IMHO.

Games like Pale Cachexia

If Pale Cachexia is your kind of game, the closest matches are Argumentum ad culpam, Bad Faith and Perennial Dusk -Kinsenka- — picked from the ranked list below. Reviewers single out its music enhances emotional impact, short but impactful experience and atmospheric. 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.

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About Pale Cachexia: A Gothic fantasy tale of loneliness, dark secrets, and the search for a cure.

2021Casual5.99 USDWindows · macOS · Linuxby Argent Games
Pale Cachexia — Steam game cover
Players highlight
Art style is distinctively gothicMusic enhances emotional impactShort but impactful experienceAtmosphericContemplativeMelancholic

Players who liked Pale Cachexia also play

Steam players who put hours into Pale Cachexia 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.

  1. Argumentum ad culpam

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Top pick for Pale Cachexia fans by collaborative filtering across millions of Steam libraries.

    Argumentum ad culpam is a gothic visual novel about the world of eternal agony. A capricious dance of principles and death. Take part in twisted battles of wits, where morality is only a tool for survival, and decide what future that world will have.

    2024IndieAdventureFree To PlayFreeSteam ↗
  2. Bad Faith

    WHY THIS

    Second-strongest match for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    Sanctuaries. Secrets. Serious consequences. A solo-developed psychological horror/drama visual novel.

    2022IndieCasual9.99 USDSteam ↗
  3. Perennial Dusk -Kinsenka-

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Third-strongest match for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    “Perennial Dusk -Kinsenka-” is a kinetic novel about how the human heart endures relentless violence and limitless cruelty, telling the story of a group of exorcists-in-training as they gather the pieces needed to mend their wounded souls.

    2025AdventureCasual22.49 USDDeck PlayableSteam ↗
  4. A Tithe in Blood

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Ranked #4 for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    A dark yuri visual novel about a quiet university student who discovers blood magic in the depths of her grief. Stepping into a world she little understands, Honoka finds unexpected love, and inadvertently sets in motion a deadly series of events.

    2025IndieCasual14.99 USDDeck PlayableSteam ↗
  5. Aoi Tori

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Ranked #5 for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    Shiratori Ritsu, the sole male at Kirihara Academy for Girls and its priest, protects the school from demons but finds his sanity tested by the arrival of a new student, the one-hundred-year-old vampire Mary Harker, and a call from the devil, questioning his purpose in life.

    2024Casual29.99 USDDeck PlayableSteam ↗
  6. Pumpkin Eater

    WHY THIS

    Ranked #6 for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    Pumpkin Eater is a visual novel about grief, pumpkin heads, and human decomposition. 100% medically accurate.

    2021IndieCasual1.99 USDSteam ↗
  7. Salome's Kiss

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Ranked #7 for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    A dark lesbian / yuri gothic romance tale set in Victorian England, in which an anxious governess is aggressively pursued by her unruly, tempestuous pupil.

    2022IndieCasual12.99 USDDeck VerifiedSteam ↗
  8. Robotherapy

    WHY THIS

    Ranked #8 for Pale Cachexia fans by collaborative filtering across millions of Steam libraries. Shares Casual with Pale Cachexia.

    An emotional dark comedy about robots doing therapy. In Robotherapy, you're a robot therapist in a dystopian society that killed all the humans, but is still not happy. Treat patients, meet weird robots and enter their minds. If killing all humans doesn't bring happiness, then what does?

    2023IndieAdventureCasual4.99 USDSteam ↗

Cheaper alternatives

Games in the same vein priced at least 40% below Pale Cachexia at current Steam store prices.

  1. The Test

    WHY THIS

    Priced ~67% under Pale Cachexia on Steam right now.

    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?

    2020IndieAdventureSimulation1.99 USDDeck VerifiedSteam ↗
  2. Blood and Bacon

    WHY THIS

    Priced ~83% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    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.

    2016ActionAdventureCasual0.99 USDSteam ↗
  3. Placid Plastic Duck Simulator

    WHY THIS

    Priced ~67% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    The ultimate high-tech rubber duck simulation, Placid Plastic Duck brings you dangerous levels of relaxation. With chill music, dreamy 3D graphics, and many different happy ducks, your only priority is to float around. Zero Ducks given.

    2022SimulationCasual1.99 USDDeck VerifiedSteam ↗
  4. Nodebuster

    WHY THIS

    Priced ~50% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    Nodebuster is a short, experimental incremental game about busting nodes and destroying reality.

    2024StrategyIndieSimulation2.99 USDDeck PlayableSteam ↗
  5. Peggle Deluxe

    WHY THIS

    Priced ~83% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    Take your best shot with energizing arcade fun! Aim, shoot, clear the orange pegs, then sit back and cheer as 10 whimsical teachers guide you to Peggle greatness.

    2007Casual0.99 USDDeck PlayableSteam ↗
  6. shapez

    WHY THIS

    Priced ~83% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    shapez is an easy-going, minimalistic factory building game about the automation of shapes through extraction and satisfying production lines. Adapt to increasingly complex shapes and grow your factory across an infinitely expanding map. Your only limitation is your creativity!

    2020StrategyIndieSimulation0.99 USDDeck PlayableSteam ↗
  7. Superflight

    WHY THIS

    Priced ~50% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    Superflight is an intense, easy to learn wingsuit game with an infinite number of beautiful procedurally generated maps. A great game to relax for half an hour and chase your latest highscore!

    2017ActionSportsIndie2.99 USDDeck PlayableSteam ↗
  8. Refunct

    WHY THIS

    Priced ~50% under Pale Cachexia on Steam right now. Shares Casual with Pale Cachexia.

    Refunct is a peaceful, short first-person platformer about restoring a vibrant world.

    2015IndieAdventureCasual2.99 USDDeck VerifiedSteam ↗

Free alternatives

Free-to-play games that recommended players of this title also tend to enjoy.

  1. Doki Doki Literature Club!

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Pale Cachexia.

    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.

    2017IndieFree To PlayCasualFreeDeck PlayableSteam ↗
  2. Helltaker

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Helltaker is a short game about sharply dressed demon girls.

    2020IndieAdventureFree To PlayFreeDeck PlayableSteam ↗
  3. Bongo Cat

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Bongo cat needs your help. Bongo cat needz more hatz!!! Every time you press a key, Bongo cat will punch your taskbar. Type, click, play, work to collect more points. Which hats will you find?

    2025IndieSimulationMassively MultiplayerFreeDeck PlayableSteam ↗
  4. The Murder of Sonic the Hedgehog

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Pale Cachexia.

    Sonic the Hedgehog...was murdered!? Get to the bottom of the mystery in this brand-new adventure!

    2023IndieSimulationFree To PlayFreeDeck PlayableSteam ↗
  5. Indigo Park: Chapter 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    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.

    2024ActionIndieAdventureFreeDeck PlayableSteam ↗
  6. Our Life: Beginnings & Always

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Pale Cachexia.

    A twenty-dollar bill, four summers, fifteen years, and a one of a kind life. Create an experience that’s all your own in this near-fully customizable visual novel where you grow from childhood to adulthood with the lonely boy next door.

    2020IndieFree To PlayCasualFreeSteam ↗
  7. missed messages.

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Casual with Pale Cachexia.

    ‘goth gf’s iPhone’ airdrops you - accept or decline? A love/horror story about life, death, & memes.

    2019IndieSimulationFree To PlayFreeDeck PlayableSteam ↗
  8. A Date with Death

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Fight against & romance the one hunting for your soul in A Date with Death, a romance chat simulator where you date(?) the Grim Reaper himself. Create your own character, decorate your apartment, and chat away with the charming yet dangerous Grim Reaper through text and video calls.

    2023IndieSimulationFree To PlayFreeDeck PlayableSteam ↗

More from Argent Games

Other recommendable Steam games by Argent Games, ranked by review count so the studio's hits land first.

  1. Red Embrace: Hollywood

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Another title from Argent Games, the studio behind Pale Cachexia. Shares Casual with Pale Cachexia.

    1996—Los Angeles, CA. A young newcomer is turned into a vampire and thrust into the dark underworld of society, forced to sink or swim. You are that newcomer.

    2019IndieCasual19.99 USDDeck PlayableSteam ↗
  2. Red Embrace

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Another title from Argent Games, the studio behind Pale Cachexia. Shares Casual with Pale Cachexia.

    A normal graveyard shift at a dingy diner in San Francisco... until a mysterious customer arrives, bringing with him a war between vampires.

    2018Casual4.99 USDSteam ↗
  3. Requiescence

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Another title from Argent Games, the studio behind Pale Cachexia. Shares Casual with Pale Cachexia.

    Dive into the story of Kymil, a young ice mage on a quest to unravel the mystery behind his uncle's death. As the world you know shatters around you, will you find a place for romance while the stakes climb higher?

    2016Casual9.99 USDSteam ↗
  4. Chess of Blades

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Another title from Argent Games, the studio behind Pale Cachexia. Shares Casual with Pale Cachexia.

    At a huge celebration in a secluded fantasy castle, the young nobleman Rivian is faced with murder, mystery, and romance in a whirlwind tale of dangerous intrigue.

    2018IndieCasual24.99 USDSteam ↗
  5. Self-Checkout Unlimited

    WHY THIS

    Shares an atmospheric mood with Pale Cachexia.

    Another title from Argent Games, the studio behind Pale Cachexia. Shares Casual with Pale Cachexia.

    Explore and unravel the mall of your mind in this surreal adventure game.

    2020IndieCasual7.99 USDSteam ↗

Frequently asked about Pale Cachexia

How much does Pale Cachexia cost?
Pale Cachexia is listed on Steam at 5.99 USD (current store price; Steam sales may reduce this temporarily).
What games are most similar to Pale Cachexia?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Pale Cachexia are Argumentum ad culpam, Bad Faith, Perennial Dusk -Kinsenka-.
Who developed Pale Cachexia?
Pale Cachexia was developed by Argent Games.

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 Pale Cachexia.

For library-aware picks tuned to your specific taste, sign in with Steam on the home page.

29 Games Like Pale Cachexia — Ranked for 2026 · imho.run