Rank 01Why this
Shares environmental storytelling and branching narrative with Pathologic 3.
- Free
- Deck Playable
- 2025
Games like Pathologic 3
- 33 games
- Updated Oct 4, 2026
Players who liked Pathologic 3 also play
The closest matches to Pathologic 3: Pathologic 3: Quarantine, Pathologic 2, Dead Take, Static Dread: The Lighthouse, and SILENT HILL 2. Ranked by imho.run from Steam co-play data, shared tags and reviews.
- Rank 01
Rank 02Why this
Also Detective and Surreal, like Pathologic 3.
- $6.99 (Price checked Oct 4)
- Deck Verified
- 2019
Rank 03
Rank 04 
Rank 05 
SILENT HILL 2
Why this: Shares environmental storytelling and puzzle solving with Pathologic 3.
Rank 06 
Disco Elysium - The Final Cut
Why this: Shares branching narrative with Pathologic 3.
Rank 07 
Visage
Why this: Also Surreal and Survival Horror, like Pathologic 3.
Rank 08 
Resident Evil
Why this: Shares puzzle solving and resource management with Pathologic 3.
The full ranked list: top 24 games like Pathologic 3
Best match first, as plain text. The same list for AI assistants:
- 1Pathologic 3: Quarantine
Shares environmental storytelling and branching narrative with Pathologic 3.
- 90% of 567 reviews
- 2
- 3Dead Take
Shares environmental storytelling and hidden collectibles with Pathologic 3.
- 89% of 556 reviews
- 4
- 5SILENT HILL 2
Shares environmental storytelling and puzzle solving with Pathologic 3.
- 95% of 22,316 reviews
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15The Infectious Madness of Doctor Dekker
Also Detective and Psychological, like Pathologic 3.
- 83% of 453 reviews
- 16
- 17No, I'm not a Human
Shares branching narrative and dialogue choices with Pathologic 3.
- 93% of 8,691 reviews
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- Released: 2026
- Developer: Ice-Pick Lodge
- Price: $22.74−35%checked Oct 4
- Steam Deck: Deck Playable
- 87% of 994 reviews
- Genres: Indie, Adventure, Simulation, RPG
- Metacritic 79
- Platforms: Windows
Players highlight
- Atmospheric town of gorkhon and its memorableverbose characters
- Complex branching narrative with meaningful choices and multiple endings
- Deep literary writing and unique worldbuilding unlike any other series
- Atmospheric
- Contemplative
- Dark
More games like Pathologic 3, sliced differently
Cheaper alternatives
Games in the same vein priced at least 40% below Pathologic 3 at current Steam store prices.
Below, Rusted Gods
Why this: Shares environmental storytelling and dialogue choices with Pathologic 3.
Amnesia: The Dark Descent
Why this: Shares puzzle solving and resource management with Pathologic 3.
Heaven Does Not Respond
Why this: Shares environmental storytelling and hidden collectibles with Pathologic 3.
Subliminal
Why this: Shares environmental storytelling and branching narrative with Pathologic 3.
Lone Survivor: The Director's Cut
Why this: Shares multiple endings with Pathologic 3.
Darkwood
Why this: Same atmospheric mood as Pathologic 3.
The Infectious Madness of Doctor Dekker
Why this: Also Detective and Psychological, like Pathologic 3.
Those Who Remain
Why this: Shares puzzle solving with Pathologic 3.
Free alternatives
Free games the recommender matches to Pathologic 3, limited to titles with at least 500 Steam reviews and 80% positive.
POSTAL
Why this: Also Psychological and Surreal, like Pathologic 3.
Cry of Fear
Why this: Also Psychological and Survival Horror, like Pathologic 3.
The Test: Secrets of the Soul
Why this: Also Detective and Psychological, like Pathologic 3.
SCP – Containment Breach
Why this: Shares environmental storytelling and resource management with Pathologic 3.
Blameless
Why this: Shares dialogue choices with Pathologic 3.
Close Your Eyes [Old Version]
Why this: Shares multiple endings and puzzle solving with Pathologic 3.
Hello Neighbor Alpha 1
Why this: Also Detective and Surreal, like Pathologic 3.
Plays great on Steam Deck
Valve-Verified or Playable picks from the similar pool — ready to go on Deck out of the box.
Pathologic 2
Why this: Also Detective and Surreal, like Pathologic 3.
Dead Take
Why this: Shares environmental storytelling and hidden collectibles with Pathologic 3.
Static Dread: The Lighthouse
Why this: Shares environmental storytelling and branching narrative with Pathologic 3.
Disco Elysium - The Final Cut
Why this: Shares branching narrative with Pathologic 3.
Resident Evil
Why this: Shares puzzle solving and resource management with Pathologic 3.
More from Ice-Pick Lodge
Other recommendable Steam games by Ice-Pick Lodge, ranked by review count so the studio's hits land first.
Knock-knock
Why this: Same atmospheric mood as Pathologic 3.
The Void
Why this: Shares resource management with Pathologic 3.
About Pathologic 3
The closest matches to Pathologic 3: Pathologic 3: Quarantine, Pathologic 2, Dead Take, Static Dread: The Lighthouse, and SILENT HILL 2. Ranked by imho.run from Steam co-play data, shared tags and reviews.
If Pathologic 3 is your kind of game, the closest matches are Pathologic 3: Quarantine, Pathologic 2 and Dead Take — picked from the ranked list below. Reviewers describe it as atmospheric, contemplative and dark, and single out its backtracking and branching narrative. Each pick is ranked by what players of this game also play, shared genres and tags, and review-mined similarity — not a generic popularity list.
About Pathologic 3: In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.
Is Pathologic 3 worth buying?
Players recommend it
A summary of what players say, not a promise you'll like it. Every signal is listed below.
- 87% of 994 Steam reviews are positive.
- We don't track this game's daily reviews yet, so this is the all-time picture.
- On sale: 35% off, now $22.74 (checked Oct 7).
- People who recommend it had played a median of 50 h when they wrote their review.
- Critics had played a median of 21 h before turning negative, so complaints are about the long run, not the first hours.
- Steam Deck Playable: works, with some rough edges.
What fans praise · Themes mined from positive reviews
- Atmospheric town of gorkhon and its memorableverbose characters
- Complex branching narrative with meaningful choices and multiple endings
- Deep literary writing and unique worldbuilding unlike any other series
- Districts reflect protagonists detached perspective
Top critical reviews
The most up-voted negative English reviews in our sample, quoted as written.
“I really wish I could recommend this... But the game's approach to updating the mechanics from Patho2 really plays to the detriment, and the entire thing feels like an amateur fan fiction. Original and part 2 were really flawed, but were…”
“The game has fundamental issues which cannot be patched out and the translation is very bad. It's the worst game in the trilogy.”
People who play it also play: Pathologic 3: Quarantine, Pathologic 2, Dead Take
Frequently asked about Pathologic 3
Can I run it?
Does Pathologic 3 run on Steam Deck?
Pathologic 3 is rated Playable on Steam Deck — it runs, but expect some manual adjustments (control remapping, text size, or graphics settings) for the best experience.
How much does Pathologic 3 cost?
Pathologic 3 is listed on Steam at 22.74 USD (current store price; Steam sales may reduce this temporarily).
What games are most similar to Pathologic 3?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Pathologic 3 are Pathologic 3: Quarantine, Pathologic 2, Dead Take.
Who developed Pathologic 3?
Pathologic 3 was developed by Ice-Pick Lodge and published by HypeTrain Digital.