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Cover of Pathologic 2

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

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Best match

Pathologic Classic HD

100 %Match

2015PC, Steam Deck verified87 % positive12.99 €

Fits your focus: Combat like Pathologic 2 and Systems 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.

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Similar games →

The Long Dark

  • Combat like Pathologic 2
  • Systems 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.

The Void

  • Combat like Pathologic 2
  • Systems 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.

Sunless Sea

  • Combat like Pathologic 2
  • Systems 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.

Help Will Come Tomorrow

  • Combat like Pathologic 2
  • Systems 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.

This War of Mine

  • Combat like Pathologic 2
  • Systems 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.

Frostpunk

  • Combat like Pathologic 2
  • Systems 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.

Roadwarden

  • Combat like Pathologic 2
  • Systems like Pathologic 2

A text-driven RPG where you play a roadwarden exploring a harsh, suspicious peninsula. Limited time, resources and your decisions shape the story and your relationships with the locals.

Green Hell

  • Combat like Pathologic 2
  • Systems like Pathologic 2

A punishing jungle survival sim set in the Amazon that tracks nutrition, infections, parasites and wounds alongside your character's fraying sanity. A dark story campaign and a co-op mode round it out.

Six Ages 2: Lights Going Out

  • Combat like Pathologic 2
  • Systems like Pathologic 2

A text-heavy blend of interactive fiction and turn-based clan strategy in a mythic Bronze Age world that is coming to an end. Your decisions about gods, alliances and survival shape your clan's fate.

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