Games like Pathologic 2
If Pathologic 2 is your kind of game, the closest matches are Pathologic 3: Quarantine, Pathologic 3 and Den-Den: Tokyo Horror — picked from the ranked list below. Reviewers single out its simulating dread and despair, anxious and emotional. 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 2 is a survival horror RPG set in a plague-ravaged rural town where players must resist the outbreak through a combination of resource management, medicine crafting, and difficult moral choices. The game features a time-management system as a core mechanic, a barter economy where players trade trinkets for food and supplies, and a narrative simulation focused on developing a plague cure. Reviewers highlight that combat is designed to consistently place the player at a disadvantage, making survival a constant struggle. Players describe the experience as grim, emotionally intense, and anxiety-inducing, with time itself serving as the true antagonist. The game runs verified on Steam Deck, carries a brutal difficulty rating, and requires a significant time investment for a solo experience.
About 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.
Players who liked Pathologic 2 also play
Steam players who put hours into Pathologic 2 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 3: Quarantine
WHY THIS
Shares time management and a grim mood with Pathologic 2.
Top pick for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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.
Pathologic 3
WHY THIS
Shares a grim mood with Pathologic 2.
Second-strongest match for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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.
Den-Den: Tokyo Horror
WHY THIS
Third-strongest match for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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 Man Came Around
WHY THIS
Ranked #4 for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
The Man Came Around is a survival game with narrative choices. Play five activists fleeing a police state. Cross the border. Evade the cops. Scavenge resources. Survive the elements. Will you put your group at risk to help others along the way, or betray your principles to survive?
System Says Normal
WHY THIS
Ranked #5 for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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.
Agent of Strange
WHY THIS
Ranked #6 for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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.
Kona
WHY THIS
Ranked #7 for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
Northern Canada, 1970. A strange blizzard ravages Atamipek Lake. Step into the shoes of a detective to explore the eerie village, investigate surreal events, and battle the elements to survive. Kona is a chilly interactive tale you won't soon forget.
Agent of Strange: Arrival
WHY THIS
Ranked #8 for Pathologic 2 fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with Pathologic 2.
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.
Reviewers mention these as similar to Pathologic 2
Surfaced from review text: when other players write 'if you liked X, try Y', we catch the name and resolve it back to a Steam game.
Elysium
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Indie and Adventure with Pathologic 2.
Wake up on a paradise-like abandoned island with your friends. Explore the lands of an ancient civilization and uncover the mysteries behind their collapse as you build, craft, and tame corrupted machines. Most importantly, survive the unwelcome lands of Elysium!
The Void
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Adventure with Pathologic 2.
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.
The Forest
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Indie and Adventure with Pathologic 2.
As the lone survivor of a passenger jet crash, you find yourself in a mysterious forest battling to stay alive against a society of cannibalistic mutants. Build, explore, survive in this terrifying first person survival horror simulator.
Pathologic 3
WHY THIS
Shares a grim mood with Pathologic 2.
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Indie and Adventure with Pathologic 2.
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.
The Elder Scrolls V: Skyrim
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares RPG with Pathologic 2.
EPIC FANTASY REBORN The next chapter in the highly anticipated Elder Scrolls saga arrives from the makers of the 2006 and 2008 Games of the Year, Bethesda Game Studios. Skyrim reimagines and revolutionizes the open-world fantasy epic, bringing to life a complete virtual world open for you to explore any way you choose.
The Elder Scrolls V: Skyrim Special Edition
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares RPG with Pathologic 2.
Winner of more than 200 Game of the Year Awards, The Elder Scrolls V: Skyrim Special Edition brings the epic fantasy to life in stunning detail. The Special Edition includes the critically acclaimed game and add-ons with all-new features.
SILENT HILL 2
WHY THIS
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Adventure with Pathologic 2.
Investigating a letter from his late wife, James returns to where they made so many memories - Silent Hill. What he finds is a ghost town, prowled by disturbing monsters and cloaked in deep fog. Confront the monsters, solve puzzles, and search for traces of your wife in this remake of SILENT HILL 2.
Gods Will Be Watching
WHY THIS
Shares an emotional mood with Pathologic 2.
Reviewers of Pathologic 2 cross-mention this title as a similar play. Shares Indie and Adventure with Pathologic 2.
Gods Will Be Watching is a minimalistic “point and click thriller” centered on despair, commitment, and sacrifice as players face intriguing puzzles and tough decisions that will affect their entire crew’s wellbeing.
Cheaper alternatives
Games in the same vein priced at least 40% below Pathologic 2 at current Steam store prices.
POSTAL 2
WHY THIS
Priced ~86% under Pathologic 2 on Steam right now. Shares Indie and Adventure with Pathologic 2.
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?
Buckshot Roulette
WHY THIS
Priced ~57% under Pathologic 2 on Steam right now. Shares Indie with Pathologic 2.
Play Russian roulette with a 12-gauge shotgun. Four enter. One leaves. Roll the dice with your life. Good luck!
GRIS
WHY THIS
Priced ~46% under Pathologic 2 on Steam right now. Shares Indie and Adventure with Pathologic 2.
Gris is a hopeful young girl lost in her own world, dealing with a painful experience in her life. Her journey through sorrow is manifested in her dress, which grants new abilities to better navigate her faded reality.
The Test
WHY THIS
Priced ~72% under Pathologic 2 on Steam right now. Shares Indie and Adventure with Pathologic 2.
You will answer a series of questions that will reveal truths from deep within. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Test, and if you do, are you sure you want the answers you seek?
Milk inside a bag of milk inside a bag of milk
WHY THIS
Priced ~79% under Pathologic 2 on Steam right now. Shares Indie and Adventure with Pathologic 2.
A short story about what sort of challenges everyday little things can be. Help the girl buy milk, be the first not to disappoint her.
Blood and Bacon
WHY THIS
Priced ~86% under Pathologic 2 on Steam right now. Shares Adventure with Pathologic 2.
This Co-op Shooter , has Day and Night levels, multiple maps, players will take on 25 enemy types and numerous bosses, like Gargantuan Monsters and Minibosses every 10 days as you explore, shoot and run for your life against the onslaught of porcine monstrosities.
Crypt of the NecroDancer
WHY THIS
Priced ~57% under Pathologic 2 on Steam right now. Shares Indie and RPG with Pathologic 2.
Crypt of the NecroDancer is an award winning hardcore roguelike rhythm game. Move to the music and deliver beatdowns to the beat! Groove to the epic Danny Baranowsky soundtrack, or select songs from your own MP3 collection!
A Short Hike
WHY THIS
Priced ~43% under Pathologic 2 on Steam right now. Shares Indie and Adventure with Pathologic 2.
Hike, climb, and soar through the peaceful mountainside landscapes of Hawk Peak Provincial Park as you make your way to the summit.
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 2.
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 Adventure with Pathologic 2.
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 Indie with Pathologic 2.
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 2.
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 2.
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 Indie and Adventure with Pathologic 2.
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.
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 Classic HD
WHY THIS
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Indie and Adventure with Pathologic 2.
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.
Pathologic 3
WHY THIS
Shares a grim mood with Pathologic 2.
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Indie and Adventure with Pathologic 2.
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
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Adventure with Pathologic 2.
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
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Adventure with Pathologic 2.
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
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Indie and Adventure with Pathologic 2.
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
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Adventure with Pathologic 2.
Create crazy, yet functional, custom vehicles to solve missions with your own unique style!
Pathologic 3: Quarantine
WHY THIS
Shares time management and a grim mood with Pathologic 2.
Another title from Ice-Pick Lodge, the studio behind Pathologic 2. Shares Indie and Adventure with Pathologic 2.
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 2. Shares Adventure and RPG with Pathologic 2.
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.
Frequently asked about Pathologic 2
- Is Pathologic 2 verified for Steam Deck?
- Yes — Pathologic 2 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 2 cost?
- Pathologic 2 is listed on Steam at 6.99 USD (current store price; Steam sales may reduce this temporarily).
- What games are most similar to Pathologic 2?
- Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Pathologic 2 are Pathologic 3: Quarantine, Pathologic 3, Den-Den: Tokyo Horror.
- Who developed Pathologic 2?
- Pathologic 2 was developed by Ice-Pick Lodge and published by tinyBuild.
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 2.
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