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Cover of Pathologic 2

Similar games

Games like Pathologic 2

2019USK 18PC, PlayStation, Xbox, Steam Deck verified92 % positive33.99 €

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.

  • Resources and survival
  • Post-apocalyptic setting
  • Choices with consequences
  • Emotional impact
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More in these topics: Story-driven games Games with meaningful choices Games with unique art styles Survival games

In short: Games like Pathologic 2

Each of these 10 games shares something of what makes Pathologic 2 special. The reasons are listed right on each game.

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Games where this is clearly part of it are left out, no matter how well the rest fits.

Horror Turn-based combat High difficulty Roguelike runs Shooter Pixel art Grind Survival PvP Open world Card game

10 games with a similar feel, sorted by match · How is this calculated?

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Best match

Pathologic Classic HD

99 %Match

2015PC, Steam Deck verified87 % positive12.99 €

Fits your focus: Combat like Pathologic 2.

You explore a remote town built on old tanneries and butcheries just as a mysterious, deadly plague breaks out. Scarce time, grim choices and constant survival pressure create a oppressive atmosphere that makes this remaster feel unforgettable.

Where to buy

* Affiliate link. Prices are synced regularly and may have changed in the shop since.

Similar games →

Sunless Sea

  • Combat like Pathologic 2

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 Void

  • Combat like Pathologic 2

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.

The Long Dark

  • Combat like Pathologic 2

A lonely, unforgiving survival experience in the frozen Canadian wilderness after a geomagnetic disaster, where cold, hunger and wolves are your real enemies. Its painterly visuals and quiet atmosphere turn every trek into a tense, often melancholic journey.

Frostpunk

  • Combat like Pathologic 2

Lead the last city on a frozen, steam-powered Earth, juggling heat, coal and food while signing laws that test your morals. A bleak, tense city-builder where survival constantly clashes with humanity.

Frostpunk 2

  • Combat like Pathologic 2

A society-management strategy game in a frozen world where you lead a growing city through factional politics, moral dilemmas and scarce resources. Every decision about laws and expansion has tangible consequences for your people.

Help Will Come Tomorrow

  • Combat like Pathologic 2

After a train wreck in the Siberian wilderness, you guide a group of survivors through hunger, cold and mistrust. Resource management and tough moral decisions decide who lasts until rescue arrives.

Signalis

  • Combat like Pathologic 2

A classic survival horror game with scarce resources, inventory puzzles and a cryptic, melancholic sci-fi story. Its blend of retro 3D aesthetics, anime-inspired bleakness and cosmic dread creates a dense, unsettling atmosphere.

This War of Mine

  • Combat like Pathologic 2

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.

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