Pathologic 3

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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.

Steam release date

1/9/2026

Developer

Ice-Pick Lodge

Publisher

HypeTrain Digital

Game modes

Single-playerController

User tags

Psychological HorrorHorrorStory RichAtmosphericSurvival HorrorPsychologicalChoices MatterRemakeRPGFirst-PersonAdventureSurreal

Genres

AdventureIndieRPGSimulation

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Steam reviews

all time

81%

positive

Very Positive

2,674 reviews

7.9

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About this game

Pathologic 3

Pathologic 3 is a psychological horror game where you have only 12 days to save a town from a mysterious plague.

You are Daniil Dankovsky: physician, researcher, prodigy. Your research into the nature of death has brought you to this remote town deep in the eastern steppe, looking for a man said to be immortal.

But the outbreak of a deadly contagion sweeps through the town. The immortal man is dead. You failed to stop it.

Now you must return to the beginning. Fix your mistakes. Save the town.

Pathologic 3Every minute counts. Save them all, discover the secrets of immortality... don't go mad in the process.

Pathologic 3Bring your medical training to bear. Observation and knowledge are your tools. Work with patients face-to-face.

Examine the sick and make diagnoses. Each patient is a unique story — and a medical mystery. They may lie, omit the truth, or hide their motives. You must separate fact from fiction, and identify the real symptoms. Step by step, you'll get closer to developing a vaccine that could change everything.

Pathologic 3Fight for every new day. Ensure the town's survival by imposing your own rules: enforce quarantines, confiscate precious medicine, vaccinate the population, suppress riots, deploy patrols, and declare curfews.

You will make mistakes, face their consequences, and unlock new decrees. Your actions will shape the town—even if the people grow to hate you for it. Power is in your hands. It's up to you whether the streets will see gunfire or fireworks.

Pathologic 3Made a mistake? Go back, and fix it.

Time is your tool for navigating a narrative web filled with moral dilemmas and branching paths. Rewind if you think you could have done better. Keep your eye on your ultimate goal—even if the road there is paved with sacrifices.

Pathologic 3How far will you go to find the truth? Your mental state directly affects your actions, and even how you interpret events. Falling into apathy or wandering into mania may lead you to new insights... or to your death.

System requirements

Minimum

Minimum:
  • OS *: Windows 7/8/10/11 (64-bit)
  • Processor: i3 / Ryzen 5
  • Memory: 8 GB RAM
  • Graphics: NVIDIA GeForce GTX 960
  • DirectX: Version 11
  • Storage: 25 GB available space
  • Sound Card: Integrated
  • Additional Notes: 64-bit OS is required

Recommended

Recommended:
  • OS *: Windows 7/8/10 (64-bit)
  • Processor: i7 / Ryzen 7
  • Memory: 16 GB RAM
  • Graphics: NVIDIA GeForce GTX 2070
  • DirectX: Version 11
  • Storage: 25 GB available space
  • Sound Card: Integrated
  • Additional Notes: Plays best when loaded from an SSD. 64-bit OS is required

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