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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.

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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

The Long Dark

90 %Match

2017PEGI 16PC, PlayStation, Xbox, Nintendo Switch, Steam Deck verified88 % positive16.99 €

Fits your focus: Systems like Pathologic 3 and Combat like Pathologic 3.

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.

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Six Ages 2: Lights Going Out

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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.

Frostpunk

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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.

This War of Mine

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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.

Help Will Come Tomorrow

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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.

Barotrauma

  • Systems like Pathologic 3
  • Combat like Pathologic 3

You crew a submarine with friends through the icy ocean of Jupiter's moon Europa. Every task, from reactor to weapons to hull leaks, matters, and small mistakes quickly spiral into chaotic survival.

Chernobylite

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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.

Frostpunk 2

  • Systems like Pathologic 3
  • Combat like Pathologic 3

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 Alters

  • Systems like Pathologic 3
  • Combat like Pathologic 3

Stranded worker Jan clones alternate versions of himself, each shaped by a different life choice, and must manage them in a mobile base while racing a lethal sunrise. It's survival management fused with a thoughtful drama about identity and roads not taken.

Pacific Drive

  • Systems like Pathologic 3
  • Combat like Pathologic 3

You drive a car you repair and upgrade into a supernaturally warped exclusion zone in the Pacific Northwest, scavenging resources before returning to your garage. The car becomes your companion and main survival tool, while each run uncovers more of the zone's mystery.

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