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Cover of Pathologic 3

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Games like Pathologic 3

2026USK 18PC, PlayStation, Xbox, Steam Deck playable80 % positive34.99 €

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.

  • Post-apocalyptic setting
  • Resources and survival
  • Choices with consequences
  • Dialogue and role-playing
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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 3

Each of these 10 games shares something of what makes Pathologic 3 special. The reasons are listed right on each game.

Similar in what way?

0 of 3

Up to three areas count more, the rest steps back.

Not for me Exclude horror, turn-based combat, pixel art …

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

Chernobylite

86 %Match

2021USK 18PC, PlayStation, Xbox, Nintendo Switch81 % positive29.99 €

Brings what grabs you about Pathologic 3: a post-apocalyptic setting, scarce resources and survival as well as choices with consequences.

A bleak survival horror adventure set in a photogrammetry-recreated Chernobyl Exclusion Zone, where a physicist hunts for his vanished fiancée. You scavenge zones, build up a base, recruit companions and plan toward a final heist, with choices you can even rewrite reshaping the story.

Where to buy

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Similar games →

This War of Mine

Resources and survival

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.

No, I'm Not A Human

Post-apocalyptic setting

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.

Frostpunk

Post-apocalyptic setting

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.

The Long Dark

Open world

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 2

Post-apocalyptic setting

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.

The Price of Flesh

Dread and tension

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

Dark, serious atmosphere

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.

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