"You have 12 days to save a town that wants to die."
Updates & Events
Pathologic 3 - 20% OFF on Steam
Pathologic 3 is currently featured on the Steam store!
About
Step into the shoes of Daniil Dankovsky, a physician granted absolute dictatorial authority to combat a mysterious plague in a surreal, isolated town. In this grueling narrative simulation, you must navigate a decaying society, enforce ruthless ordinances, and manage your own unraveling sanity while time marches relentlessly toward an inevitable end.
Story
As 'The Bachelor,' a man of science in a town of ritual, you arrive to battle the Sand Pest. Over 12 harrowing days, the town visibly degrades around you. You must uncover the source of the disease and develop a vaccine, all while navigating political intrigue and deciding which districts—and people—deserve to be saved.
Gameplay
A unique blend of first-person exploration, deep medical simulation, and resource management. Instead of hunger, you battle a volatile mental state oscillating between apathy and mania. You will diagnose patients, conduct autopsies, issue town-wide decrees, and utilize a costly time-rewind mechanic to rewrite catastrophic failures.
Key Features
- 1Time-Loop Mechanics
- 2Mental State Management
- 3Ordinance System
- 4Deep Medical Simulation
- 512-Day Real-Time Limit
- 6Dynamic Town Decay
- 7Akira Yamaoka Soundtrack
- 8Non-linear Narrative
Highlights
Pros & Cons
Pros
- +Unparalleled oppressive atmosphere
- +Deeply complex moral dilemmas
- +Innovative 'sanity' mechanics replacing hunger
- +Haunting score by Akira Yamaoka
- +Rewind mechanic adds strategic depth
Cons
- -Intentionally punishing difficulty
- -Bleak tone may be overwhelming
- -Complex systems require patience
Game Ratings
Suffocatingly immersive and surreal
Unforgiving resource management
Philosophical, dense, and reactive
Industrial horror meets abstract audio
Choices shape the town's fate
Who Will Enjoy This?
Players who love difficult, philosophical stories
Those who enjoy min-maxing crisis management
Fans of surrealism and psychological horror
Similar To
World & Tone
Pathologic 2
match
Psychological Depth
Disco Elysium
match
Surreal Horror
Silent Hill 2
match
đź’ˇ Did You Know?
Features a soundtrack collaboration with legendary Silent Hill composer Akira Yamaoka
The protagonist, 'The Bachelor,' represents cold scientific rationality vs. local tradition
Includes a 'rewind' mechanic, a major departure from the series' strictly linear time
Based on the 'Deep Game Manifesto' which questions the very concept of fun
Allows you to issue town ordinances like quarantines and curfews
Latest Updates & Events
Pathologic 3 - 20% OFF on Steam
Pathologic 3 is currently featured on the Steam store!
“A doctor simulator who was given dictatorial powers to fight the plague in a small town.”— Ice-Pick Lodge
“Vicious, painful, and mesmerising.”— StartMenu (re: Quarantine)
Game Ratings
Suffocatingly immersive and surreal
Unforgiving resource management
Philosophical, dense, and reactive
Industrial horror meets abstract audio
Choices shape the town's fate
Who Will Enjoy This?
Players who love difficult, philosophical stories
Those who enjoy min-maxing crisis management
Fans of surrealism and psychological horror
Similar To
đź’ˇ Did You Know?
Features a soundtrack collaboration with legendary Silent Hill composer Akira Yamaoka
The protagonist, 'The Bachelor,' represents cold scientific rationality vs. local tradition
Includes a 'rewind' mechanic, a major departure from the series' strictly linear time
Based on the 'Deep Game Manifesto' which questions the very concept of fun
Allows you to issue town ordinances like quarantines and curfews
Latest Updates & Events
Pathologic 3 - 20% OFF on Steam
Pathologic 3 is currently featured on the Steam store!
Timeline
The Doctor's Duties
- •Inspect bodies and question patients
- •Identify symptom combinations
- •Formulate differential diagnoses
- •Create vaccines from scarce resources
- •Enact emergency laws to control riots
The Price of Power
Unlike previous entries where you were an outcast, Pathologic 3 gives you power. You can rewind time to fix mistakes, but at a cost. You can lock down districts, but it may cause riots. The horror comes not from helplessness, but from the weight of responsibility.
Game Details
- Developer
- Ice-Pick Lodge
- Publisher
- HypeTrain Digital
- Platforms
- PC
- Genres
- Adventure, RPG +2
- Atmosphere
- intense