracy, work the social web of fellow inmates, and plan your escape before time runs out. Your choices shape how the plot ends.

Beholder 2

Choices with consequences

You climb the ranks of a totalitarian ministry through scheming, blackmail and moral compromise. Every decision carries consequences for your career and conscience in a grim, satirical dystopia.

The Price of Flesh

Choices with consequences

A hand-drawn survival horror told as an interactive story, where your decisions lead you to one of about 50 endings. It offers plenty of full-screen artwork and optional adult content.

Beholder

Choices with consequences

As a state-appointed apartment manager in a totalitarian regime, you spy on tenants and make morally heavy decisions. Time, money and conscience are all scarce, and your choices lead to many different endings.

Waiting for the Raven

Choices with consequences

As a Master of Spies you build a network of agents in the underworld, decipher letters, solve mysteries and run businesses. The hybrid of first-person and top-down views gives it a dense, experimental atmosphere.

This War of Mine

Choices with consequences

Instead of soldiers, you guide a group of civilians through a besieged city, maintaining your shelter by day and scavenging dangerous ruins by night. Harsh moral dilemmas between survival and humanity make it a haunting, unforgettable experience.

Do No Harm

Choices with consequences

You play a doctor in a Lovecraftian world, diagnosing eerie symptoms and treating patients with the help of your medical book. Over 30 days you make morally tough calls about who to save, sacrifice or trust, leading to multiple endings.

Beholder 3

Choices with consequences

Beholder 3 is a grim surveillance and intrigue game set in a totalitarian state: you spy on others, juggle two jobs, and decide whom to sacrifice for your handler's schemes.

No, I'm Not A Human

Choices with consequences

You are holed up at home while a disaster reshapes the world, and you must decide whom to let in each night, since not every visitor is human. A tense game of observation, paranoia and consequential decisions.

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