LikeThisGame
Pathologic
Games Like

Pathologic

200560/100
ShooterRole-playing (RPG)AdventureIndie

Branching Story · Horror · Mystery · Open World · Post-Apocalyptic · Survival

Pathologic's bleak vision of a plague-ridden town, where survival hinges on bartering for dwindling resources and navigating the whims of desperate townsfolk, is its core. The game's unforgiving nature, from the need to carefully manage health and hunger to the constant threat of infection, creates a palpable sense of dread. Its lasting impact stems from the way it forces players to confront difficult choices, knowing that failure is inevitable and the world will continue to decay regardless.

About Pathologic

Details
The game is about three characters who are mostly known by their nicknames: two men, Bachelor (Бакалавр) and Haruspex (Гаруспик), and a girl nicknamed Devotress (Самозванка). Each of them tries to uncover the source of a strange lethal sickness known as the "sand plague" that has befallen a small town. Although players can play as each of them, there is only one storyline, which is seen from different points of view depending upon the chosen character. The ability to uncover some secrets depend on which character is being played and the characters also interact with the other two unchosen characters and discuss their progress over the course of the game. The game takes place in a perpetual world over a time frame of 12 in-game days. Throughout each day, the player receives quests from NPCs, however, the game continues regardless of whether they are completed or not. At exactly midnight of each day, the incomplete quests are erased from the player's notebook. Quests are divided into main missions, (one per day) which decide if a major character will die, and side quests, which earn money and items. Completing main quests is essential to discovering the secrets of the town, as characters can die off early in the game who would otherwise reveal information later in the game. While trying to discover the secrets of the town, the player's other goal is simply to survive to the end of the 12 days by balancing various resources within the game's fluctuating economy, which represents the harsh "supply and demand" nature of a shut-off disease ridden town. On the edge of town, there is a great building named Polyhedron (Многогранник), a geometrically impossible structure used as a fortress by children. On the opposite side lies an ominous mountain called the Abattoir, with the Apiary, an insane asylum, next to it. All districts and major buildings of the town are named after body parts and biology.

Top 3 Alternatives to Pathologic

1
Rating
Critic & community
85
Match
Recommendation strength
78%

Death Stranding

2019 · Shooter

Like Pathologic, Death Stranding is a unique open-world adventure with a strong narrative focus. Instead of disease, you deliver packages across a post-apocalyptic America, but both games share a sense of isolation and the struggle for survival.

Why recommended

  • Criteria — Strong Story driven by named characters with arcs and dialogue, as well as environmental storytelling that builds the world and its mysteries.
  • The open-world structure of Death Stranding allows for free exploration and discovery, mirroring Pathologic's sense of place.
  • Both games emphasize a single-player experience focused on navigating a hostile environment and uncovering a deeper narrative.
2
Rating
Critic & community
82
Match
Recommendation strength
75%

S.T.A.L.K.E.R. 2 shares Pathologic's post-apocalyptic setting and focus on survival. Navigate a dangerous zone, explore, and uncover the mysteries of the Chernobyl Exclusion Zone, while battling for survival.

Why recommended

  • Criteria — Strong Story is delivered through the narrative of the protagonist, as well as environmental storytelling that builds the world and its mysteries.
  • The open-world structure of S.T.A.L.K.E.R. 2 allows for free exploration and discovery, mirroring Pathologic's sense of place.
  • Both games emphasize a single-player experience focused on navigating a hostile environment and uncovering a deeper narrative.
3
Rating
Critic & community
80
Match
Recommendation strength
70%

Kingdom Come: Deliverance II offers a strong story in an open world, similar to Pathologic's narrative-driven experience. Explore a world filled with intrigue and danger, making choices that shape the story.

Why recommended

  • Criteria — Strong Story is delivered through the narrative of the protagonist, as well as environmental storytelling that builds the world and its mysteries.
  • The open-world structure of Kingdom Come: Deliverance II allows for free exploration and discovery, mirroring Pathologic's sense of place.
  • Both games emphasize a single-player experience focused on navigating a hostile environment and uncovering a deeper narrative.

Explore Pathologic in detail

Screenshots, prices, playtime, streams and more

View Page →

Want something more specific?

Select criteria to get personalized recommendations

Select at least 1

Explore More Games