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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.

Similar in what way?

0 of 3

Up to three areas count more, the rest steps back.

Not for me High difficulty

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 Allow all again

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

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Best match

Metro Exodus

85 %Match

2019USK 18PC, PlayStation, Xbox, Steam Deck playable89 % positive29.99 €

Delivers what excites you about Pathologic: a post-apocalyptic setting, scarce resources and survival as well as a deep world history.

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.

Where to buy

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Similar games →

Amnesia: The Bunker

Dark, serious atmosphere

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.

Crow Country

Dark, serious atmosphere

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

Post-apocalyptic setting

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.

Chernobylite

Post-apocalyptic setting

A bleak survival horror adventure set in a photogrammetry-recreated Chernobyl Exclusion Zone, where a physicist hunts for his vanished fiancée. You scavenge zones, build up a base, recruit companions and plan toward a final heist, with choices you can even rewrite reshaping the story.

The Sinking City

Lore and world history

As a 1920s private eye in the half-drowned town of Oakmont, you solve eerie cases by reconstructing crime scenes and drawing your own conclusions, with little hand-holding, in a Lovecraftian nightmare. Thick atmosphere and morally grey decisions carry the game, while the combat is serviceable rather than great.

The Suffering

Dark, serious atmosphere

As death-row inmate Torque, you fight through a maximum-security prison overrun by monstrous creatures and hallucinations. A grim third-person horror shooter where your moral choices shape Torque's fate and the ending.

Resident Evil 2

Post-apocalyptic setting

The survival horror classic sends Leon and Claire through zombie-infested Raccoon City, where scarce ammo, inventory management, puzzles and fixed camera angles keep tension high. Two intertwined scenarios reward multiple playthroughs.

The Final Station

Post-apocalyptic setting

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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