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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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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

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

93 %Match

2008USK 18PC, PlayStation, Xbox, Nintendo Switch85 % positive19.99 €

Fits your focus: 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.

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Similar games →

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 Long Dark

  • 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.

Metro Exodus

  • Systems like Pathologic

Artyom and his companions ride the Aurora steam train across an irradiated Russia, travelling through every season of the year. The journey blends scarce ammo, improvised weapons and tense survival horror with wide sandbox areas to explore.

Amnesia: The Bunker

  • Systems like Pathologic

A first-person horror game in a WW1 bunker where you survive with scarce resources, a hand-cranked light and an unpredictable monster stalking you. The semi-open, systemic layout lets you improvise routes, hiding spots and puzzle solutions.

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.

Crow Country

  • 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.

Days Gone

  • Systems like Pathologic

As biker Deacon St. John you roam a Freaker-infested Oregon, maintaining your motorcycle and surviving massive hordes that flood entire valleys. A gritty, emotional story about loss and loyalty set in a tense open world.

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.

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