Games like Pathologic Classic HD
If Pathologic Classic HD is your kind of game, the closest matches are Pathologic 2, Den-Den: Tokyo Horror and The Void — picked from the ranked list below. Reviewers single out its haunting atmosphere, unique moral dilemmas and writing quality is exceptional. 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.
Get personalized picks →Pathologic Classic HD, developed by Ice-Pick Lodge with General Arcade and published by Good Shepherd Entertainment in 2015, is a first-person survival role-playing game. Players control one of three characters trying to save a plague-stricken town over a tightly timed twelve days, managing scarce resources while talking to townspeople and scavenging under constant time pressure. Multiple branching routes give each character a distinct perspective. The title carries a 76 Metacritic score and an 88% positive rating across 1,820 Steam reviews. Priced at 12.99 USD, it is single-player and Steam Deck Verified. Reviewers describe the atmosphere as dense and the design as punishing. Dialogue-driven problem-solving and moral choices drive the dark, story-rich experience.
About Pathologic Classic HD: 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.
Players who liked Pathologic Classic HD also play
Steam players who put hours into Pathologic Classic HD 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.
Pathologic 2
WHY THIS
Top pick for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic Classic HD.
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.
Den-Den: Tokyo Horror
WHY THIS
Second-strongest match for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic Classic HD.
Den-Den: Tokyo Horror is a J-horror RPG where events unfold in real-time. Survive eight hours in a city where every choice you make impacts the world around you. How many deaths will you be responsible for tonight?
The Void
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Third-strongest match for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Action and Adventure with Pathologic Classic HD.
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.
Darkwood
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Ranked #4 for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Action and Adventure with Pathologic Classic HD.
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.
Slender: The Arrival
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Ranked #5 for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Action and Indie with Pathologic Classic HD.
Slender Man returns more terrifying than ever. You're on your own. No one to help you. No one to hear you scream. Relive the horror all over again with cutting edge visuals for the 10th Anniversary Update and experience survival horror at its finest.
Call of Cthulhu®
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Ranked #6 for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Adventure and RPG with Pathologic Classic HD.
1924. Private Investigator Pierce is sent to look into the tragic death of the Hawkins family. Plunge into a world of creeping madness and cosmic horror. Cryptic clues, shadowy figures, and pure terror bar your way as you fight to retain your sanity and solve an otherworldly mystery.
Leenie Boog
WHY THIS
Ranked #7 for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Action and Indie with Pathologic Classic HD.
The war. Light versus darkness. It has been going on for thousands of years. One night, the Thousand-Year War suddenly knocked on your window. You will have to meet an uninvited guest.
Five Nights at Freddy's: Sister Location
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Ranked #8 for Pathologic Classic HD fans by collaborative filtering across millions of Steam libraries. Shares Action and Indie with Pathologic Classic HD.
Welcome to Circus Baby's Pizza World, where family fun and interactivity go beyond anything you've seen at those *other* pizza places! Now hiring: Late night technician. Must enjoy cramped spaces and be comfortable around active machinery. Not responsible for death or dismemberment.
Cheaper alternatives
Games in the same vein priced at least 40% below Pathologic Classic HD at current Steam store prices.
Garry's Mod
WHY THIS
Priced ~62% under Pathologic Classic HD on Steam right now. Shares Indie with Pathologic Classic HD.
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.
Vampire Survivors
WHY THIS
Priced ~62% under Pathologic Classic HD on Steam right now. Shares Action and Indie with Pathologic Classic HD.
Mow down thousands of night creatures and survive until dawn! Vampire Survivors is a gothic horror casual game with rogue-lite elements, where your choices can allow you to quickly snowball against the hundreds of monsters that get thrown at you. Be the bullet hell!
R.E.P.O.
WHY THIS
Priced ~46% under Pathologic Classic HD on Steam right now. Shares Action with Pathologic Classic HD.
An online co-op horror game with up to 6 players. Locate valuable, fully physics-based objects and handle them with care as you retrieve and extract to satisfy your creator's desires.
Titanfall® 2
WHY THIS
Priced ~65% under Pathologic Classic HD on Steam right now. Shares Action with Pathologic Classic HD.
Respawn Entertainment gives you the most advanced titan technology in its new, single player campaign & multiplayer experience. Combine & conquer with new titans & pilots, deadlier weapons, & customization and progression systems that help you and your titan flow as one unstoppable killing force.
Slay the Spire
WHY THIS
Priced ~52% under Pathologic Classic HD on Steam right now. Shares Indie with Pathologic Classic HD.
We fused card games and roguelikes together to make the best single player deckbuilder we could. Craft a unique deck, encounter bizarre creatures, discover relics of immense power, and Slay the Spire!
Cookie Clicker
WHY THIS
Priced ~62% under Pathologic Classic HD on Steam right now. Shares Indie with Pathologic Classic HD.
An idle game about making cookies! Originally released in 2013 on the web, and actively developed since then. This is the official version for Steam.
WEBFISHING
WHY THIS
Priced ~62% under Pathologic Classic HD on Steam right now. Shares Indie with Pathologic Classic HD.
WEBFISHING a multiplayer chatroom-focused fishing game! Relax and fish (on the web!)
POSTAL 2
WHY THIS
Priced ~92% under Pathologic Classic HD on Steam right now. Shares Action and Indie with Pathologic Classic HD.
Live a week in the life of "The POSTAL Dude"; a hapless everyman just trying to check off some chores. Buying milk, returning an overdue library book, getting Gary Coleman's autograph, what could possibly go wrong?
Free alternatives
Free-to-play games that recommended players of this title also tend to enjoy.
Doki Doki Literature Club!
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with Pathologic Classic HD.
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.
Life is Strange - Episode 1
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action and Adventure with Pathologic Classic HD.
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.
Ultimate Custom Night
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action and Indie with Pathologic Classic HD.
Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!
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 Classic HD.
Experience surreal environments and inexplicable characters as ENA in a new wild world.
The Murder of Sonic the Hedgehog
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with Pathologic Classic HD.
Sonic the Hedgehog...was murdered!? Get to the bottom of the mystery in this brand-new adventure!
Indigo Park: Chapter 1
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action and Indie with Pathologic Classic HD.
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.
STRAFTAT
WHY THIS
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with Pathologic Classic HD.
STRAFTAT is a 1v1/2v2 ONLINE first person SHOOTER with quick rounds in over 350 MAPS ; Including all WEAPONS, proximity chat and 4 players FFA.
Narrow it down
Head-to-head comparisons
More from Ice-Pick Lodge
Other recommendable Steam games by Ice-Pick Lodge, ranked by review count so the studio's hits land first.
Pathologic 2
WHY THIS
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Indie and Adventure with Pathologic Classic HD.
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.
Pathologic 3
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Indie and Adventure with Pathologic Classic HD.
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.
Knock-knock
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Adventure with Pathologic Classic HD.
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.
The Void
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Action and Adventure with Pathologic Classic HD.
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.
Know by heart
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Indie and Adventure with Pathologic Classic HD.
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.
Cargo! The Quest for Gravity
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Action and Adventure with Pathologic Classic HD.
Create crazy, yet functional, custom vehicles to solve missions with your own unique style!
Pathologic 3: Quarantine
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Indie and Adventure with Pathologic Classic HD.
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.
Darkwood 2
WHY THIS
Another title from Ice-Pick Lodge, the studio behind Pathologic Classic HD. Shares Action and Adventure with Pathologic Classic HD.
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.
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
Deck Verified — runs on Steam Deck out of the box. Shares Indie and Adventure with Pathologic Classic HD.
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.
Darkwood
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Deck Verified — runs on Steam Deck out of the box. Shares Action and Adventure with Pathologic Classic HD.
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.
Call of Cthulhu®
WHY THIS
Shares an atmospheric mood with Pathologic Classic HD.
Deck Verified — runs on Steam Deck out of the box. Shares Adventure and RPG with Pathologic Classic HD.
1924. Private Investigator Pierce is sent to look into the tragic death of the Hawkins family. Plunge into a world of creeping madness and cosmic horror. Cryptic clues, shadowy figures, and pure terror bar your way as you fight to retain your sanity and solve an otherworldly mystery.
Frequently asked about Pathologic Classic HD
- Is Pathologic Classic HD verified for Steam Deck?
- Yes — Pathologic Classic HD 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 Pathologic Classic HD cost?
- Pathologic Classic HD is listed on Steam at 12.99 USD (current store price; Steam sales may reduce this temporarily).
- What games are most similar to Pathologic Classic HD?
- Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Pathologic Classic HD are Pathologic 2, Den-Den: Tokyo Horror, The Void.
- Who developed Pathologic Classic HD?
- Pathologic Classic HD was developed by Ice-Pick Lodge, General Arcade and published by Good Shepherd Entertainment.
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 Classic HD.
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