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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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10 games with a similar feel, sorted by match · How is this calculated?

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Best match

The Final Station

81 %Match

2016USK 12PC, PlayStation, Xbox, Nintendo Switch, Steam Deck playable88 % positive−75 % 14.79 € 3.69 €

Brings what grabs you about Pathologic: a post-apocalyptic setting, scarce resources and survival as well as dread and tension.

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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Similar games →

I Am Alive

Resources and survival

A grim survival adventure set in a dust-shrouded ruined city where limited stamina, scarce resources and risky climbing define the experience. Instead of constant gunplay it relies on bluffing with an empty weapon and tension while searching for the hero's family.

Rain World

Resources and survival

You play a small slugcat in a decaying, unforgiving ecosystem, hunting for food and evading predators before the deadly rain arrives. The simulated wildlife, enigmatic world and steep difficulty make every escape feel unique.

Shinsekai: Into the Depths

Resources and survival

As a lone aquanaut you explore a flooded, ice-covered ocean world that has swallowed your home, following a mysterious mechanical creature ever deeper. Its atmosphere and the slow discovery of what remains of humanity are the heart of the experience.

In Sound Mind

Emotional impact

A first-person psychological horror where you dive into the nightmares and memories of a therapist's patients. Inventive environmental puzzles, unusual boss fights and a standout original soundtrack define the experience.

Deadlight

Resources and survival

A gloomy 2.5D platformer set in zombie-ridden 1980s Seattle, where you run, climb and fight to survive while searching for your family as Randall Wayne. Comic-style cutscenes and a silhouette look give it an oppressive, cinematic mood.

Love Eternal

Dark, serious atmosphere

A psychological horror platformer set in a castle made of bitter memories. Devious trials and an unsettling, experimental narrative drive the journey to escape.

Prototype

Open world

As shapeshifting mutant Alex Mercer, you rampage through a virus-ravaged Manhattan, running up skyscrapers and tearing apart soldiers and monsters with grotesque bio-weapons. Consuming victims lets you steal their forms and memories, slowly piecing together the conspiracy behind your own existence.

Shadow Man Remastered

Lore and world history

As Mike LeRoi, possessed by voodoo power, you move between the world of the living and the land of the dead, hunting serial killers to stop an apocalypse. The remaster brings back this dark, sprawling 90s-style shooter-platformer with sharper visuals.

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