Rank 01Why this
Also Detective and Surreal, like Pathologic 2.
- $34.99 (Price checked Nov 3)
- Deck Playable
- 2026
Games like Pathologic 2
- 33 games
- Updated Oct 9, 2026
Players who liked Pathologic 2 also play
The closest matches to Pathologic 2: Pathologic 3, Pathologic 3: Quarantine, Disco Elysium - The Final Cut, Darkwood, and ANEURISM IV. Ranked by imho.run from Steam co-play data, shared tags and reviews.
- Rank 01
Rank 02
Rank 03- $39.99 (Price checked Nov 3)
- Deck Verified
- 2019
Rank 04 
Rank 05 
ANEURISM IV
Why this: Also Dystopian and Surreal, like Pathologic 2.
Rank 06 
This War of Mine
Why this: Same grim mood as Pathologic 2.
Rank 07 
Rank 08 
Catherine Classic
Why this: Same stressful mood as Pathologic 2.
The full ranked list: top 24 games like Pathologic 2
Best match first, as plain text. The same list for AI assistants:
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- Released: 2019
- Developer: Ice-Pick Lodge
- Price: $34.99checked Nov 3
- Steam Deck: Deck Verified
- 92% of 4,543 reviews
- Genres: Indie, Adventure, RPG
- Platforms: Windows
Players highlight
- Combat is designed to put you at a disadvantage
- Simulating dread and despair
- Time is the real enemy
- Anxious
- Emotional
- Grim
More games like Pathologic 2, sliced differently
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.
Gods Will Be Watching
Why this: Same emotional mood as Pathologic 2.
Cheaper alternatives
Games in the same vein priced at least 40% below Pathologic 2 at current Steam store prices.
Kona
Why this: Also Detective and Surreal, like Pathologic 2.
Resident Evil 7 Biohazard
Why this: Same stressful mood as Pathologic 2.
Enigma of Fear
Why this: Also Detective and Survival Horror, like Pathologic 2.
Five Nights at Freddy's
Why this: Same anxious mood as Pathologic 2.
BROK the InvestiGator
Why this: Also Dystopian and Detective, like Pathologic 2.
Sultan's Game
Why this: Shares time management with Pathologic 2.
Free alternatives
Free games the recommender matches to Pathologic 2, limited to titles with at least 500 Steam reviews and 80% positive.
SCP – Containment Breach
Why this: Also Surreal and Survival Horror, like Pathologic 2.
Blameless
Why this: Also Detective and Survival Horror, like Pathologic 2.
Hello Neighbor Alpha 1
Why this: Also Detective and Surreal, like Pathologic 2.
More from Ice-Pick Lodge
Other recommendable Steam games by Ice-Pick Lodge, ranked by review count so the studio's hits land first.
About Pathologic 2
The closest matches to Pathologic 2: Pathologic 3, Pathologic 3: Quarantine, Disco Elysium - The Final Cut, Darkwood, and ANEURISM IV. Ranked by imho.run from Steam co-play data, shared tags and reviews.
If Pathologic 2 is your kind of game, the closest matches are Pathologic 3, Pathologic 3: Quarantine and Disco Elysium - The Final Cut — picked from the ranked list below. Reviewers describe it as anxious, emotional and grim, and single out its barter system and narrative simulation. 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.
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.
Is Pathologic 2 worth buying?
Players recommend it
A summary of what players say, not a promise you'll like it. Every signal is listed below.
- 92% of 4,543 Steam reviews are positive.
- Last 30 days: 87% positive across 60 new reviews, in line with its all-time score.
- Price: $34.99 (checked Nov 7).
- People who recommend it had played a median of 33 h when they wrote their review.
- Critics had played a median of 4 h before their negative review.
- Steam Deck Verified.
What fans praise · Themes mined from positive reviews
- Combat is designed to put you at a disadvantage
- Simulating dread and despair
- Time is the real enemy
- Trade trinkets for food
Top critical reviews
The most up-voted negative English reviews in our sample, quoted as written.
“Maybe it's for some people but the cryptic theming is obnoxious to me. Everyone is on drugs, in a cult and lacking sleep. There are naked women bleeding on trees for some reason. There are naked men in masks giving me free stuff. The intro…”
“NPCs speak in abstract riddles, not anchored in any clear motive or world logic. You’re asked to care about survival meters and interpret cryptic metaphors from the jump. Story seems intriguing at first but dialogue turns into narrative…”
People who play it also play: Pathologic 3, Pathologic 3: Quarantine, Disco Elysium - The Final Cut
Frequently asked about Pathologic 2
Can I run it?
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 34.99 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, Pathologic 3: Quarantine, Disco Elysium - The Final Cut.
Who developed Pathologic 2?
Pathologic 2 was developed by Ice-Pick Lodge and published by tinyBuild.