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Cover of Pathologic

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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

Crow Country

88 %Match

2024USK 16PC, PlayStation, Xbox, Nintendo Switch, Steam Deck verified97 % positive19.50 €

Fits your focus: Look like Pathologic and 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.

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The Long Dark

  • Look like Pathologic
  • Systems 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.

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.

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.

Alone in the Dark

  • Look 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.

Resident Evil

  • Look 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.

System Shock

  • Look like Pathologic
  • Systems 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.

The Final Station

  • 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.

Derelikt

  • Look like Pathologic
  • Systems like Pathologic

A retro horror shooter with a PS1 look set on a space station orbiting Saturn. You explore dark corridors, manage your inventory, solve puzzles, talk to many NPCs and fight eldritch horrors.

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