# Games like 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.

## Similar games, ranked

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

1. [Pathologic 3](https://imho.run/games/3199650/pathologic-3) — Also Detective and Surreal, like Pathologic 2. 994 Steam reviews, 87% positive. [Steam](https://store.steampowered.com/app/3199650/)
2. [Pathologic 3: Quarantine](https://imho.run/games/3389330/pathologic-3-quarantine) — Shares time management with Pathologic 2. 567 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/3389330/)
3. [Disco Elysium - The Final Cut](https://imho.run/games/632470/disco-elysium-the-final-cut) — A frequent pick in Pathologic 2 players' libraries, and another RPG. 55,782 Steam reviews, 92% positive. [Steam](https://store.steampowered.com/app/632470/)
4. [Darkwood](https://imho.run/games/274520/darkwood) — Also Survival Horror, like Pathologic 2. 9,910 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/274520/)
5. [ANEURISM IV](https://imho.run/games/2773280/aneurism-iv) — Also Dystopian and Surreal, like Pathologic 2. 4,788 Steam reviews, 78% positive. [Steam](https://store.steampowered.com/app/2773280/)
6. [This War of Mine](https://imho.run/games/282070/this-war-of-mine) — Same grim mood as Pathologic 2. 22,855 Steam reviews, 92% positive. [Steam](https://store.steampowered.com/app/282070/)
7. [Outlast 2](https://imho.run/games/414700/outlast-2) — A frequent pick in Pathologic 2 players' libraries, and another Action. 10,570 Steam reviews, 85% positive. [Steam](https://store.steampowered.com/app/414700/)
8. [Catherine Classic](https://imho.run/games/893180/catherine-classic) — Also Surreal, like Pathologic 2. 4,202 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/893180/)
9. [The Evil Within 2](https://imho.run/games/601430/the-evil-within-2) — Also Survival Horror, like Pathologic 2. 5,997 Steam reviews, 91% positive. [Steam](https://store.steampowered.com/app/601430/)
10. [Kona](https://imho.run/games/365160/kona) — A frequent pick in Pathologic 2 players' libraries, and another Indie. 1,473 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/365160/)
11. [Resident Evil 7 Biohazard](https://imho.run/games/418370/resident-evil-7-biohazard) — Also Survival Horror, like Pathologic 2. 31,078 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/418370/)
12. [Alien: Isolation](https://imho.run/games/214490/alien-isolation) — Also Survival Horror, like Pathologic 2. 26,101 Steam reviews, 92% positive. [Steam](https://store.steampowered.com/app/214490/)
13. [System Shock® 2 (1999)](https://imho.run/games/238210/system-shock-2-1999) — Also Survival Horror, like Pathologic 2. 4,870 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/238210/)
14. [Kingdom Come: Deliverance II](https://imho.run/games/1771300/kingdom-come-deliverance-ii) — A frequent pick in Pathologic 2 players' libraries, and another RPG. 63,102 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/1771300/)
15. [Enigma of Fear](https://imho.run/games/1507580/enigma-of-fear) — Also Detective and Survival Horror, like Pathologic 2. 229 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/1507580/)
16. [Don't Starve Together](https://imho.run/games/322330/don-t-starve-together) — Also Survival Horror, like Pathologic 2. 80,691 Steam reviews, 96% positive. [Steam](https://store.steampowered.com/app/322330/)
17. [The Void](https://imho.run/games/37000/the-void) — Also Surreal, like Pathologic 2. 576 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/37000/)
18. [SOMA](https://imho.run/games/282140/soma) — Also Survival Horror, like Pathologic 2. 23,563 Steam reviews, 96% positive. [Steam](https://store.steampowered.com/app/282140/)
19. [Amnesia: The Bunker](https://imho.run/games/1944430/amnesia-the-bunker) — Also Survival Horror, like Pathologic 2. 5,993 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/1944430/)
20. [Visage](https://imho.run/games/594330/visage) — Also Surreal and Survival Horror, like Pathologic 2. 3,985 Steam reviews, 86% positive. [Steam](https://store.steampowered.com/app/594330/)
21. [Five Nights at Freddy's](https://imho.run/games/319510/five-nights-at-freddy-s) — Also Survival Horror, like Pathologic 2. 32,880 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/319510/)
22. [Zoochosis](https://imho.run/games/2458560/zoochosis) — A frequent pick in Pathologic 2 players' libraries, and another Simulation. 1,211 Steam reviews, 61% positive. [Steam](https://store.steampowered.com/app/2458560/)
23. [BROK the InvestiGator](https://imho.run/games/949480/brok-the-investigator) — Also Dystopian and Detective, like Pathologic 2. 421 Steam reviews, 98% positive. [Steam](https://store.steampowered.com/app/949480/)
24. [Vampyr](https://imho.run/games/427290/vampyr) — A frequent pick in Pathologic 2 players' libraries, and another RPG. 8,805 Steam reviews, 77% positive. [Steam](https://store.steampowered.com/app/427290/)

## 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=505230&n=20
- Co-op games only: https://imho.run/api/agent/games-like?q=505230&n=20&coop=true
- Free games only: https://imho.run/api/agent/games-like?q=505230&n=20&free=true
- Facts about this game: https://imho.run/api/agent/game-facts?q=505230
- This page as markdown: https://imho.run/md/game/505230
- API docs: https://imho.run/developers (OpenAPI: https://imho.run/openapi.json, MCP: https://imho.run/mcp)

## About Pathologic 2

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.

## Game info

- **AppID:** 505230
- **Developer:** Ice-Pick Lodge
- **Publisher:** tinyBuild
- **Genres:** Indie, Adventure, RPG
- **Categories:** Single-player, Steam Achievements, Full controller support, Steam Trading Cards, Remote Play on TV, Family Sharing
- **Released:** May 23, 2019
- **Free to play:** no
- **Platforms:** windows

## Links

- [Full page with filters and more lists](https://imho.run/games/505230/pathologic-2)
- [The same list as JSON, no key](https://imho.run/api/agent/games-like?q=505230&n=20) — the API for AI assistants, see https://imho.run/developers
- [Steam store](https://store.steampowered.com/app/505230/)
- [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/505230/pathologic-2 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.*