IMHO.

Games like Pathologic 3

If Pathologic 3 is your kind of game, the closest matches are Pathologic 3: Quarantine, Pathologic 2 and Agent of Strange — picked from the ranked list below. Reviewers single out its atmospheric, contemplative and dark. 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.

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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.

2026IndieAdventureSimulationRPG26.24 USDMetacritic 79Windowsby Ice-Pick Lodge
Pathologic 3 — Steam game cover
Players highlight
Atmospheric town of gorkhon and its memorableverbose charactersComplex branching narrative with meaningful choices and multiple endingsDeep literary writing and unique worldbuilding unlike any other seriesAtmosphericContemplativeDark

Players who liked Pathologic 3 also play

Steam players who put hours into Pathologic 3 also tend to own these titles — a signal called collaborative filtering. imho.run cross-references millions of library ownership patterns to surface games whose real audiences overlap, regardless of whether their genre tags match.

  1. Pathologic 3: Quarantine

    WHY THIS

    Shares environmental storytelling, branching narrative and atmospheric with Pathologic 3.

    Top pick for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    In this free prologue to a narrative-driven adventure, watch a mysterious plague break out in a small town. Learn what drove a celebrated academic to leave his acclaimed lab. Examine patients, uncover strange secrets, and make first steps towards immortality.

    2025IndieAdventureSimulationFreeDeck PlayableSteam ↗
  2. Pathologic 2

    WHY THIS

    Shares a grim mood with Pathologic 3.

    Second-strongest match for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

    2019IndieAdventureRPG6.99 USDDeck VerifiedSteam ↗
  3. Agent of Strange

    WHY THIS

    Third-strongest match for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    Agent of Strange is a dark role-playing thriller where every mission is a labyrinth of choices and possibilities. You play as a Conspirator who infiltrates a sealed city ruled by the monstrous Family. Overthrow the regime, uncover occult secrets, and shape the City's fate.

    ActionStrategyIndieSteam ↗
  4. System Says Normal

    WHY THIS

    Ranked #4 for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    You were hired to watch. Not to ask questions. Night shift. Corporate building. Cameras, reports, anomalies. Your predecessor left no final report. Now you're going to find out why. Please proceed.

    2026IndieAdventureSteam ↗
  5. Agent of Strange: Arrival

    WHY THIS

    Ranked #5 for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    The prologue to Agent of Strange — a dark role-playing thriller where every mission is a labyrinth of choices and possibilities. Start your path as a Conspirator in a desperate struggle against the secret occult regime.

    IndieAdventureRPGFreeSteam ↗
  6. The Horrorscope: Fatal Awakening

    WHY THIS

    Ranked #6 for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Simulation and RPG with Pathologic 3.

    You will answer a series of questions that will reveal your potential fate. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Horrorscope, and if you do, are you sure you want the answers you seek?

    2020SimulationRPGCasual1.99 USDSteam ↗
  7. The Alley

    WHY THIS

    Ranked #7 for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 3.

    A first-person psychological horror game. Explore a maze-like alleyway, using your camera to distinguish between supernatural "Ghost Traces" and deceptive "Ghost Feints" while escaping the relentless pursuit of a vengeful ghost.

    2026IndieAdventureSimulationSteam ↗
  8. Route8

    WHY THIS

    Ranked #8 for Pathologic 3 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with Pathologic 3.

    "You're lost on Route 8. You must find a way to escape. This eerie road is terrifying.""Night falls, the phone rings. Who are you? You find yourself driving along Route 8, repeating endlessly."

    2024IndieSimulation2.99 USDSteam ↗

Cheaper alternatives

Games in the same vein priced at least 40% below Pathologic 3 at current Steam store prices.

  1. Terraria

    WHY THIS

    Priced ~62% under Pathologic 3 on Steam right now. Shares Indie and Adventure with Pathologic 3.

    Dig, fight, explore, build! Nothing is impossible in this action-packed adventure game. Four Pack also available!

    2011ActionIndieAdventure9.99 USDDeck VerifiedSteam ↗
  2. Garry's Mod

    WHY THIS

    Priced ~81% under Pathologic 3 on Steam right now. Shares Indie and Simulation with Pathologic 3.

    Garry's Mod is a physics sandbox. There aren't any predefined aims or goals. We give you the tools and leave you to play.

    2006IndieSimulationCasual4.99 USDDeck PlayableSteam ↗
  3. Stardew Valley

    WHY THIS

    Priced ~43% under Pathologic 3 on Steam right now. Shares Indie and Simulation with Pathologic 3.

    You've inherited your grandfather's old farm plot in Stardew Valley. Armed with hand-me-down tools and a few coins, you set out to begin your new life. Can you learn to live off the land and turn these overgrown fields into a thriving home?

    2016IndieSimulationRPG14.99 USDDeck VerifiedSteam ↗
  4. Lethal Company

    WHY THIS

    Priced ~62% under Pathologic 3 on Steam right now. Shares Indie and Adventure with Pathologic 3.

    A co-op horror about scavenging at abandoned moons to sell scrap to the Company.

    2023ActionIndieAdventure9.99 USDDeck PlayableSteam ↗
  5. Hollow Knight

    WHY THIS

    Priced ~43% under Pathologic 3 on Steam right now. Shares Indie and Adventure with Pathologic 3.

    Forge your own path in Hollow Knight! An epic action adventure through a vast ruined kingdom of insects and heroes. Explore twisting caverns, battle tainted creatures and befriend bizarre bugs, all in a classic, hand-drawn 2D style.

    2017ActionIndieAdventure14.99 USDDeck VerifiedSteam ↗
  6. People Playground

    WHY THIS

    Priced ~62% under Pathologic 3 on Steam right now. Shares Indie and Simulation with Pathologic 3.

    Shoot, stab, burn, poison, tear, vaporise, or crush ragdolls in a large open space.

    2019ActionIndieSimulation9.99 USDDeck PlayableSteam ↗
  7. Portal 2

    WHY THIS

    Priced ~62% under Pathologic 3 on Steam right now. Shares Adventure with Pathologic 3.

    The "Perpetual Testing Initiative" has been expanded to allow you to design co-op puzzles for you and your friends!

    2011ActionAdventure9.99 USDDeck VerifiedSteam ↗
  8. Fallout: New Vegas

    WHY THIS

    Priced ~62% under Pathologic 3 on Steam right now. Shares RPG with Pathologic 3.

    Welcome to Vegas. New Vegas. Enjoy your stay!

    2010ActionRPG9.99 USDDeck PlayableSteam ↗

Free alternatives

Free-to-play games that recommended players of this title also tend to enjoy.

  1. Doki Doki Literature Club!

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with Pathologic 3.

    The Literature Club is full of cute girls! Will you write the way into their heart? This game is not suitable for children or those who are easily disturbed.

    2017IndieFree To PlayCasualFreeDeck PlayableSteam ↗
  2. Life is Strange - Episode 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Adventure with Pathologic 3.

    Episode 1 now FREE! Life is Strange is an award-winning and critically acclaimed episodic adventure game that allows the player to rewind time and affect the past, present and future.

    2015ActionAdventureFreeDeck PlayableSteam ↗
  3. Ultimate Custom Night

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with Pathologic 3.

    Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!

    2018ActionIndieFree To PlayFreeSteam ↗
  4. ENA: Dream BBQ

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with Pathologic 3.

    Experience surreal environments and inexplicable characters as ENA in a new wild world.

    2025IndieAdventureFreeDeck VerifiedSteam ↗
  5. The Murder of Sonic the Hedgehog

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Simulation with Pathologic 3.

    Sonic the Hedgehog...was murdered!? Get to the bottom of the mystery in this brand-new adventure!

    2023IndieSimulationFree To PlayFreeDeck PlayableSteam ↗
  6. Indigo Park: Chapter 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with Pathologic 3.

    Explore the abandoned childhood wonder of Indigo Park! Guided by Rambley the Raccoon, help restore power to the destroyed amusement park while you run from the reason it shut down.

    2024ActionIndieAdventureFreeDeck PlayableSteam ↗
  7. The Looker

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with Pathologic 3.

    You wake up, alone, on a strangely familiar island full of puzzles that will frustrate and annoy you.

    2022IndieFreeDeck PlayableSteam ↗
  8. missed messages.

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Simulation with Pathologic 3.

    ‘goth gf’s iPhone’ airdrops you - accept or decline? A love/horror story about life, death, & memes.

    2019IndieSimulationFree To PlayFreeDeck PlayableSteam ↗

More from Ice-Pick Lodge

Other recommendable Steam games by Ice-Pick Lodge, ranked by review count so the studio's hits land first.

  1. Pathologic 2

    WHY THIS

    Shares a grim mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Indie and Adventure with Pathologic 3.

    Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

    2019IndieAdventureRPG6.99 USDDeck VerifiedSteam ↗
  2. Pathologic Classic HD

    WHY THIS

    Shares an atmospheric mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Indie and Adventure with Pathologic 3.

    Pathologic Classic HD is the Definitive Edition of the original Cult Classic Psychological First-Person Survival game. In this unforgettable experience, players control one of three unique characters as they try to save a mysterious town from a deadly plague that cannot be stopped.

    2015ActionIndieAdventure12.99 USDDeck VerifiedSteam ↗
  3. Knock-knock

    WHY THIS

    Shares an atmospheric mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Adventure with Pathologic 3.

    There is an unusual cabin deep in the woods. It had served as a laboratory and a dwelling for three generations of Lodgers.But as of late the latest Lodger has been noticing weird changes in familiar surroundings; things are missing, noises and rattle heard. Something odd is coming out of the woods.

    2013AdventureCasual9.99 USDSteam ↗
  4. The Void

    WHY THIS

    Shares resource management and an atmospheric mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Adventure with Pathologic 3.

    Only brought to life by scarce sparks of Color, the bleak, grey Void is a peculiar place. The player gets to explore it, get to know the Sisters, Brothers, and other weird creatures inhabiting it, and learn the ways of Color, harvesting it and drawing sigils that change the world around them.

    2009ActionAdventure9.99 USDSteam ↗
  5. Know by heart

    WHY THIS

    Shares an atmospheric mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Indie and Adventure with Pathologic 3.

    Childhood friends reunite after spending a long time apart, revisiting old memories and rekindling their friendship. However, something beyond their control will ruin this reunion.

    2022IndieAdventureCasual19.99 USDDeck VerifiedSteam ↗
  6. Cargo! The Quest for Gravity

    WHY THIS

    Shares an atmospheric mood with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Adventure and Simulation with Pathologic 3.

    Create crazy, yet functional, custom vehicles to solve missions with your own unique style!

    2011ActionAdventureSimulation9.99 USDSteam ↗
  7. Pathologic 3: Quarantine

    WHY THIS

    Shares environmental storytelling, branching narrative and atmospheric with Pathologic 3.

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Indie and Adventure with Pathologic 3.

    In this free prologue to a narrative-driven adventure, watch a mysterious plague break out in a small town. Learn what drove a celebrated academic to leave his acclaimed lab. Examine patients, uncover strange secrets, and make first steps towards immortality.

    2025IndieAdventureSimulationFreeDeck PlayableSteam ↗
  8. Darkwood 2

    WHY THIS

    Another title from Ice-Pick Lodge, the studio behind Pathologic 3. Shares Adventure and RPG with Pathologic 3.

    Roam freely around the scorched deserts of a dying sea as you secure resources and explore the mysteries of Darkwood. But beware nightfall – seek shelter, shore up your defenses, and pray for the morning light as the horrors of the world hunt the ill-prepared.

    ActionStrategyAdventureSteam ↗

Frequently asked about Pathologic 3

How much does Pathologic 3 cost?
Pathologic 3 is listed on Steam at 26.24 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, Agent of Strange.
Who developed Pathologic 3?
Pathologic 3 was developed by Ice-Pick Lodge and published by HypeTrain Digital.

imho.run ranks Steam game alternatives using a mix of collaborative filtering (ALS / iALS / EASE / LightGCN), content scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted vibes mined from review text. The page above is generated in seed mode anchored on Pathologic 3.

For library-aware picks tuned to your specific taste, sign in with Steam on the home page.