Create account
Cover of Pathologic Classic HD

Similar games

Games like Pathologic Classic HD

2015PC, Steam Deck verified87 % positive12.99 €

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.

  • Resources and survival
  • Lore and world history
  • Dread and tension
  • Choices with consequences
＋ Combine with my games

Where to buy

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

More in these topics: Story-driven games Games with meaningful choices Survival games Horror games

In short: Games like Pathologic Classic HD

Each of these 10 games shares something of what makes Pathologic Classic HD 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?

Show games from the same series

Best match

Pathologic 2

100 %Match

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

Brings what grabs you about Pathologic Classic HD: scarce resources and survival, choices with consequences as well as a deep world history.

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.

Where to buy

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

Similar games →

Pathologic

Lore and world history

A bleak survival-horror RPG set in a steppe town ravaged by plague. Over twelve days you play one of three outsiders, scrambling for scarce resources and truth in an uneasy, cryptic world that offers little reassurance.

Pathologic 3

Choices with consequences

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.

Silent Hill: Downpour

Dark, serious atmosphere

A psychological survival horror in which an escaped convict wanders the rain-soaked, fog-draped town of Silent Hill, solving puzzles and fending off monsters with improvised melee weapons. Moral choices and optional side quests add to the oppressive, bleak atmosphere.

Sunless Sea

Lore and world history

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.

Silent Hill 2

Emotional impact

A landmark of psychological horror where James's search for his dead wife through fog-shrouded Silent Hill becomes a harrowing confrontation with guilt and grief. Oppressive atmosphere, symbolic monsters and multiple endings make it unforgettable.

The Void

Choices with consequences

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.

Silent Hill

Dark, serious atmosphere

As ordinary father Harry Mason, you search a fog-shrouded town for your missing daughter and slip into a nightmarish otherworld. Oppressive fog, unsettling industrial sound design and cryptic puzzles make this a defining psychological horror classic with multiple endings.

Silent Hill 2

Emotional impact

This remake of the horror classic follows James through the fog-choked town of Silent Hill as he searches for his dead wife. Oppressive atmosphere, puzzles and scarce resources serve a deep, psychological story.

Silent Hill 4: The Room

Lore and world history

Locked inside his own apartment, Henry Townshend crawls through a hole in the wall into nightmarish worlds while his home slowly becomes haunted. It is the series' most claustrophobic and experimental entry, with first-person apartment sections and an unsettling Akira Yamaoka score.

Feedback