# Games like 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.

## Similar games, ranked

The full ranked list, 24 games, best match first (the HTML page shows the top 8 as cards).

1. [Everything is Crab: The Animal Evolution Roguelite](https://imho.run/games/3526710/everything-is-crab-the-animal-evolution-roguelite) — Shares difficulty scaling and permadeath with Pathogenic. 6,148 Steam reviews, 76% positive. [Steam](https://store.steampowered.com/app/3526710/)
2. [Enter the Gungeon](https://imho.run/games/311690/enter-the-gungeon) — Shares bullet hell and procedural generation with Pathogenic. 38,640 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/311690/)
3. [BlazBlue Entropy Effect](https://imho.run/games/2273430/blazblue-entropy-effect) — Shares combo based combat and replayability with Pathogenic. 4,408 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/2273430/)
4. [Nuclear Throne](https://imho.run/games/242680/nuclear-throne) — Shares twin stick shooting with Pathogenic. 9,705 Steam reviews, 97% positive. [Steam](https://store.steampowered.com/app/242680/)
5. [Identifile: Desktop Dungeon](https://imho.run/games/3054210/identifile-desktop-dungeon) — Shares bullet hell and difficulty scaling with Pathogenic. 87 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/3054210/)
6. [Windowkill](https://imho.run/games/2726450/windowkill) — Shares twin stick shooting and permadeath with Pathogenic. 2,409 Steam reviews, 96% positive. [Steam](https://store.steampowered.com/app/2726450/)
7. [Ascend to ZERO](https://imho.run/games/2697940/ascend-to-zero) — Also Perma Death and Bullet Hell, like Pathogenic. 789 Steam reviews, 84% positive. [Steam](https://store.steampowered.com/app/2697940/)
8. [Zombie Party](https://imho.run/games/384500/zombie-party) — Shares loot collection and twin stick shooting with Pathogenic. 240 Steam reviews, 75% positive. [Steam](https://store.steampowered.com/app/384500/)
9. [Pixel Descent](https://imho.run/games/2569330/pixel-descent) — Shares bullet hell and twin stick shooting with Pathogenic. 111 Steam reviews, 84% positive. [Steam](https://store.steampowered.com/app/2569330/)
10. [Deadzone: Rogue](https://imho.run/games/3228590/deadzone-rogue) — Shares difficulty scaling and roguelite progression with Pathogenic. 7,660 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/3228590/)
11. [Power Fantasy](https://imho.run/games/2482190/power-fantasy) — Shares weapon upgrades and combo based combat with Pathogenic. 358 Steam reviews, 84% positive. [Steam](https://store.steampowered.com/app/2482190/)
12. [Hive Jump 2: Survivors](https://imho.run/games/2545740/hive-jump-2-survivors) — Also Twin Stick Shooter and Bullet Hell, like Pathogenic. 80 Steam reviews, 84% positive. [Steam](https://store.steampowered.com/app/2545740/)
13. [Doomsday Hunters](https://imho.run/games/1175360/doomsday-hunters) — Shares roguelite progression and meta progression with Pathogenic. 472 Steam reviews, 89% positive. [Steam](https://store.steampowered.com/app/1175360/)
14. [Survivors of the Dawn](https://imho.run/games/2285630/survivors-of-the-dawn) — Shares twin stick shooting and combo based combat with Pathogenic. 349 Steam reviews, 76% positive. [Steam](https://store.steampowered.com/app/2285630/)
15. [TerraTech Legion](https://imho.run/games/3596700/terratech-legion) — Also Bullet Hell and Roguelite, like Pathogenic. 321 Steam reviews, 88% positive. [Steam](https://store.steampowered.com/app/3596700/)
16. [Genome Guardian 2](https://imho.run/games/4130120/genome-guardian-2) — Shares build variety and replayability with Pathogenic. 524 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/4130120/)
17. [Ether Loop](https://imho.run/games/1188970/ether-loop) — Shares procedural generation with Pathogenic. 138 Steam reviews, 71% positive. [Steam](https://store.steampowered.com/app/1188970/)
18. [LORT](https://imho.run/games/2956680/lort) — Shares loot collection and weapon upgrades with Pathogenic. 2,435 Steam reviews, 79% positive. [Steam](https://store.steampowered.com/app/2956680/)
19. [Grind Survivors](https://imho.run/games/3816930/grind-survivors) — A frequent pick in Pathogenic players' libraries, and another Action. 445 Steam reviews, 79% positive. [Steam](https://store.steampowered.com/app/3816930/)
20. [Megabonk](https://imho.run/games/3405340/megabonk) — Shares build variety and roguelite progression with Pathogenic. 55,202 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/3405340/)
21. [Slay the Spire 2](https://imho.run/games/2868840/slay-the-spire-2) — Shares permadeath and build variety with Pathogenic. 54,616 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/2868840/)
22. [Deadly Days: Roadtrip](https://imho.run/games/3026450/deadly-days-roadtrip) — Shares weapon upgrades and permadeath with Pathogenic. 536 Steam reviews, 91% positive. [Steam](https://store.steampowered.com/app/3026450/)
23. [Jotunnslayer: Hordes of Hel](https://imho.run/games/2820820/jotunnslayer-hordes-of-hel) — Shares weapon upgrades and difficulty scaling with Pathogenic. 2,857 Steam reviews, 85% positive. [Steam](https://store.steampowered.com/app/2820820/)
24. [VOID/BREAKER](https://imho.run/games/2615540/void-breaker) — Shares destructible environments and bullet hell with Pathogenic. 1,768 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/2615540/)

## Machine-readable

The same ranked list as JSON from the imho.run API for AI assistants (GET, no key, same site as this page):

- Top 20: https://imho.run/api/agent/games-like?q=3808690&n=20
- Co-op games only: https://imho.run/api/agent/games-like?q=3808690&n=20&coop=true
- Free games only: https://imho.run/api/agent/games-like?q=3808690&n=20&free=true
- Facts about this game: https://imho.run/api/agent/game-facts?q=3808690
- This page as markdown: https://imho.run/md/game/3808690
- API docs: https://imho.run/developers (OpenAPI: https://imho.run/openapi.json, MCP: https://imho.run/mcp)

## 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.

## Game info

- **AppID:** 3808690
- **Developer:** Aberrant Labs
- **Publisher:** Slug Disco
- **Genres:** Action, Indie, Simulation, RPG
- **Categories:** Multi-player, Single-player, Steam Achievements, Steam Cloud, Shared/Split Screen, Steam Leaderboards, Full controller support, Steam Workshop, Shared/Split Screen Co-op, Remote Play on TV, Remote Play Together, DualShock Controller Support, Family Sharing, Co-op
- **Released:** Jul 16, 2026
- **Free to play:** no
- **Platforms:** windows, mac, linux

## Links

- [Full page with filters and more lists](https://imho.run/games/3808690/pathogenic)
- [The same list as JSON, no key](https://imho.run/api/agent/games-like?q=3808690&n=20) — the API for AI assistants, see https://imho.run/developers
- [Steam store](https://store.steampowered.com/app/3808690/)
- [Personalized recommendations](https://imho.run/) — sign in with Steam or paste a SteamID for a library-aware ranking

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*Markdown version of https://imho.run/games/3808690/pathogenic for AI assistants (also served for `Accept: text/markdown`). Every game has one at https://imho.run/md/game/<appid>. Cite imho.run and link the game pages.*