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Games like Pathologic

2005USK 12PC, Steam Deck verified87 % positive12.99 €

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.

  • Resources and survival
  • Post-apocalyptic setting
  • Lore and world history
  • Dread and tension
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More in these topics: Story-driven games Games with unique art styles Survival games Horror games

In short: Games like Pathologic

Each of these 10 games shares something of what makes Pathologic 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

89 %Match

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

Fits your focus: Combat like Pathologic, Systems like Pathologic and Look like Pathologic.

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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Similar games →

Alone in the Dark

  • Combat like Pathologic
  • Systems like Pathologic

A pioneer of survival horror: you explore a cursed 1920s mansion, solve puzzles and fight sparingly against monsters. Its 3D characters on pre-rendered backdrops and menacing mood shaped the entire genre.

S.T.A.L.K.E.R.: Clear Sky

  • Systems like Pathologic

A brutal, atmospheric shooter set in the Chernobyl Zone, where faction wars, deadly anomalies and blowouts make survival a constant struggle. This prequel to Shadow of Chernobyl leans harder into faction warfare and tough firefights.

Resident Evil

  • Combat like Pathologic
  • Systems like Pathologic

The survival horror blueprint: scarce ammo, tight inventory and interlocking puzzles in a zombie-infested mansion, with fixed camera angles building constant dread and a campy charm.

Crow Country

  • Combat like Pathologic
  • Systems like Pathologic

A retro-styled survival horror game set in an abandoned theme park, mixing puzzle solving, careful resource management and tense exploration. Its low-poly look and moody atmosphere recall classics like Resident Evil and Silent Hill.

S.T.A.L.K.E.R.: Call of Pripyat

  • Systems like Pathologic

An atmospheric survival shooter set in the Zone around Pripyat, where you dodge anomalies, hunt artifacts and fight mutants and rival stalker factions. Its open hubs, consequential side quests and oppressive mood make it a cult classic.

The Final Station

  • Combat like Pathologic
  • Systems like Pathologic

An atmospheric 2D side-scroller where you ride a train through a collapsing world, scavenge stations for supplies, fight off the infected, and keep your passengers alive. The shift between tense, ammo-scarce station raids and quiet train upkeep creates a bleak, oppressive mood.

System Shock

  • Systems like Pathologic
  • Look like Pathologic

This remake of the cult classic leaves you alone on the Citadel space station, ruled by the deranged AI SHODAN. You explore sprawling interconnected levels, fight to survive, solve puzzles and piece together the story through audio logs in a bleak cyberpunk atmosphere.

S.T.A.L.K.E.R. 2: Heart of Chornobyl

  • Systems like Pathologic

A punishing survival shooter set in the Chornobyl Exclusion Zone, where deadly anomalies, mutants and rival factions wait around every corner. You scavenge for gear, hunt rare artifacts and make decisions that shape the story, all wrapped in a thick, oppressive atmosphere.

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