Games like 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.

Top 12 games similar to Pathologic 3
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Pathologic 2
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.
AdventureIndieRPG - 2

Pathologic 3: Quarantine
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.
AdventureFree To PlayIndie - 3

Visage
Visage is a first-person psychological horror game. Explore a mysterious ever-changing house in a slow-paced, atmospheric world that combines both uncannily comforting and horrifyingly realistic environments, and enjoy a genuinely terrifying experience.
ActionAdventureIndie - 4

Lone Survivor: The Director's Cut
In this original and adult psychological survival horror, the masked protagonist must escape from a city ravaged by disease, by any means necessary.
ActionAdventureIndie - 5

Darkwood
Darkwood - a new perspective on survival horror. Scavenge and explore a rich, ever-changing free-roam world by day, then hunker down in your hideout and pray for the morning light.
ActionAdventureRPG - 6

ROUTINE
ROUTINE is a First Person Sci-Fi Horror set on an abandoned lunar base designed around an 80s vision of the future. Explore and investigate your surroundings as you survive against unknown threats.
ActionAdventureIndie - 7

Dead Take
Find your missing friend. Uncover the secrets within. Brave a luxurious and haunting mansion in Dead Take, a first-person psychological horror crafted by Surgent Studios.
AdventureIndie - 8

The Sinking City Remastered
Powered by Unreal Engine 5, The Sinking City Remastered brings the eerie, atmospheric world of Oakmont back to life with enhanced gameplay and fully relit environments, perfect for both newcomers and returning players.
ActionAdventure - 9

Static Dread: The Lighthouse
Lovecraft meets Papers, Please. Play as a lighthouse keeper and guide ships safely into the harbor using your radio. Survive the presence of something impossible, and don’t let the shadows consume you!
ActionAdventureCasual - 10

The Infectious Madness of Doctor Dekker
YOU are a psychiatrist, trying to solve a murder whilst treating the unusual patients of the recently deceased Doctor Dekker. Type a question - patients reply in full screen video and have questions for you too but be careful what you say. Your words determine their eventual fates, and your own!
AdventureCasualIndie - 11

Rise of Insanity
In Rise of Insanity, as a doctor of psychology you will explore the darkest recesses of the human mind. Overcome your fear to find the truth behind the tragedy that has befallen your family.
AdventureIndieSimulation - 12

Tainted Grail: The Fall of Avalon
Step into a dark reimagination of Arthurian legends in this first person, open world RPG. Explore a world stuck in everlasting autumn, witness falling legends and make meaningful choices woven into a complex, branching storyline.
ActionAdventureIndie
About imho.run
imho.run is a Steam game recommender that combines collaborative filtering (ALS / iALS / EASE / LightGCN) with content-based scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted gameplay vibes from review text. The lists you see here are generated in seed mode — anchored on Pathologic 3— so they answer the question “what plays like this?” rather than “what fits my library?”
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