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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

The Long Dark

86 %Match

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

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

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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Dread and tension

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This War of Mine

Emotional impact

Instead of soldiers, you guide a group of civilians through a besieged city, maintaining your shelter by day and scavenging dangerous ruins by night. Harsh moral dilemmas between survival and humanity make it a haunting, unforgettable experience.

Frostpunk

Choices with consequences

Lead the last city on a frozen, steam-powered Earth, juggling heat, coal and food while signing laws that test your morals. A bleak, tense city-builder where survival constantly clashes with humanity.

The Final Station

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.

System Shock

Dread and tension

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.

No, I'm Not A Human

Choices with consequences

You are holed up at home while a disaster reshapes the world, and you must decide whom to let in each night, since not every visitor is human. A tense game of observation, paranoia and consequential decisions.

Cataclysm: Dark Days Ahead

Dense, handcrafted world

An enormously deep open-source survival roguelike in a post-apocalyptic New England where you juggle hunger, illness and zombies, build vehicles and shelters, and carve out your own goals with no fixed objective.

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