Rank 01Why this
Shares difficulty scaling and permadeath with Pathogenic.
- $9.99 (Price checked Nov 3)
- Deck Verified
- 2026
Games like Pathogenic
- 30 games
- Updated Nov 3, 2026
Players who liked Pathogenic also play
The closest matches to Pathogenic: Everything is Crab: The Animal Evolution Roguelite, Enter the Gungeon, BlazBlue Entropy Effect, Nuclear Throne, and Identifile: Desktop Dungeon. Ranked by imho.run from Steam co-play data, shared tags and reviews.
- Rank 01
Rank 02Why this
Shares bullet hell and procedural generation with Pathogenic.
- $14.99 (Price checked Nov 3)
- Deck Verified
- 2016
Rank 03Why this
Shares combo based combat and replayability with Pathogenic.
- $19.99 (Price checked Nov 3)
- Deck Verified
- 2024
Rank 04 
Nuclear Throne
Why this: Shares twin stick shooting with Pathogenic.
Rank 05 
Identifile: Desktop Dungeon
Why this: Shares bullet hell and difficulty scaling with Pathogenic.
Rank 06 
Windowkill
Why this: Shares twin stick shooting and permadeath with Pathogenic.
Rank 07 
Ascend to ZERO
Why this: Also Perma Death and Bullet Hell, like Pathogenic.
Rank 08 
Zombie Party
Why this: Shares loot collection and twin stick shooting with Pathogenic.
The full ranked list: top 24 games like Pathogenic
Best match first, as plain text. The same list for AI assistants:
- 1Everything is Crab: The Animal Evolution Roguelite
Shares difficulty scaling and permadeath with Pathogenic.
- 76% of 6,148 reviews
- 2
- 3BlazBlue Entropy Effect
Shares combo based combat and replayability with Pathogenic.
- 95% of 4,408 reviews
- 4
- 5Identifile: Desktop Dungeon
Shares bullet hell and difficulty scaling with Pathogenic.
- 94% of 87 reviews
- 6
- 7
- 8
- 9
- 10Deadzone: Rogue
Shares difficulty scaling and roguelite progression with Pathogenic.
- 90% of 7,660 reviews
- 11
- 12
- 13Doomsday Hunters
Shares roguelite progression and meta progression with Pathogenic.
- 89% of 472 reviews
- 14Survivors of the Dawn
Shares twin stick shooting and combo based combat with Pathogenic.
- 76% of 349 reviews
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23Jotunnslayer: Hordes of Hel
Shares weapon upgrades and difficulty scaling with Pathogenic.
- 85% of 2,857 reviews
- 24
- Released: 2026
- Developer: Aberrant Labs
- Price: $9.99checked Nov 3
- Steam Deck: Deck Verified
- 95% of 2,077 reviews
- Genres: Action, Indie, Simulation, RPG
- Platforms: Windows, macOS, Linux
Players highlight
- Addictive one more run roguelite loop
- Different playable pathogens with distinct playstyles
- Good soundtrack especially liver bgm
- Atmospheric
- Competitive
- Immersive
More games like Pathogenic, sliced differently
Cheaper alternatives
Games in the same vein priced at least 40% below Pathogenic at current Steam store prices.
Scrappage
Why this: Shares bullet hell and twin stick shooting with Pathogenic.
Deadzoned
Why this: Shares permadeath and build variety with Pathogenic.
Pixel Descent
Why this: Also Dungeon Crawler and Bullet Hell, like Pathogenic.
Angelstruck
Why this: Also Twin Stick Shooter and Bullet Hell, like Pathogenic.
Voidigo
Why this: Shares weapon upgrades and roguelite progression with Pathogenic.
Striving for Light: Survival
Why this: Shares bullet hell and permadeath with Pathogenic.
REPLIKATOR
Why this: Shares twin stick shooting and procedural generation with Pathogenic.
The Binding of Isaac
Why this: Shares boss fights and procedural generation with Pathogenic.
Free alternatives
Free games the recommender matches to Pathogenic, limited to titles with at least 500 Steam reviews and 80% positive.
Evil Egg
Why this: Shares bullet hell and twin stick shooting with Pathogenic.
Bloody Hell
Why this: Also Twin Stick Shooter and Bullet Hell, like Pathogenic.
Halls of Torment: Prelude
Why this: Shares twin stick shooting and weapon upgrades with Pathogenic.
Realm of the Mad God Exalt
Why this: Shares permadeath and procedural generation with Pathogenic.
Gatekeeper: Infinity
Why this: Shares twin stick shooting and build variety with Pathogenic.
Waves
Why this: Shares twin stick shooting with Pathogenic.
Plays great on Steam Deck
Valve-Verified or Playable picks from the similar pool — ready to go on Deck out of the box.
Everything is Crab: The Animal Evolution Roguelite
Why this: Shares difficulty scaling and permadeath with Pathogenic.
Enter the Gungeon
Why this: Shares bullet hell and procedural generation with Pathogenic.
BlazBlue Entropy Effect
Why this: Shares combo based combat and replayability with Pathogenic.
Nuclear Throne
Why this: Shares twin stick shooting with Pathogenic.
Windowkill
Why this: Shares twin stick shooting and permadeath with Pathogenic.
Zombie Party
Why this: Shares loot collection and twin stick shooting with Pathogenic.
About Pathogenic
The closest matches to Pathogenic: Everything is Crab: The Animal Evolution Roguelite, Enter the Gungeon, BlazBlue Entropy Effect, Nuclear Throne, and Identifile: Desktop Dungeon. Ranked by imho.run from Steam co-play data, shared tags and reviews.
If Pathogenic is your kind of game, the closest matches are Everything is Crab: The Animal Evolution Roguelite, Enter the Gungeon and BlazBlue Entropy Effect — picked from the ranked list below. Reviewers describe it as atmospheric, competitive and immersive, and single out its boss fights and build variety. 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 Pathogenic: You are a disease. Infect the human body as a lone pathogen in this cellular roguelike shooter. Collect organelles to evolve your parasite in a microscopic arms race against your host's immune system. Conquer a beautiful, procedurally generated world of tiny proportions.
Is Pathogenic worth buying?
Players recommend it
A summary of what players say, not a promise you'll like it. Every signal is listed below.
- 95% of 2,077 Steam reviews are positive.
- Last 30 days: 94% positive across 598 new reviews, in line with its all-time score.
- Price: $9.99 (checked Nov 9).
- People who recommend it had played a median of 14 h when they wrote their review.
- Critics had played a median of 11 h before their negative review.
- Steam Deck Verified.
What fans praise · Themes mined from positive reviews
- Addictive one more run roguelite loop
- Different playable pathogens with distinct playstyles
- Good soundtrack especially liver bgm
- High build variety with 28 trillion seed possibilities
People who play it also play: Everything is Crab: The Animal Evolution Roguelite, Enter the Gungeon, BlazBlue Entropy Effect
Frequently asked about Pathogenic
Can I run it?
Is Pathogenic verified for Steam Deck?
Yes — Pathogenic is Steam Deck Verified, meaning Valve has confirmed it runs well on the Deck with full controller, text legibility, and default configuration support.
How much does Pathogenic cost?
Pathogenic is listed on Steam at 9.99 USD (current store price; Steam sales may reduce this temporarily).
Does Pathogenic have multiplayer or co-op?
Yes — Pathogenic supports multi-player play according to its Steam store listing (Multi-player, Shared/Split Screen Co-op, Co-op).
What games are most similar to Pathogenic?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Pathogenic are Everything is Crab: The Animal Evolution Roguelite, Enter the Gungeon, BlazBlue Entropy Effect.
Who developed Pathogenic?
Pathogenic was developed by Aberrant Labs and published by Slug Disco.